1. HL7 PCWG: Care Plan, CCS and Health Concern Updates
Updates for EHRWS
January 2014 WGM San Antonio
Stephen Chu, MD, PhD, co-chair PCWG
Laura Heerman Langford, RN, PhD, co-chair PCWG
Michael Tan, co-chair PCWG
Enrique Menses, PCWG and SOA

2. PCWG Projects: Care Plan
Progress as at January 2014
Domain Analysis model: first informative ballot in September 2013
Ballot reconciliation in progress
Negative major:
Three types of plan (care plan, plan of care, treatment plan)
Significant debates/variation in stakeholder opinions and no consensus
Decision: to remove references to the different types of plan in DAM
7/6/2019

3. Care Plan Model: design decision
Preserve the concepts of
Dynamic and static plan
Ensure the “plan” structure
of logical model capable
of supporting implementation
of different types of plan by
different stakeholders
Support for "composition"
and/or "association" between
different types of plans in the
model need to be addressed
Storyboards to be adjusted
to reflect the changes
Types of Plan discussions:
7/6/2019

4. Care Plan Ballot reconciliation to continue post San Antonio WGM
Ballot reconciliation to continue post San Antonio WGM
Fortnightly conference call to commence 5 February 2014 at 4:00pm (1.5 hours) till week ending 9 March 2014 then call time change to 5:00pm start
Participation and contributions welcome
Plan: update Care Plan DAM package for May 2014 ballot submission
01/01/2011

5. Care Plan: collaborations
Collaboration with CQI since Sept 2013 WGM
Identity/develop a set of domain specific quality measures relevant to care plan implementation
Examples – implementation in care plans:
Measure for falls
Measure for urinary incontinence
Medication orders
Follow-up care arrangements, etc
Follow-up collaboration:
Map CQI use cases to Care Plan DAM
01/01/2011

6. PCWG & SOA: CCS Project
CCS: care coordination services functional model and technical profile to support the development and implementation of care plan of different levels of complexity
First balloted in May 2013
Comment resolution now completed
Begin dynamic/behavior models development in response to ballot comments
7/6/2019

7. PCWG & SOA: CCS Project
7/6/2019

8. PCWG & SOA: CCS Project
7/6/2019

9. PCWG & SOA: CCS Project
NOTE: the CCS models are still evolving
7/6/2019

10. PCWG & SOA: CCS Project
Dynamic/behavior modeling will continue after San Antonio WGM
Plan to complete revision of CCS functional model and profile package for DSTU ballot by or before May 2014
Weekly conference call:
Tuesday 5:00pm US Eastern
Participation and contributions welcome
7/6/2019

11. PCWG Health Concerns Concern topic developed by PCWG in 2007
Concern topic developed by PCWG in 2007
Published in 2009 as DSTU
Discussions on HL7 listserv in early 2013 on how to use “concern” model in CDA showed considerable confusion 11
01/01/2011
01/01/2011

12. PCWG Health Concerns
PCWG decided to revisit “Health Concern” topic during September 2013 WGM
Objectives:
Clarify health concern and related topics
Condition vs Concern
Health concern vs Problem concern
Health concen vs Health concern tracker
Develop domain analysis model complete with storyboards and use cases
Review, harmonise/revise Concern DSTU contents
Join the Health concerns project
Fortnightly conference calls: Thursday 4:00pm
01/01/2011

13. PCWG Active Projects PCWG welcome your participation and contributions
Lots of fun
PCWG is a gold star WG