Documenting and Sharing Medication-Related Care Plans by Pharmacists

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally required	Cost	Test Tool Availability
Implementation Specification	HL7® FHIR® US Core R.3.0 - Care Plan Profile	Final	Production		No	Free	No
Implementation Specification	HL7 C-CDA on FHIR Care Plan	Final	Production		No	Free	No
Implementation Specification	HL7 CDA® R2 Implementation Guide: Pharmacist Care Plan Document, Release 1 - US Realm, Volume 1	Final	Production		No	Free	Yes
Implementation Specification	NCPDP® Pharmacist eCare Plan Version 1.0 Guidance on the Use of the HL7 CDA Consolidated Templates for Clinical Notes R2.1 Care Plan	Final	Production		No	$	No
Implementation Specification	HL7 Implementation Guide for CDA Release 2: Consolidated CDA Templates for Clinical Notes (US Realm), Draft Standard for Trial Use, Release 2.1	Balloted Draft	Production		Yes	Free	No
Implementation Specification	HL7 CDA R2 IG: C‐CDA Templates for Clinical Notes R2.1 Companion Guide, Release 2 ‐ US Realm	Balloted Draft	Production	Feedback Requested	No	Free	No
Implementation Specification	HL7 CDA R2 IG: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 3 - US Realm	Balloted Draft	Production	Feedback Requested	No	Free	No
Emerging Implementation Specification	HL7 FHIR Pharmacist Care Plan Implementation Guide, US Realm	Balloted Draft	Pilot	Feedback Requested	No	Free	No
Emerging Implementation Specification	HL7 FHIR US Core R.4.0 - Care Plan Profile	In Development	Production		No	Free	No

Limitations, Dependencies, and Preconditions for Consideration	Applicable Security Patterns for Consideration
The Pharmacist eCarePlan implementation specifications listed for this interoperability need are a result of a joint effort between HL7 and NCPDP to create a standardized, interoperable document for exchange of consensus-driven prioritized medication-related activities, plans and goals for an individual needing care. This project was partially funded by ONC's High Impact Pilots Cooperative Agreement Program. The Community Pharmacy Enhanced Services Network maintains a listing of vendor participants from this program. More than 100 value sets are currently captured in VSAC in support of this interoperability need. Search for "PharmacyHIT" to view them. The HL7 CDA R2 IG: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 3 - US Realm is a newer version of the standard that is available for health IT developers to voluntarily update and provide to their customers. It became available when it was added to the Approved Standards for 2022 through ONC’s Standards Version Advancement Process (SVAP).	Feedback requested.

Limitations, Dependencies, and Preconditions for Consideration

Applicable Security Patterns for Consideration

The Pharmacist eCarePlan implementation specifications listed for this interoperability need are a result of a joint effort between HL7 and NCPDP to create a standardized, interoperable document for exchange of consensus-driven prioritized medication-related activities, plans and goals for an individual needing care. This project was partially funded by ONC's High Impact Pilots Cooperative Agreement Program. The Community Pharmacy Enhanced Services Network maintains a listing of vendor participants from this program.
More than 100 value sets are currently captured in VSAC in support of this interoperability need. Search for "PharmacyHIT" to view them.
The HL7 CDA R2 IG: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 3 - US Realm is a newer version of the standard that is available for health IT developers to voluntarily update and provide to their customers. It became available when it was added to the Approved Standards for 2022 through ONC’s Standards Version Advancement Process (SVAP).

Feedback requested.

Comment

Submitted by pwilson@ncpdp.org on 2021-09-29

NCPDP Comments

HL7® C-CDA on FHIR® Care Plan – Adoption Level should be a 3
HL7 CDA® R2 Implementation Guide: Pharmacist Care Plan Document, Release 1 - US Realm, Volume 1 – Adoption Level should be a 2
HL7® FHIR® US Core R.4.0 - Care Plan Profile should be Production and 1. The current version of the Pharmacist Car Plan DOES utilize FHIR R4 (it is just not based on the FHIR R4 Care Plan – it is still a profile of the C-CDA on FHIR Care Plan).

Submitted by pwilson@ncpdp.org on 2020-11-07

NCPDP Comment

Modify the following:

Type- Standard

Standard Implementation/Specification- HL7® FHIR® US Core R.3.0 - Care Plan Profile

Standards Process Maturity – Final

Implementation Maturity- Production

Adoption Level – 3

Modify the following:

Type-Emerging Implementation Specification

Standard Implementation/Specification- HL7® C-CDA on FHIR® Care Plan

Standards Process Maturity – Final

Implementation Maturity- Production

Adoption Level – 1

Add the following:

Type- Emerging Implementation Specification

Standard Implementation/Specification- HL7® FHIR® US Core R.4.0 - Care Plan Profile

Standards Process Maturity – In development

Implementation Maturity- Need Feedback

Adoption Level – Need Feedback

Federally Required - No

Cost - Free

Test Tool Availability - No

Submitted by pwilson@ncpdp.org on 2019-09-23

NCPDP Comment

Add the following:

Type-Emerging Standard

Standard Implementation/Specification- HL7 Implementation Guide for C-CDA Release 2.1: Consolidated CDA for Clinical Notes and C-CDA on FHIR R4

Standards Process Maturity – Final

Implementation Maturity- Production

Adoption Level – 1

Federally Required – No

Cost – $

Test Tool Availability – No

Available – Spring 2020

Submitted by shellyspiro on 2018-10-01

Pharmacy HIT Collaborative's Comments on ONC's Proposed 2018 ISA

The Pharmacy HIT Collaborative appreciates the ONC taking our recommendation and adding NCPDP Pharmacist eCare Plan Version 1.0 Guidance on the Use of the HL7 CDA Consolidated Templates for Clinical Notes R2.1 Care Plan and HL 7 CDA R2 Implementation Guide: Pharmacist Care Plan Document, Release 1 – US Realm, Volume 1 to the final 2018 version. The Collaborative also recommends adding Pharmacist Care Plan FHIR Implementation Guideto the standard implementation/specifications.