Difference between revisions of "Early Hearing Care Plan"
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==See Also== | ==See Also== | ||
− | '' | + | '''Related Profiles''' |
+ | * '''[[Cross-enterprise Document Sharing]] [XDS.b] Cross-enterprise Document Sharing Environment including | ||
+ | * '''[[Cross Enterprise Document Reliable Interchange]] [XDR] can be used to support a reliable messaging-based infrastructure for sharing EHCP documents between sites over a network | ||
+ | * '''[[Cross Enterprise Document Media Interchange]] [XDM] can be used to support a media-based infrastructure for sharing EHCP documents between sites over a network | ||
+ | * '''[[Patient Cross Reference]] [PIX] | ||
+ | * '''[[Patient Demographic Query]] [PDQ] | ||
+ | * '''[[Notification of Availability of Documents]] [NAV] | ||
+ | * '''[[Document Metadata Subscription]] [DSUB] can be used to support a registry/repository-based infrastructure for sharing EHCP documents between sites over a network | ||
− | |||
− | '' | + | * '''[[Consistent Time]] [CT] and [[Audit Trail and Node Authentication]] [ATNA] are used to support security and privacy when sharing the EHCP documents between sites over a network |
+ | * '''[[Basic Patient Privacy Consents]] [BPPC] profile can be used to capture and communicate parental consents associated with the hearing screening workflow, and these should be included in the EHCP metadata. | ||
+ | * '''[[Digital Signature]] [DSG] can be used to assert the authoritative source of the care plan as public health. | ||
+ | * '''[[Shared Value Set]] [SVS] can be used to provide related value sets to the EHCP document | ||
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Revision as of 13:05, 17 January 2014
The Early Hearing Care Plan (EHCP) Profile describes the content needed to communicate care plan instructions to properly manage the detection and intervention of hearing loss in newborns and young children.
Summary
Early Hearing Detection and Intervention (EHDI) is a United States-based (US) public health program that directs hospitals to screen newborns for hearing loss prior to hospital discharge. The EHCP profile will assist detection, documentation of and intervention for hearing loss through an Early Hearing Care Plan (EHCP) made available to all authorized care providers as jurisdictionally directed by the Public Health EHDI program. The EHCP will provide best practice hearing guidance on next steps and actions that must be initiated for each newborn following discharge from the hospital nursery. It includes clinical content pertinent to EHDI such as screening results, risk indicators for hearing loss, interventions, and most importantly care plan instructions for management of the patient. This content profile will describe how the EHCP is to be implemented and the actions to be taken by providers following receipt of the care plan from the EHDI program.
Benefits
- Ensure that newborn hearing screening results and other relevant clinical information are consistently communicated to care providers
- Standardize care coordination for infants with suspected hearing loss
- Provide interoperability between clinical EHR and EHDI for increased efficiency and better data quality
Details
The EHCP content profile specifies how to use the HL7 CDA Standard to share information relevant to a newborn’s early hearing plan of care as defined by the jurisdiction Public Health Authority. This includes:
EHCP document contains the following sections of information:
- Treatment Plan: This section describes the appointments, referrals, treatments, diagnostic orders, and interventions necessary to conform to the jurisdiction public health authority directed guidelines under the plan. This includes resources to perform these procedures (e.g. JCIH statement URL), task lists, and instructions to the provider for follow-up care expressed as jurisdictionally defined free-text, and possibly coded values if available.
- Hearing Screening Coded Results: This section contains machine readable structured data for the patient’s relevant studies, e.g. the hearing screening method and results, as well as the screening outcome assessment. Where the screening results are not available, the reason the results are not available SHALL be present.
- Risk Indicators for Hearing Loss: Risk indicators for hearing loss identified through review of systems, family /social history, and/or physical examination details, as well as any necessary assessments of functional status or risks to the patient.
- Active Problems: Any diagnoses based on assessments, diagnostic results, and other information received from other providers. This is a list of conditions associated with the newborn that will inform the assessment of risk (e.g., baby has atretic ear, birth defect).
- Physical Exam: Aspects of the physical exam related to hearing screening or risk indicators for hearing loss.
- Review of Systems: A narrative description of the responses the patient gave to a set of routine questions on the functions of each anatomic body system.
Procedures and Interventions: This section documents that hearing screening procedure was performed. If the procedure is not performed, the reason is indicated. This section also includes procedures that MAY contribute to risk indicators for hearing loss and procedures that have been performed that refer the patient for follow-up care for hearing loss. Where hearing referral cannot be obtained, this reason for no referrals or follow-up interventions is also documented in this section.
Systems Affected
Actors & Transactions:
Specification
Trial Implementation
Documents:
- [1] IHE QRPH Supplement EHCP
Underlying Standards:
See Also
Related Profiles
- Cross-enterprise Document Sharing [XDS.b] Cross-enterprise Document Sharing Environment including
- Cross Enterprise Document Reliable Interchange [XDR] can be used to support a reliable messaging-based infrastructure for sharing EHCP documents between sites over a network
- Cross Enterprise Document Media Interchange [XDM] can be used to support a media-based infrastructure for sharing EHCP documents between sites over a network
- Patient Cross Reference [PIX]
- Patient Demographic Query [PDQ]
- Notification of Availability of Documents [NAV]
- Document Metadata Subscription [DSUB] can be used to support a registry/repository-based infrastructure for sharing EHCP documents between sites over a network
- Consistent Time [CT] and Audit Trail and Node Authentication [ATNA] are used to support security and privacy when sharing the EHCP documents between sites over a network
- Basic Patient Privacy Consents [BPPC] profile can be used to capture and communicate parental consents associated with the hearing screening workflow, and these should be included in the EHCP metadata.
- Digital Signature [DSG] can be used to assert the authoritative source of the care plan as public health.
- Shared Value Set [SVS] can be used to provide related value sets to the EHCP document
Consumer Information
The Profile FAQ Template answers typical questions about what the Profile does. <Replace the link with a link to the actual FAQ page for the Profile>
The Profile Purchasing Template describes considerations when purchasing equipment to deploy this Profile. <Replace the link with a link to the actual Purchasing page for the Profile>
Implementer Information
The Profile Implementation Template provides additional information about implementing this Profile in software. <Replace the link with a link to the actual Implementation page for the Profile>
Reference Articles
<List References (good and bad) (with link if possible) to Journal Articles that mention IHE's work (and hopefully include some analysis). Go ahead, Google: IHE <Profile Name> abstract or Google: IHE <Profile Name> and under the "more" select "Scholar". You might be surprised. >
This page is based on the Profile Overview Template