HL7 Patient Care Work Group With meeting discussion notes To join the meeting: Phone Number: +1 770-657-9270 Participant Passcode: 943377# WebEx link (thanks to Canada Health Infoway): https://infoway-inforoute.webex.com/infoway-inforoute/j.php?ED=168011982&UID=494535562&RT=NCMxMQ%3D%3D PCWG Care Plan (CP) Project Update Wednesday, January 16, 2013 1100-1230 EDT Laura Heermann Langford (Laura.Heermann@imail.org) Stephen Chu (stephen.chu@nehta.gov.au) *Care Plan wiki: http://wiki.hl7.org/index.php?title=Care_Plan_Initiative_project_2011 HL7 Patient Care Work Group

Overview of Progress Towards DAM PSS approved since Baltimore Continued to work towards balloting DAM with May cycle Completed use cases Chronic condition Acute condition Home care Perinatology / paediatric Stay healthy Significant Progress on modeling work Alignment with models from stakeholders Further discussion on glossary and relationships

Care Plan Conceptual Model http://wiki.hl7.org/images/2/24/CpDetailedModelImg.png

Care Plan Conceptual Model http://wiki.hl7.org/images/2/24/CpDetailedModelImg.png

Care Plan Conceptual Model http://wiki.hl7.org/images/2/24/CpDetailedModelImg.png

Care Plan Model Alignment Alignment with ONC S&I Longitudinal Coordination of Care - Care Plan Concepts Care Plan Plans of Care Treatment Plans Instructions http://wiki.siframework.org/file/view/Summary+of+LCC+WG+Whitepaper_final.docx

Care Plan Model Alignment Alignment with ONC S&I Care Plan Concepts

Care Plan Model Alignment: FHIM http://www.fhims.org/content/420A62FD03B6_root.html

Care Plan Model Alignment Alignment with FHIM: Comparative analysis done on Tuesday 15 January Q5 and Q6 High level of alignment/similarity between FHIM and HL7 Care Plan models Continue dialogue to greater harmonization

Care Plan Model Alignment Analysis Contribution from Kevin Coonan

Care Plan Model Alignment Analysis of contributions from Kevin Coonan: Comparative analysis done during lunch break – Wednesday 16 January Need to consider inclusion of “precondition criteria” and “contra-indication criteria” Need to clarify with Kevin on “goal evaluation criteria” Continue to work towards harmonization

Overview of Progress Towards DAM Collaboration with SOA Development of Care Coordination Services definition

Overview of Progress Towards DAM Collaboration with SOA Modeling work CMMN – Potential Collaboration (OMG Case Management Modelling Notation) Development of Care Coordination Services operation set definition

Care Coordination Service: Possible Operation Sets Op. Set Description or examples Care Plan reader Read Care Plan and its (possibly distributed) related plans; subscribe to alerts to some parts. Plan Authoring Select from template, Initialize and maintain a plan, apply reusable parts (e.g. a protocol); individualize goals and interventions, etc. Plan execution Workflow, adapting to change subject to clinical constraints; “launch” ordering, scheduling, referrals, etc. Can spawn a subordinate plan. Collaborative authoring Targeted discussions; propose, accept, deny, subject to functional roles and discussion-time roles Care Plan Reconciliation Support analysis and clean-up disjoint, redundant, or conflicting plans; Let CDS provide advice. Progress tracking Retrieval of relevant observations to evaluate outcomes; alerting of unmet goals, unperformed actions; 11/27/2018 HL7 Care Coordination Service (CCS) 14

Overview of Progress Towards DAM Key success factors Robust use case set Strong collaboration between domain experts, clinical informatics and modelling experts Incorporate/align with stakeholder care plan models Strong collaboration with other WGs, e.g. SOA Strong commitments and contributions from project team members, especially: Project leads (Laura and Stephen) Jon Farmer (SOA); Enrique (SOA) Kevin Coonan, Russ Leftwitch Susan Campbell ….. etc

Overview of Progress Towards DAM PSS approved since Baltimore Continued to work towards balloting DAM with May cycle Completed Use Cases Significant Progress on modeling work Further discussion on glossary and relationships Yet to do- Finish Modeling Discuss inclusion of functional model Discuss how CMS lines up Polish DAM document

Overview of Progress Towards DAM Yet to do- Finish Modeling Discuss inclusion of functional model Discuss how CMS lines up Polish DAM document In discussion/collaboration with FHIR To develop core Care Plan FHIR resources

Creating FHIR Care Plan Resources

Questions? Future Meetings Conference calls between now and May 2013 – see wiki 90 min., Wednesday 5-6:30pm US Eastern, fortnightly (every 2 weeks) Starting: to be determine (to start from January 23) – see also emails on conference calls SOA CCS conference calls: Tuesday 5-:630pm (weekly) – see SOA emails Questions?