1. Care Plan (CP) Team Meeting Notes (As updated during meeting) André Boudreau (a.boudreau@boroan.ca) Laura Heermann Langford (Laura.Heermann@imail.org) 2011-05-11 (No. 13) Care Plan wiki: http://wiki.hl7.org/index.php?title=Care_Plan_Initiative_project_2011 http://wiki.hl7.org/index.php?title=Care_Plan_Initiative_project_2011 HL7 Patient Care Work Group May 18 th meeting canceled due to WGMs. Next meeting on May 25 th.

2. Page 2 Agenda for May 11th Storyboards- home care (André) Requirements (André) Finalization of Orlando WGM agenda (All) Next meeting date and agenda: May 25th  Skip May 18 th (WGMs)

3. Page 3 Agenda for May 25th Feedback from WGM in Orlando (Laura+) Care Plan elements from KP, Intermountain, VA, etc. (Laura) Care plan situations update (Susan) Storyboards (Laura, Danny, Susan) Requirements (André) EA Vs Eclipse: EA is preferred by many: Luigi, +++ Forward plan- first cut Next meeting agenda For a future meeting:  Comparison of care plan contents (Ian, Laura)  To inform the information model  Start of spreadsheet (Laura…)  Overarching term to use (Ian M.)  Care Plan Glossary

4. Page 4 Participants- Meetg of 2011-05-11 p1 Nameemail Country YesNotes André Boudreau a.boudreau@boroan.ca 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 Laura.Heermann@imail.org 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 stephen.chu@nehta.gov.au AU 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 Peter MacIsaac peter.macisaac@hp.com AU HP Enterprise Services. MD; Clinical Informatics Consultant; IHE Australia; Medical Practitioner - General Practice Adel Ghlamallah aghlamallah@infoway-inforoute.ca CA Canada Health Infoway. SME at Infoway (shared health record); past architect on EMR projects William Goossen wgoossen@results4care.nl 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 agoossen@results4care.nl 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 ian.townend@nhs.net UK NHS Connecting for Health. Health Informatics; Senior Interoperability Developer, Data Standards and Products; HL7 Patient Care Co-Chair Rosemary Kennedy Rosemary.kennedy@jefferson.edu US Yes 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 jaylyle@gmail.com US Yes JP Systems. Informatics Consultant; Business Consultant & Sr. Project Manager Margaret Dittloff mkd@cbord.com US Yes The CBORD Group, Inc.. RD (Registered Dietitian); Product Manager, Nutrition Service Suite; HL7 DAM project for diet/nutrition orders; American Dietetic Association Audrey Dickerson adickerson@himss.org 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. Ian McNicoll Ian.McNicoll@oceaninformatics.com UK Ocean Informatics. Health informatics specialist; Formal general medical practitioner; OpenEHR; Slovakia Pediatrics EMR; Sweden distributed care approach Danny Probst Daniel.Probst@imail.org US Intermountain Healthcare. Data Manager Kevin Coonan Kevin.coonan@gmail.com US Yes MD. Emergency medicine. HL7 Emergency care WG. Gordon Raup graup@datuit.com US CTO, Datuit LLC (software industry). Susan Campbell bostoncampbell@mindspring.com USYes PhD microbiologist. Principal at Care Management Professionals. HL7 Dynamic Care Plan Co-developer Elayne Ayres EAyres@cc.nih.gov 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

5. Page 5 Participants- Meetg of 2011-05-11 p2 Nameemail Country Yes Notes David Rowed david.rowed@gmail.com AU Charlie Bishop charlie.bishop@isofthealth.com UK Walter Suarez walter.g.suarez@kp.org US Peter Hendler Peter.Hendler@kp.org US Ray Simkus ray@wmt.ca CA Lloyd Mackenzie lloyd@lmckenzie.com CALM&A Consulting Ltd. Serafina Versaggi serafina.versaggi@gmail.com US Clinical Systems Consultant Sasha Bojicic SBojicic@infoway-inforoute.ca CALead architect, Blueprint 2015, Canada Health Infoway Agnes Wong awong@infoway-inforoute.ca CA RN, BScN, MN, CHE. Clinical Adoption - Director, Professional Practice & Clinical Informatics, Canada Health Infoway Cindy Hollister chollister@infoway-inforoute.ca CA RN, BHSc(N), Clinical Adoption -Clinical Leader, Canada Health Infoway Valerie Leung vleung@infoway-inforoute.ca CAPharmacist. Clinical Leader, Canada Health Infoway Luigi Sison lsison@yahoo.com 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.

6. Page 6 STORYBOARDS

7. Page 7 Feedback on Chronic Care Plan Storyboard Want to ensure  Readability  Clinical accuracy, validity  Coverage (focus on the 80%, not the exceptions)  Remember: storyboards get improved over time, as the project advances By clinicians As we progress in the DAM process Ask the PC list/members 2011-05-04

8. Page 8 Storyboards Home Care: André: yes  Reviewed and updated Deferred after WGM  Acute Care Plan Storyboard: Danny o In progress  Perinatology: Laura  Stay healthy: Laura  Pediatric and Allergy/Intolerance: Susan 2011-05-11

9. Page 9 REQUIREMENTS

10. Page 10 Requirements Document Draft started by André, documenting notes and discussions from meetings up to now Incorporates wiki material from past years  There was a DSTU ballot in late 2007 Focus is from a business and clinical perspective

11. Page 11 ORLANDO WGM

12. Page 12 Orlando WGM Topics Thursday May 19 th, Q1, 9h00 to 10h30, duration 1.5 hour. Teleconference and webex facilities provide for remote participation Who to lead: Laura Revised Agenda:  Background: history, need for a DAM (André)  Approach followed /deliverables – André  Status of Care Plan DAM project - André o Requirements, include inventory of existing material and standards, started  Storyboard review: we have 2 - Laura o Discuss process to review storyboards and participants Readability Clinical accuracy, validity Coverage (focus on the 80%, not the exceptions) Remember: storyboards get improved over time, as the project advances  Identifying key material and people from other Patient Care work (Pressure Ulcer, DCM) and other WG (Emergency Care, Care Provision, Care Statement, Structured Document, CDA consolidation, etc.) – All participants  Major concerns of participants - Laura  Request for contacts to help understand approach and models used in various countries for care plans - Laura

13. Page 13 Note from Stephen The session scheduled for Care Plan topic discussion is:  Orlando WGM - May 19, Q1 0900-1030 Since some key members have indicated their inavailability to travel to Orlando, we have organised conference call facilities for this specific quarter. Any one interested in participating remotely can dial in and join the discussion. The dialing in details are as follows:  Call number: 770-657-9270, PIN 398644  I will organize with Andre to provide webex access. Details to follow.

14. Page 14 CONCLUSION

15. Page 15 Action Items as of 2011-05-11 No.Action ItemsBy Whom For When Status 2.Do an inventory of use cases and storyboard on hand Laura (Danny) Active: Underway 3.Ask William for an update (add in a diff colour to the appropriate pages)André Outstanding - Request made 5 Obtain and share the published version of the CEN Continuity of care P1 and P2; obtain ok from ISO Audrey/LauraOutstanding 9Draft a new PSS and review with project groupAndréDeferred 10Complete a first draft of requirementsAndréStarted 12Complete storyboardsMultiStarted 13Prepare Orlando WGM: agenda, materialAllMay 13Agenda finalized 14 NB: Completed action items have been removed.

16. Page 16 APPENDIX