Public Health
Project Summary for HL7 CDA Implementation Guide for National Medical Care Surveys
Visit Project Insight to see the full project details.
Project Details
Number | 1002 View Ballot Items List (with NIBs) |
---|---|
Name | HL7 CDA Implementation Guide for National Medical Care Surveys |
Sponsor(s) | Public Health Work Group |
Co-Sponsor(s) | Structured Documents Work Group |
Steering Division | Clinical |
Description | The goal of this project is to develop an HL7 Clinical Document Architecture (CDA) Implementation Guide for representing data extracted from provider systems as required by the Centers for Disease Control and Prevention's National Center for Health Statistics (CDC/NCHS) for the National Ambulatory Medical Care Survey (NAMCS) and the National Hospital Care Survey (NHCS). This will include mapping the data elements required by the surveys to existing CDA templates. Additionally, it will involve the creation of new CDA templates, where needed. Work produced through this project will align with and reuse existing Meaningful Use standards (e.g. CDA templates cited under Meaningful Use Stage 2) and Quality Reporting Document Architecture (QRDA), where possible.
2/1/18 - Erin is emailing Hetty about status of 4 STU comments. Co-Chair Sponsor: Erin Holt Last Reviewed: 2/1/18 |
Project Facilitator | Brian Gugerty, Hetty Khan (CDC/NCHS) |
Status | STU - Test Period/Accepting Comments |
SD Approval Date | May 4, 2015 |
TSC Approval Date | May 13, 2015 |
Project Type | Ballot - STU to Normative |
Objectives / Deliverables | Per S. Gaunt, the project will ballot in the May, 2019 cycle. Project Scope Statement approved by TSC - Target: 2015 March Assess Usability of Existing Templates and Develop Sample Files - Target: 2015 April Develop and QA Templates/Profile - Target: 2015 April Update CDA Implementation Guide - Target: 2015 April Develop Schematron Lite/ Test Sample Files against Schematron - Target: 2015 April Submit for PHER and TSC Project Approval for DOT release - Target: 2015 May |
Next Milestone Date | 2026 January WGM |
Project End Date | 2026 January WGM |
Project Intent | Supplement to a Current Standard, Implementation Guide |
Project Need | CDC/NCHS currently employs two surveys to gather information regarding the utilization of health care services in the United States. The NAMCS focuses on ambulatory care and is based on a sample of visits to non-federally employed office-based physicians primarily engaged in direct patient care. The National Hospital Care Survey (NHCS) is based on a sample of visits to hospital inpatient, emergency, and outpatient departments. The surveys currently require manual data extraction. Field representatives visit physician practice locations for NAMCS, and hospitals for NHCS, to abstract survey data elements. Data captured include information on patient demographics, vital signs, medical history, reasons for visit, diagnoses, procedures and medications. Data is entered into a computer-based tool that sends data back to NCHS. This process is labor and resource intensive, costly, and does not take advantage of emerging health information technology. NCHS would like to automate this process and collect more data without needing to send field representatives to physician offices/hospitals and allow all selected physicians/ hospitals to participate in the surveys by providing electronic files from their EHR to do so. The surveys contain patient encounter and facility components; this project will focus on the patient encounter components. Data from these surveys are widely used by health policy makers, health service researchers, epidemiologists and health care industry and other interested parties. |
Success Criteria | |
Dependancies | Risk: Additional template needs could increase the level of effort and cost. Impact: Inability to represent the full content needed in the IG for the NAMCS and the ambulatory medical care portion of the National Hospital Care Survey (NHCS). Probability: Medium Severity: Medium Mitigation Plan: Re-evaluate the content that may be captured in existing templates and assess the need for additional templates to capture the full breadth of content for the surveys. Risk: Long term commitment for funding support to enable moving from DSTU to Normative. Impact: Inability to publish as a normative standard. Probability: Low Severity: Medium Mitigation Plan: Review timeline for standards development with organization providing funding to seek long term commitment and funding to ultimately publish as a normative standard. Risk: Delays and challenges in meeting vocabulary requirements specific to the NCHS survey. Impact: Difficulty in identifying value sets using national vocabulary standards that are consistent with the data requirements on the NCHS surveys. Probability: Medium Severity: Low Mitigation Plan: Collaborate with NCHS, vocabulary facilitator and other interested stakeholders to seek to identify vocabulary that will meet the needs of NCHS surveys and national vocabulary standards. |
Collaboration Efforts | CDC/NCHS |
Ballot Cycle Info | 2019 Sept Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 16 Negatives to reconcile Document Name: HL7 CDA R2 Implementation Guide: National Health Care Surveys (NHCS), Release 1 STU Release 3 - US Realm 2019 May Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 3 Negatives to reconcile Document Name: HL7 CDA R2 Implementation Guide: National Health Care Surveys (NHCS), Release 1 STU Release 2 - US Realm 2014 May Ballot Cycle Info: DSTU Ballot results: Met basic vote requirements. 6 Negatives to reconcile Document Name: HL7 Implementation Guide for CDA; Release 2: National Ambulatory Medical Care Survey (NAMCS), Release 1 - US Realm Ballot Code: CDAR2_IG_NAMCS_R1_D2_2014MAY Submitted By: John Roberts 2014 Jan Ballot Cycle Info: DSTU Ballot results: Met basic vote requirements. 18 Negatives to reconcile Document Name: HL7 Implementation Guide for CDA® Release 2: National Ambulatory Medical Care Survey (NAMCS), Release 1 - US Realm |
Misc Notes | 2022 May: TSC approved Unballoted STU Update Publication Request for HL7 CDA R2 Implementation Guide: National Health Care Surveys (NHCS), Release 1, STU Release 2.1 - US Realm Unballoted STU Update Publication Request by the Public Health WG for HL7 CDA R2 Implementation Guide: National Health Care Surveys (NHCS), Release 1, STU Release 3.1 - US Realm 2021 December: TSC approved STU Extension Requests for two years for each of the following: HL7 CDA R2 Implementation Guide: National Health Care Surveys (NHCS), Release 1, STU Release 2 - US Realm and HL7 CDA R2 Implementation Guide: National Health Care Surveys (NHCS), Release 1, STU Release 3 - US Realm and HL7 CDA R2 Implementation Guide: National Health Care Surveys (NHCS), Release 1, STU Release 1.2 - US Realm 2020 Jan: TSC approved STU Extension Request for HL7 CDA R2 Implementation Guide: National Health Care Surveys (NHCS), Release 1, DSTU Release 1.2 - US Realm 2019 October: TSC approved STU Publication Request for HL7 CDA R2 Implementation Guide: National Health Care Surveys (NHCS), Release 1 STU Release 2 - US Realm 2019 Jan: S.Gaunt; update project facilitator; will ballot in May 2019 cycle. 2017 June: TSC approved STU Extension Request for HL7 CDA R2 Implementation Guide: National Health Care Surveys (NHCS), R1 DSTU Release 1.2 - US Realm at TSC Tracker 13429 through 2019-12-31 HL7 CDA® R2 Implementation Guide: National Health Care Surveys (NHCS), Release 1, DSTU Release 1.2 – US Realm DSTU publication through 2017-08-22. Nov 2015: TSC approved the request for publication of an unballoted DSTU update and 12-month extension of HL7 Implementation Guide for CDA Release 2: National Health Care Surveys (NHCS), Release 1.1 - US Realm at TSC Tracker 8932 through 2017-07-14. HL7 Implementation Guide for CDA® Release 2: National Health Care Surveys (NHCS), Release 1 - US Realm in DSTU through 2016-07-14 May 2015: TSC approved the DOT release of the the existing DSTU. HL7 CDA Implementation Guide for National Health Care Surveys at TSC Tracker 602... |
Product Type | V3 Documents-Clinical (e.g. CDA) |
Project Document Repository |
https://confluence.hl7.org/display/PHWG/Public+Health+Registries+Reporting Project documents will be stored on the PHER WG wiki: http://wiki.hl7.org/index.php?title=Public_Health_and_Emergency_Response_work_group_(PHER) |
Backwards Compatibility | N/A |
Stakeholders | Regulatory Agency, Standards Development Organizations (SDOs), Other (specify in Misc. Notes below) |
Vendors | EHR, PHR; Health Care IT |
Providers | Healthcare Institutions (hospitals, long term care, home care, mental health) |
SDO/Profilers | |
Realms | Realm Specific - Enter "U.S." or name of HL7 Affiliate below |
HL7 Affiliate | U.S. |
Roadmap Reference | |
Start Date | May 14, 2013 |
* A Project Insight User ID and password is required to access Project Insight. Contact the HL7 PMO at pmo@HL7.org for more information.
Visit the Projects, Ballots and Standards Metrics Excel Report to view projects that are behind 120+ days along with other ballots and standards requiring a Work Group's attention.
Visit the Projects, Ballots and Standards Metrics Excel Report to view projects that are behind 120+ days along with other ballots and standards requiring a Work Group's attention.