HL7 Continuity of Care Document (CCD®) Implementation Guide, paired with the ASC X12 275 Personal Health Record Transfer Between Health Plans, facilitates PHR data portability between health plans so that the member’s PHR information can move electronically when changing health plans.
ANN ARBOR, Mich. / FALLS CHURCH, Virginia - May 2, 2011 - Health Level Seven International (HL7®) today announced the release of the Plan-to-Plan Personal Health Record (PHR) Data Transfer Implementation Guide. The HL7 CCD guide was created for the U.S. payer stakeholder community and is intended to be used with the Accredited Standards Committee (ASC) X12 Patient Information (275) Implementation Guide, to ensure consistency in the implementation of U.S. realm PHR data transfer functions between health plans.
Based on the HL7 Clinical Document Architecture (CDA®) and the CCD, this implementation guide will provide health plans, with member consent, the ability to move the member’s payer-linked PHR information from the previous plan to the new plan when their health coverage changes. These exchanged documents will be known as “Plan to Plan Personal Health Record” or P2PPHR documents. The exchange of a P2PPHR could be initiated by a single member of an insurance plan or via a batch of records, if an insurance plan sponsor (i.e. employer) chose to change plans. This implementation guide also provides a potential framework for greater standards-based interoperability of PHRs between the consumer and the provider.
“PHRs will give consumers the power to integrate and manage their personal healthcare information. The combination of the ASC X12 transmission envelope and the HL7 clinical payload provides a structure for effective information exchange,” said Bob Dolin, MD, chair of Health Level Seven International and president of the Lantana Group. “This new standard demonstrates how CDA and CCD can be used to support the various needs of the healthcare industry.”
This HL7 implementation guide provides the clinical payload portion of the guidance for the exchange of PHRs between health insurance plans. Information regarding the transport approach for PHR data transfers is contained in ASC X12's 275 Type 3 Technical Report 005050X274.
The ASC X12 005050 275 Implementation Guide, Personal Health Record Transfer Between Health Plans, describes the use of the ASC X12 Patient Information (275) transaction set to transfer PHR between different health plans, for purposes of transferring PHR when an employer group or single member changes from one health plan to another, when an individual changes jobs and elects coverage under a new plan, and when a health plan requests information on individuals transferring from another plan.
“The ASC X12 Insurance Health Care Patient Information Work Group (X12N TG2 WG9) and the HL7 Attachment Work Group members collaborated to identify consistent core data content, such as patient histories, medications and allergies, in response to the industry stakeholders we serve and support, which include providers, payers and software vendors,” said Margaret Weiker, ASC X12N (Insurance) Chair and Chair-elect of the Standards Development Charter Organization (SCO). “The P2PPHR data transfer provides guidance for a more seamless, efficient, standards-based interoperable information exchange of personal health records.”
Interested parties may purchase and download a copy of the Plan-to-Plan PHR Data Transfer Implementation Guide on the HL7 store under the heading “Clinical Document Architecture” on the HL7 website at www.HL7.org. The ASC X12N TR3 is available at http://store.x12.org/healthcare/5050/og/.
Founded in 1987, Health Level Seven International is the global authority for healthcare Information interoperability and standards with affiliates established in more than 30 countries. HL7 is a non-profit, ANSI accredited standards development organization dedicated to providing a comprehensive framework and related standards for the exchange, integration, sharing, and retrieval of electronic health information that supports clinical practice and the management, delivery and evaluation of health services. HL7’s more than 2,300 members represent approximately 500 corporate members, which include more than 90 percent of the information systems vendors serving healthcare. HL7 collaborates with other standards developers and provider, payer, philanthropic and government agencies at the highest levels to ensure the development of comprehensive and reliable standards and successful interoperability efforts.
HL7’s endeavors are sponsored, in part, by the support of its benefactors: Abbott; Accenture; Allscripts; Centers for Disease Control and Prevention; Duke Translational Medicine Institute (DTMI); Eclipsys Corporation; Epic Systems Corporation; European Medicines Agency; the Food and Drug Administration; GE Healthcare Information Technologies; GlaxoSmithKline; IBM; Intel Corporation; InterSystems Corporation; Kaiser Permanente; Lockheed Martin; McKesson Provider Technology; Microsoft Corporation; NHS Connecting for Health; NICTIZ National Healthcare; Novartis Pharmaceuticals Corporation; Oracle Corporation; Partners HealthCare System, Inc.; Pfizer, Inc.; Philips Healthcare; Quest Diagnostics Inc.; Siemens Healthcare; Thomson Reuters; the U.S. Department of Defense, Military Health System; and the U.S. Department of Veterans Affairs.
Numerous HL7 Affiliates have been established around the globe including Argentina, Australia, Austria, Brazil, Canada, Chile, China, Colombia, Croatia, Czech Republic, Finland, Germany, Greece, Hong Kong, India, Italy, Japan, Korea, Luxembourg, The Netherlands, New Zealand, Norway, Romania, Russia, Singapore, Spain, Sweden, Switzerland, Taiwan, Turkey, United Kingdom, and Uruguay.
For more information, please visit: www.HL7.org.
About ASC X12
ASC X12, chartered by the American National Standards Institute (ANSI) in 1979, develops EDI standards and documents for national and global markets. With more than 315 X12 EDI standards and increasing X12 XML schemas, ASC X12 enhances business processes, reduces costs and expands organizational reach. Members include standards experts from health care, insurance, transportation, finance, government, supply chain and other industries. For additional information, visit www.x12.org.