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Difference between revisions of "ELTSS:FHIR IG Proposal"

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(Created page with "{{subst::Template:FHIR IG Proposal}}")
 
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−
=PutProposedIGNameHere=
+
=Electronic Long-Term Services and Supports (eLTSS) Data Exchange FHIR IG=
  
 
<!-- Resource names should meet the following characteristics:
 
<!-- Resource names should meet the following characteristics:
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<!-- The name of the committee that is proposed to have responsibility for developing and maintaining the IG. -->
 
<!-- The name of the committee that is proposed to have responsibility for developing and maintaining the IG. -->
−
[[YourWorkGroupName]]
+
[[CBCP]]
  
 
==Committee Approval Date:==
 
==Committee Approval Date:==
−
<i>Please enter the date that the committee approved this IGproposal</i>
+
CBCP Approval Date: TBD
 +
FMG Approval Date: TBD
 +
 
  
 
==Contributing or Reviewing Work Groups==
 
==Contributing or Reviewing Work Groups==
  
 
<!-- Additional work groups that may have an interest in contributing to, or reviewing  the content of the IG (optional) -->
 
<!-- Additional work groups that may have an interest in contributing to, or reviewing  the content of the IG (optional) -->
−
* Work Group Name
+
The following workgroups own FHIR Resources that will be referenced in the IG:
−
* or link
+
* Patient Care
−
* or "None"
+
* Orders & Observations
 +
* Financial Management Group
 +
 
  
 
==FHIR Development Project Insight ID==
 
==FHIR Development Project Insight ID==
  
 
<!-- Please specify the id of your work group’s PSS for doing FHIR work that covers the development and maintenance of this IG.  (If submitted but not yet approved, just write “pending”.) The link to the PSS template can be found here: http://gforge.hl7.org/gf/download/docmanfileversion/6832/9398/HL7FHIR_DSTUballotPSS-20120529.doc -->
 
<!-- Please specify the id of your work group’s PSS for doing FHIR work that covers the development and maintenance of this IG.  (If submitted but not yet approved, just write “pending”.) The link to the PSS template can be found here: http://gforge.hl7.org/gf/download/docmanfileversion/6832/9398/HL7FHIR_DSTUballotPSS-20120529.doc -->
 +
1431
  
 
==Scope of coverage==
 
==Scope of coverage==
Line 49: Line 54:
 
<!-- Define the full scope of coverage for the IG.  The scope must be clearly delineated such that it does not overlap with any other existing or expected HL7 Int'l-maintained IG.  The scope will be used to govern "what is the set of potential applications to consider when evaluating what elements are 'core' – i.e. in the 80%"
 
<!-- Define the full scope of coverage for the IG.  The scope must be clearly delineated such that it does not overlap with any other existing or expected HL7 Int'l-maintained IG.  The scope will be used to govern "what is the set of potential applications to consider when evaluating what elements are 'core' – i.e. in the 80%"
  
−
Scope should consider numerous aspects of breadth of scope, including:
+
Scope should consider numerous aspects of breadth of scope, including: -->
−
* Subject: Human vs. non-human vs. non-patient (e.g. lab bench medicine)
+
* Subject: Human  
−
* Disciplines: Environmental Health, Palliative, Respiratory, Psychology, Maternity, Clinical Research
+
* Disciplines: Long-Term Service and Supports (non-clinical) are comprised of a diverse set of assistances designed to help with general care, activities of daily living (ADLs), and instrumental activities of daily living (IADLs)  
−
* Delivery environment (Community, Geriatric, Home care, Emergency, Inpatient, Intensive, Neonatal, Pediatric, Primary)
+
like eating, toileting, dressing, cooking, driving, managing money, etc. These services are provided across various settings from facility-based or institutional care to community-based settings.
−
* Locale: Country, region
+
* Delivery environment: Services and supports provided in the person’s home or in a community setting are referred to as Community-Based Long-Term Services and Supports (CB-LTSS) or Home and
−
  -->
+
Community-Based Services (HCBS).
 +
* Locale: US Realm
 +
 +
Electronic Long-Term Services & Supports (eLTSS) Service Plan Project aims to enable electronic data-level interoperability and exchange of data reflected on the person-centered service plans.
 +
The ultimate goal is to leverage HIT standards and electronic information sharing to improve the delivery and coordination of community-based care provided under programs such as Medicaid Waivers.
 +
This project is the continuation of work performed under the eLTSS Initiative, a joint effort by ONC and CMS, that published an eLTSS Core Dataset and balloted the “HL7 Cross-Paradigm White Paper: Electronic Long-Term Services & Supports
 +
(eLTSS), Release 1” in the Sep 2018 ballot cycle.
 +
  Current HL7 Content standards already include content to enable the creation and exchange of medically-focused care plans. This effort aims to ensure that service information can be captured and exchanged
 +
alongside the medical interventions for a comprehensive picture of a person’s care.
 +
Integrating clinical and service information into comprehensive plans can help to improve the coordination of health and social services that support an individual’s mental and physical health.
 +
 
  
 
==IG Purpose==
 
==IG Purpose==
  
 
<!-- Why is this IG necessary? -->
 
<!-- Why is this IG necessary? -->
 +
The adoption and use of Health IT and quality measurement for community-based long-term services and supports is limited.
 +
Limitations include:
 +
* lack of uniformity in the terminology and definitions of data elements, including those important to the beneficiary, needed for assessments and service plans used across and between community-based information systems,
 +
clinical care systems and personal health record systems;
 +
* insufficient business and/or financial incentives for service providers to acquire and use Health IT to support coordination of services;
 +
* minimal national standards for quality measurement in LTSS outcomes;
 +
* lack of consensus on the inter-relationships between a beneficiary’s plans across care, services and supports; and
 +
* lack of evidence and understanding of how Health IT may benefit the beneficiary and encourage their adoption and use of Health IT.
 +
* lack of established best practices for complying with legal security and privacy requirements when electronically exchanging data between covered clinical entities and non-clinical entities providing community-based services.
 +
The eLTSS FHIR Implementation Guide will provide an official compilation of all the FHIR-related artifacts and documentation needed to enable exchange of eLTSS Dataset via FHIR (e.g. eLTSS Dataset FHIR mappings,
 +
  computable FHIR artifacts such as profiles and capability statements, examples).
 +
The eLTSS FHIR Implementation Guide will be matured to a Standard for Trial Use (STU) and will serve to support continued testing activities and evaluation by implementers.
 +
  
 
==Content location==
 
==Content location==
  
 
<!-- What is the path within the HL7 github repository (i.e. https://github.com/HL7/xxx) or what is the Simplifier project name? -->
 
<!-- What is the path within the HL7 github repository (i.e. https://github.com/HL7/xxx) or what is the Simplifier project name? -->
 +
Need a github
 +
 +
https://gforge.hl7.org/gf/project/cbcc/docman/eLTSS%20-%20%20ONC%20Electronic%20Long-Term%20Services%20and%20Supports/
  
 +
Additional Project Background Available Here:
 +
* https://oncprojectracking.healthit.gov/wiki/display/TechLabSC/eLTSS+Home
  
 
==Proposed IG realm and code==
 
==Proposed IG realm and code==
  
 
<!-- What is the realm code (2-character country code or 'uv') and IG code to use for the path when the IG is published under http://hl7.org/fhir?  E.g. us/ccda -->
 
<!-- What is the realm code (2-character country code or 'uv') and IG code to use for the path when the IG is published under http://hl7.org/fhir?  E.g. us/ccda -->
 +
US/eLTSS
  
 
==Maintenance Plan==
 
==Maintenance Plan==
  
 
<!-- What commitment does the WG have to maintaining this IG as the FHIR core specification continues to evolve - particularly if the initial project sponsors are no longer providing resources -->
 
<!-- What commitment does the WG have to maintaining this IG as the FHIR core specification continues to evolve - particularly if the initial project sponsors are no longer providing resources -->
 +
The current funding for the project expires in September 2019. The maintenance plan is to follow the path as the US Core FHIR IG where the initial content is developed and adopted by various pilot organizations
 +
and networks and then transition the Implementation guide to the owning work group (CBCP) for the long term.
  
 
==Short Description==
 
==Short Description==
  
 
<!-- 1-2 sentences describing the purpose/scope of the IG for inclusion in the registry -->
 
<!-- 1-2 sentences describing the purpose/scope of the IG for inclusion in the registry -->
 +
This IG will ensure that community-based service information can be captured and exchanged alongside the medical interventions for a comprehensive picture of a person’s care. Integrating clinical and service information
 +
into comprehensive plans can help to improve the coordination of health and social services that support an individual’s mental and physical health.
  
  
Line 81: Line 119:
  
 
<!-- 1 paragraph describing the purpose/scope of the IG in more detail for inclusion in the version history -->
 
<!-- 1 paragraph describing the purpose/scope of the IG in more detail for inclusion in the version history -->
 +
The Georgia team (Georgia Department of Community Health (DCH) and Georgia Tech Research Institute (GTRI)) and ONC Support team (SRS, Carradora) teams will leverage the balloted “HL7 Cross-Paradigm White Paper:
 +
Electronic Long-Term Services & Supports (eLTSS), Release 1” to develop and publish an HL7 FHIR Implementation Guide (IG). The initial eLTSS FHIR IG is currently planned to be included in the May 2019 HL7 Ballot Cycle.
 +
 +
Based on the scenarios articulated in the eLTSS use cases, the FHIR framework is a great fit for enabling eLTSS exchanges due to its focus on streamlined API-based interoperability, flexible and modular approach and comprehensive
 +
focus aimed at supporting clinical, administrative and social services workflow needs.
  
  
Line 86: Line 129:
  
 
<!-- 1 paragraph describing who is sponsoring or involved in creating the IG for inclusion in the version history -->
 
<!-- 1 paragraph describing who is sponsoring or involved in creating the IG for inclusion in the version history -->
 +
Community Based Care and Privacy (CBCP) is the primary sponsoring workgroup. A collaborative team made up of ONC and CMS contractors (SRS, Carradora, Georgia Department of Community Health
 +
(supported by Georgia Tech)) will create the IG.
  
  
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<!--Key resources are justified by CCDA, for resources not deemed "key", what interest is there by implementers in using this particular resource. Provide named implementations if possible - ideally provide multiple independent implementations. -->
 
<!--Key resources are justified by CCDA, for resources not deemed "key", what interest is there by implementers in using this particular resource. Provide named implementations if possible - ideally provide multiple independent implementations. -->
 +
* CMS, ONC
 +
* SAMHSA
 +
  
 
==Content sources==
 
==Content sources==
Line 97: Line 145:
  
 
Are there any source specifications that you wish to consult but are concerned about access to or expertise to consider? -->
 
Are there any source specifications that you wish to consult but are concerned about access to or expertise to consider? -->
 +
This project is the continuation of work performed under the eLTSS Initiative, a joint effort by ONC and CMS, that published an eLTSS Core Dataset and balloted the “HL7 Cross-Paradigm White Paper: Electronic Long-Term Services & Supports (eLTSS),
 +
Release 1” in the Sep 2018 ballot cycle.
 +
 +
The IG will leverage US Core profiles for clinical data as applicable.
 +
 +
The IG will use the following resources to enable eLTSS Plan Creation and Exchange:
 +
* CarePlan
 +
* CareTeam
 +
* Claim
 +
* Condition
 +
* Contract
 +
* Coverage
 +
* DocumentReference
 +
* EpisodeOfCare
 +
* Goal
 +
* Location
 +
* Observation
 +
* Organization
 +
* Patient
 +
* Practitioner
 +
* Questionnaire
 +
* QuestionnaireResponse
 +
* Related Person
 +
* RiskAssesment
 +
* ServiceRequest
 +
  
 
==Example Scenarios==
 
==Example Scenarios==
  
 
<!-- Provide a listing of the types of scenarios to be represented in the examples produced for this IG.  They should demonstrate the full scope of the IG and allow exercising of the IG's capabilities (all profiles, different types of applications, etc.) -->
 
<!-- Provide a listing of the types of scenarios to be represented in the examples produced for this IG.  They should demonstrate the full scope of the IG and allow exercising of the IG's capabilities (all profiles, different types of applications, etc.) -->
 +
Create implementer guidance on how to use FHIR Resources and Profiles to create and exchange eLTSS Service Plans between care team members.
  
 
==IG Relationships==
 
==IG Relationships==
  
 
<!-- Are there any IGs this resource depends on or that depend on this IG? -->
 
<!-- Are there any IGs this resource depends on or that depend on this IG? -->
 +
Reuse the US Core IG for clinical data as applicable.
  
 
==Timelines==
 
==Timelines==
  
 
<!-- Indicate the target date for having the IGcomplete from a committee perspective and ready for vetting and voting -->
 
<!-- Indicate the target date for having the IGcomplete from a committee perspective and ready for vetting and voting -->
 +
* 2/17/2019: Submit a functionally complete IG to CBCP along with the Notice of Intent to Ballot (NIB) to CBCP.
 +
* 3/3/2019: Submit a complete FHIR IG to HL7 for QA.
 +
  
 
==When IG Proposal Is Complete==
 
==When IG Proposal Is Complete==

Revision as of 16:33, 20 November 2018

OpenHotTopic.GIF

This page documents a Pending FHIR IG Proposal



Electronic Long-Term Services and Supports (eLTSS) Data Exchange FHIR IG

Owning work group name

CBCP

Committee Approval Date:

CBCP Approval Date: TBD
FMG Approval Date: TBD


Contributing or Reviewing Work Groups

The following workgroups own FHIR Resources that will be referenced in the IG:
* Patient Care
* Orders & Observations
* Financial Management Group


FHIR Development Project Insight ID

1431

Scope of coverage

* Subject: Human 
* Disciplines: Long-Term Service and Supports (non-clinical) are comprised of a diverse set of assistances designed to help with general care, activities of daily living (ADLs), and instrumental activities of daily living (IADLs) 
like eating, toileting, dressing, cooking, driving, managing money, etc. These services are provided across various settings from facility-based or institutional care to community-based settings. 
* Delivery environment: Services and supports provided in the person’s home or in a community setting are referred to as Community-Based Long-Term Services and Supports (CB-LTSS) or Home and 
Community-Based Services (HCBS).
* Locale: US Realm

Electronic Long-Term Services & Supports (eLTSS) Service Plan Project aims to enable electronic data-level interoperability and exchange of data reflected on the person-centered service plans. 
The ultimate goal is to leverage HIT standards and electronic information sharing to improve the delivery and coordination of community-based care provided under programs such as Medicaid Waivers.
This project is the continuation of work performed under the eLTSS Initiative, a joint effort by ONC and CMS, that published an eLTSS Core Dataset and balloted the “HL7 Cross-Paradigm White Paper: Electronic Long-Term Services & Supports 
(eLTSS), Release 1” in the Sep 2018 ballot cycle. 
Current HL7 Content standards already include content to enable the creation and exchange of medically-focused care plans. This effort aims to ensure that service information can be captured and exchanged 
alongside the medical interventions for a comprehensive picture of a person’s care.
Integrating clinical and service information into comprehensive plans can help to improve the coordination of health and social services that support an individual’s mental and physical health.


IG Purpose

The adoption and use of Health IT and quality measurement for community-based long-term services and supports is limited. 
Limitations include:
* lack of uniformity in the terminology and definitions of data elements, including those important to the beneficiary, needed for assessments and service plans used across and between community-based information systems, 
clinical care systems and personal health record systems; 
* insufficient business and/or financial incentives for service providers to acquire and use Health IT to support coordination of services; 
* minimal national standards for quality measurement in LTSS outcomes; 
* lack of consensus on the inter-relationships between a beneficiary’s plans across care, services and supports; and 
* lack of evidence and understanding of how Health IT may benefit the beneficiary and encourage their adoption and use of Health IT.
* lack of established best practices for complying with legal security and privacy requirements when electronically exchanging data between covered clinical entities and non-clinical entities providing community-based services.
The eLTSS FHIR Implementation Guide will provide an official compilation of all the FHIR-related artifacts and documentation needed to enable exchange of eLTSS Dataset via FHIR (e.g. eLTSS Dataset FHIR mappings,
 computable FHIR artifacts such as profiles and capability statements, examples).
The eLTSS FHIR Implementation Guide will be matured to a Standard for Trial Use (STU) and will serve to support continued testing activities and evaluation by implementers.


Content location

Need a github 

https://gforge.hl7.org/gf/project/cbcc/docman/eLTSS%20-%20%20ONC%20Electronic%20Long-Term%20Services%20and%20Supports/

Additional Project Background Available Here:
* https://oncprojectracking.healthit.gov/wiki/display/TechLabSC/eLTSS+Home

Proposed IG realm and code

US/eLTSS

Maintenance Plan

The current funding for the project expires in September 2019. The maintenance plan is to follow the path as the US Core FHIR IG where the initial content is developed and adopted by various pilot organizations 
and networks and then transition the Implementation guide to the owning work group (CBCP) for the long term.

Short Description

This IG will ensure that community-based service information can be captured and exchanged alongside the medical interventions for a comprehensive picture of a person’s care. Integrating clinical and service information 
into comprehensive plans can help to improve the coordination of health and social services that support an individual’s mental and physical health.


Long Description

The Georgia team (Georgia Department of Community Health (DCH) and Georgia Tech Research Institute (GTRI)) and ONC Support team (SRS, Carradora) teams will leverage the balloted “HL7 Cross-Paradigm White Paper: 
Electronic Long-Term Services & Supports (eLTSS), Release 1” to develop and publish an HL7 FHIR Implementation Guide (IG). The initial eLTSS FHIR IG is currently planned to be included in the May 2019 HL7 Ballot Cycle. 

Based on the scenarios articulated in the eLTSS use cases, the FHIR framework is a great fit for enabling eLTSS exchanges due to its focus on streamlined API-based interoperability, flexible and modular approach and comprehensive 
focus aimed at supporting clinical, administrative and social services workflow needs.


Involved parties

Community Based Care and Privacy (CBCP) is the primary sponsoring workgroup. A collaborative team made up of ONC and CMS contractors (SRS, Carradora, Georgia Department of Community Health 
(supported by Georgia Tech)) will create the IG.


Expected implementations

* CMS, ONC
* SAMHSA


Content sources

This project is the continuation of work performed under the eLTSS Initiative, a joint effort by ONC and CMS, that published an eLTSS Core Dataset and balloted the “HL7 Cross-Paradigm White Paper: Electronic Long-Term Services & Supports (eLTSS), 
Release 1” in the Sep 2018 ballot cycle. 

The IG will leverage US Core profiles for clinical data as applicable. 

The IG will use the following resources to enable eLTSS Plan Creation and Exchange:
* CarePlan
* CareTeam
* Claim
* Condition
* Contract
* Coverage
* DocumentReference
* EpisodeOfCare
* Goal
* Location
* Observation
* Organization
* Patient
* Practitioner
* Questionnaire
* QuestionnaireResponse
* Related Person
* RiskAssesment
* ServiceRequest


Example Scenarios

Create implementer guidance on how to use FHIR Resources and Profiles to create and exchange eLTSS Service Plans between care team members.

IG Relationships

Reuse the US Core IG for clinical data as applicable.

Timelines

* 2/17/2019: Submit a functionally complete IG to CBCP along with the Notice of Intent to Ballot (NIB) to CBCP.
* 3/3/2019: Submit a complete FHIR IG to HL7 for QA.


When IG Proposal Is Complete

When you have completed your proposal, please send an email to FMGcontact@HL7.org

FMG Notes

Retrieved from "https://wiki.hl7.org/w/index.php?title=ELTSS:FHIR_IG_Proposal&oldid=163501"