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TRANSCEND_PCO_Requirements

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11/24/2011
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Charter Func. Charter Req.

The PCO solution SHOULD provide the ability to enter and store a

PCO Entry through the PCO User Interface 4 5

The PCO solution SHALL have the ability to capture and store a PCO

Entry from a Clinical Exchange Instance 5, ?

A PCO Entry SHALL include Patient information

A PCO Entry SHALL include one or more Providers

A PCO Entry SHALL include one or more Diagnosis(es)

A PCO Entry SHOULD include one on more Intervention(s)

A PCO Entry SHOULD include one on more Outcome(s)



The PCO Solution SHALL have the ability to extract and transmit a

Patient PCO Record using standards-based formats. 5

The PCO Solution SHALL have the ability to extract and transmit an

XML message based on the HL7 Implementable Technology

Specification that contains all available information for a patient's

continuum of care. 5, 6

The PCO Solution SHALL have the ability to extract and transmit an

XML based on the HL7 Continuity of Care Document (CCD) that

contains a summary of all available information for a patient's

continuum of care that can be supported in the CCD using industry-

accepted notation. 5

The PCO Solution SHOULD have a graphical user interface based on

the data needed for a PCO Entry. 4

The PCO Solution SHALL be implemented with a Tolven Persistence

Layer. 3



The PCO Semantic Adapter SHALL have the ability to extract all TRIMs

for a specific patient, determine the appropriate mappings, and

present the resulting information in the caCIS Canonical Format. 1a

The PCO Semantic Adapter SHALL have the ability to determine the

information present on an inbound caCIS Canonical Format instance

and render a PCO TRIM to allow storage of the data in the PCO

solution. 3



The PCO solution SHALL have the ability to receive a TRANSCEND

CDA and store it to the Tolven Persistence Layer. 3



The PCO solution SHALL have the ability to receive a TRANSCEND

CCD and store it to the Tolven Persistence Layer. 3



The PCO solution SHALL have the ability to receive a TRANSCEND

XML-ITS and store it to the Tolven Persistence Layer. 3

Level Type



CIM Functional



CIM Functional

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information





CIM Functional









PIM Functional









PIM Functional



CIM Functional



PSM Functional









PIM Functional









PIM Functional





PSM Functional





PSM Functional





PSM Functional

Charter



TRANSCEND SHALL have the ability to extract and transmit information supporting

the continuum of care for a patient using standards-based formats. 1 1

TRANSCEND SHALL have the ability to extract and transmit an XML based on the

HL7 Implementable Technology Specification that contains all available information

for a patient's continuum of care. 2, 2c, 6

TRANSCEND SHALL have the ability to extract and transmit an XML based on the

HL7 Clinical Document Architecture Release 2 that contains all available

information for a patient's continuum of care that can be supported using industry-

accepted notation. 2, 2a

TRANSCEND SHALL have the ability to extract and transmit an XML based on the

HL7 Continuity of Care Document (CCD) that contains a summary of all available

information for a patient's continuum of care that can be supported in the CCD

using industry-accepted notation. 2, 2b

The TRANSCEND Semantic Adapter SHALL have the ability to extract all TRIMs for a

specific patient, determine the appropriate mappings, and present the resulting

information in the caCIS Canonical Format. 1a

The TRANSCEND Semantic Adapter SHALL extract each combination of Patient, AE

Symptom, AE Grade, and AE Date as a unique instance.

Level Type





CIM Functional





PIM Functional









PIM Functional









PIM Functional





PIM Functional



CIM Functional

Charter

The Integration Platform SHALL have the ability to determine the information from a

Canonical Instance and render an HL7 Clinical Document Architecture Release 2

Instance to a specified trading partner. 1, 2a

The Integration Platform SHALL have the ability to determine the information from a

caCIS Canonical Instance and render an HL7 Continuity of Care Document Instance to

a specified trading partner. 1, 2b, 5



The Integration Platform SHALL have the ability to determine the information from a

caCIS Canonical Instance and render an HL7 XML Implementable Technology

Specification Instance to a specified trading partner. 1, 2c, 5, 6

The Integration Platform MAY have the ability to determine the information from a

caCIS Canonical Instance and render an HL7 V2 Message Instance to a specified

trading partner.

The Integration Platform SHOULD have the ability to receive a CDA R2 Instance from

TRANSCEND and determine and render a caCIS Canonical Format instance for

internal use. 3

Level Type





PIM Functional





PIM Functional









PIM Functional





PIM Functional





PIM Functional

Requirement



The canonical format SHALL include the most recent Vital Signs (Temp, Height, Weight, Pulse,

BP, ECOG-PS) and the name of the person that collected the information.



The canonical format SHOULD include the most recent Prior BP and Weight, if available.

New Patient vs. Follow-up (Pick)

A Clinical Note SHALL include the Date of Exam

A Clinical Note SHALL include a Time Point based on the Clinical Note Type (Baseline, Staging,

Medical or Surgical)

The Canonical Data Format SHOULD include one or more Initial Symptom(s)

A Clinical Not MAY include an Index Imaging Type.

The Canonical Data Format SHOULD include one or more Medications.

Each Medication SHALL include a Start Date, Medication Description, Dose, Route, and

Frequency).

The canonical format SHALL include one or more Menopausal Status entries.



Menopausal Status SHOULD include Date of Last Assessment, Date of Last Menstrual Period,

Estrogen Replacement, Bilateral Oophorectomy, Hysterectomy, and Menopausal Status.

Patient Information SHALL include Demographics and Vital Signs.

Demographics SHALL include Patient Name, Gender, Race, and Ethnicity.

Demographics SHOULD include Country of Birth, last 4 digits of SSN, and Medical Record

Number, and ISPY-2 Subject ID Number.

The Canonical Data Format SHOULD include the Institution Location

The Baseline Time Point SHALL indicate "Pre-Study" or "On Study"



The Staging Time Point SHALL indicate "Initial Visit" "Follow-Up Visit" or "Final Staging"

The Surgical Time Point SHALL indicate "Pre-Surgical Visit" "Post-Surgical Visit" or "Follow-Up

Visit"

The Medical Time Point SHALL indicate "Pre-treatment Visit" "Treatment Visit [1-12]" "AC Visit

[1-4]" "Post-treatment Visit" or "Non-Treatment Visit"

Patient Age or DOB (Age in BaselineNote)

Each Initial Symptom SHALL indicate one of the following: None, Lump, Pain, Nipple Discharge,

Skin Changes, Breast Swelling or Other.



An Initial Symptom value of "Other" SHALL require an accompanying text description.

The Canonical Data Format SHALL include Risk Factor information

Each Canonical Data Format MAY include Family History information



Each Family History Record SHOULD include Side, Relative, Cancer Type, and Genetic Markers

The Canonical Data Format SHOULD include Past Breast History information

Past Breast History SHALL include one or more Breast Cancer Diagnoses

Past Breast History SHOULD include a Treatment History.

Each Treatment History SHOULD include one or more Treatment Types.

Each Treatment Type SHALL be one of the following: Surgery, Chemo/Biologic, XRT, Hormone

Therapy, or Bisphonate.

Each Treatment History SHOULD include one or more Treatments.

The Canonical Data Format SHOULD include one or more Breast Exams.

The Canonical Data Format SHOULD include a General Medical History.

The Canonical Data Format SHOULD include a Social History.

The Canonical Data Format SHOULD include Review of Systems (ROS) information.

The Canonical Data Format SHOULD include Physical Exam information.

The Canonical Data Format SHOULD include one or more (Clinical) Impressions.

The Canonical Data Format SHOULD include Plan Information.

The Canonical Data Format SHOULD include Billing information.

The Canonical Data Format SHOULD Include Staging Status information.



Breast Exam SHOULD include Findings, Breast Density, Nipple, and Skin information

The Canonical Data Format SHOULD Include Metastasis information.

The Canonical Data Format SHOULD Include Breast Studies information.

The Canonical Data Format SHOULD Include (Surgical) Procedures information.

The Canonical Data Format SHOULD Include Clinical Staging information.

The Canonical Data Format SHOULD include Toxicity information.

Toxicity SHOULD include an Patient Hospitalized Indicator.

Toxicity SHOULD include an AE Resolved Date.

The Canonical Data Format SHOULD include Response Status information.

The Canonical Data Format SHOULD include Surgical Complications information.

The Canonical Data Format MAY include Surgical Complications information.

The Canonical Data Format MAY include Pre-Eligibility Checklist information.

The Canonical Data Format SHOULD include Registration information.

Registration SHOULD include Provider information.

The Canonical Data Format SHOULD include Core Specimen information.

Core Specimen SHOULD include Core Biopsy information.

Core Biopsy SHOULD include Core Biopsy Specimen information.

Core Biopsy SHALL include Core Biopsy Time Point.

Core Biopsy Time Point SHALL indicate "Pre-Treatment" "Early Treatment" "Early Regimen" or

"Surgery"

The Canonical Data Format SHOULD include Blood Specimen information.

Blood Specimen SHALL include Blood Specimen Collection Time Point

Blood Specimen Collection Time Point SHALL indicate "Pre-Treatment" "Early Treatment"

"Inter-Regimen" or "Pre-Surgery"

The Canonical Data Format SHOULD include MammaPrint information.

The Canonical Data Format SHOULD include RPMA-HER2 information.

The Canonical Data Format SHOULD include MRI information.

The Canonical Data Format SHOULD include Lab and Test information.

The Canonical Data Format SHOULD include Study Checklist information.

The Canonical Data Format SHOULD include Method of Detection information.

The Canonical Data Format SHOULD include Allergy information.

The Canonical Data Format SHOULD include Symptoms information.

The Canonical Data Format SHOULD include Disease Assessment information.

The Canonical Data Format SHOULD include Chemo Adminstration information.

The Canonical Data Format SHOULD include Growth Factor information.

The Canonical Data Format SHOULD include Chemo Summary information

Chemo Summary SHOULD include Treatment End Reason

The Canonical Data Format SHOULD include Post Surgery Summary information.

The Canonical Data Format SHOULD include Pathology information.

The Canonical Data Format SHOULD include Survival Status information.

The Canonical Data Format SHOULD include Notice of Progression.

The Canonical Data Format SHOULD include Radiation Therapy.

The Canonical Data Format SHOULD include Long Term Therapy.

The Canonical Data Format SHOULD include Lost to Follow Up information.



The Canonical Data Format SHOULD include No Longer Lost to Follow Up information.

The Canonical Data Format SHOULD include Protocol Violation information.

The Canonical Data Format SHOULD include Off Study information.

Topic Source





Vital Signs Baseline Functional Spec



Vital Signs Baseline Functional Spec

Patient Baseline Functional Spec

Clinical Note Baseline Functional Spec



Clinical Note Multiple Functional Specs

Clinical Note Baseline Functional Spec

Clinical Note Baseline Functional Spec

Medications Baseline Functional Spec



Medications Baseline Functional Spec

Clinical Note Baseline Functional Spec





Clinical Note Surgical Functional Spec

Patient Baseline Functional Spec

Patient Registration CRF Spec



Patient Registration CRF Spec

Organization

Clinical Note Baseline Functional Spec



Clinical Note Staging Functional Spec



Clinical Note Surgical Functional Spec



Clinical Note Medical Visit Functional Spec

Patient Baseline Functional Spec



Clinical Note Baseline Functional Spec



Clinical Note Baseline Functional Spec

Clinical Note Baseline TRIM

Family History Baseline Functional Spec



Family History Baseline Functional Spec

Clinical Note Baseline Functional Spec

Clinical History Baseline Functional Spec

Clinical History Baseline Functional Spec

Clinical History Baseline Functional Spec



Clinical History Baseline Functional Spec

Clinical History Baseline Functional Spec

Clinical Note Baseline Functional Spec

Clinical History Baseline Functional Spec

Social History Baseline Functional Spec

Clinical Note Baseline Functional Spec

Clinical Note Baseline Functional Spec

Clinical Note Baseline Functional Spec

Treatment Plan Baseline Functional Spec

Billing Baseline Functional Spec

Staging Staging Functional Spec



Clinical Note Baseline Functional Spec

Staging Staging Functional Spec

Staging Staging Functional Spec

Procedures Staging Functional Spec

Staging Staging Functional Spec

Adverse Events Surgical Functional Spec

Adverse Events CTC-AE CRF Spec

Adverse Events CTC-AE CRF Spec

Outcomes Surgical Functional Spec

Clinical Note Surgical Functional Spec

Procedures Surgical Functional Spec

Pre-Eligibility CRF Spec

Registration CRF Spec

Provider Registration CRF Spec

Procedures Core Specimen CRF Spec

Procedures Core Specimen CRF Spec

Specimens Core Specimen CRF Spec

Procedures Core Specimen CRF Spec



Procedures Core Specimen CRF Spec

Specimens Blood Specimen CRF Spec

Specimens Blood Specimen CRF Spec



Specimens Blood Specimen CRF Spec

Diagnostic MammaPrint CRF Spec

Diagnostic RPMA-HER2 CRF Spec

Diagnostic MRI Volume CRF Spec

Diagnostic Lab/Test CRF Spec

On-Study CRF Spec

On-Study CRF Spec

Patient Baseline (non-Note) CRF Spec

Problems Baseline (non-Note) CRF Spec

Outcomes Response Evaluation CRF Spec

Interventions Chemo Treatment CRF Spec

Interventions Chemo Treatment CRF Spec

Interventions Chemo Summary CRF Spec

Interventions Chemo Summary CRF Spec

Post Surgery Summary CRF Spec

Post Surgery Summary CRF Spec

Outcomes Follow Up Status CRF Spec

Outcomes Follow Up Status CRF Spec

Interventions Follow Up Status CRF Spec

Interventions Follow Up Status CRF Spec

Outcomes Lost to Follow Up CRF Spec



Outcomes No Longer Lost to Follow Up CRF Spec

Outcomes Protocol Violation CRF Spec

Outcomes Off Study CRF Spec

Level Type





CIM Information



CIM Information

CIM Information

CIM Information



CIM Information

CIM Information

CIM Information

CIM Information



CIM Information

CIM Information





CIM Information

CIM Information

CIM Information



CIM Information

CIM Information

CIM Information



CIM Information



CIM Information



CIM Information

CIM Information



CIM Information



CIM Information

CIM Information

CIM Information



CIM Information

CIM Information

CIM Information

CIM Information

CIM Information



CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information



CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information



CIM Information

CIM Information

CIM Information



CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information

CIM Information



CIM Information

CIM Information

CIM Information



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