Nutrition in HL7 Standards

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Presentation transcript:

Nutrition in HL7 Standards HL7 CDA R2 IG: Nutrition in C-CDA Based Care Documents, STU, Release 1 (U.S. Realm) Lindsey Hoggle, MS, RD, PMP Director, Nutrition Informatics @lindseybh

Academy of Nutrition and Dietetics Vision: A world where all people thrive through the transformative power of food & nutrition Mission: Accelerate improvements in global health and well-being through food and nutrition

Continuity of Care Across Settings (% are RDN members working in that area.) 11% 8% Community WIC 8% Nursing Home/LTC Consultation & Business Continuity of care is the process by which the patient and the physician are cooperatively involved in ongoing health care management toward the goal of high quality, cost-effective medical care. The red percentages on this slide show the percentage of RDNs who work in the identified care settings. Typically a transition from one setting to another (for example from a hospital to home or an extended care facility) creates a situation of missing, incomplete, or inconsistent data. This creates gaps in care, errors and/or complexity for the patient and caregivers. Nutrition data should be included in any data sent from one care setting to another. RDN 17% Out-Patient 32% Acute Care Hospital

HITECH ACT Federal Advisory Committee Act (FACA) Committees www HITECH ACT Federal Advisory Committee Act (FACA) Committees www.healthit.gov

HITECH Act 2009 December 2009 Meeting 6 non-physician provider organizations How do our organizations participate as part of the MU Financial Incentive Program? How do our professions “keep up” with the changes of HITECH? David Blumenthal, MD, MPH National Coordinator of Health IT 2009-2011

Nutrition Leaders at HL7 Margaret Dittloff MS, RD Elaine Ayres MS, RD Over 75 SME Volunteers Donna Quirk, MBA, RD, LD Cathy Walsh MS, RD

Standardized Language (eNCPT) Food Labels Nutrition Composition Tables Nutrition Standards Standardized Language (eNCPT) Food Labels Nutrition Composition Tables Nutrition Care Process Evidence Analysis Library

Health Level 7 International Key Academy Projects Nutrition Orders Nutrition Orders Domain Analysis Model (May 2016) Nutrition Orders V3 Clinical Messaging (DSTU 2013) Food and Medication Preferences (Jan 2014 Ballot) Allergies, Intolerances & Adverse Reactions Domain Analysis Model FHIR (Fast Healthcare Interoperability Resources) --Nutrition Orders Resource C-CDA R2 – Nutrition Section (DSTU 2014) Nutrition Section Template Nutrition Status Observation Entry Level Template Nutrition Assessment Entry Level Template Nutrition Recommendation Entry Level Template Virtual Medical Record/Clinical Decision Support Oral diets, parenteral and enteral nutrition Orders and Proposals EHR-S Electronic Nutrition Care Process Record System Functional Profile (DSTU 2011) Personal Health Record Functional Model – Nutrition and Exercise Section http://wiki.hl7.org/index.php?title=Nutrition_Management

Nutrition Care Process Assessment Nutrition Diagnosis Intervention Monitoring and Evaluation Screening A systematic approach to providing high quality nutrition care

HL7 Consolidated Clinical Document Architecture (C-CDA) Document Types C-CDA (R 1.1) C-CDA (R2.1) Continuity of Care Document (CCD) Nutrition Section Plan of Treatment (Recommendation) Discharge Summary Discharge Diet Progress Note Nutrition Section, Plan of Treatment Consult Note Care Plan (NEW) Health Concern, Intervention Referral Note (NEW) Transfer Summary (NEW) Plan of Treatment (Recommendation

C-CDA R2 & Nutrition Care Process Assessment Nutrition Diagnosis Intervention Monitoring & Evaluation

C-CDA & the Nutrition Care Process Nutrition Status Observation Nutrition Assessment Nutrition Recommendations Structured nutrition documentation in the EHR facilitates creation of clinical statements for CDA 12

National Library of Medicine Value Set Authority Center (VSAC)

ONC Interoperability and Standards Advisory 2017 https://www.healthit.gov/sites/default/files/2017_isa_reference_edition-final.pdf

http://mqii.defeatmalnutrition.today/

Request for Support HL7 CDA R2 IG: Nutrition in C-CDA Based Care Documents, STU, Release 1 (U.S. Realm)