Da Vinci Unsolicited Notifications, published by HL7 International / Infrastructure And Messaging. This guide is not an authorized publication; it is the continuous build for version 1.1.0-preview built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-alerts/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/us/davinci-alerts/ImplementationGuide/hl7.fhir.us.davinci-alerts | Version: 1.1.0-preview | |||
IG Standards status: Trial-use | Maturity Level: 2 | Computable Name: DaVinciUnsolicitedNotifications | ||
Other Identifiers: OID:2.16.840.1.113883.4.642.40.47 | ||||
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License |
This Snapshot version of The Da Vinci Clinical Data Exchange (CDex) Implementation Guide is the proposed STU update of this guide. It is published for community review before the final publication of version 1.1.0. The sponsoring HL7 International Payer/Provider Information Exchange Work Group members agreed to and voted on the resolution of the community comments and edits to this guide. Below is an overview of significant changes in this version:
Where possible, new and updated pre-publishing content are highlighted with green text and background - This highlighting will be removed prior to publication
Key updates and detailed changes between this and prior versions are available on the Change Log page.
This implementation guide describes a method for the communication of relevant notifications to support the real-time exchange of information that impacts patient care and value based or risk based services. Providers and Payers may need to be notified when activities occur that impact a patient's care. This may be as traditional as a notification of an admission or transfer to or discharge from a care setting. It also includes notifications about changes in treatment such as a new or different medication, or changes in patient status like a new diagnosis. These notifications provide information that can improve care management and care coordination as well as act as the trigger for quality programs and other patient focused activities (for example, risk adjustment). By allowing the patient's healthcare providers to be better informed and able to take actions and intervene earlier, the twin goals of better patient care and reduced cost of care may be met.
The 2019 CMS 45 CFR Part 156 NPRM focuses on hospitalization notifications due to significant issues that can occur if a patient is not followed appropriately after acute care. The HL7 Da Vinci Project has responded to this need by supporting the effort to provide a FHIR based standard for adoption by both providers and payers. It is anticipated that the burden of communicating the notification is also reduced by using FHIR. This Guide defines a FHIR messaging based paradigm and framework to establish consistently adoptable and reproducible methods to exchange notifications. This framework is applied to the patient admission, transfer, and discharge events to generate unsolicited notifications to the care team.
This Implementation Guide is supported by the Da Vinci initiative which is a private effort to accelerate the adoption of Health Level Seven International Fast Healthcare Interoperability Resources (HL7® FHIR®) as the standard to support and integrate value-based care (VBC) data exchange across communities. Like all Da Vinci Implementation Guides, it follows the HL7 Da Vinci Guiding Principles for exchange of patient health information. The guide is based upon the prior work from the US Core and Da Vinci Health Record Exchange (HRex) Implementation Guides. Changes to this specification are managed by the sponsoring HL7 Infrastructure and Messaging (INM) workgroup and are incorporated as part of the standard HL7 balloting process. You can suggest changes to this specification by creating a change request tracker by clicking on the Propose a Change link at the bottom of any page.
This Guide is divided into several pages which are listed at the top of each page in the menu bar.
This Implementation Guide was made possible by the thoughtful contributions of the following people and organizations:
The twenty-two founding Da Vinci Project member organizations.