PCC TF-1/History

History of Annual Changes

In the 2005-2006 cycle of the IHE Patient Care Coordination initiative, the first release of the IHE PCC Technical Framework introduced the following integration profile:

• Cross-Enterprise Sharing of Medical Summaries (XDS-MS) – a mechanism to automate the sharing process between care providers of Medical Summaries, a class of clinical documents that contain the most relevant portions of information about the patient intended for a specific provider or a broad range of potential providers in different settings. Medical Summaries are commonly created and consumed at points in time of transfers of care such as referrals or discharge.

In the 2006-2007 cycle of the IHE Patient Care Coordination initiative, the following integration profiles were added to the technical framework.

• Exchange of Personal Health Record Content (XPHR) – provides a standards-based specification for managing the interchange of documents between a Personal Health Record used by a patient and systems used by other healthcare providers to enable better interoperability between these systems.
• Basic Patient Privacy Consents (BPPC) – enables XDS Affinity Domains to be more flexible in the privacy policies that they support, by providing mechanisms to record patient privacy consents, enforce these consents, and create Affinity Domain defined consent vocabularies that identify information sharing policies.
  Please Note: This profile was transfered to the ITI Domain in the Fall of 2007, and can be found here http://www.ihe.net/Technical_Framework/index.cfm#IT
• Preprocedure History and Physical Content Profile (PPHP) – supports the exchange of information allowing for the assessment and amelioration of risks related to a procedure. Please Note: This profile has been withdrawn.
• Emergency Department Referral Profile (EDR) – provides a means to communicate medical summary data from an EHR System to an EDIS System.

In the 2007-2008 cycle of the IHE Patient Care Coordination initiative, the following integration profiles were added to the technical framework.

• Antepartum Care Summary (APS) - describes the content and format of summary documents used during antepartum care.
• Emergency Department Encounter Summary (EDES) - describes the content and format of records created during an emergency department visit.
• Functional Status Assessment Profile (FSA) - supports the handoff of assessment information between practictioners during transfers of care by defining the Functional Status Assessment option on the XDS-MS and XPHR profiles.
• Query for Existing Data (QED) - allows information systems to query data repositories for clinical information on vital signs, problems, medications, immunizations, and diagnostic results.
• Public Health Laboratory Report(PHLAB) - extends the XD*-LAB profile to support reporting from public health laboratories for disease surviellance activities. Please Note: This profile has been subsequently moved to the XD-LAB specification, and can be found here http://www.ihe.net/Technical_Framework/index.cfm#LAB

In addition, all content within the technical framework was revised in the 2007-2008 cycle to encourage compatibility with the ASTM/HL7 Continuity of Care Document Implementation Guide.

In the 2008-2009 cycle of the IHE Patient Care Coordination initiative, the following integration profiles were added to the technical framework.

• Antepartum Record (APR) - describes the content and format of summary documents used during antepartum care.
• Care Management (CM) - describes the content and format of summary documents used during antepartum care.
• Immunization Content (IC) - describes the content and format of summary documents used during antepartum care.