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

HL7 Service Functional Model; Coordination of Care Service (CCS), STU Release 1

DESCRIPTION

This project encompasses several years of discussion and work within the HL7 Patient Care Work Group in collaboration with the SOA Work Group and Clinical Decision Support Work Group.  The scope of this specification is to define the functions or capabilities required for effective coordination of care systems.

This document includes artifacts identifying functions or capabilities to support dynamic, evolving and ongoing clinical care and the coordination of care.  This functional model describes the “what” but not the “how” of coordination of care.  It includes illustrative clinical storyboards.

 

The scope of this specification is to define the functions or capabilities required for effective coordination of care systems. It includes illustrative story boards and care team collaboration illustrative models. This service functional model (SFM) will define the scope of the 255 requirements for a subsequent phase of the project which will define a technical services specification. The service capabilities define the functions and may not map to a technical service operation with a 1-to-1 relationship.

Development of the HL7 Coordination of Care SFM was guided by the following principles:

  •  _Ongoing coordination of care is a collaborative activity between care team members 260
  •  _The patient and designated family care givers are members of the Care Team
  •  _Effective coordination of care requires a systems engineering perspective which considers all the parts of the (eco)system:
    •  Care Team collaboration
    •  Goal oriented care planning 265
    •  Tracking care activities and interventions
    •  Continual Assessment and Review
    •  Clinical domain/specialty and care setting context 

ALTERNATIVE NAMES

HL7 Service Functional Model; Coordination of Care Service (CCS), STU Release 1 may also go by the following names or acronyms:

"HL7 V3 Standard: SOA Care Coordination Service, R1", CCS, CCS for Care Plan

TARGETS

  • Standards Development Organizations (SDOs) 
  • Payors
  • Professional and Government Organizations
  • EHR,PHR Vendors
  • Health Care IT Vendors
  • Clinical Decision Support Systems Vendors
  • Local and State Departments of Health
  • Healthcare Institutions (hospitals, long term care, home care, mental health)

BENEFITS

Defines functional capabilities for electronic systems used to coordinate care for patients within and across organization boundaries

 

The identification and harmonization of standards for the longitudinal coordination of care will improve efficiencies and promote collaboration by:

  •  _Improving provider’s workflow by enabling secure, single-point data entry for data related 240 to care coordination
  •  _Eliminating the large amount of time wasted in phone communication and the frustrations on the side of the receiving provider in not always obtaining care transition and care planning information in a timely manner
  •  _Reducing paper and fax, and corresponding manual processes during care coordination 245
  •  _Supporting the timely transition of relevant clinical information at each point of care transition and as the patient’s condition changes
  •  _Enabling sending and receiving provider groups to initiate and/or recommend changes to patient interventions more promptly 

RELATED DOCUMENTS

HL7 Service Functional Model; Coordination of Care Service (CCS), STU Release 1

STU DOCUMENTS

HL7 Service Functional Model; Coordination of Care Service (CCS), STU Release 1 Expiration Apr 2019

(Download) (1.93 MB)

TOPICS

  • Cardiology
  • Care Provision
  • Community-Based Health
  • Decision Support
  • Patient Care
  • Patient Referral
  • Pharmacy
  • Scheduling

BALLOT TYPES

  • STU

STATUS DATE

2018-03-20

RESPONSIBLE WORK GROUP

Patient Care

PRODUCT TYPES

  • Domain Analysis Model
  • Functional Profile
  • Services
  • Standard Reference Materials
  • Transport(ebxml, cd, mllp)

STAKEHOLDERS

  • Clinical Decision Support Systems Vendors
  • Health Care IT Vendors
  • Healthcare Institutions
  • Local and State Departments of Health
  • Payors
  • Standards Development Organizations (SDOs)

FAMILY

  • V3

CURRENT STATE

  • Stable

REALM

  • Universal