Domain or Disease-Specific Care Plan Standards

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 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	Yes
Implementation Specification	HL7 C-CDA on FHIR Care Plan	Final	Production		No	Free
Implementation Specification	IHE Quality, Research, and Public Health Technical Framework Supplement, Early Hearing Detection and Intervention (EHDI), Rev 2.1 Trial Implementation	Balloted Draft	Pilot		No	Free	No
Implementation Specification	HL7 CDA R2 Implementation Guide: Personal Advance Care Plan Document, Release 1 - US Realm	Balloted Draft	Pilot		No	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 US Core R.4.0 - Care Plan Profile	In Development	Feedback requested	Feedback Requested	No	Free	No
Emerging Implementation Specification	MCC eCare Plan Draft Implementation Guide	In Development	Feedback requested	Feedback Requested	No	Free	No

Limitations, Dependencies, and Preconditions for Consideration	Applicable Security Patterns for Consideration
The HL7 CDA R2 IG is based on C-CDA R2.1 and aligns with the Care Plan document specifications. The IHE Profile is based on HL7 V2.6 IG: Early Hearing Detection and Intervention (EHDI) Messaging, Release 1. The Personal Advance Care Plan Document is for the domain of patient-authored goals, priorities and preferences, including but not limited to Advance Directives. The HL7 CDA R2 IG: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 3 - US Realm is a newer version of the standard that is available for health IT developers to voluntarily update and provide to their customers.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 ASTP's Standards Version Advancement Process (SVAP).	Feedback requested.

Limitations, Dependencies, and Preconditions for Consideration

Applicable Security Patterns for Consideration

The HL7 CDA R2 IG is based on C-CDA R2.1 and aligns with the Care Plan document specifications.
The IHE Profile is based on HL7 V2.6 IG: Early Hearing Detection and Intervention (EHDI) Messaging, Release 1.
The Personal Advance Care Plan Document is for the domain of patient-authored goals, priorities and preferences, including but not limited to Advance Directives.
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 ASTP's Standards Version Advancement Process (SVAP).

Feedback requested.

Comment

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

For NCPDP Pharmacist eCare Plan Version 1.0: Guidance on the Use of the HL7 CDA Consolidated Templates for Clinical Notes R2.1 Care Plan , change Adoption level to Production.

Submitted by pwilson@ncpdp.org on 2017-11-20

NCPDP - Comment

Add the following:

Type-Implementation Specification

Standard 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

Standards Process Maturity – Final

Implementation Maturity- Production

Adoption Level – 2

Federally Required – No

Cost – $

Test Tool Availability - Yes

Add the following:

Type-Implementation Specification

Standard Implementation/Specification- NCPDP Consultant Pharmacist Consult Note, Version 1.0: Guidance on the Use of the HL7 CDA Consolidated Templates for Clinical Notes R2.1 Consult Note

Standards Process Maturity – Final

Implementation Maturity- Production

Adoption Level – 2

Federally Required – No

Cost – $

Test Tool Availability - Yes

Add the following:

Type-Implementation Specification

Standard Implementation/Specification- NCPDP HL7 CDA® R2 Implementation Guide: Pharmacist Care Plan Document, Release 1 - US Realm - US Realm

Standards Process Maturity – Final

Implementation Maturity- Production

Adoption Level – 3

Federally Required – No

Cost – $

Test Tool Availability – No

Add the following:

Type-Implementation Specification

Standard Implementation/Specification- NCPDP HL7 CDA® R2 FHIR Implementation Guide: Pharmacist Care Plan Document, Release 1 - US Realm - US Realm

Comment: FHIR is used to implement the Care Plan. See https://www.healthit.gov/techlab/ipg/node/4/submission/1376

Standards Process Maturity – Final

Implementation Maturity- Pilot

Adoption Level – 1

Federally Required – No

Cost – $

Test Tool Availability – Yes