With discussion notes To join the meeting: Phone Number: +1 770-657-9270 Participant Passcode: 943377# WebEx link (thanks to Canada Health Infoway): https://infoway-inforoute.webex.com/infoway-inforoute/j.php?ED=168011982&UID=494535562&RT=NCMxMQ%3D%3D Care Plan (CP) Meeting 90 minutes André Boudreau ([email protected]) Laura Heermann Langford ([email protected]) Stephen Chu ([email protected]) 2012-02-01 André to lead *Care Plan wiki: http://wiki.hl7.org/index.php?title=Care_Plan_Initiative_project_2011 HL7 Patient Care Work Group Revised Next Meeting Agenda – Feb 1st – 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 Page 2 Participants- Meetg of 2012-02-01 p1 Name email Country Yes Notes 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. André Boudreau [email protected] CA Laura Heermann Langford [email protected] US Stephen Chu [email protected] 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 [email protected] US Yes American Dietetic Association Susan Campbell [email protected] US Yes PhD microbiologist. Principal at Care Management Professionals. HL7 Dynamic Care Plan Co-developer Margaret Dittloff [email protected] 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 [email protected] 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 [email protected] AU HP Enterprise Services. MD; Clinical Informatics Consultant; IHE Australia; Medical Practitioner General Practice William Goossen [email protected] 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 [email protected] 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 [email protected] UK NHS Connecting for Health. Health Informatics; Senior Interoperability Developer, Data Standards and Products; HL7 Patient Care Co-Chair Rosemary Kennedy [email protected] 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 [email protected] US JP Systems. Informatics Consultant; Business Consultant & Sr. Project Manager Ian McNicoll [email protected] UK Ocean Informatics . Health informatics specialist; Formal general medical practitioner; OpenEHR; Slovakia Pediatrics EMR; Sweden distributed care approach Maggie Gilligan [email protected] US Dietician; Owner, Senior Member , Nutra Tech Technology, LLC Kevin Coonan [email protected] US Gordon Raup [email protected] US Elaine Ayres [email protected] 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 [email protected] US Yes CDC Immunization Yes Co-Lead- Care Plan initiative/HL7 Patient Care WG. Intermountain Healthcare. RN PhD,: Nursing Informatics; Emergency Informatics Association, American Medical Informatics Association; IHE Yes MD. Emergency medicine. HL7 Emergency care WG. CTO, Datuit LLC (software industry). Page 3 Participants- Meetg of 2012-02-01 p2 Name email Country Notes Yes MD. Family GP.; Was chair, 2005, Electronic Communications Working Group of the AU General Practice Computing Group David Rowed [email protected] AU Charlie Bishop [email protected] UK Walter Suarez [email protected] US Peter Hendler [email protected] US Ray Simkus [email protected] CA Practicing Family GP, Vancouver, BC. User of EMR. Intense interest and involvement in EHR and EMR standards , functionality and terminology Serafina Versaggi [email protected] US Clinical Systems Consultant Brett Esler [email protected] AU Pen Computer Sys Catherine Hoang [email protected] US VA Hugh Leslie [email protected] AU a General Practitioner ; Chief Medical Officer, Ocean Informatics Seam Heard [email protected] Thomson Kuhn [email protected] US Sr. Systems Architect at American College of Physicians Russell Leftwich [email protected] US Md, Allergist, internal medicine; Chief Medical Informatics Officer, Office of eHealth Initiatives, State of Tennessee Michael Tan [email protected] NL Publishing Facilitator , Care Provision, PC WG; Senior Project manager, Nictiz, NL Corinne Gower [email protected] NZ Senior Business Analyst at NZHIS; Senior Advisor at Ministry of Health New Zealand Susan Matney [email protected] 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 [email protected] 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 [email protected] US Senior strategist at Cerner Corp, US Co-Chair, HL7 Service Oriented Architecture Work Group; Chief Architect, Federal Healthcare Portfolio, HP Enterprise Services US Member of HL7 since 1992. Co-Chair, HL7 Template WG; Shafarman Consulting Inc. Ken Rubin Mark Shafarman [email protected] Page 4 REVIEW OF STORYBOARDS • Reference file from the wiki: Chronic-Conditions_Care-Plan-Storyboard_V0-5_Revised_2012-01-06.docx Page 5 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 6 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 7 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 8 Discussion Notes- Perinatology CP SB • Postponed to next meeting Page 9 STATUS AND PLAN FOR ALL STORYBOARDS Page 10 Status of SBs Owner SB Name Status Date for Complete Draft PCCP Final review Kevin Coonan Acute Condition Draft 1 completed Feb 28th André Boudreau Home Care Under external review Done Feb 15th Stephen Chu Chronic Conditions Reviewed. Third draft completed Done Feb 28th Susan Campbell -Pediatric Allergy -Immunization Reviewed. Second draft of both Immunization done Allergy: Feb 1st Feb 28th Laura Heermann Langford Perinatology Reviewed. Second draft Carolyn Silzle Stay healthy/ health promotion Draft 1 completed Feb 28th Feb. 2nd (after meetg review on the 1st) Feb 28th Page 11 CARE PLAN REQUIREMENTS Page 12 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 13 FORWARD PLAN • See Spreadsheet Page 14 Last updated: 2011-02-09 HDF- Domain Analysis Overview act 3: Domain Analysis Ov erv iew Business Requirements Source: HDF_1.5.doc, page 37 Project Approved Analyze Use Cases Analyze Business Context (from 3.4.2 Use Case Analysis) «outcome» (from 3.4.1 Business Context Analysis) «outcome» Use Case Analysis Story board (from 3.7 Artifacts) (from 3.7 Artifacts) Analyze Process Flow (from 3.4.3 Process Analysis) Process Flow (from 3.7 Artifacts) Glossary Analyze Information Exchanged (from 3.7 Artifacts) (from 3.4.4 Information Analysis) Information Model (Analysis) (from 3.7 Artifacts) Analyze Business Rules «optional» Business Rules Description (from 3.4.5 Business Rules Analysis) (from 3.7 Artifacts) Business Trigger Analysis (from 3.7 Artifacts) Publish DAM DAM Approv al Page 15 Forward Plan Discussion Notes 2012-01-19 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 16 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. 1st • Webex supplied by Canada Health Infoway Page 17 Next meeting Agenda- Feb 15th (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 18 APPENDIX • Various material Page 19
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