Shared care plan standards

HISO is working with the Health Care Home Collaborative to develop and lead the adoption of common standards for interoperable shared care plans.

The New Zealand Health Care Home Collaborative members are DHBs and PHOs covering over half the enrolled patient population of New Zealand. The Collaborative supports these DHBs and PHOs to implement the health care home model of care.

The requirements around interoperable shared care plans are to be able to:

• develop shared care plans collaboratively with the patient, including self-management and clinical management goals
• communicate shared care plans with other health providers and the patient
• copy shared care plans without loss of content between practices, whether using the same or different software.

This work will produce data standards, API standards and other standards for interoperability around shared care.

HISO 10074 Shared Care Plan Standard is in development and will define a minimum data set for communicating a goal-oriented shared care plan. Contact standards@health.govt.nz to see the latest draft.

Related supporting standards are:

• HISO 10046 Consumer Health Identity Standard states the patient demographic data requirements. Also see the MOH website for API details. Presently a SOAP web services interface is in production, and work is underway to replace this with an HL7® FHIR® API
• Health Provider Index Standards (HPI) is to uniquely identify health providers and to hold that information in a central, national database for use by the New Zealand health and disability sector.
• HISO 10065 Allied Health Data Standard has relevance as a minimum data set specification for the provision of allied health services
• HISO 10033 SNOMED CT requirement All new systems must use SNOMED CT for clinical terminology
• HISO 10013 HL7 standards requirement FHIR R4 is the endorsed standard and all new systems storing personal health information are expected to provide a secure FHIR API for access to this data
• HISO 10024 NZ Universal List of Medicines and NZ Formulary for standardised medicines information.

Interoperability based on FHIR as the messaging standard and SNOMED CT as the terminology standard is key. All systems storing personal health information must use these two standards to be properly part of the ecosystem. An open API approach, using these standards, is the direction of travel for all applications.

Systems must use the national NHI and HPI systems for patient and provider lookups, and the NZULM/NZF for medicines information.