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IHE Patient Care Coordination Technical Framework Vol I

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PCC <strong>Technical</strong> <strong>Framework</strong> V3.0, vol. 1<br />

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2155<br />

2160<br />

2165<br />

2170<br />

• Occupation activity, including activities partly or directly related to working,<br />

housework or volunteering, family and home responsibilities or activities related<br />

to home and family<br />

• Communication ability, including issues with speech, writing or cognition<br />

required for communication<br />

• Perception, including sight, hearing, taste, skin sensation, kinesthetic sense,<br />

proprioception, or balance<br />

The Institute of Medicine has determined that the highest risk for medical errors occurs<br />

during the handoffs of patient care between practitioners, cross-enterprise or intraenterprise.<br />

Continuity of care requires provision of assessments to be available to the<br />

receiving practitioner for critical decision making. The transfer of physician<br />

documentation provides much of the medical/physiologic condition information. Transfer<br />

of nursing documentation provides human response (psychological, social, emotional,<br />

physiological and spiritual) of patient/family to changing conditions. Both types of<br />

documentation support continuity of patient care as each patient moves through the<br />

continuum.<br />

This profile does not convey the entire functional status, but is an initial interoperabe<br />

entry to manage continuity of care with the use of four scales which support assessment<br />

comparison related to time/date,informing caregivers for critical decision making. The<br />

profile demonstrates the collection and exchange of standardized assessment information<br />

as it is exchanged across a variety of residential and care provision settings.<br />

3.10.1 Options<br />

2175<br />

This integration profile supplement adds the following two options to the Cross<br />

Enterprise Sharing of Medical Summaries (XDS-MS) Integration Profile, and to the<br />

Exchange of Personal Health Record Content (XPHR) Integration Profile.<br />

Actor<br />

Content Consumer<br />

Content Creator<br />

Option<br />

Functional Status Option<br />

Functional Status Option<br />

Table 3.10-1 Functional Status Assessment Options<br />

3.10.1.1 Functional Status Option<br />

2180<br />

A Content Consumer Actor implementing the Functional Status Option of this profile<br />

supplement shall be able to view and consume coded functional status information sent in<br />

the functional status section of a Medical Summary or XPHR Extract. If the Content<br />

Consumer implements any of the import options of those profiles, it shall be able to<br />

import the coded functional status information.<br />

_____________________________________________________________________<br />

75<br />

Revision 3.0 Public Comment — June 25, 2007<br />

Copyright © 1997-2007: ACC/HIMSS/RSNA

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