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POLST Portable Medical Orders CDA IG (Jira PSS-1827)

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Basics

POLST Portable Medical Orders CDA IG (Jira PSS-1827)

1724
Ballot - STU




Details

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/). Map POLST data to CDA data elements and terminology and leverage existing or related work, where possible, as well as input from subject matter experts (SMEs).

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 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 and Personal Advance Care Plan (PACP) Document) capture in a single document all the data required for the National POLST Portable Medical Orders form.


States have the authority to adopt portable medical order forms for use by patients who are considered to be at risk for a life-threatening clinical event because they have a serious life-limiting medical condition, which may include advanced frailty. All 50 states plus the District of Columbia have adopted such forms or are in the process. These forms vary across states and use different titles. National POLST convened a process among states to create a national consensus form (released in September 2019), but the National POLST Form is not yet available in a standardized electronic format that can integrate into electronic health record (EHR) systems and be updated and shared across care settings and data systems. This lack of information exchange is problematic for seriously ill or frail patients for whom transfers of care are frequent and a POLST may need to be accessed in an emergency. The goal of this project is to close that gap by producing a CDA specification for the consensus form.

Resources:

Adoption of National POLST Form: https://polst.org/national-form-adoption-map-pdf

National POLST Participating Programs: https://polst.org/map-pdf



CDA IG - Create new R1 Standard - Target: STU ballot in January 2022


PSS: https://jira.hl7.org/browse/PSS-1827 https://github.com/HL7/cda-portable-medical-orders-ig

National POLST


EHR, PHR

Vynca Health Cerner Beyond Lucid Technologies, Inc. Indiana Health Information Exchange

National POLST

Portable medical order, patient treatment preferences, Clinician Order for Life Sustaining Treatment, COLST, Medical Orders for Life-Sustaining Treatment, Medical Orders for Scope of Treatment, MOLST, MOST, Physician Orders for Life-Sustaining Treatment, Physician Orders for Scope of Treatment, POLST, Portable Orders for Life-Sustaining Treatment, POST, Provider Orders for Life-Sustaining Treatment, Provider Orders for Scope of Treatment, SAPO, SMOST, State Authorized Portable Orders, Summary of Physician Orders for Scope of Treatment, TOPP, TPOPP, Transportable Orders for Patient Preferences, Transportable Physician Orders for Patient Preference



N/A

No

2025 January: TSC approved STU Extension Request for HL7 CDA R2 Implementation Guide: ePOLST: Portable Medical Orders About Resuscitation and Initial Treatment, Release 1 - US Realm for 2 years 2022 Sept: TSC Approved STU Publication Request for HL7 CDA R2 Implementation Guide: ePOLST: Portable Medical Orders About Resuscitation and Initial Treatment, Release 1 (US Realm) Stakeholders: Healthcare IT Vendors, Healthcare Provider/user, Other, Patients, Providers, Standards Development Organizations (SDOs), Vendor/Manufacturer Other Stakeholders: EHR, PHR Vendors, Emergency Services Providers, Health Institutions, state POLST programs, Clinical Decision Support Systems, Registries, HIEs, ACOs, Hospice
Organization & Realm

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

U.S.
People

Diana Wright



Structured Documents Work Group

Orders and Observations Work Group

Status & Dates

Active

STU - Test Period/Accepting Comments

08/06/2021

01/01/2027

2027 Jan WGM/Ballot

01/01/2027

2027 Jan WGM/Ballot

2022 Jan Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 5 Negatives to reconcile Document Name: HL7 CDA R2 Implementation Guide: ePOLST: Portable Medical Orders About Resuscitation and Initial Treatment, Release 1 - US Realm (See Jira Ballot Dashboard)
Approvals

09/20/2021


Received


All Received




CDA Management Group -- Agreed -- (PSS-1857)
US Realm -- Agreed -- (PSS-1858)
System Info

162394

PSS-1827

https://jira.hl7.org/browse/PSS-1827
View Ballot Items (with NIBs)



02/02/2026

Jira Project Service
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