Page tree
Skip to end of metadata
Go to start of metadata


 Show Changes


1a. Project Name

PSS for Anaesthesia Billing Support

1b. Project ID

1550

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

FHIR Infrastructure

2b. Co-Sponsor WG

Anesthesia

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

MaryKay McDaniel/Ben Krahenbuhl (Epic)

2f. Modeling Facilitator

Cooper Thompson, Patrick Sullivan

2h. Vocabulary Facilitator

MaryKay McDaniel

2i. Domain Expert Representative

Marc Leib, MD ASA; Karen Gehne, Anesthesia Business Consultants; Melissa Laws, ABEO

2k. Conformance Facilitator

Not sure at this time until we ask someone

2m. Implementers

Epic
Anesthesia Business Consultants (ABC)
ABEO

3a. Project Scope

Anaesthetist often provide their services at locations other than the anesthetist’s administrative offices. To support billing for their services clinical and administrative data from the servicing location must be gathered and provided to the Anaesthetist’s billing location. This information is currently captured by either the servicing location EMR and/or the attending Anaesthetist manually in a variety of formats. This project is to identify the information required and define a standard for its exchange.

Use Case(s) Supported:
Anaesthesia information from EHR to external provider billing service (could be the office of the Rendering Anaesthetist or billing service) to support billing for the anaesthetist services.

Rendering anaesthetist performs service at Hospital A. The hospital bills the surgical expenses to the patient or patient’s insurer. The anaesthetist bills the patient or submits a claim to the patient’s insurer for his/her services. The anaesthetist does not provide equipment or medications. Multiple services could be provided by the anaesthetist during one surgical procedure (delivery or encounter/event).

This project will:
• Identify information needs (data elements) and create a Domain Analysis Model (DAM) to facilitate consistent usage across product families within HL7
• Map information model to V2.x and FHIR Resources (to help inform the information model itself)
• If needed, propose updates/changes for V2.x
• Create a FHIR Implementation Guide, as resources permit

3b. Project Need

No existing standard has been found to meet the need of this project. This information is currently captured by either the servicing location EMR and/or the attending Anaesthetist manually in a variety of formats. This project is to identify the information required and define a standard for it’s exchange.

3c. Security Risk

Unknown

3e. Objectives/Deliverables and Target Dates

ABS DAM - Jan 2020
Gap Analysis Mapping of DAM to V2.x and FHIR - Sep 2020
Potential change requests for V2.x - Jan 2021
ABS FHIR IG, as resources permit - Jan 2021

3f. Common Names / Keywords / Aliases:

Anaesthesia, Billing, Billing Support

3i. HL7-Managed Project Document Repository URL:

FM Confluence Page: https://confluence.hl7.org/display/FM/Anaesthesia+Billing

3j. Backwards Compatibility

No

3m. External Vocabularies

Yes

3n. List of Vocabularies

SNOMED,
CPT,
ICD-10
Possibly NUBC/NUCC
Anaesthesia Billing Codes

4a. Products

Domain Analysis Model (DAM), FHIR Implementation Guide, V2 Messages – Administrative, V2 Messages - Clinical, V2 Messages - Departmental

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

R4

5a. Project Intent

Revise current standard, Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

No

6g. Vendors

EHR, PHR, HIS

6h. Providers

Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Any clinic that provides Anaesthesia services

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

FHIR, V2






1 Comment

  1. Dave Hamill

    Dave, we're ready for a Project Number please.

    Thx!

    MK