HL7 FHIR® Implementation Guide: Unsolicited Notifications, Release 1- US Realm

DESCRIPTION

This implementation guide describes a framework method for the communication of relevant notifications to support the real-time exchange of information that impacts patient care and value based or risk based services. Providers and Payers may need to be notified when activities occur that impact a patient’s care. This may be as traditional as a notification of an admission or transfer to or discharge from a care setting. It also includes notifications about changes in treatment such as a new or different medication, or changes in patient status like a new diagnosis. These notifications provide information that can improve care management and care coordination as well as act as the trigger for quality programs and other patient focused activities (for example, risk adjustment). By allowing the patient’s healthcare providers to be better informed and able to take actions and intervene earlier, the twin goals of better patient care and reduced cost of care may be met.

ALTERNATIVE NAMES

HL7 FHIR® Implementation Guide: Unsolicited Notifications, Release 1- US Realm may also go by the following names or acronyms:

BENEFITS

• Defines a FHIR messaging based paradigm and framework to establish consistently adoptable and reproducible methods to exchange notifications. 
• Supports the patient admission, transfer, and discharge events to generate unsolicited notifications to the care team

DEVELOPMENT BACKGROUND

This Implementation Guide is supported by the Da Vinci initiative which is a private effort to accelerate the adoption of Health Level Seven International Fast Healthcare Interoperability Resources (HL7® FHIR®) as the standard to support and integrate value-based care (VBC) data exchange across communities. Like all Da Vinci Implementation Guides, it follows the HL7 Da Vinci Guiding Principles for exchange of patient health information. The guide is based upon the prior work from the US Core and Da Vinci Health Record Exchange (HRex) Implementation Guides. Changes to this specification are managed by the sponsoring HL7 Infrastructure and Messaging (INM) workgroup and are incorporated as part of the standard HL7 balloting process.

RELATED DOCUMENTS

HL7 FHIR® Implementation Guide: Unsolicited Notifications, Release 1- US Realm

STU DOCUMENTS

HL7 FHIR® Implementation Guide: Unsolicited Notifications (Alerts), Release 1 http://hl7.org/fhir/us/davinci-alerts/STU1/index.html

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TOPIC

• Patient Care

BALLOT TYPE

• STU

STATUS DATE

2020-10-15

RESPONSIBLE WORK GROUP

PRODUCT TYPE

• Implementation Guide

STAKEHOLDERS

• Clinical and Public Health Laboratories
• Clinical Decision Support Systems Vendors
• EHR, PHR Vendors
• Emergency Services Providers
• Equipment Vendors
• Health Care IT Vendors
• Healthcare Institutions
• HIS Vendors
• Immunization Registries
• Lab Vendors
• Local and State Departments of Health
• Medical Imaging Service Providers
• Payors
• Pharmaceutical Vendors
• Quality Reporting Agencies
• Regulatory Agency

FAMILY

• FHIR

CURRENT STATE

• Active

REALM

• US Realm