Paramedicine Care Summary (PCS)
The Paramedicine Care Summary (PCS) Profile provides the structures and transactions for providing the patient's paramedicine encounter information to the receiving facility.
Summary
Currently, interventions and assessments are written into an ambulance electronic Patient Care Record (ePCR), and are either manually updated by the Emergency Medical Services (EMS) crew, or collected from electronic devices (e.g., hemodynamic monitor). The ePCR is updated with treatments and interventions that are administered during the transport. The hospital will not typically have access to paper or electronic versions of this patient information until the report is finished and signed in the ePCR and it is requested by the hospital. In this profile, the prehospital and paramedicine interventions and patient assessments are made available to the hospital/emergency room IT system electronically when the patient arrives, or in advance of patient arrival to the hospital. This informs medical decision making during the hospital treatment to improve patient care and to save lives.
Benefits
Having access to the Paramedicine transport information, informs medical decision making during the hospital treatment to improve patient care and to save lives.
Details
This profile maps the FHIR and CDA options for transferring this information from the electronic patient care record to the receiving facility's system using a document sharing [PCC-1] transaction.
Actors & Transactions:
Specification
Profile Status: Trial Implementation
Documents: PCS Supplement
Referenced Standards
FHIR transaction HL7 Version 3 Domain Analysis Model: Emergency Medical Services, Release 1 <http://www.hl7.org/implement/standards/product_brief.cfm?product_id=39>
HL7 Version 3 Domain Information Model; Emergency Medical Services, Release 1 <http://www.hl7.org/implement/standards/product_brief.cfm?product_id=302>
HL7 Version 3 Implementation Guide for CDA Release 2 - Level 3: Emergency Medical Services; Patient Care Report, Release 2 - US Realm <http://www.hl7.org/implement/standards/product_brief.cfm?product_id=438>
HL7 Version 3 Domain Analysis Model: Trauma Registry Data Submission, http://www.hl7.org/implement/standards/product_brief.cfm?product_id=363
HL7 CDA® R2 Implementation Guide: Trauma Registry Data Submission, Release 1 - US Realm http://www.hl7.org/implement/standards/product_brief.cfm?product_id=355
HL7 Version 2.7.1 Implementation Guide: Message Transformations with OASIS Tracking of Emergency Patients (TEP), Release 1 http://www.hl7.org/implement/standards/product_brief.cfm?product_id=439
National Trauma Data Standard Data Dictionary https://www.facs.org/~/media/files/quality%20programs/trauma/ntdb/ntds/data%20dictionaries/ntds%20data%20dictionary%202018.ashx
HL7 FHIR standard STU3 http://hl7.org/fhir/STU3/index.html
CDA Transaction: HL7 CDA Release 2.0 http://www.hl7.org/documentcenter/public/standards/dstu/CDAR2_IG_PROCNOTE_DSTU_R1_2010JUL.zip
HL7 Implementation Guide for CDA Release 2 – Level 3: Emergency Medical Services; Patient Care Report, Release 2 – US Realm http://www.hl7.org/implement/standards/product_brief.cfm?product_id=438
HL7 Version 3 Domain Analysis Model, Emergency Medical Services, Release 1 http://www.hl7.org/implement/standards/product_brief.cfm?product_id=421
HL7 version 3 Domain Information Model; Emergency Model Services, release 1 http://www.hl7.org/implement/standards/product_brief.cfm?product_id=302
Structure definitions
http://ihe.net/fhir/StructureDefinition/IHE.PCC.PCS.Composition
http://ihe.net/fhir/StructureDefinition/IHE.PCC.PCS.Patinet
http://ihe.net/fhir/StructureDefinition/IHE.PCC.PCS-CS.Patinet
http://ihe.net/fhir/StructureDefinition/IHE.PCC.PCS.Condition
http://ihe.net/fhir/StructureDefinition/IHE.PCC.PCS.Procedure
http://ihe.net/fhir/StructureDefinition/IHE.PCC.PCS.MedicationAdministration
http://ihe.net/fhir/StructureDefinition/IHE.PCC.PCS.MedicationStatement
http://ihe.net/fhir/StructureDefinition/IHE.PCC.PCS.Observation
http://ihe.net/fhir/StructureDefinition/IHE.PCC.PCS.Encounter
http://ihe.net/fhir/StructureDefinition/IHE.PCC.PCS-CS.Encounter
http://ihe.net/fhir/StructureDefinition/IHE.PCC.PCS.Location
http://ihe.net/fhir/StructureDefinition/IHE.PCC.PCS-CS.Location
http://ihe.net/fhir/StructureDefinition/IHE.PCC.PCS.RelatedPerson
http://ihe.net/fhir/StructureDefinition/IHE.PCC.PCS.AllergyIntolerance
http://ihe.net/fhir/StructureDefinition/IHE.PCC.PCS.AdverseEvent
http://ihe.net/fhir/StructureDefinition/IHE.PCC.PCS.ClinicalImpression
http://ihe.net/fhir/StructureDefinition/IHE.PCC.PCS.Device
http://ihe.net/fhir/StructureDefinition/IHE.PCC.PCS.DocumentReference