Discussion Notes- Acute Care SB - HL7 Wiki

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