Skin and Wound PSS

1a. Project Name Skin and Wound Assessment PSS 1b. Project ID 1584 1c. Is Your Project an Investigative Project (aka PSS-Lite)? No 1d. Is your Project Artifact being Reaffirmed or proceeding to Normative directly after being either Informative or STU? No 1e. Today's Date 1f. Name of standard being reaffirmed 1g. Project Artifact Information 1h. ISO/IEC Standard to Adopt 1i. Does the standard include excerpted text from one or more ISO, IEC or ISO/IEC standards, but is not an identical or modified adoption? 1j. Unit of Measure 2a. Primary/Sponsor WG Patient Care 2b. Co-Sponsor WG Clinical Information Modeling Initiative 2c. Co-Sponsor Level of Involvement Request formal content review prior to ballot 2b. Co-Sponsor WG 2 Electronic Health Record 2c. Co-Sponsor Level of Involvement Request periodic project updates; specify period in text box below (e.g. 'Monthly', 'At WGMs', etc.) 2c. Co-Sponsor 2 Update Periods Weekly as appropriate 2b. Co-Sponsor WG 3 Clinical Interoperability Council 2c. Co-Sponsor Level of Involvement Request periodic project updates; specify period in text box below (e.g. 'Monthly', 'At WGMs', etc.) 2d. Project Facilitator Susan Matney 2e. Other Interested Parties (and roles) Michael Brody, DPM. CEO Registry Clearinghouse 2f. Modeling Facilitator Nathan Davis 2g. Publishing Facilitator Patrick Langford 2h. Vocabulary Facilitator Susan Matney 2i. Domain Expert Representative National Pressure Ulcer Advisory Panel 2j. Business Requirements Analyst 2k. Conformance Facilitator 2l. Other Facilitators 2m. Implementers Tissue Analytics Intermountain Heatlhcare 3a. Project Scope To develop a skin and wound assessment model and FHIR profiles which can be used to document, track and trend wound care across settings. This FHIR implementation guide will use the US Core profiles. If this FHIR implementation guide is unable to use a US Core profile we will request approval from US Realm SC, and provide the US Realm approved rationale for deviation in the implementation guide where applicable. Attachments 3b. Project Need Wound care is a clinical domain of high interest because iatrogenic skin and tissue breakdowns (e.g., pressure ulcers) and the mitigation of risk for skin breakdown are recognized as indicators of quality. The National Quality Forum endorsed pressure ulcers as a nursing sensitive outcome measure, and the Centers for Medicare and Medicaid Services (CMS) view hospital acquired pressure ulcers as a preventable hospital acquired condition for which hospitals no longer receive added reimbursement. Wounds are also cared for across settings. Wounds are documented in three different apps within Intermountain Healthcare, one of which is Tissue Analytics - therefore, Intermountain would like to implement the FHIR profiles within their enterprise. 3c. Security Risk No 3d. External Drivers Veteran's Administration, National Pressure Ulcer Advisory Panel, Podiatrists 3e. Objectives/Deliverables and Target Dates 1. Develop the logical model (complete) 2. Curate the needed terminology content with LOINC and SNOMED CT (complete). 3. Test the FHIR profiles during a connectathon (Done in Montreal) 4. Create R4 FHIR profiles and IG - first draft done 1/31/2020 5. Enhance FHIR profile for implementers, including expanding body locations (in progress, target is 3/15/2020). 6. Develop the IG (target date 3/28/2020) 7. Connectathon - May 2021 8. Ballot in Sept 2021 3f. Common Names / Keywords / Aliases: Wound Assessment 3g. Lineage 3h. Project Dependencies 3i. HL7-Managed Project Document Repository URL: https://github.com/HL7/fhir-skin-wound-ig 3j. Backwards Compatibility No 3k. Additional Backwards Compatibility Information (if applicable) 3l. Using Current V3 Data Types? N/A 3l. Reason for not using current V3 data types? 3m. External Vocabularies Yes 3n. List of Vocabularies SNOMED CT, SNOMED CT HSPC extension LOINC UCUM 3o. Earliest prior release and/or version to which the compatibility applies 4a. Products FHIR Implementation Guide, FHIR Profiles 4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to? v4 4c. FHIR Profiles Version 4d. Please define your New Product Definition 4d. Please define your New Product Family 5a. Project Intent Create new standard 5a. White Paper Type 5a. Is the project adopting/endorsing an externally developed IG? 5a. Externally developed IG is to be (select one) 5a. Specify external organization 5a. Revising Current Standard Info 5b. Project Ballot Type STU to Normative 5c. Additional Ballot Info https://github.com/HL7/fhir-skin-wound-ig 5d. Joint Copyright Yes 5e. I understand I must submit a Joint Copyright Letter of Agreement to the TSC in order for the PSS to receive TSC approval. Yes 6a. External Project Collaboration National Pressure Ulcer Advisory Panel Wound care nurses at the Veteran's administration as subject matter experts. 6b. Content Already Developed 90 6c. Content externally developed? No 6d. List Developers of Externally Developed Content Nursing Knowledge Big Data Science Initiative Solor content developers (Keith Campbell, Susan Matney, et al.) Intermountain Healthcare Podiatrists 6e. Is this a hosted (externally funded) project? No 6f. Stakeholders Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors 6f. Other Stakeholders 6g. Vendors EHR, PHR 6g. Other Vendors 6h. Providers Emergency Services, Healthcare Institutions (hospitals, long term care, home care, mental health) 6h. Other Providers 6i. Realm U.S. Realm Specific 7d. US Realm Approval Date Feb 25, 2020 7a. Management Group(s) to Review PSS FHIR 7b. Sponsoring WG Approval Date May 23, 2019 7c. Co-Sponsor Approval Date May 23, 2019 7c. Co-Sponsor 2 Approval Date May 28, 2019 7c. Co-Sponsor 3 Approval Date May 23, 2019 7c. Co-Sponsor 4 Approval Date 7c. Co-Sponsor 5 Approval Date 7c. Co-Sponsor 6 Approval Date 7c. Co-Sponsor 7 Approval Date 7c. Co-Sponsor 8 Approval Date 7c. Co-Sponsor 9 Approval Date 7c. Co-Sponsor 10 Approval Date 7e. CDA MG Approval Date 7f. FMG Approval Date Nov 13, 2019 7g. V2 MG Approval Date 7h. Architecture Review Board Approval Date 7i. Steering Division Approval Date Mar 09, 2020 7j. TSC Approval Date Mar 16, 2020