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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 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

Financial Management

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)

2e. Other Interested Parties (and roles)

2f. Modeling Facilitator

Cooper Thompson, Patrick Sullivan

2g. Publishing Facilitator

2h. Vocabulary Facilitator

MaryKay McDaniel

2i. Domain Expert Representative

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

2j. Business Requirements Analyst

2k. Conformance Facilitator

Rob Snelick

2l. Other Facilitators

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

Attachments

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

3d. External Drivers

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

3g. Lineage

3h. Project Dependencies

3i. HL7-Managed Project Document Repository URL:

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

3j. Backwards Compatibility

No

3k. Additional Backwards Compatibility Information (if applicable)

3l. Using Current V3 Data Types?

3l. Reason for not using current V3 data types?

3m. External Vocabularies

Yes

3n. List of Vocabularies

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

3o. Earliest prior release and/or version to which the compatibility applies

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

4c. FHIR Profiles Version

4d. Please define your New Product Definition

4d. Please define your New Product Family

5a. Project Intent

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

5a. White Paper Type

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

No

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

5d. Joint Copyright

No

5e. I understand I must submit a Joint Copyright Letter of Agreement to the TSC in order for the PSS to receive TSC approval.

no

6a. External Project Collaboration

6b. Content Already Developed

6c. Content externally developed?

No

6d. List Developers of Externally Developed Content

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

No

6f. Stakeholders

Other

6f. Other Stakeholders

Billing Services

6g. Vendors

EHR, PHR, HIS

6g. Other Vendors

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

7d. US Realm Approval Date

Dec 03, 2019

7a. Management Group(s) to Review PSS

FHIR, V2

7b. Sponsoring WG Approval Date

Jul 02, 2019

7c. Co-Sponsor Approval Date

Jul 19, 2019

7c. Co-Sponsor 2 Approval Date

7c. Co-Sponsor 3 Approval Date

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

Dec 04, 2019

7g. V2 MG Approval Date

Nov 22, 2019

7h. Architecture Review Board Approval Date

7i. Steering Division Approval Date

Oct 30, 2019

7j. TSC Approval Date

Jan 06, 2020


























1 Comment

  1. Dave Hamill

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

    Thx!

    MK