1. © 2013 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. PCWG updates: Care Plan DAM CCS Health Concern September 2014 Chicago WGM Stephen Chu, co-chair PCWG Laura Heermann Langford, co-chair PCWG Russ Leftwich, co-chair PCWG Elaine Ayres, co-chair PCWG Michael Tan, co-chair PCWG Enrique Meneses, PCWG and SOA

2. © 2013 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Care Plan DAM – Post Phoenix Ballot reconciliation  Balloted contents: Storyboard (new: Care/Disease Management) Updated model References to care plan processes in CCS  About 90+ ballot comments Half negatives The remaining: questions, comments, suggestions Post Phoenix fortnightly ballot reconciliation conference calls  Completed in mid August 01/01/2011 2 May 2014 – Care Plan DAM Informative Ballot 2: what’s were balloted?

3. © 2013 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Care Plan DAM – current status Apply ballot issue disposition decision  Storyboard on CM/DM update per ballot comments – in progress  All DAM contents update to progress into mid October Project team final approval review  Post Chicago WGM conference call Publication:  Planned for end of October 01/01/2011 3

4. © 2013 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Care Plan DAM – next phase Post Chicago WGM work  Review and update old PCWG care plan RMIM to align with Care Plan DAM; or  Develop new care plan RMIM based on Care Plan DAM  C-CDA care plan templates harmonization Collaboration with SDWG Care Plan RMIM work project plan:  Tentative ballot date: September 2015  Develop strawman PSS for approval 01/01/2011 4

5. © 2013 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Care Coordination Services (CCS) Include functional capabilities to support care plan initiation, complex negotiations and coordination Added dynamic/behavioural framework and processes based on care plan process use cases 01/01/2011 5 May 2014 – DSTU ballot: what’s new? Next phase: DSTU implementation OMG technical spec development

6. © 2013 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. CCS – next phase Ballot reconciliation completed: August Apply changes to CCS specification based on May 2014 ballot disposition decisions Publish CCS DSTU : October Two implementers working on DSTU implementation Work with OMG:  OMG to issue RFP (Dec 2014) for vendor response to produce implementation technical specification 01/01/2011 6

7. © 2013 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Health Concern DAM First Informational ballot for Health Concerns 129 participants  26 affirmative votes  8 negative votes  83% Quorum, mininum required of 21 affirmative 3 ballot spreadsheets with 42 comments. 32 negative comments to deal with during WGM and post Chicago conference calls 01/01/2011 7 September 2014 – Informative ballot

8. © 2013 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. PCWG in FHIR FHIR clinical resource DSTU  Processing change requests from technical connectathon New FHIR clinical resource developed  ReferralRqeust (scope covering referral and transfer of care requests) To be decided at Chicago WGM  Clinical assessment  Procedure request/order  Patient education 01/01/2011 8

9. © 2013 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. FHIR Clinical Connectathon Objective:  Test the clinical accuracy, validity and usefulness of FHIR clinical resources Three clinical storyboards/scripts will be used  Allergy/intolerance, adverse reactions  Acute care  Chronic conditions management Date: Friday 19 September Likely to be repeated at next WGM  Care plan & referral will be heavily tested 01/01/2011 9

10. © 2013 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. PCWG updates Participation and contributions welcome and highly appreciated PCWG is fun and GOLD star Conference calls on Wednesdays & Thursdays (5:00pm US Eastern) Thank you and Questions? 01/01/2011 10