Section 1e: Version 3 (V3)
Section 2: Clinical and Administrative Domains

HL7 Version 3 Standard: Care Provision; Food and Medication Preferences, Release 1

DESCRIPTION

The HL7 v3 Care Provision – Nutrition and Drug Preferences is a messaging specification intended to support and standardize the exchange of patient and resident preferences related to foods and medications. Each preference entry shall be classified as pertaining to either food or medications, and indicate whether it is a positive or negative preference along with other attributes including the stated reason for the preference such as religious, cultural, ethnic or moral beliefs. This Universal standard provides a better way to communicate patient food and medication preferences among applications and providers and will help avoid situations which currently lead to preferences being reported as allergies in order to avoid disliked foods or medications that cause unpleasant side-effects.

This release will add the ability to support documentation and exchange of patient preferences related to food and medications. We will add this topic to the Care Provision domain. We will create the V3 models, concept domains and value sets necessary to communicate the set of patient preferences for both food and drugs. The model will be informed by the recent successful ballot of the Diet and Nutrition DAM, R2. Out of scope is the relationship of the statement to an order and to decision support systems.

ALTERNATIVE NAMES

HL7 Version 3 Standard: Care Provision; Food and Medication Preferences, Release 1 may also go by the following names or acronyms:

"HL7 V3 Standard: Care Provision; Food and Medication Preferences, Release 1", Nutrition and Drug Preferences

TARGETS

  • Standards Development Organizations (SDOs)
  • Clinical Decision Support Systems
  • Food and Nutrition Management Systems
  • HIS Vendors
  • Healthcare Institutions (hospitals, long term care, home care, mental health)

 

BENEFITS

  • Provides implementers the ability to electronically exchange structured data regarding patient food and medication preferences using V3 artifacts to improve patient care and operational efficiency in hospitals and post-acute and long-term care facilities
  • Enables healthcare systems using the provided interactions a more comprehensive picture of a patient’s preferences for food and medications in order to provide more patient-centered care
  • Promotes semantic interoperability across organizations and systems across the continuum of care

IMPLEMENTATIONS/CASE STUDIES

  • DSTU Implementers:
    • National Institutes of Health – Clinical Center
    • The CBORD Group, Inc.

DEVELOPMENT BACKGROUND

Patient-centered care is an important focus in healthcare today; however, many EHR systems do not currently provide the capability to record and transmit patient and resident preferences related to foods and medications. Lacking a way to adequately communicate this information may lead to preferences being reported as allergies in order to avoid disliked foods or medications that cause unpleasant side-effects. A healthcare provider should be able to document patient preferences by adding, modifying or removing (by marking as inactive) items on the patient's preference list maintained in the EHR. The preference list should allow each entry to be classified as pertaining to either food or medications and indicate whether it is a positive or negative preference along with other attributes including the stated reason for the preference such as religious, cultural, ethnic or moral beliefs. The system should record the date and time the preference was added or modified along with who reported the preference (patient or family member) and who entered it. Some preferences may be specific to a certain length of time or related to the patient's current condition or episode of care such as common food aversions during pregnancy.

This topic describes a set of interactions and payloads for conveying nutrition and drug preferences, and is modeled based on the concepts from Release 2 of the Nutrition Order Domain Analysis Model.

RELATED DOCUMENTS

HL7 Version 3 Standard: Care Provision; Food and Medication Preferences, Release 1

(Download) (19.85 MB)

STU DOCUMENTS

HL7 Version 3 Standard: Care Provision; Food and Medication Preferences, Release 1, DSTU Release 1 Expiration Jun 2018

(Download) (109.64 MB)

TOPICS

  • Care Provision
  • Nutrition
  • Patient Care

BALLOT TYPE

  • Informative

STATUS DATE

2020-11-03

RESPONSIBLE WORK GROUP

Orders and Observations

STAKEHOLDERS

  • Healthcare Institutions
  • HIS Vendors
  • Standards Development Organizations (SDOs)

FAMILY

  • V3

CURRENT STATE

  • Stable

REALM

  • Universal