Care Plan (CP) Meeting 90 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: # WebEx link (thanks to Canada Health Infoway): With discussion notes

Page 2 Next Meeting Agenda – Feb 1 st – 90 min. Review Stay Healthy SB- first draft (Carolyn) Review Acute Care SB (Kevin) Review Perinatology SB (Laura) - postponed Review Pediatric Allergy SB (Susan) Review Immunization SB (Susan) - no Start summary of requirements (André) Advance work plan (André) - postponed Agenda of next meeting (André) Review any further comments collected on Home Care SB (André) - postponed Revised

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 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 Maggie Gilligan US Dietician; Owner, Senior Member, Nutra Tech Technology, LLC Kevin Coonan US Yes MD. Emergency medicine. HL7 Emergency care WG. Gordon Raup US CTO, Datuit LLC (software industry). Elaine Ayres US Yes 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 Rob Savage US Yes CDC Immunization

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 CA 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 Michael Tan NL Publishing Facilitator, Care Provision, PC WG; Senior Project manager, Nictiz, NL Corinne Gower NZ Senior Business Analyst at NZHIS; Senior Advisor at Ministry of Health New Zealand Susan US Medical Informaticist at 3M Health Care; Chair Elect of the SNOMED CT Nursing Special Interest Group at IHTSDO; Vocab Facilitator for Patient Care TC at HL7 Standards 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, Ken Rubin US Co-Chair, HL7 Service Oriented Architecture Work Group; Chief Architect, Federal Healthcare Portfolio, HP Enterprise Services Mark Shafarman US Member of HL7 since Co-Chair, HL7 Template WG; Shafarman Consulting Inc.

Page 5 REVIEW OF STORYBOARDS Reference file from the wiki: Chronic-Conditions_Care-Plan-Storyboard_V0-5_Revised_ docx

Page 6 Discussion Notes- Stay Healthy SB (Carolyn) Walkthrough of the SB See updated document Brief descriptions of the information created and exchanged will need to be added (Appendix table as in the other SBs)

Page 7 Discussion Notes- Acute Care SB (Kevin) Walkthrough of the SB See document amended 2 encounters to document at the end: ICU, psychiatry Also key thoughts on coordination of care in this case should be added

Page 8 Discussion Notes- Pediatric Allergy SB (Susan) Walkthrough of the SB See notes by Ray Simkus Concept of severity? There was quite a discussion thread on severity in the allergy sub-group  Let’s leave the allergy details to the other group  We stick to Concern Section on coordination of care: key to review at our next meeting

Page 9 Discussion Notes- Perinatology CP SB Postponed to next meeting

Page 10 STATUS AND PLAN FOR ALL STORYBOARDS

Page 11 Status of SBs OwnerSB NameStatusDate for Complete Draft PCCP Final review Kevin CoonanAcute ConditionDraft 1 completedFeb 28th André Boudreau Home CareUnder external review DoneFeb 15th Stephen ChuChronic ConditionsReviewed. Third draft completed DoneFeb 28th Susan Campbell -Pediatric Allergy -Immunization Reviewed. Second draft of both Immunization done Allergy: Feb 1st Feb 28th Laura Heermann Langford PerinatologyReviewed. Second draft Feb 28 th Carolyn SilzleStay healthy/ health promotion Draft 1 completedFeb. 2 nd (after meetg review on the 1 st ) Feb 28th

Page 12 CARE PLAN REQUIREMENTS

Page 13 Discussion- Requirements Structure/Approach See draft doc Integrate EHR-S FM R2 care plan contents There is a link with care provision  To be detailed in care plan In parallel with BPMN

Page 14 FORWARD PLAN See Spreadsheet

Page 15 HDF- Domain Analysis Overview Source: HDF_1.5.doc, page 37 Last updated:

Page 16 Forward Plan Discussion Notes WGM Suggestion from William – WRT HDF processes: good to follow  But do not use glossary  Capture data definitions/metadata as data element specification  William to send standard examples of data element specification to the group Work plan discussed as per work plan excel file contents:  Itemised deliverable components, need to work on and agree on deliverable dates  Target DAM ballot date: possible September 2012  To be discussed and confirmed in next conf calls Feb 1 Good storyboards will make the mapping and modelling of process flows a lot easier

Page 17 FUTURE MEETINGS Conference calls between now and May 2012 – see wiki 90 min., Wednesday 5-6:30pm US Eastern, fortnightly (every 2 weeks) Starting Feb. 1 st Webex supplied by Canada Health Infoway

Page 18 Next meeting Agenda- Feb 15 th (Lead: André) Agree on approach for modeling (Luigi) Pediatric Allergy SB (Susan)  Review coordination of care section Acute Care SB- complete version (Kevin) Stay Healthy SB- updated version (Carolyn) Perinatology SB- updated version (Laura) Review any further comments collected on Home Care SB (André) - postponed Action plan to finalize SBs Decide on consolidated format for SBs Review and augment draft of requirements (André) Continue development of work plan Next meeting agenda

Page 19 APPENDIX Various material