- Created by Diana Wright, last modified on May 20, 2022
This project will create a CDA R2 IG (US Realm) for the National POLST Portable Medical Orders form, building on the extensive analysis of data elements and stakeholder engagement by National POLST (https://polst.org/). The project scope is limited to POLST data elements and does not include actionable or enforceable medical orders/messages.
A POLST Portable Medical Order differs from an Advance Directive and from a Personal Advance Care Plan (PACP) in that a POLST form is a portable medical order created by a clinician in consultation with the patient and/or patient's family for patients who are seriously ill or frail. Neither of the two related HL7-published CDA IGs (C-CDA R2.1; Advance Directives Templates & Personal Advance Care Plan (PACP) Document) capture in a single document all the data required for the National POLST Portable Medical Orders form.
Meaning of "POLST": As of 2021, there are 15 acronyms and 19 names currently in use by the states for these types of forms (see https://polst.org/program-names/), and some states use "POLST" to mean "Physician Orders for Life-Sustaining Treatment" or "Portable Orders for Life-Sustaining Treatment" or "Provider Orders for Life-Sustaining Treatment". All National POLST education uses "POLST" and "portable medical order" but no longer defines "POLST" as an acronym (https://polst.org/history-of-polst/). This project has adopted that approach to the name; it is not an acronym.
Due to the need for strict adherence to the format and questions on the National POLST Form, the project team is considering a Model of Use approach.
Resources:
- National POLST Form and information on use: https://polst.org/form-patients/
- Map of states adopting the National POLST Form: https://polst.org/national-form-adoption-map-pdf
- Map of states working with National POLST: https://polst.org/map-pdf
Consensus Design Meetings:
- Wednesdays 2:00 PM-3:00 PM ET (Sept. 8 - Oct. 27, 2021)
- Microsoft Teams meeting link
- Or call in (audio only):
+1 208-996-1659,,523610069# United States
Phone Conference ID: 523 610 069#
- Document Repository (GitHub): https://github.com/HL7/cda-portable-medical-orders-ig
- PSS-1827: PSS-1827 - Getting issue details... STATUS
- PID: 1724
- Project Proposal: PSS-1814
- Jan 2022 Ballot package
- Jan ballot dashboard
Project Team
- Kit Cooper, Project Manager (kit.cooper@lantanagroup.com)
- Diana Wright, Lead Analyst (diana.wright@lantanagroup.com)
- Zabrina Gonzaga, SME (zabrina.gonzaga@lantanagroup.com)
File | Modified | |
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Microsoft Powerpoint Presentation POLST CDA IG project intro.pptx | Sep 10, 2021 by Diana Wright | |
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Microsoft Word Document CDAR2_IG_POLST_R1_D1_2022JAN_Vol1_Introductory_Material.docx | Dec 01, 2021 by Diana Wright | |
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Microsoft Word Document CDAR2_IG_POLST_R1_D1_2022JAN_Vol2_Templates_and_Supporting_Material.docx | Dec 01, 2021 by Diana Wright | |
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Microsoft Powerpoint Presentation ePOLST CDA IG Ballot Prep 12-01-2021.pptx | Dec 01, 2021 by Diana Wright | |
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Microsoft Word Document ePOLST Medical Orders IG Structure.docx | Dec 01, 2021 by Diana Wright | |
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This project will create a CDA R2 IG (US Realm) for the National POLST Portable Medical Orders form, building on the extensive analysis of data elements and stakeholder engagement by National POLST (https://polst.org/). The project scope is limited to POLST data elements and does not include actionable or enforceable medical orders/messages.
A POLST Portable Medical Order differs from an Advance Directive and from a Personal Advance Care Plan (PACP) in that a POLST form is a portable medical order created by a clinician in consultation with the patient and/or patient's family for patients who are seriously ill or frail. Neither of the two related HL7-published CDA IGs (C-CDA R2.1; Advance Directives Templates & Personal Advance Care Plan (PACP) Document) capture in a single document all the data required for the National POLST Portable Medical Orders form.
Meaning of "POLST": As of 2021, there are 15 acronyms and 19 names currently in use by the states for these types of forms (see https://polst.org/program-names/), and some states use "POLST" to mean "Physician Orders for Life-Sustaining Treatment" or "Portable Orders for Life-Sustaining Treatment" or "Provider Orders for Life-Sustaining Treatment". All National POLST education uses "POLST" and "portable medical order" but no longer defines "POLST" as an acronym (https://polst.org/history-of-polst/). This project has adopted that approach to the name; it is not an acronym.
Due to the need for strict adherence to the format and questions on the National POLST Form, the project team is considering a Model of Use approach.
Resources:
- National POLST Form and information on use: https://polst.org/form-patients/
- Map of states adopting the National POLST Form: https://polst.org/national-form-adoption-map-pdf
- Map of states working with National POLST: https://polst.org/map-pdf
Consensus Design Meetings:
- Wednesdays 2:00 PM-3:00 PM ET (Sept. 8 - Oct. 27, 2021)
- Microsoft Teams meeting link
- Or call in (audio only):
+1 208-996-1659,,523610069# United States
Phone Conference ID: 523 610 069#
- Document Repository (GitHub): https://github.com/HL7/cda-portable-medical-orders-ig
- PSS-1827: PSS-1827 - Getting issue details... STATUS
- PID: 1724
- Project Proposal: PSS-1814
Project Team
- Kit Cooper, Project Manager (kit.cooper@lantanagroup.com)
- Diana Wright, Lead Analyst (diana.wright@lantanagroup.com)
- Zabrina Gonzaga, SME (zabrina.gonzaga@lantanagroup.com)
File | Modified | |
---|---|---|
Microsoft Powerpoint Presentation POLST CDA IG project intro.pptx | Sep 10, 2021 by Diana Wright | |
Labels
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Microsoft Word Document CDAR2_IG_POLST_R1_D1_2022JAN_Vol1_Introductory_Material.docx | Dec 01, 2021 by Diana Wright | |
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Microsoft Word Document CDAR2_IG_POLST_R1_D1_2022JAN_Vol2_Templates_and_Supporting_Material.docx | Dec 01, 2021 by Diana Wright | |
Labels
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Microsoft Powerpoint Presentation ePOLST CDA IG Ballot Prep 12-01-2021.pptx | Dec 01, 2021 by Diana Wright | |
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Microsoft Word Document ePOLST Medical Orders IG Structure.docx | Dec 01, 2021 by Diana Wright | |
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