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Section 1e: Version 3 (V3)
Section 2: Clinical and Administrative Domains

HL7 Version 3 Standard: Care Provision; Assessment Scales, Release 1

DESCRIPTION

There are many score systems in use in health care at large (Wikipedia). Many systems are in use on an international, national or just hospital wide or individual practice level. Others are just for scientific purposes. Most interesting scores have both validity and reliability characteristics on individual patient level and on population level. The representation of Assessment scales, scores or indexes in information technology can be based on the Detailed Clinical Models (DCM) approach. Assessment scales require a very strict interpretation of the variable and the value set in order to keep the psychometric / clinimetric characteristics intact. In particular these scientific characteristics are based on the population investigated and reveal data on validity (fitness for purpose) and reliability (consistency in measurement). This standard describes the pattern to which an assessment scale should abide to with the purpose of creating an uniform interpretation of the scores of such an assessment scale.

 

ALTERNATIVE NAMES

HL7 Version 3 Standard: Care Provision; Assessment Scales, Release 1 may also go by the following names or acronyms:

"V3: Care Provision: Assessment Scale, R1", Assessment Scale

TARGETS

  • Clinical and Public Health Laboratories
  • Health Care IT Vendors
  • Clinical Decision Support Systems Vendors
  • Healthcare Institutions (hospitals, long term care, home care, mental health)

BENEFITS

  • Enables any valid and reliable instrument such as scales, scores, indexes to be exactly represented in the HL7 v3 environment, allowing adequate communication of such data
  • Supports the proper phrasing of questions, answer categories, unique coding per question and answer, data specification and data type definition
  • The CO Coded Ordinal in HL7 data types R2 is specifically of interest: it preserves both the order of answers and allows the scientific calculations and statistics to be carried out
  • Provides requirements to which assessment scales should abide with the purpose of making comparison between systems possible

IMPLEMENTATIONS/CASE STUDIES

  • Nictiz (The Netherlands) Perinatal Registration the Netherlands uses this to represent the Apgar score, allowing both the total score to be submitted and vendors to implement the full scale of 5 items plus total score in the perinatal systems

  • Perined (NL)

  • NHS ( UK)

  • International Consortium for Health Outcomes Measurement (ICHOM)

RELATED DOCUMENTS

HL7 Version 3 Standard: Care Provision; Assessment Scales, Release 1

(Download) (232.29 MB)

TOPICS

  • Care Provision
  • Patient Care

BALLOT TYPE

  • Normative

STATUS DATE

2018-05-24

RESPONSIBLE WORK GROUP

Patient Care

STAKEHOLDERS

  • Clinical and Public Health Laboratories
  • Clinical Decision Support Systems Vendors
  • Health Care IT Vendors
  • Healthcare Institutions

FAMILY

  • V3

CURRENT STATE

  • Stable

REALM

  • Universal