PCC - mobile Paramedicine Summary of Care (mPSC)
2.0.0-draft - ci-build International flag

PCC - mobile Paramedicine Summary of Care (mPSC), published by IHE Patient Care Coordination. This guide is not an authorized publication; it is the continuous build for version 2.0.0-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/PCC.PCS/ and changes regularly. See the Directory of published versions

Download and Analysis

You can also download:

The source code for this Implementation Guide can be found on PCC.PCS Github

Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (ihe.pcc.mpsc.r4) and R4B (ihe.pcc.mpsc.r4b) are available.

Dependency Table

IGPackageFHIRComment
.. PCC - mobile Paramedicine Summary of Care (mPSC)ihe.pcc.mpsc#2.0.0-draftR4
... HL7 Terminology (THO)hl7.terminology.r4#6.0.2R4Automatically added as a dependency - all IGs depend on HL7 Terminology
... FHIR Extensions Packhl7.fhir.uv.extensions.r4#5.1.0R4Automatically added as a dependency - all IGs depend on the HL7 Extension Pack
... International Patient Summary Implementation Guidehl7.fhir.uv.ips#1.1.0R4
.... HL7 Terminology (THO)hl7.terminology.r4#5.0.0R4
.... fhir.dicom#2022.4.20221006R4
... IHE FHIR Profile: Occupational Data for Health (ODH) - Internationalihe.pcc.odh#1.0.0-currentR4
.... HL7 Terminology (THO)hl7.terminology.r4#5.3.0R4
.... FHIR Extensions Packhl7.fhir.uv.extensions.r4#1.0.0R4
.... us.cdc.phinvads#0.12.0R4
... Patient Demographics Query for Mobile (PDQm)ihe.iti.pdqm#3.0.0R4
.... Basic Audit Log Patterns (BALP)ihe.iti.balp#1.1.3R4
... C-CDA on FHIRhl7.fhir.us.ccda#1.2.0R4
.... US Core Implementation Guidehl7.fhir.us.core#4.0.0R4
..... FHIR Bulk Data Accesshl7.fhir.uv.bulkdata#1.0.1R4
..... us.nlm.vsac#0.3.0R4
.... FHIR Extensions Packhl7.fhir.uv.extensions#5.1.0-snapshot1R5
..... HL7 Terminology (THO)hl7.terminology.r5#5.3.0R5

Package hl7.fhir.uv.extensions.r4#5.1.0

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, Apr 27, 2024 18:39+1000+10:00)

Package hl7.fhir.uv.ips#1.1.0

International Patient Summary (IPS) FHIR Implementation Guide (built Tue, Nov 22, 2022 03:24+0000+00:00)

Package hl7.fhir.uv.extensions.r4#1.0.0

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sun, Mar 26, 2023 08:46+1100+11:00)

Package ihe.pcc.odh#1.0.0-current

This IG covers the specific data that covers past or present jobs, usual work, employment status, retirement date and combat zone period for the subject. It also includes the past or present jobs and usual work of other household members. This IG is International scope. (built Fri, Mar 8, 2024 22:07+0000+00:00)

Package ihe.iti.balp#1.1.3

The Basic Audit Log Patterns (BALP) Implementation Guide is a Content Profile that defines some basic and reusable AuditEvent patterns. This includes basic audit log profiles for FHIR RESTful operations to be used when there is not a more specific audit event defined. A focus is enabling Privacy centric AuditEvent logs that hold well formed indication of the Patient when they are the subject of the activity being recorded in the log. Where a more specific audit event can be defined it should be derived off of these basic patterns. (built Wed, Feb 14, 2024 15:23-0600-06:00)

Package ihe.iti.pdqm#3.0.0

The Patient Demographics Query for Mobile (PDQm) Profile defines a lightweight RESTful interface to a patient demographics supplier leveraging technologies readily available to mobile applications and lightweight browser based applications. (built Fri, Feb 23, 2024 14:36-0600-06:00)

Package hl7.fhir.us.core#4.0.0

The US Core Implementation Guide is based on FHIR Version R4 and defines the minimum conformance requirements for accessing patient data. The Argonaut pilot implementations, ONC 2015 Edition Common Clinical Data Set (CCDS), and ONC U.S. Core Data for Interoperability (USCDI) v1 provided the requirements for this guide. The prior Argonaut search and vocabulary requirements, based on FHIR DSTU2, are updated in this guide to support FHIR Version R4. This guide was used as the basis for further testing and guidance by the Argonaut Project Team to provide additional content and guidance specific to Data Query Access for purpose of ONC Certification testing. These profiles are the foundation for future US Realm FHIR implementation guides. In addition to Argonaut, they are used by DAF-Research, QI-Core, and CIMI. Under the guidance of HL7 and the HL7 US Realm Steering Committee, the content will expand in future versions to meet the needs specific to the US Realm. These requirements were originally developed, balloted, and published in FHIR DSTU2 as part of the Office of the National Coordinator for Health Information Technology (ONC) sponsored Data Access Framework (DAF) project. For more information on how DAF became US Core see the US Core change notes. (built Mon, Jun 28, 2021 19:09+0000+00:00)

Package hl7.fhir.uv.extensions#5.1.0-snapshot1

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Tue, Mar 12, 2024 13:29+1100+11:00)

Package hl7.fhir.us.ccda#1.2.0

Consolidated CDA (C-CDA) is one of the most widely implemented implementation guides for CDA and covers a significant scope of clinical care. Its target of the 'common/essential' elements of healthcare is closely aligned with FHIR's focus on the '80%'. There is significant interest in industry and government in the ability to interoperate between CDA and FHIR and C-CDA is a logical starting point. Implementers and regulators have both expressed an interest in the ability to map between FHIR and C-CDA.

This Implementation Guide (IG) defines a series of FHIR profiles on the Composition resource to represent the various document types in C-CDA. This release does not directly map every C-CDA template to FHIR profiles, rather tries to accomplish the C-CDA use case using Composition resource profiles created under this project (the equivalent of Level 2 CDA documents), and begins by linking to the profiles created under the US Core project for any coded entries that would normally be included in C-CDA sections. To have a simpler, more streamlined standard that reuses existing work and focuses on the 80% that implementers actually need in production systems, the resources of US Core represents a portion of the 80% needed for coded entries for coded entries of CCD, Care Plan & Discharge Summary).

The Composition profiles in this IG do not require coded data in any section. This is a departure from C-CDA, which requires coded data for Problems, Results, Medications, etc. This departure is intentional, as the C-CDA requirement for one or more coded entries in these sections resulted in some very complicated workarounds using nullFlavors to handle the fact that sometimes a patient is not on any medications, or has no current problems. In general, FHIR takes the approach that if something is nullable, it should simply be optional to ease the burden on implementers, thus C-CDA on FHIR does not require any coded entries, but rather uses the "required if known" approach, meaning that if an implementer's system has data for a section that requires data under Meaningful Use, they need to send it, but if they have no data there is no need for a null entry.

We encourage feedback on these Composition profiles, and the general approach to the project as a whole. We also encourage implementers who wish to see more of the coded data from C-CDA mapped to FHIR to comment on the US Core project and make their requests known there. Once US Core creates new profiles, this project can reference them.

Scope

To represent Consolidated CDA Templates for Clinical Notes (C-CDA) 2.1 templates using FHIR profiles.

This first stage of the project defines all the C-CDA document-level profiles on the Composition resource and contained sections.

Any coded data used by sections will be represented using relevant U.S. Core FHIR profiles where they exist. FHIR profiles defined by other work groups or unconstrained FHIR resources may also be referenced if no appropriate US Core Profile exist.

For further information see the C-CDA specification here: http://www.hl7.org/implement/standards/product_brief.cfm?product_id=408. (built Tue, Mar 12, 2024 18:59+0000+00:00)

Globals Table

There are no Global profiles defined

IP Statements

This publication includes IP covered under the following statements.