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

DESCRIPTION

Behavioral Health EHRs must be capable of exchanging substance abuse and mental health information using all the applicable Meaningful Use standard IGs. Implementers need practical guidance on how to instantiate messages and documents.

This cross-paradigm Behavioral Health data exchange implementation guide is a new Informative specification under development for the September 2016 ballot cycle. It is intended to provide practical implementation guidance to EHR implementers and integrators who are enabling  Behavioral Health EHRs to exchange standard based messages, documents, and resources with other EHR systems using HL7 Meaningful Use IGs (e.g. CDA R2, C-CDA 2.1 IG, Hl7 Version 2 LRI) and emerging IGs (e.g. FHIR Data Access Framework – DAF). This IG uses the contents of the HL7 Version 3 Domain Analysis Model: Behavioral Health (BH) Record, Release 2(Product Id: 307) as the basis for requirements and additional constraint applied to CDA, HL7 Version, and FHIR Implementation guides applicable in the US.

The BH Record DAM analyzed high- priority use case for administrative reporting on the health, social-economic, and functional status of clients for whom behavioral health and social services have been provided. Examples of such reporting in the U.S. are: - SAMHSA Treatment Episode Data Set (TEDS) collected by Center for Substance Abuse Treatment and the Uniform Reporting System (URS) collected by Center for Mental Health Services' (CMHS) from states, which are used to compute the SAMHSA National Outcome Measures (NOMs) for Co-Occurring Disorders. An example of state level reporting is the Arizona Demographic and Outcome Data Set User Guide (DUG). 

This IG is a considerable expansion of the CDA-specific “Behavior Health Domain Analysis Model, Messages, and CDA Profiles (aka Behavioral Health Continuity of Care Document (BH CCD))” IG proposed by the CBCC work group (Project #800 in the HL7 Project Database) to include HL7 Version 2 and FHIR implementation guidance based on the HL7 Version 3 Domain Analysis Model: Behavioral Health (BH) Record, Release 2 which specifies interoperability requirements specific to mental health and substance abuse treatment providers with Meaningful Use Certified EHRs and eHealth Exchange conformant Health Information Exchanges (HIEs).

ALTERNATIVE NAMES

HL7 Cross-Paradigm Implementation Guide: Behavioral Health Data Exchange, Release 1 - US Realm may also go by the following names or acronyms:

TARGETS

• State Behavioral Health Agencies
• Department of Health
• National/Federal Agencies
• Local and State Departments of Health
• EHR, PHR System Vendors
• Health Care IT Vendors
• Healthcare Institutions (hospitals, long term care, home care, mental health)

BENEFITS

• Supports 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
• Enables improvement of provider performance accountability by enabling the exchange and tracking of relevant health
• Enables implementation of interoperable systems that support behavioral health (e.g. opioid treatment)

IMPLEMENTATIONS/CASE STUDIES

• HL7 Community Based Collaborative Care (CBCC)
• Co-sponsor Work groups: Conformance, FHIR, Orders & Observations, and Structured Documents
• Substance Abuse and Mental Health Services Administration (SAMHSA)
• The Arizona Department of Health Services
• The Texas Department of State Health Services Organization

 

DEVELOPMENT BACKGROUND

This document is intended to provide practical implementation guidance to EHR implementers and integrators who are enabling  Behavioral Health EHRs to exchange standard based messages, documents, and resources with other EHR systems using HL7 Meaningful Use IGs (e.g. CDA R2, C-CDA 2.1 IG, Hl7 Version 2 LRI) and emerging IGs (e.g. FHIR Data Access Framework – DAF).

RELATED DOCUMENTS

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

(Download) (1.71 MB)

TOPICS

• Care Provision
• Community-Based Health
• Patient Care

BALLOT TYPE

• Informative

STATUS DATE

2017-08-08

RESPONSIBLE WORK GROUP

STAKEHOLDERS

• Health Care IT Vendors
• Healthcare Institutions
• Local and State Departments of Health

FAMILY

• Cross-paradigm

REALM

• US Realm