How FHIR Can Support Post-Acute Care, Advance Directive Interoperability
The Post-Acute Care Interoperability Project (PACIO) expects to release the Advance Directive Interoperability with FHIR implementation guide by the end of 2023.
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By - While advance care planning documents are key for meeting patients' end-of-life care wishes, data siloes can prevent providers from accessing critical information when it matters most. An upcoming HL7 FHIR implementation guide aims to streamline advance directive interoperability to support patient-centered care.
The Advance Directive Interoperability (ADI) with FHIR Implementation guide will include standards for exchanging a variety of person-authored information, including advanced directives, advanced care plans, living wills, and durable medical power of attorney documents.
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"These critical documents allow providers to respect a person's values, culture, and what's important to them," Maria D. Moen, senior vice president of innovation and external affairs at ADVault, told HealthcareStrategies.
Moen leads the ADI initiative within the Post-Acute Care Interoperability Project (PACIO), a collaborative effort between industry, government, and other stakeholders to develop HL7 FHIR (Fast Healthcare Interoperability Resources) implementation guides.
"We knew that we needed to break the bonds of paper that have chained us for decades, and we needed to make this information equally accessible from care setting to care setting so those values could be honored," she said.
"The current healthcare IT ecosystem is characterized by proprietary systems and closed data standards," she said. "In many cases, the only way to transfer data between sources is if both parties are on the same network and use the same IT systems."
She emphasized the role of collaboration in creating the implementation guide.
"We have a wide array of extremely dedicated professionals in the field who inform this work," Moen said. "It provides a forum for multidisciplinary dialogue and collaboration. We work hard to build consensus around the industry goals, priorities, and approaches."
"Public-private collaborations are essential to moving our healthcare system from where it has been for so long into this new normal that is patient-centered, interoperable, responsive, and effective," she added.
