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

HL7 Version 3 Domain Analysis Model: Behavioral Health Record, Release 2

DESCRIPTION

The Behavioral Health Domain Analysis project is evaluating the currency and comprehensiveness of Health Level 7 (HL7) Behavioral Health and Social Service standards against emergent requirements in the United States (U.S.) and internationally. This DAM is a step toward the integration of specialty behavioral health treatment information with other health and human service agency providers. 

The principal goals of this release (Release 2) are to expand the existing Behavioral Health Domain Analysis::

  • To improve the health of at-risk populations by improving care coordination between specialty behavioral health, primary care, and related human services providers, through systems interoperability
  • To improve provider performance accountability
  • To support emerging Accountable Care Organizations (ACOs)

The specification is a harmonized analysis of data requirements for behavioral health services and outcomes. This analysis will be used to develop interoperability specifications and reference implementations to support continuity of care among behavioral health and human services agency providers as well as to satisfy outcomes reporting requirements to public agencies that pay for services and monitor the public's health.

This release enhances the content of Release 1 intended reporting the health, socio-economic and functional status of clients who receive behavioral health and social services.

The main purpose of this domain analysis model is to support the development of interoperability specifications (e.g., CDA Implementation Guides, HL7 Version 2, or FHIR) and software to support continuity of care (transfer between Behavioral Health providers and Behavioral Health and Primary Care providers) as well as quality reporting requirements.

ALTERNATIVE NAMES

HL7 Version 3 Domain Analysis Model: Behavioral Health Record, Release 2 may also go by the following names or acronyms:

"V3 DAM: Behavioral Health, R2", "V3 DAM: Summary Behavioral Health Record, R1", BHA, BHA DAM

TARGETS

  • Standards Development Organizations (SDOs)
  • Healthcare Institutions (hospitals, long term care, home care, mental health)
  •  Local and State Departments of Health

BENEFITS

  • Provides a step toward the integration of specialty behavioral health treatment information with other health and human service agency providers.  The DAM is an information model that will serve as the basis for the development of interoperable functional models, service specifications, CDA Implementation Guides, and message definitions that support coordination of care, public health reporting, quality and outcomes measures and billing.
  • Enables improvement of the health of at-risk populations by improving care coordination between specialty behavioral health, primary care, and related human services providers, through systems interoperability
  • Improves provider performance accountability
  • Supports emerging Accountable Care Organizations (ACOs)
  • Enables steps toward the integration of specialty behavioral health treatment information with other health and human service agency providers
  • Provides a basis for the development of interoperable functional models, service specifications, CDA Implementation Guides, and message definitions that support coordination of care, public health reporting, quality and outcomes measures and billing

IMPLEMENTATIONS/CASE STUDIES

  • Substance Abuse and Mental Health Services Administration (SAMHSA)
  • State of Arizona
  • State of Oklahoma

DEVELOPMENT BACKGROUND

This analysis model is intended provide the requirements and constraints needed  to develop implementation guides,  templates (CDA) or profiles (FHIR) for  behavioral health data exchange.

RELATED DOCUMENTS

HL7 Version 3 Domain Analysis Model: Behavioral Health Record, Release 2

(Download) (7.45 MB)

HL7 Cross-Paradigm Implementation Guide: Behavioral Health Data Exchange, Release 1 - US Realm (View Brief)

(Download) (1.71 MB)

TOPICS

  • Care Provision
  • Community-Based Health
  • Financial Management
  • Patient Care
  • Security and Privacy

BALLOT TYPE

  • Informative

STATUS DATE

2016-03-14

RESPONSIBLE WORK GROUP

Community-Based Care and Privacy (CBCP)

PRODUCT TYPE

  • Domain Analysis Model

STAKEHOLDERS

  • Healthcare Institutions
  • Local and State Departments of Health
  • Standards Development Organizations (SDOs)

FAMILY

  • V3

CURRENT STATE

  • Stable

REALM

  • Universal