Project Summary for Occupational Data for Health Data Elements and Structure for Consolidated CDA Social History Section
Visit Project Insight to see the full project details. *
Project Details
Number | 1225 View Ballot Items List (with NIBs) |
---|---|
Name | Occupational Data for Health Data Elements and Structure for Consolidated CDA Social History Section |
Sponsor(s) | Structured Documents Work Group |
Co-Sponsor(s) | Healthcare Standards Integration, Public Health Work Group |
Steering Division | Infrastructure |
Description | Phase I of this project will define data elements and a standard format for the incorporation of patient-specific work information in the social history section of a C-CDA document. A C-CDA structure for patient work information will be developed that retains the critical relationships among data elements that encompass work information.
The ICD-10-CM external cause codes for capturing environmental events and circumstances as the causes of injury and the Occupational Data for Health (ODH) template developed through IHE will form the basis for the conversation. The data elements in the IHE ODH template were designed to include information that can assist in providing patient care. Because not every field will be important for every situation, optionality for some of the data elements will be indicated in the template. The IHE template will be the starting point for Phase I. The project intent is to hold a series of design meetings to fashion an acceptable HL7 version of this template that can be submitted for a Draft for Comment ballot. New entries and value sets related to patient work information will be referenced in the template that is developed. The value sets that are used in the IHE ODH template are already available. The 'Occupational Data for Health Data Elements and Structure for Consolidated CDA Social History Section' project will be aligned with the 'HL7 EHR-S FM Release 2: Functional Profile; Work and Health, Release 1' project. Phase II of this project will be to publish the ODH template as part of the social history section in C-CDA. The timeline for the next update to C-CDA is not yet determined, so the path to publication of ODH within C-CDA is yet to be determined and this PSS will be updated when that path is clearer. These changes will be applicable to the US realm. |
Project Facilitator | Zachary May |
Status | STU - Test Period/Accepting Comments |
SD Approval Date | Dec 29, 2015 |
TSC Approval Date | Feb 1, 2016 |
Type | Ballot - Comment |
Objectives / Deliverables | Define project scope - Target: Dec 2015 Phase I: Develop ODH template using IHE template as the starting point - Target: March 2016 Phase I: Draft for Comment Ballot on proposed template - Target: May 2016 ballot Phase I: Draft for Comment ballot reconciliation - Target: May 2016 WGM Phase II: Ballot template as part of the next release of C-CDA - Target: TBD |
Next Milestone Date | 2026 January WGM |
Project End Date | 2026 May WGM |
Project Intent | Revise Current Standard, Implementation Guide |
Project Need | The project will facilitate the use of work information collected in health information systems, such as electronic health record systems. The majority of adults in the U.S. spend more than half their waking hours at work. Therefore health and work are inextricably inter-related. For example, the management of chronic conditions requires taking the patient's work environment into consideration. Furthermore, the recognition of new conditions related to previously unknown workplace hazards has often come from astute clinicians, which requires knowledge of the patients' work-setting. Currently, work information collected to facilitate patient care is typically recorded in free text notes and is not described in the same way across records. Therefore it is not easily referenced by care providers over time or when a patient is seen by multiple care providers. In addition, structuring work information would facilitate care by providing a means to review population health based on key factors. When organized as structured and defined data elements, work information could be utilized by the system to assist the provider with recognition and treatment of conditions related to or exacerbated by work, as well as treatment decisions for conditions that are not related to work but can be affected by work, such as diabetes management. There is regulatory interest and intent to include some ODH data elements in EHR certification criteria (see Office of the National Coordinator for Health IT Interoperability Roadmap, ONC 2017 EHR Certification criteria, and Institute of Medicine report (2014. Capturing social and behavioral domains in electronic health records: Phase 1. Washington, DC: The National Academies Press). There is an opportunity to establish a preferred structure and definition for ODH in a CDA format before the regulatory requirements are put in place and the data are widely captured and shared. Acting now will facilitate interoperable implementation across systems when certification criteria are put in place. Because of the current regulatory requirements to produce a C-CDA document, C-CDA is seen as the de facto place for this template to serve as the preferred structure for ODH. Providing structure to content about patient work that is sometimes already collected will make it more useful, benefiting both patients and providers. Collection of structured ODH may be accomplished in multiple ways. The simplest mechanism for collecting work information would be by patient data entry, which would be similar to a person providing information for job applications, which are often completed online. |
Implementers | |
Security Risks | Yes |
External Drivers | There is regulatory interest and intent to include some ODH data elements in EHR certification criteria (see Office of the National Coordinator for Health IT Interoperability Roadmap, ONC 2017 EHR Certification criteria, and Institute of Medicine report (2014. Capturing social and behavioral domains in electronic health records: Phase 1. Washington, DC: The National Academies Press). |
Common Names / Keywords/ Aliases | ODH (Occupational Data for Health) |
Lineage | |
Dependancies | Dependent on the next balloted release of C-CDA. Phase 2 proposes including the template developed in Phase 1 in next C-CDA release. The next release of C-CDA will involve more than this template and will likely be balloted under a different project. |
Project Document Repository | TBD |
Backwards Compatibility | Don't Know |
External Vocabularies | Yes |
Products | V3 Documents-Clinical (e.g. CDA) |
Joint Copyright? | No |
External Pjt Collaborators | IHE NIOSH/CDC |
Realm | Realm Specific - Enter "U.S." or name of HL7 Affiliate below |
HL7 Affiliate | U.S. |
Stakeholders | Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Other (specify in Misc. Notes below) |
Vendors | EHR, PHR; Health Care IT; Clinical Decision Support Systems; HIS |
Providers | Emergency Services; Local and State Departments of Health; Medical Imaging Service; Healthcare Institutions (hospitals, long term care, home care, mental health); Other (specify in Misc. Notes below) |
Ballot Cycle Info | 2018 Jan Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 22 Negatives to reconcile Document Name: HL7 CDA R2 Implementation Guide: Social History Occupational Data Health, Release 1; Requesting alternate ballot title 'HL7 CDA R2 Implementation Guide: C-CDA R2.1 Supplemental Templates for Occupational Data for Health, Release 1 - US Realm' 2016 May Ballot Cycle Info: COMMENT Ballot results: 7 comments to consider Document Name: HL7 CDA® R2 I mplementation Guide: Social History Occupational Data Health, Release 1 |
Misc Notes | 2023 March: TSC Approved STU Extension Request for C-CDA R2.1 Supplemental Templates for ODH Release 1, STU Release 1.1 for 2 years 2021 June: TSC approved Unballoted STU Update and STU Extension Request for HL7 CDA R2 Implementation Guide: C-CDA R2.1 Supplemental Templates for Occupational Data for Health, Release 1 2020 Jan - TSC approved STU publication of HL7 CDA R2 Implementation Guide: Consolidated CDA Templates for Clinical Notes; Occupational Data for Health Release 1 - US Realm for 24 months thru Jan 20, 2022. |
U.S. Govt Interest? | Yes |
USRSC Approval | Received |
FMG Approval | Not Needed |
ARB Approval | Not Needed |
Start Date | Dec 17, 2015 |
* A Project Insight User ID and password is required to access Project Insight. Contact the HL7 PMO at for more information.
Visit the Projects, Ballots and Standards Metrics Excel Report to view projects that are behind 120+ days along with other ballots and standards requiring a Work Group's attention.
Visit the Projects, Ballots and Standards Metrics Excel Report to view projects that are behind 120+ days along with other ballots and standards requiring a Work Group's attention.