News from the HL7 Project Management Office

C-CDA and FHIR Maturation Grant

Work continues on The Office of the National Coordinator for Health Information Technology (ONC) current $1.5 million cooperative agreement for continued maturation of the Consolidated Clinical Document Architecture (C-CDA) and Fast Healthcare Interoperability Resources (FHIR^®) standards which encompasses the following goals and projects, many of which are still underway:

Goal 1: Facilitate ongoing development and publication of HL7 standards for the benefit of the general public by the following:

Develop an implementation plan including objectives, strategies, and approaches

Monitor and identify interoperability needs and priorities

Facilitate standards development and balloting cycles with an emphasis on the following:

FHIR Bulk Match 

International Patient Summary (IPS)

SMART Health Links

Reference implementation software for HL7 specifications

C-CDA authoring and web-publication tooling

At Home Test Results implementation guide

FHIR profiles on Bundle and Composition to align with CDA

FHIR R6

Goal 2: Enhance the underlying HL7 tools and infrastructure necessary to support effective implementation and use HL7 standards as follows:

Enhance registry.fhir.org based on user feedback and HL7-ONC prioritization

Maintain and enhance Unified Terminology Governance (UTG) and terminology services for standards development

Produce and publish the 2024 C-CDA Value Set Release Package

Enhance FHIR build and IG publishing infrastructure

Implement Jira Dashboard Templates

Goal 3: Empower the HL7 standards development community with the following:

Convene two C-CDA Implementation-a-Thon (IAT) events

HL7 Public Health Standard and Solutions for Future Pandemics Cooperative Agreement

In addition to the above, work will conclude in September on ONC’s 4-year $2M cooperative agreement titled “HL7 Public Health Standards and Solutions for Future Pandemics”. Projects under this endeavor include the following:

Review existing HL7 Provenance standards and artifacts; provide recommendations of “Authorship” in provenance records and supporting “Full Provenance”

Update, ballot and publish the PDMP HL7 FHIR Implementation Guide

Plan, prepare, facilitate and provide a 2-day virtual FHIR Security Event in 2023 and 2024

Develop and publish a FHIR Security Checklist

Create awareness about open-source software communities using FHIR via a virtual webinar series.

Update, ballot and publish the electronic Long-Term Services and Supports (eLTSS) implementation guide (Complete)

Progress the work to define a CDA template and an Implementation Guide (IG) for eyecare professionals needing to share information (Complete)

Advance the use of HL7 Bulk Data Access API and other relevant standards-based API technologies to improve surveillance capacity for future pandemics and other public health emergencies by assessing available open-source natural language processing (NLP) tools which unlock high-value information contained in the text of clinical notes (Complete)

Provide HL7 FHIR Technical support to the Helios FHIR Accelerator (Complete)

Testing of the Gravity SDOH Clinical Care FHIR Implementation Guide (Complete)

Gravity SDOH Clinical Care FHIR Implementation Guide Standard for Trial Use 2 Publication (Complete)

Gravity Pilots Affinity Group Support (Complete)

Analyze and document which HL7 Version 2 messaging standards or FHIR IGs, resources and profiles can be used to support submission of test results from at-home COVID testing applications to state and federal government agencies (Complete)

Support development, advancement, and harmonization of Social Determinants of Health (SDOH) standards by analyzing the current state and emerging activities of SDOH related data (Complete)

Expanding the clinical domains supported by HL7 standards by balloting the COVID-19 FHIR Profile Library implementation guide (Complete)

Improve the privacy and security of health information by examining the current landscape of relevant security, privacy, and public health standards (Complete)

Advance HL7 Public Health Standards by developing and publishing a Physician Orders for Life-Sustaining Treatment (POLST) CDA implementation guide (Complete)

COVID-19 support for Accelerating Standards Development for the US Realm

Lastly, ONC’s 5-year (Fiscal Years 2021-25) $3.5M contract “COVID-19 support for Accelerating Standards Development for the US Realm” continues with the following work:

Ballot, reconcile and publish annual updates to HL7’s US Core implementation guide

Financial support for the US Realm Steering Committee (USRSC) Project Manager, Senior Advisor, Content Administrator and Dashboard Developer

Fund Helios, HL7’s FHIR Accelerator for Public Health

Update, ballot and publish the Consolidated CDA (C-CDA) specification using Trifolia-on-FHIR, FHIR StructureDefinitions, and the FHIR Implementation Guide tooling stack

Progress for all the above ONC work can be found on HL7’s Confluence page at: 

HL7 appreciates ONC’s continued support of C-CDA and FHIR since 2016.

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Dave Hamill

Director, HL7 Project Management Office at HL7 |  + postsBio

• Dave Hamill

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  News from the HL7 Project Management Office