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With meeting 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]) 2012-04-11 Laura to lead *Care Plan wiki: http://wiki.hl7.org/index.php?title=Care_Plan_Initiative_project_2011 HL7 Patient Care Work Group Agenda- April 11th (Lead: Laura) • Review EHRS FIM activity model work: business flow and rules (Steve Hufnagel) – deferred • Review Care Plan BPMN: Chronic Care Care Plan (Luigi) • Review and augment draft of requirements (André) Coordination of care- deferred Care management matrix - deferred Analyze a few past meetings • Next meeting agenda Page 2 Participants- Meetg of 2012-04-11 p1 Name email Country Yes Notes André Boudreau [email protected] 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 [email protected] 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 [email protected] AU 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 Luigi Sison [email protected] US 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 MD. Emergency medicine. HL7 Emergency care WG. Gordon Raup [email protected] US CTO, Datuit LLC (software industry). Elaine Ayres [email protected] 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 Rob Savage [email protected] US CDC Immunization 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 The CBORD Group, Inc.. RD (Registered Dietitian); Product Manager, Nutrition Service Suite; HL7 DAM project for diet/nutrition orders; American Dietetic Association yes 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. Page 3 Participants- Meetg of 2012-04-11 p2 Name email Country David Rowed [email protected] AU Charlie Bishop [email protected] UK Steve Hufnagel Notes Yes MD. Family GP.; Was chair, 2005, Electronic Communications Working Group of the AU General Practice Computing Group 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 CARE PLAN DAM MODELING • Luigi Page 5 BPMN Model (Luigi) • Last Meeting: Luigi presented the business process model (BPM) for encounters C and D of the Chronic Condition Care Plan storyboard (SB), and adjusted the model live with other members • • • See updated versions of the 4 encounters BPM in pdf on the wiki o BPM CC Encounter A and B- Primary Care Physician Initial Visit 2012-03-28.pdf o BPM CC Encounter C and D - Hospital Admission and Follow-Up Visit 2012-03-28.pdf Based on Luigi’s work and the discussion, some adjustments should be made to the SB Next step: Luigi will complete the BPM of the Home Care SB. There are many similar patterns in the SBs and we may decide to have a single BPM for all the SB. Class Model NHS has provided us with a copy of the CONTSYS conceptual model and Luigi has integrated that information into our EA work to facilitate reusability where relevant We also have started to build a Glossary for our terms This will continue in parallel to our BPM work • Today: Review of BPM of the Chronic Care SB Discussion re: o Meaning of the class diagram elements, specifically around the provider o Getting access to HTML and PDF versions for review offline and out of meetings Next time: o Look at additional (Home Care) storyboard in model form o Have more information regarding the class model element definitions Page 6 EHRS FIM ON IMMUNIZATION PROFILE • Steve Hufnagel Page 7 Discussion Notes • • Last Meeting: Steve Hufnagel presented his information modeling work for the EHRS FM R2 IMMUNIZATION MAGAGEMENT PROTOTYPE He highlighted the fact that the key patterns in the FM consist of encounters, event, lists, documents, registries A lot of redundancies could be eliminated in the FM However, other aspects could be added as the work continues for other parts of the FM A concern mentioned was about the absence of patient and providers in the CIM For the latest version of his deck, see the HL7 EHR Interoperability sub-WG wiki http://wiki.hl7.org/index.php?title=EHR_Interoperability_WG Version presented: o EHR-S_FIM_Immunization_Management_Prototype_Executive_Summary 20120315.pptx • This Meeting: Workflows Not available for review. Topic deferred until further notice. Page 8 REQUIREMENTS Andre Boudreau Page 9 Discussion Notes • Have reviewed previous meetings • Is 1/3 thru capturing minutes into one document to do content analysis looking for requirements that have been stated • Have pulled the Care Provision and Care Provision Support items from the EHR FM into our document. • Will need to review other sections of the EHR FM as well – we are not confident all Care Plan related items are in the CP and CPS sections. (especially around interoperability/information exchange) • Target to use the May 2012 Version of FM for our review. Page 10 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 11 Next meeting Agenda- April 25th (Lead: Laura) • Review Model (Luigi) Review Business Process Model (BPM) for Home Care storyboard Review of the class diagram elements and their “meanings” • • • • Stephen Hufnagel agenda items Review Care Coordination Requirements (Andre) Plan on meeting May 9th (usual time) – (Laura to lead) Plan agenda for F2F – Thursday, May 17th 0900-1030- need to clarify with Stephen Chu/William Goossen Vancouver F2F Meeting o Updates on Progress Storyboard completion (needing completion of Acute Care) Information Model Draft of Requirements • Later: Work done in Manitoba regarding specific care paths and referrals. The care plan is included in their process. (Published on the Infoway Forum). Andre’ will schedule a time with her and ask how best for us to prepare for her presentation. Discussion - Use of the term: “Plan of care” for work done by MD’s, and “Care Plan” used by nursing and all other ancillary folks. Page 12 APPENDIX Page 13 Status of 7 SBs – 2012-03-14 Owner SB Name Status Date for Complete Draft PCCP Final review Kevin Coonan Acute Condition Draft 1 completed Second draft pending ??? Pending André Boudreau Home Care Under external review Done Feb 15th Stephen Chu Chronic Conditions Reviewed. Third draft completed Done Feb 29th Susan Campbell -Pediatric Allergy -Immunization Reviewed. Second draft of both Immunization done March 14 Allergy done Feb 29th Laura Heermann Langford Perinatology Reviewed. Second draft Final: pending Done Feb 29th Carolyn Silzle Stay healthy/ health promotion Draft 1 completed Final draft distributed Done Feb 29th 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