IHE Patient Care Coordination (PCC) Technical Framework Supplement Patient Plan of Care (PPOC)

Infrastructure Technical Framework Cross-Enterprise Document Sharing (XDS) Notification of Document Availability (NAV) Audit Trail and Node Authentication (ATNA)

Other Technical Frameworks Anatomic Pathology Cardiology Eye Care Laboratory Patient Care Coordination Patient Care Device Pharmacy Quality, Research, Public Health Radiation Oncology Radiology

PCC Framework Volume 1: use cases & profiles (1:1) – Cross-Enterprise Sharing of Medical Summaries (XDS-MS) – Exchange or Personal Health Record (XPHR) – Emergency Department Referral (EDR) Volume 2: transaction technical reference – Lists data components, optionality, source, and expected values

Typical Use Case

PCC Profiles Figure IHE Patient Care Coordination Content Integration Profiles IHE Patient Care Coordination Technical Framework, Volume 1 (PCC TF-1): Overview

PCC Supplements Care Management Patient Plan of Care eNursing Summary 11 others

Patient Plan of Care The Patient Plan of Care profile (PPOC) extends the description of the content structures for the plan of care in the current technical framework and is based on the data elements from the Nursing Process currently in common use. The PPOC includes... additional components

Nursing Process & Other Elements 1.Assessment 2.Diagnosis 3.Outcomes Identification 4.Planning 5.Implementation 6.Evaluation 7.Discharge Planning 8.Orders 9.Allergies 10.History of Past Illness 11.Surgical History 12.Advance Directives 13.Immunizations 14.Family and social history

Nursing Process For PPOC

Specification (Selection) ElementLOINC ANA 2004 Care Plan Plan of TreatmentPlanning Surgical History History of ProceduresAssessment Allergies AllergiesDiagnosis ElementROID Coded List of SurgeriesC AllergiesR Why are these tables not congruent? Mismatched rows Changed names

Elements (v1, with LOINC) Assessment Physical Examination Review of Systems Functional Status Assessment Family History Social History History of Past Illness Surgical History Active Problems Allergies Goals Care Plan Provider Orders Advance Directives Procedures and Interventions Medications Administered Fluids Administered Progress

Elements (v2, with OIDs) Assessment Physical Examination Review of Systems Functional Status Assessment Family History Social History History of Past Illness Surgical History Active Problems Immunizations (+) Allergies Treatment Plan (+) Goals Care Plan Provider Orders Advance Directives Procedures and Interventions Medications Administered Fluids Administered Progress