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Diagnostic Audiology Reporting HL7 V2 Implementation Guide (PSS in Confluence)

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Basics

Diagnostic Audiology Reporting HL7 V2 Implementation Guide (PSS in Confluence)

1631
Ballot - STU to Normative


V2 Messages-Clinical

Implementation Guide

Details

Complete, timely and accurate reporting of diagnostic audiology results to State Early Hearing Detection and Intervention (EHDI) programs is critical to achieve the aim of preventing delays in the development of speech, language and social skills for children who are deaf or hard of hearing. Health Information Exchange (HIE) is a proven success for timely, complete and accurate reporting of newborn hearing screening results. An informatics-focused solution is needed to mirror the success of HIE for diagnostic audiology results.

The proposed project aims to develop a HL7 v2 implementation guide to facilitate universal exchange of pediatric diagnostic audiology results between provider EHR and state EHDI information systems. The project will cover the following use cases:

1.Sharing diagnostic audiology visit information: this use case focus on exchange of information regarding a fulfilled audiology diagnostic evaluation appointment. This includes sending and receiving the following groups of data elements:

- Patient demographics (Name, ID, mother or caregiver’s name, address, contact)

- Audiology provider (Name, ID, address)

- Appointment (date, time)

- Diagnostic audiology tests performed

- Results of the diagnostic evaluation: left ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.

- Results of the diagnostic evaluation: right ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.

- Results of diagnostic evaluation in the form of audiogram

- Risk factors for congenital or late-onset hearing loss

- Recommended referrals and follow-up tests or services

2.Sharing no show or change of appointment information: this use case focus on the provider notifying state EHDI program about a missed/change of scheduled diagnostic audiology appointment, so that the EHDI program can take appropriate actions to follow up with the patient. This includes sending and receiving information on

- Patient demographics (Name, ID, mother or caregiver's name, address, contact)

- Audiology provider (name, ID, address)

- Scheduled appointment (date, time)

- No show, cancellation, or change of the appointment



The goal of Early Hearing Detection and Intervention (EHDI) is to assure that all newborns receive a hearing screening by one month of age, infants who refer on newborn screening receive diagnostic evaluation by three months of age and infants diagnosed with hearing loss are enrolled into early intervention services by six months of age, also known as the EHDI 1-3-6 goals. The purpose of this timeline for hearing screening, diagnosis and intervention services is to maximize early access to language and communication for brain development for children who are deaf or hard of hearing. EHDI programs monitor and track infants’ progress in meeting these goals, using reports of hearing screening, diagnosis and intervention status. Timely, accurate and complete reporting for each of these steps is critical. Many state EHDI programs have legislative requirements related to tracking, monitoring and communicating the results of hearing screenings, diagnoses and intervention services.

Diagnostic audiology results are reported to EHDI programs in various formats and methods, but typically via paper documentation or direct data entry into an EHDI Information System. These methods rely on audiologists to actively provide results and involves duplication of data entry as the results already exist in the electronic health record. Late and missing documentation of results have been ongoing challenges to EHDI programs across the country for years, leading to unnecessary effort by EHDI program staff, confusing communications with families and providers, and sometimes, late access to critical services for children identified as deaf or hard of hearing. The developmental trajectory for children who are deaf or hard of hearing is at risk.

Newborn hearing screening HL7 standards are successfully in use and have proven success in improving the timeliness and completeness of reporting. State EHDI programs and pediatric audiologists have expressed the need and value for a standard HL7 reporting methodology for diagnostic audiology data as well. This ballot is intended to fulfill the promise of HL7 standards for diagnostic audiology data.



Submit for STU Ballot (First Ballot Cycle) - 2021 Jan Complete STU Reconciliation - April 2021 Submit for 2nd STU Ballot - May 2021 Request STU Publication - September 2021 STU Period – 12 months - September 2022 Submit for Normative Ballot - September 2022 Complete Normative Reconciliation - January 2023 Receive ANSI Approval - ? 8/24/2022 - Publication request is delayed because the necessary LOINC codes to complete publication have been delayed


https://confluence.hl7.org/display/PHWG/Diagnostic+Audiology+Reporting+Implementation+Guide

State EHDI Programs: IL, NH, NC, GA, MN, ND, WA, IA, NE, FL, OR, RI American Speech Language Hearing Association (ASHA) Hospitals/University Audiology: Boston Children’s Hospital, UCLA Medical Center, University of Miami, YKHC, Oregon Health and Science University, and Oregon Legacy Health System HIT Standards: Public Health Informatics Institute, and Regenstrief Institute EHDI-IS/Hospital IT: OZ Systems Public Health Informatics Consulting: HLN Consulting, LLC

waiting for LOINC and SNOMED codes to include in the final STU publication

N/A,Local and State Departments of Health; Healthcare Institutions (hospitals, long term care, home care, mental health); Other (specify in Misc. Notes below),EHR, PHR; Equipment; Health Care IT; Other (specify in Misc. Notes below)

1) Oregon EHDI with Oregon Health and Science University and Epic 2) Rhode Island EHDI with hospitals and audiology clinics

LOINC and/or SNOMED-CT codes need to be established for missing core data elements and value sets.

Diagnostic Audiology Reporting Implementation Guide for HL7 V2, EHDI HL7 V2 IG

N/A

Yes

Don't Know

No

2025 February: TSC approved STU Extension Request for HL7 Version 2 Implementation Guide: Diagnostic Audiology Results, Release 1 - US Realm for 2 years 2023 March: TSC Approved STU Publication Request for HL7 Version 2.6 Implementation Guide: Diagnostic Audiology Results Draft Standard for Trial Use - Release 1
Organization & Realm

Realm Specific - Enter "U.S." or name of HL7 Affiliate below

U.S.
People

Craig Newman



Public Health Work Group


Status & Dates

Active

STU - Test Period/Accepting Comments

06/04/2020

05/01/2027

2027 May WGM/Ballot

05/01/2027

2027 May WGM/Ballot

2021 Jan Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 2 Negatives to reconcile Document Name: HL7 Version 2 Implementation Guide: Diagnostic Audiology Reporting, Release 1- US Realm
Approvals

09/28/2020


Received


All Received




System Info



View Ballot Items (with NIBs)




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