Care Plan (CP) Team Meeting 60 minutes André Boudreau Laura Heermann Langford Stephen Chu André to lead *C are Plan wiki: HL7 Patient Care Work Group To join the meeting: Phone Number: Participant Passcode: See wiki* for WebEx link With meeting notes Includes post meeting notes on: Order Sets interRAI

Page 2 Agenda for Jan. 4th Plan for WGM Care Plan Meeting Review status of all SBs Review forward plan to complete the DAM (André to propose) Review Pediatric, immunization and Allergy/Intolerance (Susan)- attached

Page 3 Participants- Meetg of p1 Name Country YesNotes André Boudreau CA Yes Co-Lead- Care Plan initiative/HL7 Patient Care WG. B.Sc.(Physics), MBA. Owner Boroan Inc. Management Consultin. Chair, Individual Care pan Canadian Standards Collaborative Working Group (SCWG). Sr project manager. HL7 EHR WG. Laura Heermann Langford US Yes Co-Lead- Care Plan initiative/HL7 Patient Care WG. Intermountain Healthcare. RN PhD,: Nursing Informatics; Emergency Informatics Association, American Medical Informatics Association; IHE Stephen Chu AU Yes NEHTA-National eHealth Transition Authority. RN, MD, Clinical Informatics; Clinical lead and Lead Clinical Information Architecture; co-chair HL7 Patient care WG; vice-chair HL7 NZ Carolyn Silzle USYes American Dietetic Association Susan Campbell USYes PhD microbiologist. Principal at Care Management Professionals. HL7 Dynamic Care Plan Co-developer Margaret Dittloff US The CBORD Group, Inc.. RD (Registered Dietitian); Product Manager, Nutrition Service Suite; HL7 DAM project for diet/nutrition orders; American Dietetic Association Luigi Sison US Information Architect at LOINC and at HL7. Enterprise Data Architect at VA. Developing standard for Detailed Clinical Models (DCM), information models for Electronic Health Record (EHR) Diabetes Project, etc. Peter MacIsaac AU HP Enterprise Services. MD; Clinical Informatics Consultant; IHE Australia; Medical Practitioner - General Practice William Goossen NL Results 4 Care B.V. RN, PhD; -chair HL7 Patient Care WG at HL7; Detailed Clinical Models ISO TC 215 WG1 and HL7 ; nursing practicioner Anneke Goossen NL Results 4 Care B.V. RN; Consultant; Co-Chair Technical Committee EHR at HL7 Netherlands; Member at IMIA NI; Member of the Patient Care Working Group at HL7 International Ian Townsend UK NHS Connecting for Health. Health Informatics; Senior Interoperability Developer, Data Standards and Products; HL7 Patient Care Co-Chair Rosemary Kennedy US Thomas Jefferson University School of Nursing. RN; Informatics; Associate Professor; HL7 EHR WG; HL7 Patient care WG; terminology engine for Plan of care; Jay Lyle US JP Systems. Informatics Consultant; Business Consultant & Sr. Project Manager Ian McNicoll UK Ocean Informatics. Health informatics specialist; Formal general medical practitioner; OpenEHR; Slovakia Pediatrics EMR; Sweden distributed care approach Danny Probst US Intermountain Healthcare. Data Manager Kevin Coonan US MD. Emergency medicine. HL7 Emergency care WG. Gordon Raup US CTO, Datuit LLC (software industry). Elayne Ayres US NIH National Institutes of Health. MS, RD; Deputy Chief, Laboratory for Informatics Development, NIH Clinical Center ; Project manager for BTRIS (Biomedical Translational Research Information System), a Clinical Research Data Repository

Page 4 Participants- Meetg of p2 Name Country Yes Notes David Rowed AU MD. Family GP.; Was chair, 2005, Electronic Communications Working Group of the AU General Practice Computing Group Charlie Bishop UK Walter Suarez US Peter Hendler US Ray Simkus CAYes Practicing Family GP, Vancouver, BC. User of EMR. Intense interest and involvement in EHR and EMR standards, functionality and terminology Serafina Versaggi USClinical Systems Consultant Brett Esler AUPen Computer Sys Catherine Hoang USVA Hugh Leslie AU a General Practitioner ; Chief Medical Officer, Ocean Informatics Seam Heard Thomson Kuhn US Sr. Systems Architect at American College of Physicians Russell Leftwich US Md, Allergist, internal medicine; Chief Medical Informatics Officer, Office of eHealth Initiatives, State of Tennessee Jane BrokelUS PhD, RN, NANDA International; University of Iowa, Iowa City, IA & Trinity Health Corinne Gower NZ Senior Business Analyst at NZHIS; Senior Advisor at Ministry of Health New Zealand Yu-Ting Taiwan Audrey Dickerson US HIMSS. RN, MS; Standards Initiatives at HIMSS; ISO/TC 215 Health Informatics, Secretary; US TAG for ISO/TC 215 Health Informatics, Administrator; Co-Chair of Nursing Sub-committee to IHE-Patient Care Coordination Domain. Gaby Jewell US Senior strategist at Cerner Corp,

Page 5 Agenda for San Antonio WGM meeting Thursday 19 January Q1- 9am-10h30 CT (10:00am to 11:30am ET) (Stephen to lead) Conf call and Webex facilities for remote participants Welcome and introductions (Stephen) – 10 min. Review Chronic Conditions 3rd draft (before external review) (Stephen) – 15 min. Review Perinatology appendices with tables of expected artifacts ( if Laura) – 15 min. Review Acute condition SB- first draft (TBC-Kevin) – 20 min. Review of feedback on the Home Care SB (André) – 5 min. Review of Care Plan DAM status (André) – 5 min. Review of forward plan to complete the DAM (André) – 15 min. Conclusion (Stephen) – 5 min. Updated

Page 6 STATUS AND PLAN FOR ALL STORYBOARDS

Page 7 Status of SBs OwnerSB NameStatusDate for Complete Draft PCCP Final review Kevin CoonanAcute ConditionStartedFeb 28th André Boudreau Home CareUnder external review DoneFeb 15th Stephen ChuChronic ConditionsReviewed. Third draft underway Jan. 12thFeb 28th Susan Campbell -Pediatric, and Allergy/ Intolerance -Immunization Reviewed. Second draft Jan 12 th (immunization) Feb 28th Laura Heermann Langford PerinatologyReviewed. Second draft Jan. 12thFeb 28 th Carolyn SilzleStay healthy/ health promotion StartedFeb. 2 nd (after meetg review on the 1st Feb 28th Updated

Page 8 FORWARD PLAN See Spreadsheet

Page 9 HDF- Domain Analysis Overview Source: HDF_1.5.doc, page 37 Last updated:

Page 10 Forward Plan Discussion Notes Requirements  A living document updated as we go along Storyboards  6 storyboards Process flows / activity diagrams  Maybe just one full activity diagram (AD)  Integrate variants for other SB into the first AD  Include self care Information models and glossary  Integrate key concepts like a master integrated care plan and domain specific plans Business rules and triggers

Page 11 Final Discussion Notes Look into order sets as components of care plan, part of intervention plan  Open source, Chris O’Connor (Ray Simkus) Post meeting notes  PatientOrderSets.com PatientOrderSets.com  Order sets are evidence-based checklists that allow healthcare professionals to quickly and easily identify appropriate treatments for medical conditions in all hospital departments. With a network of over 165 client hospitals, PatientOrderSets.com has reached a tipping point. The collaborative platform allows hospitals to share knowledge and resources, resulting in a cost-effective, customized order set solution.  PatientOrderSets.com provides its client hospitals with a comprehensive web-based order set technology that includes:  A reference library of hundreds of evidence-based order sets that can easily be customized by hospitals. Libraries of hospital-customized order sets that allow hospitals to share and learn from each other Advanced order set project implementation tools and methodologies EntryPoint software that allows clinicians to complete order sets using computers and/or mobile tablet devices Analytic software that lets clinicians view comparative data on their use of order sets

Page 12 Poast Meeting Details - InterRAI interRAI is a collaborative network of researchers in over 30 countries committed to improving health care for persons who are elderly, frail, or disabled. Our goal is to promote evidence-based clinical practice and policy decisions through the collection and interpretation of high quality data about the characteristics and outcomes of persons served across a variety of health and social services settings. InterRAI as tools to do assessments  Compatible assessment instrumentation that can be used across care domains  Integrated suite of instruments o interRAI HC - Home Care o interRAI CHA - Community Health Assessment o interRAI CA - Contact Assessment o interRAI LTCF - Long Term Care Facility o interRAI AL - Assisted Living o interRAI AC - Acute Care o interRAI PAC - Post-Acute Care o interRAI MH - Mental Health o interRAI CMH - Community Mental Health o interRAI ESP - Emergency Screener for Psychiatry o interRAI PC - Palliative Care o interRAI ID - Intellectual Disability

Page 13 REVIEW OF STORYBOARDS (SB)

Page 14 Pediatric, immunization and Allergy / Intolerance Select topic and details that are typical of usual situations Remove distracting details not relevant to our purpose Apply the standard format

Page 15 FUTURE MEETINGS

Page 16 Agenda for Future meetings Review Stay Healthy SB- first draft (TBC- Carolyn) Review any further comments collected on Home Care SB Review any updates or questions from Pediatric Allergy SB if needed Rest ids to be determined as we go