1. HL7 Patient Care Work Group
With meeting discussion notes
To join the meeting:
Phone Number: Participant Passcode: #
WebEx link (thanks to Canada Health Infoway):
PCWG Care Plan (CP) Project Update Wednesday, January 16, EDT
Laura Heermann Langford Stephen Chu *Care Plan wiki:
HL7 Patient Care Work Group

2. 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

3. Care Plan Conceptual Model

4. Care Plan Conceptual Model

5. Care Plan Conceptual Model

6. Care Plan Model Alignment
Alignment with ONC S&I Longitudinal Coordination of Care - Care Plan Concepts
Care Plan
Plans of Care
Treatment Plans
Instructions

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

8. Care Plan Model Alignment: FHIM

9. 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

10. Care Plan Model Alignment Analysis
Contribution from Kevin Coonan

11. 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

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

13. 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

14. 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

15. 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

16. 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

17. 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

18. Creating FHIR Care Plan Resources

19. 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 s on conference calls
SOA CCS conference calls: Tuesday 5-:630pm (weekly) – see SOA s
Questions?