Project Summary for Behavioral Health Data Exchange Cross-Paradigm Implementation Guide
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Project Details
Number | 800 View Ballot Items List (with NIBs) |
---|---|
Name | Behavioral Health Data Exchange Cross-Paradigm Implementation Guide |
Sponsor(s) | Community-Based Care and Privacy (CBCP) Work Group |
Co-Sponsor(s) | Conformance Work Group, FHIR Management Group, Structured Documents Work Group |
Steering Division | Clinical |
Description | This cross-paradigm implementation guide is intended to support implementers 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 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). Original Project Scope The Behavioral Health CCD project is intended to evaluate the currency and comprehensiveness of HL7 Behavioral Health and Social Service standards against emergent requirements in the US and internationally Deliverables: - Behavioral Health Assessment Domain Analysis Model (DAM) targeting a 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). - Behavioral Health CCD implementation guide (BH CCD), which will constrain the C32 profile required for Meaningful Use Stage 1 - Mapping of the A_Billable CMET information over to the CDA Implementation Guide. Analysis may determine changes needed to the A_Billable CMET. - Vocabulary developed and submit to harmonization prior to balloting proposed standards: - Value sets from external standard vocabularies as needed to support proposed standards - HL7 concept domains, code systems, and value sets where no external standard vocabularies exist |
Project Facilitator | Ken Salyards, SAMHSA |
Status | Archived |
SD Approval Date | Aug 12, 2011 |
TSC Approval Date | Sep 28, 2011 |
Type | Ballot - Informative |
Objectives / Deliverables | Informative 1 Ballot - Target: 2016 Sept Ballot Informative publication - Target: 2017 Jan Project End Date (all objectives have been met) - Target: 2017 May - publication Original Objectives/Deliverables Draft Assessment Domain Analysis Model submitted for January 2012 Ballot November 2011 - COMPLETE Draft Behavioral Health CCD submitted for January 2012 Ballot - Target: November 2011 Harmonization Proposals - Target: November 2011 Ballot Reconciliation - Target: March 2012 Reballot if needed - Target: March 2012 Ballot Reconciliation - Target: May 2012 Project End Date - Target: June 2012 |
Next Milestone Date | 2017 September WGM |
Project End Date | 2018 January WGM |
Project Intent | Implementation Guide |
Project Need | In the US, Behavioral health providers are expected to exchange information with other medical specialties using Meaningful Use standard and terminology. This includes not only documents conforming to Consolidated CDA V 2.1. Therefore Behavioral Health EHRs must be capable to 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. Original Project Need: HL7 has several standards that support the interoperability requirements of the Behavioral Health Community including: - HL7 EHR Behavioral Health Functional Profile, Release 1 - HL7 Social Service Invoice Common Message Element Model (CMET) - A_BillableSocialService universal (COCT_RM610000UV06) - Semantic Health Information Performance and Privacy Standard Domain Analysis Model (SHIPPS) - Consent Directive Clinical Document Architecture (CD) Implementation Guide Draft Standard for Trial Use (DSTU) These standards were developed over several years with input from a wide range of behavioral health experts from the US and abroad. Some stakeholders have more encompassing requirements than this current set of standards supports. Project Need: These requirements would be best served by a more comprehensive set of standards, which have been validated against a robust analysis of the business and semantic interoperability requirements of the domain. In particular, U.S. behavioral health providers, including acute care facilities providing emergency and inpatient behavioral health, and the programs to which these providers report, have an emergent need to address Meaningful Use requirements in a manner appropriate to the behavioral health specialty. Additional benefits extend to: - Initiatives to integrate behavioral and primary health care integration such as those funded by SAMHSA Primary and Behavioral Health Care Integration Grants for Health Information Technology (HIT) Adoption in the Context of Integrated Care (PBHCIHIT) - Public Health agencies with needle exchange programs and public health surveillance generally, can utilize the data derived from Assessments relating to population locations and rates. |
Implementers | 1) SAMHSA |
Security Risks | No |
External Drivers | Meaningful Use standards adoptions and emerging FHIR IGs for US implementation |
Common Names / Keywords/ Aliases | BH Data Exchange: Guidance for Meaningful Use Technical Requirements and other US Federal Regulatory Requirements, BH Reporting using HL7 Standards for MU and FHIR, Cross-Standard Implementation Guidance for Behavioral Health EHR implementers. |
Lineage | This PSS is a revision of the CDA-specific 'Behavior Health Domain Analysis Model, Messages, and CDA Profiles (aka Behavioral Health Continuity of Care Document (BH CCD))' IG to include HL7 Version 2 and FHIR implementation guidance based on the BH Report V3 DAM. |
Dependancies | This IG Based on HL7 Version 3 Domain Analysis Model: Behavioral Health (BH) Record, Release 2 (http://www.hl7.org/implement/standards/product_brief.cfm?product_id=307) |
Project Document Repository |
- HL7 GForge Page: HL7 CBCC WG - Releases: http://gforge.hl7.org/gf/project/cbcc/frs/?action=FrsReleaseBrowse&frs_package_id=186 - SVN: http://gforge.hl7.org/gf/project/cbcc/scmsvn/?action=browse&path=%2Ftrunk - Tracker: http://gforge.hl7.org/gf/proje... |
Backwards Compatibility | Yes |
External Vocabularies | Yes |
Products | |
Joint Copyright? | No |
External Pjt Collaborators | |
Realm | Realm Specific - Enter "U.S." or name of HL7 Affiliate below |
HL7 Affiliate | U.S. |
Stakeholders | Clinical and Public Health Laboratories, Immunization Registries, Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors |
Vendors | Pharmaceutical; EHR, PHR; Equipment; Health Care IT; Clinical Decision Support Systems; Lab; HIS |
Providers | Clinical and Public Health Laboratories; 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 | 2016 Sept Ballot Cycle Info: INFORMATIVE Ballot results: Did not meet basic vote requirements Document Name: HL7 Implementation Guide for CDA® Release 2: Behavioral Health Assessment, Release 1 - US Realm 2013 May Ballot Cycle Info: DSTU Ballot results: Did not meet basic vote requirements. Document Name: HL7 Implementation Guide for CDA® Release 2: Behavioral Health Assessment, Release 1 - US Realm NIB Submitted By: Ioana Singureanu 2013 May Ballot Cycle Info: INFORMATIVE Ballot results: Met basic vote requirements. 11 Negatives to reconcile Document Name: HL7 Version 3 Domain Analysis Model: Behavioral Health Assessment, Release 1 - US Realm NIB Submitted By: Ioana Singureanu 2012 Sept Ballot Cycle Info: DSTU Ballot results: Met basic vote requirements. 13 Negatives to reconcile Document Name: HL7 Implementation Guide for CDA® Release 2: Behavioral Health Assessment, Release 1 - US Realm Ballot Code: CDAR2_IG_BHA_R1_D1_2012SEP NIB Submitted By: Ioana Singureanu 2012 May Ballot Cycle Info: INFORMATIVE Ballot results: Met basic vote requirements. 11 Negatives to reconcile Document Name: HL7 Version 3 Domain Analysis Model: Behavioral Health Assessment, Release 1 Ballot Code: V3DAM_BHA_R1_I1_2012MAY NIB Submitted By: Ioana Singureanu 2012 May Ballot Cycle Info: DSTU Ballot results: Withdrawn Document Name: HL7 Implementation Guide for CDA® Release 2: Behavioral Health Assessment, Release 1 Ballot Code: CDAR2_IG_BHA_R1_D1_2012MAY NIB Submitted By: Ioana Singureanu 2012 Jan Ballot Cycle Info: COMMENT ONLY Ballot results: Met basic vote requirements. 1 Negative to reconcile Document Name: HL7 Version 3 Domain Analysis Model: Behavioral Health Assessment, Release 1 Ballot Code: V3DAM_BHA_R1_O1_2012JAN NIB Submitted By: |
Misc Notes | 2017 August: Informative doc published; PMO archiving project. 2017 August: TSC approved Informative Publication Request for HL7 Cross-Paradigm Implementation Guide: Behavioral Health Data Exchange, Release 1 - US Realm at TSC Tracker 13660 May 2016: I. Singureanu supplied an updated PSS. The project scope changed from C-CDA only guide to a cross-paradigm guide for V2, CDA, and FHIR leveraging LRI, LOI, C-CDA 2.1, and FHIR DAG profiles/templates to represent BH information. Project 1174 is BH DAM R2 June 2013: TSC approved the request for publication of HL7 Version 3 Domain Analysis Model: Summary Behavioral Health Record, Release 1 - US Realmas an Informative document Feb 2012: Ioana: The two co-sponsors of the Behavioral Health CCD Project have decided that CBCC should be the lead sponsor instead of Financial Management. |
U.S. Govt Interest? | Yes |
USRSC Approval | |
FMG Approval | |
ARB Approval | |
Start Date | Aug 12, 2011 |
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