Details
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Project Scope Statement
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Resolution: Done
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Medium
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None
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Structured Documents
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Orders & Observations Patient Empowerment -
Orders & Observations
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N/A
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Yes
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Yes
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National POLST
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No
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Healthcare IT Vendors, Healthcare Provider/user, Other, Patients, Providers, Standards Development Organizations (SDOs), Vendor/Manufacturer
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EHR, PHR Vendors, Emergency Services Providers, Health Institutions, state POLST programs, Clinical Decision Support Systems, Registries, HIEs, ACOs, Hospice
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US
Description
Create a CDA R2 IG (US Realm) for the National POLST Portable Medical Orders form, building on the extensive analysis of data elements and stakeholder engagement by National POLST (https://polst.org/). Map POLST data to CDA data elements and terminology and leverage existing or related work, where possible, as well as input from subject matter experts (SMEs). The project scope is limited to POLST data elements and does not include actionable or enforceable medical orders/messages.
A POLST Portable Medical Order differs from an Advance Directive and from a Personal Advance Care Plan (PACP) in that a POLST form is a portable medical order created by a clinician in consultation with the patient and/or patient's family for patients who are seriously ill or frail. Neither of the two related HL7-published CDA IGs (C-CDA R2.1; Advance Directives Templates & Personal Advance Care Plan (PACP) Document) capture in a single document all the data required for the National POLST Portable Medical Orders form.
Due to the need for strict adherence to the format and questions on the form, the project team is considering a Model of Use approach.
Additional information: The term "POLST" has been used by some states to mean "Physician Orders for Life-Sustaining Treatment" or "Portable Orders for Life-Sustaining Treatment" or "Provider Orders for Life-Sustaining Treatment". However, National POLST (the organization that developed the form we are drawing on for this work) defines POLST as a “portable medical order” and no longer uses POLST as an acronym. (See: https://polst.org/history-of-polst/) This project has adopted that approach to the name.
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1.
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Structured Documents | Agreed | |
2.
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PBS Metrics | Agreed | |
3.
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CDA Management Group | Agreed | |
4.
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US Realm | Agreed | |
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External Terminology | Agreed | |
6.
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Orders & Observations | Agreed |