Patient Administration

Mission & Charter

The Patient Administration Work Group supports the HL7 mission by defining the requirements and specifications to support the interoperability among clinical and non-clinical systems regarding patient encounters and administrative registries.

This group produces normative standards by:

• Identifying requirements and providing specifications for exchanging:
  1. Demographic and administrative data used to describe patients, persons, service delivery locations and patient encounters [scheduled and/or actual], including healthcare providers, places, organizations, and their relationships in the context of healthcare encounters.
  2. Administrative data to describe resources, their availability, [for example, represented by schedules or by status], and regulatory topics such as licensing and credentialing information about individuals, animals, organizations and devices directly or indirectly involved in the delivery of healthcare services.

• Identifying requirements and providing specifications regarding the dynamic behaviors involved in requests and their fulfillment with respect to:
  1. Additions and modifications to registries such as patients, persons, service delivery locations, healthcare providers, places, and organizations
  2. Scheduling of appointments for services, encounters and associated resources. These processes include the functions of requesting, booking, notification, and modification pertaining to appointments and resources.
  3. Queries for information

• Defining the domain and process of scheduling. As a domain, Scheduling offers a generic set of messages and behavior to implement any number of Scheduling scenarios. As a process, Scheduling offers an abstract data model and a set of operations to any domain within HL7 that utilizes scheduling concepts.

Scope

The Patient Administration work group develops and maintains the following standards:

• HL7 v2
  • Chapter 3 - Patient Administration
  • Chapter 10 - Scheduling
  • Chapter 15 - Personnel Management

• HL7 v3
  • Patient Administration Domain
    • Person topic
    • Identity Document topic
    • Patient topic
    • Service Delivery Location topic
    • Ambulatory Encounter topic
    • Short Stay Encounter topic
    • Inpatient Encounter topic
    • Emergency Encounter topic
    • Home Health Encounter topic
    • Attending Practitioner topic
    • Encounter Location topic
    • Encounter Organization topic
    • Encounter Queries
    • Patient Administration CMETs
  • Personnel Management Domain
    • Provider Registry topic
    • Organization Registry topic
    • Human Resource topic
    • Regulatory topic
    • Personnel Management CMETs
  • Registries Domain
    • Real Time Location System topic
  • Scheduling Domain
    • Appointment topic
    • Slot topic
    • Appointment CMETs

Status and Plans

• Patient Administration R2 passed DSTU ballot in September 2009; plan to begin Normative ballot in May 2011
• Personnel Management R1 passed Normative ballot in October 2005; plan to begin DSTU ballot for R2 in January 2011
• Registries R1 passed Normative ballot in January 2010
• Scheduling R1 passed Normative ballot in December 2003; plan to begin DSTU ballot for R2 in January 2012 and Normative ballot in January 2013

Active Projects

• PA 3-Year Plan
• Interdependent Registries Project Wiki

Documents authored by the Committee

• Adminstrative Management Domain Analysis Model

Documents authored by others

• Registry - What is a Registry ?
• Master File/Registry Control Act Wrapper - Linking/merging of registrations
• Query Parameters - implementation and modelling aspects
• CSCR-053 Include A Encounter Universal CMET in CSP - Patient Care discussion related to the potential use of A_Encounter.
• Nictiz Care Provider Registry - three registries deliver combined functionality

Conference Calls

• PA Minutes and Agendas for 2010
• PA Minutes All Years

Working Group Meetings

• October 2010 WGM (Cambridge)
• January 2011 WGM (Sydney)

Submission / Proposals

• Proposals under review
  • Harmonization Proposal: AdministrativeContactRoleType - added 20090723
  • Helse Vest Patient Encounter issues - added 200812
  • New application registry topic: PRPM_-_AORTA_use_cases, workitem since the 2008-09 WGM.
• Proposals which have been reviewed (accepted or rejected)
  • Proposal: Patient Registry, add Find Candidates query parameters - added 20090204, accepted by PA 2010-01 WGM
  • Scheduling topic: Proposal: add Find Appointments Query - added 20090215, accepted by 2010-01 WGM
  • Proposal: update Find Encounters Query - added 20090717, accepted by PA 2009-09 WGM
  • Person Topic: Proposal: Person Registry, add AdministrativeObservation parameter - added 20090204, revised and accepted by PA 2010-01 WGM
  • Harmonization_Proposal:_Add_new_EXISTENCEPL_roleClass - added 20090710, rejected 2009Aug harmonization
  • PA Harmonization Proposal Encounter Types - added 20090715, accepted w/mod 2009Aug harmonization
  • Add Ward/Bed/Room to ServiceDeliveryLocationRoleType - added 20090711, postponed, value set needs an overhaul
  • Harmonization Proposal: New PersonalRelationshipRoleType codes - added 20090317, accepted 2009Apr harmonization
  • Harmonization Proposal: add EducationLevel codes - added 20090313, withdrawn 2009Apr harmonization
  • Harmonization Proposal: add InformRequestActType Concept Domain - accepted by PA 20090225, accepted 2009Apr harmonization
  • Patient Topic: Add Patient Request, accepted by PA 2008-09 WGM
  • Provider topic: Proposal: Add new Parameter to Provider Detail Query, accepted by PA 2008-09 WGM
• Completed Proposals
  • Real_Time_Location_Systems - passed DSTU July 2008; passed Normative January 2010
  • Appointment_CMETs - added 20090204, passed DSTU in 2010JAN ballot