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

HL7 Version 3 Standard: Care Provision

DESCRIPTION

The Care Provision Domain describes information structures and vocabulary used to communicate information pertinent to the care of living subjects, devices, geographic sites, and other physical entities by a responsible care provider. This domain supports multiple referrals and record communication that support the collaboration and continuity of care between providers of care. The Care Provision Domain addresses the information that is needed for the ongoing care of individuals, populations, and other targets of care. It deals with both the dynamics of continuing care and communications in that and the structural content of a care record.

 

ALTERNATIVE NAMES

HL7 Version 3 Standard: Care Provision may also go by the following names or acronyms:

Reaffirmation of V3 Care Provision DMIM R1, "V3: Care Provision, R1", "HL7 V3: Care Provision Domain Information Model, R1", V3, CP

TARGETS

  • Healthcare Institutions (hospitals, long term care, home care, mental health)
  • Health Information Exchange Infrastructures
  • Immunization Registries
  • Quality Reporting Agencies
  • Standards Development Organizations (SDOs)
  • EHR, PHR Vendors
  • Health Care IT Vendors
  • Clinical Decision Support Systems Vendors
  • Emergency Services Providers
  • Local and State Departments of Health

BENEFITS

  • Provides a pattern for planning specialized care activities
  • Promotes sharing of health record extracts and event summaries between collaborating providers (including the patient) in order to support the continuity of care and clinical decision support activities of the receiving persons or systems
  • Supports request for the transfer of patient care responsibility of a specific type of care among collaborating healthcare providers, including a responsible party, such as a care coordinator, advocate, family member and the patient
  • Facilitates acceptance or rejection of a request for care transfer as well as the ability to provide information about the intent to provide care to the requesting party
  • Allows for communication of a summary of relevant findings and outcomes as a result of the care provided.

IMPLEMENTATIONS/CASE STUDIES

  • Ontario, Canada for different applications of a care record exchange
  • Integrating the Healthcare Enterprise (IHE) for using the Care Record query and query profiles in the Patient Care Coordination workflow
  • Two National IT Institute for Healthcare in The Netherlands (Nictiz) projects for perinatology and diabetes care
  • The national Perinatal Registration The Netherlands (PRN) for using the care record message for submitting clinical data from midwifes, gynecologists and pediatricians to the national registry.  
  • The Clinical Data Ware House project in Zwolle, The Netherlands, for exchanging nursing oncology data from hospital to home care and vice versa.

DEVELOPMENT BACKGROUND

The "Act of Care Provision" is the referral of the patient to another provider for additional care. It clarifies exactly who is responsible for the care of a patient at a specific moment or care episode.

The care record can be used to document the patient’s condition on transfer of care. It excludes activities meant to evaluate in depth a characteristic of a patient (i.e. all observations), or all laboratory tests, although interventions such as colonoscopies which include removal of samples may be classified as professional services. It also excludes the administration of drugs or vaccines, as these are handled by more specialized transactions.

RELATED DOCUMENTS

HL7 Version 3 Standard: Care Provision

(Download) (210.22 MB)

HL7 Version 3 Standard: Care Provision, R1: Allergies and Intolerance (View Brief)
HL7 Version 3 Standard: Care Provision; Assessment Scales, Release 1 (View Brief)

(Download) (232.29 MB)

HL7 Version 3 Standard: Care Provision; Care Record Topic, Release 1 (View Brief)

(Download) (210.22 MB)

HL7 Version 3 Standard: Care Provision; Care Transfer Topic, Release 1 (View Brief)

(Download) (240.10 MB)

HL7 Version 3 Standard: Care Provision; Queries Care Record Topic, Release 1 (View Brief)

(Download) (232.29 MB)

TOPICS

  • Care Provision
  • Clinical Statement

BALLOT TYPE

  • Normative

STATUS DATE

2018-04-20

RESPONSIBLE WORK GROUP

Patient Care

STAKEHOLDERS

  • Clinical Decision Support Systems Vendors
  • EHR, PHR Vendors
  • Emergency Services Providers
  • Health Care IT Vendors
  • Healthcare Institutions
  • Immunization Registries
  • Local and State Departments of Health
  • Quality Reporting Agencies
  • Standards Development Organizations (SDOs)

FAMILY

  • V3

CURRENT STATE

  • Stable

REALM

  • Universal