PCC Roadmap

Legend

Priority: H Essential Now M Essential Future L Nice to Have Prerequisites: List of applicable standards Coordination: Other domains to coordinate efforts with.

Strategy: CP Develop Content Profile IP Develop Integration Profile Res Research Applicable Standards Promote Promote Applicable Standards Development Efforts Year: Earliest Opportunity given prerequisites, priority and skills.

Roadmap

Topic	Pri	Standards/Prerequesites	Coord	Strategy	Year
Referral/Transfer of Care
Discharge Packaging (Discharge to Sub-Acute Nursing Facility/Extended Care Facility/Home Health)	H	XDS-MS Linking w other clinical reports	n/a	CP, IP	2008
Find Provider for Referral	L	Unknown	Finance	Research	2008
Referral Notification/Authorization (payer focused)	L	X12-837 HL7 V3	Finance	Research	2009
Transfer of Care workflow Initiate/accept/reject/follow-up	M	HL7 V3 HL7 Care Transfer Messages (discuss with ITI regarding Referral Request supplement)	ITI	IP	2008 - 2009
Transfer of Care/FSA	H	Functional activity, Mood and behavior, Chronic disease management, care planning	ITI	IP CP	2007 - 2010
Document Types History and Physical Operative Notes Discharge/Transfer Summaries Progress Notes Nursing Notes Flow Sheets Radiology Report Cardiology Report Generic data dumps Consultants Report ED Triage Surveillance Report ED Encounter Report	M,H	CDA Release 2.0 LOINC JCAHO (US) CCR (General, discipline-focused)	Lab/Path (IHE Europe) Radiology Cardiology	Research CP	2008 - 2009
Orders between Providers / Ancillary Services	H	HL7 V3 HL7 V2 ORU	ITI Lab Radiology	Promote/ Adapt Existing IPs	2008 - 2009
Order Sets and Care Plans	L	XDS Non-Patient Documents HL7 Templates [Orders/Obs] HL7 Patient Care HL7 EHR Order Sets [Rad/Labs, Unified terminology/code systems]	ITI Quality	Promote	2009 - 2010
Pay for Performance Data Aggregation	M	Orders between Providers / Ancillary Services HL7 Templates HL7 Orders and Observations Minimum Data Sets Doc-IT HEDIS	QRPH	Promote	2008 - 2009
Query for Medication List from Multiple Providers	H	HL7 V3 RxHub JCAHO Med Reconciliation (how does this relate to QED use for Medications? Is one Content focused vs IP)	QRPH	Rsrch QED Relationship	2008 - 2009
Public Health Registries & Surveillance	H	XDS-MS w immunization structure Related to overall Care Management topic, specifically the Immunization Registry profile	QRPH	Sync Plans w QRPH	2008 - 2009
Capture of Clinical Research Data within an EHR ability to display Case Report Form for data capture retrieve info from EHR system (Note: Form definition work to be undertaken by CDISC in 2006 independent of ITI RFD profile work)	H	CDISC’s ODM HL7’s CDA eDCI HL7 CCOW SAFE (Digital Signature) Clinical Trial Care Report Forms	ITI and QRPH	CP (Clinical Research Data Capture [CRD] profile) IP Referred to ITI domain (Retrieve Form for Display)	2006 - 2008
Care Management Immunization Registry Cancer Registry Clinical Decision Support Chronic Disease Management	H	CDC Standards for Vital Statistics HSSP Decision Support Service Evidence research from medical colleges and other entities	QRPH	CP, IP	2007 - 2010
Emergency Medical Services (EMS) to Emergency Dept Data Transfer	M	Data Elements for Emergency Department Systems (DEEDS) v1.0 CDA/CRS (HL7/CCD), National Emergency Medical Services Information System (NEMSIS) v2.2, HITSP Emergency Response IS and related constructs	n/a	CP	2008 - 2009
#4 Self-referred ED Event (no pre-announcement of pt arrival)	H	Data Elements for Emergency Department Systems (DEEDS) v1.0 CDA/CRS (HL7/CCD and/or HITSP C32) Pt consent/granting role-based access controls	ITI	CP	2008 - 2009
ED to Surveillance Registry	H	State or national specified list of disease states for public health reporting	QRPH	CP	2008 - 2009
ED to PCP transfer	M	XDS-MS CDAR2	n/a	CP	2008 - 2009
Document Section Encoding Pediatrics (Immunizations, Growth charts) Public Health Survelliance (Immunizations, etc) Chronic Disease Mgmt Revised to: Immunization, Vital Signs, and Laboratories	.	HL7 CCD CDA R2 HL7 V3 Clinical Statement Model HL7 V3 Patient Care Structures HL7 V3 Pharmacy LOINC JCAHO	.	CP	2008 - 2009
Patient Selection Query Clinical trial qualifications Transfer to Extended Care Facility [ECF] assessment Chronic disease mgmt candidate Disease survelliance candidate	.	HL7 V3 Care Record Query	n/a	.	2009 - 2010
Cardiac electrophysiology admission discharge summary for the referring cardiologist (from Harry Solomon)	.	XDS-MS CDA R2 / CRS	CARD	Refer to Cardio domain	2009 - 2010
Personalized Health Care Customization of health treatment/plans to individuals	M	Human Genome specification standards HITSP Personalized outcomes	n/a	CP IP	2008 - 2009