Difference between revisions of "PhCP FHIR IG Proposal"

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Current version: https://confluence.hl7.org/display/FHIR/PhCP+FHIR+IG+Proposal<div style="float: left;">[[Image:OpenHotTopic.GIF|35px| ]]</div>
 
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This page documents a [[:category:Pending FHIR IG Proposal|Pending]] [[:category:FHIR IG Proposal|FHIR IG Proposal]]
 
This page documents a [[:category:Pending FHIR IG Proposal|Pending]] [[:category:FHIR IG Proposal|FHIR IG Proposal]]
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=PutProposedIGNameHere=
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=Pharmacist Care Plan Document=
  
 
<!-- Resource names should meet the following characteristics:
 
<!-- Resource names should meet the following characteristics:
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==Committee Approval Date:==
 
==Committee Approval Date:==
 
<i>Please enter the date that the committee approved this IGproposal</i>
 
<i>Please enter the date that the committee approved this IGproposal</i>
 +
 +
SDWG approved on 2/21/2019 (first post HIMSS conference call).
  
 
==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
+
Pharmacy
* or link
 
* or "None"
 
  
 
==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 -->
 +
 +
1232
  
 
==Scope of coverage==
 
==Scope of coverage==
Line 55: Line 57:
 
* Locale: Country, region
 
* Locale: Country, region
 
  -->
 
  -->
 +
 +
 +
The goal of this project is to develop an electronic care plan with enhanced medication management content based on the templates in the HL7 Implementation Guide for C-CDA Release 2.1: Consolidated CDA for Clinical Notes and FHIR profiles based on the US Core specification. This care plan called “Pharmacist Care Plan” will serve as a standardized, interoperable document for exchange of consensus-driven prioritized medication-related activities, plans and goals for an individual needing care Pharmacists work in multiple environments (community, hospital, long term care, clinics, etc.) and increasingly participate in patient-centered care teams providing essential clinically oriented patient care services such as medication therapy management, clinical reconciliation (medication, allergies and problems), patient immunization management, disease state monitoring, and therapy adherence programs. The pharmacist works with the patient or care giver to identify manageable medication-related goals of therapy, defines needed interventions and strategies for achieving those goals and monitors outcomes in an iterative process. Consultation with other providers involved in the patient’s care are performed as needed. Though the Pharmacist Care Plan is static and represents an instance in time, care for the patient is dynamic and will contains information on the patient, pharmacist and care team’s concerns and goals related to medication optimization. The care plan may also contain information related to individual health and social risks that may impact care, planned interventions, expected outcomes, and referrals to other providers or for additional services e.g., nutrition consultation or diagnostic laboratory studies.
 +
The intent of this project is in alignment with the goals set forth in the roadmap - Connecting Health and Care for the Nation A Shared Nationwide Interoperability Roadmap the Office of the National Coordinator for Health Information Technology noted the following:
 +
“Providers should have the tools they need to support care transformation, i.e. using technology that supports the critical role of information sharing. This shift will open up new possibilities for providers in how they engage with patients and interact with other care, support and service team members. For example person-centered planning, which includes individual goals and preferences, is increasingly recognized as an integral tool for supporting person-centered health, individual-provider partnerships, and coordinating care, particularly for individuals with chronic conditions and multiple co-morbidities. In a learning health system, person-centered plans will be seamlessly shared amongst a group of individuals in a way that allows all care, support and service team members to contribute to and maintain the person-centered plan. These interoperable plans will be used to support informed, shared decision-making between providers, patients and the full care support team. Further, the learning health system will require nationwide interoperability to support transparent, integrated cost and quality data, accurate outcome measures, and a continuous cycle of improvement. Information gathered and decisions made during the normal course of care will be transformed, in real-time, into computable data and knowledge that is shared across the learning health system.”
 +
 +
The Pharmacist Care Plan is key to the incorporation of medication-related goals and outcomes into a patient’s care profile and planning.
 +
 +
This project scope includes the development of a CDA and FHIR based Pharmacist Care Plan. The FHIR Composition Profiles will be based on the CDA Pharmacist Care Plan sections.
  
 
==IG Purpose==
 
==IG Purpose==
  
 
<!-- Why is this IG necessary? -->
 
<!-- Why is this IG necessary? -->
 +
The goal of this project is to develop an electronic care plan with enhanced medication management content based on the templates in the HL7 Implementation Guide for C-CDA Release 2.1: Consolidated CDA for Clinical Notes and FHIR profiles based on the US Core specification. This care plan called “Pharmacist Care Plan” will serve as a standardized, interoperable document for exchange of consensus-driven prioritized medication-related activities, plans and goals for an individual needing care Pharmacists work in multiple environments (community, hospital, long term care, clinics, etc.) and increasingly participate in patient-centered care teams providing essential clinically oriented patient care services such as medication therapy management, clinical reconciliation (medication, allergies and problems), patient immunization management, disease state monitoring, and therapy adherence programs.
  
 
==Content location==
 
==Content location==
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<!-- 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? -->
  
 +
GitHub content location:
 +
 +
https://github.com/HL7/PhCP-R4
 +
 +
Trifolia on FHIR project location (must be logged and have the HAPI R4 server selected in your settings):
 +
 +
https://trifolia-fhir.lantanagroup.com/implementation-guide/phcp-r4
 +
 +
Current build:
 +
 +
http://build.fhir.org/ig/HL7/PhCP-r4/index.html
 +
 +
Previous version located at:
 +
 +
https://github.com/HL7/PhCP
  
 
==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/phcp
  
 
==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 national community pharmacy association is supporting the development, balloting, and publishing of this IG.
  
 
==Short Description==
 
==Short Description==
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<!-- 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 is an electronic care plan with enhanced medication management content based on the templates in the HL7 Implementation Guide for C-CDA Release 2.1: Consolidated CDA for Clinical Notes, represented using FHIR profiles.
  
 
==Long Description==
 
==Long Description==
Line 82: Line 114:
 
<!-- 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 goal of this project is to develop an electronic care plan with enhanced medication management content based on the templates in the HL7 Implementation Guide for C-CDA Release 2.1: Consolidated CDA for Clinical Notesand FHIR profiles based on the US Core specification. This care plan called “Pharmacist Care Plan” will serve as a standardized, interoperable document for exchange of consensus-driven prioritized medication-related activities, plans and goals for an individual needing care Pharmacists work in multiple environments (community, hospital, long term care, clinics, etc.) and increasingly participate in patient-centered care teams providing essential clinically oriented patient care services such as medication therapy management, clinical reconciliation (medication, allergies and problems), patient immunization management, disease state monitoring, and therapy adherence programs. The pharmacist works with the patient or care giver to identify manageable medication-related goals of therapy, defines needed interventions and strategies for achieving those goals and monitors outcomes in an iterative process. Consultation with other providers involved in the patient’s care are performed as needed. Though the Pharmacist Care Plan is static and represents an instance in time, care for the patient is dynamic and will contains information on the patient, pharmacist and care team’s concerns and goals related to medication optimization. The care plan may also contain information related to individual health and social risks that may impact care, planned interventions, expected outcomes, and referrals to other providers or for additional services e.g., nutrition consultation or diagnostic laboratory studies.
 +
The intent of this project is in alignment with the goals set forth in the roadmap - Connecting Health and Care for the Nation A Shared Nationwide Interoperability Roadmap the Office of the National Coordinator for Health Information Technology noted the following:
 +
“Providers should have the tools they need to support care transformation, i.e. using technology that supports the critical role of information sharing. This shift will open up new possibilities for providers in how they engage with patients and interact with other care, support and service team members. For example person-centered planning, which includes individual goals and preferences, is increasingly recognized as an integral tool for supporting person-centered health, individual-provider partnerships, and coordinating care, particularly for individuals with chronic conditions and multiple co-morbidities. In a learning health system, person-centered plans will be seamlessly shared amongst a group of individuals in a way that allows all care, support and service team members to contribute to and maintain the person-centered plan. These interoperable plans will be used to support informed, shared decision-making between providers, patients and the full care support team. Further, the learning health system will require nationwide interoperability to support transparent, integrated cost and quality data, accurate outcome measures, and a continuous cycle of improvement. Information gathered and decisions made during the normal course of care will be transformed, in real-time, into computable data and knowledge that is shared across the learning health system.”
 +
 +
The Pharmacist Care Plan is key to the incorporation of medication-related goals and outcomes into a patient’s care profile and planning.
 +
 +
This project scope includes the development of a CDA and FHIR based Pharmacist Care Plan. The FHIR Composition Profiles will be based on the CDA Pharmacist Care Plan sections.
  
 
==Involved parties==
 
==Involved parties==
Line 87: Line 126:
 
<!-- 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 -->
  
 +
Pharmacy HIT collaborative
 +
The National Community Pharmacists Association (NCPA)
 +
Community Care of North Carolina (CCNC)
 +
ONC
  
 
==Expected implementations==
 
==Expected 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. -->
 
<!--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. -->
 +
 +
The comment-only ballot version of this IG is already in production with many independent pharmacies in the state of North Carolina and with Community Care of North Carolina (CCNC). It is expected that they will continue to implement this IG and upgrade to the STU once published. l
  
 
==Content sources==
 
==Content sources==
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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? -->
 +
 +
See the dependencies section.
  
 
==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.) -->
 +
 +
Independent Pharmacies reporting information to primary care organizations and medicaid administrators about fulfillment and other pharmacy information.
  
 
==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? -->
 +
 +
*US Core
 +
*C-CDA on FHIR
  
 
==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 -->
 +
The content for this ballot will meet the HL7 deadlines for the May 2019 ballot.
  
 
==When IG Proposal Is Complete==
 
==When IG Proposal Is Complete==

Latest revision as of 16:52, 31 October 2019



Pharmacist Care Plan Document

Owning work group name

SDWG

Committee Approval Date:

Please enter the date that the committee approved this IGproposal

SDWG approved on 2/21/2019 (first post HIMSS conference call).

Contributing or Reviewing Work Groups

Pharmacy

FHIR Development Project Insight ID

1232

Scope of coverage

The goal of this project is to develop an electronic care plan with enhanced medication management content based on the templates in the HL7 Implementation Guide for C-CDA Release 2.1: Consolidated CDA for Clinical Notes and FHIR profiles based on the US Core specification. This care plan called “Pharmacist Care Plan” will serve as a standardized, interoperable document for exchange of consensus-driven prioritized medication-related activities, plans and goals for an individual needing care Pharmacists work in multiple environments (community, hospital, long term care, clinics, etc.) and increasingly participate in patient-centered care teams providing essential clinically oriented patient care services such as medication therapy management, clinical reconciliation (medication, allergies and problems), patient immunization management, disease state monitoring, and therapy adherence programs. The pharmacist works with the patient or care giver to identify manageable medication-related goals of therapy, defines needed interventions and strategies for achieving those goals and monitors outcomes in an iterative process. Consultation with other providers involved in the patient’s care are performed as needed. Though the Pharmacist Care Plan is static and represents an instance in time, care for the patient is dynamic and will contains information on the patient, pharmacist and care team’s concerns and goals related to medication optimization. The care plan may also contain information related to individual health and social risks that may impact care, planned interventions, expected outcomes, and referrals to other providers or for additional services e.g., nutrition consultation or diagnostic laboratory studies. The intent of this project is in alignment with the goals set forth in the roadmap - Connecting Health and Care for the Nation A Shared Nationwide Interoperability Roadmap the Office of the National Coordinator for Health Information Technology noted the following: “Providers should have the tools they need to support care transformation, i.e. using technology that supports the critical role of information sharing. This shift will open up new possibilities for providers in how they engage with patients and interact with other care, support and service team members. For example person-centered planning, which includes individual goals and preferences, is increasingly recognized as an integral tool for supporting person-centered health, individual-provider partnerships, and coordinating care, particularly for individuals with chronic conditions and multiple co-morbidities. In a learning health system, person-centered plans will be seamlessly shared amongst a group of individuals in a way that allows all care, support and service team members to contribute to and maintain the person-centered plan. These interoperable plans will be used to support informed, shared decision-making between providers, patients and the full care support team. Further, the learning health system will require nationwide interoperability to support transparent, integrated cost and quality data, accurate outcome measures, and a continuous cycle of improvement. Information gathered and decisions made during the normal course of care will be transformed, in real-time, into computable data and knowledge that is shared across the learning health system.”

The Pharmacist Care Plan is key to the incorporation of medication-related goals and outcomes into a patient’s care profile and planning.

This project scope includes the development of a CDA and FHIR based Pharmacist Care Plan. The FHIR Composition Profiles will be based on the CDA Pharmacist Care Plan sections.

IG Purpose

The goal of this project is to develop an electronic care plan with enhanced medication management content based on the templates in the HL7 Implementation Guide for C-CDA Release 2.1: Consolidated CDA for Clinical Notes and FHIR profiles based on the US Core specification. This care plan called “Pharmacist Care Plan” will serve as a standardized, interoperable document for exchange of consensus-driven prioritized medication-related activities, plans and goals for an individual needing care Pharmacists work in multiple environments (community, hospital, long term care, clinics, etc.) and increasingly participate in patient-centered care teams providing essential clinically oriented patient care services such as medication therapy management, clinical reconciliation (medication, allergies and problems), patient immunization management, disease state monitoring, and therapy adherence programs.

Content location

GitHub content location:

https://github.com/HL7/PhCP-R4

Trifolia on FHIR project location (must be logged and have the HAPI R4 server selected in your settings):

https://trifolia-fhir.lantanagroup.com/implementation-guide/phcp-r4

Current build:

http://build.fhir.org/ig/HL7/PhCP-r4/index.html

Previous version located at:

https://github.com/HL7/PhCP

Proposed IG realm and code

us/phcp

Maintenance Plan

The national community pharmacy association is supporting the development, balloting, and publishing of this IG.

Short Description

This is an electronic care plan with enhanced medication management content based on the templates in the HL7 Implementation Guide for C-CDA Release 2.1: Consolidated CDA for Clinical Notes, represented using FHIR profiles.

Long Description

The goal of this project is to develop an electronic care plan with enhanced medication management content based on the templates in the HL7 Implementation Guide for C-CDA Release 2.1: Consolidated CDA for Clinical Notesand FHIR profiles based on the US Core specification. This care plan called “Pharmacist Care Plan” will serve as a standardized, interoperable document for exchange of consensus-driven prioritized medication-related activities, plans and goals for an individual needing care Pharmacists work in multiple environments (community, hospital, long term care, clinics, etc.) and increasingly participate in patient-centered care teams providing essential clinically oriented patient care services such as medication therapy management, clinical reconciliation (medication, allergies and problems), patient immunization management, disease state monitoring, and therapy adherence programs. The pharmacist works with the patient or care giver to identify manageable medication-related goals of therapy, defines needed interventions and strategies for achieving those goals and monitors outcomes in an iterative process. Consultation with other providers involved in the patient’s care are performed as needed. Though the Pharmacist Care Plan is static and represents an instance in time, care for the patient is dynamic and will contains information on the patient, pharmacist and care team’s concerns and goals related to medication optimization. The care plan may also contain information related to individual health and social risks that may impact care, planned interventions, expected outcomes, and referrals to other providers or for additional services e.g., nutrition consultation or diagnostic laboratory studies. The intent of this project is in alignment with the goals set forth in the roadmap - Connecting Health and Care for the Nation A Shared Nationwide Interoperability Roadmap the Office of the National Coordinator for Health Information Technology noted the following: “Providers should have the tools they need to support care transformation, i.e. using technology that supports the critical role of information sharing. This shift will open up new possibilities for providers in how they engage with patients and interact with other care, support and service team members. For example person-centered planning, which includes individual goals and preferences, is increasingly recognized as an integral tool for supporting person-centered health, individual-provider partnerships, and coordinating care, particularly for individuals with chronic conditions and multiple co-morbidities. In a learning health system, person-centered plans will be seamlessly shared amongst a group of individuals in a way that allows all care, support and service team members to contribute to and maintain the person-centered plan. These interoperable plans will be used to support informed, shared decision-making between providers, patients and the full care support team. Further, the learning health system will require nationwide interoperability to support transparent, integrated cost and quality data, accurate outcome measures, and a continuous cycle of improvement. Information gathered and decisions made during the normal course of care will be transformed, in real-time, into computable data and knowledge that is shared across the learning health system.”

The Pharmacist Care Plan is key to the incorporation of medication-related goals and outcomes into a patient’s care profile and planning.

This project scope includes the development of a CDA and FHIR based Pharmacist Care Plan. The FHIR Composition Profiles will be based on the CDA Pharmacist Care Plan sections.

Involved parties

Pharmacy HIT collaborative The National Community Pharmacists Association (NCPA) Community Care of North Carolina (CCNC) ONC

Expected implementations

The comment-only ballot version of this IG is already in production with many independent pharmacies in the state of North Carolina and with Community Care of North Carolina (CCNC). It is expected that they will continue to implement this IG and upgrade to the STU once published. l

Content sources

See the dependencies section.

Example Scenarios

Independent Pharmacies reporting information to primary care organizations and medicaid administrators about fulfillment and other pharmacy information.

IG Relationships

  • US Core
  • C-CDA on FHIR

Timelines

The content for this ballot will meet the HL7 deadlines for the May 2019 ballot.

When IG Proposal Is Complete

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

FMG Notes