POLST CDA IG

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#

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#