Transcript Slide 1
Patient Care Work Group
Wednesday Q2 Update
© 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.
Update Items
Care
Plan
Care Coordination Services
Health Concern
Allergy and Intolerance
FHIR Resources
© 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.
2
01/01/2011
Standardizing Care Plan
Storyboards;
Use cases
Types of Plan/Care Plan
http://wiki.hl7.org/index.php?title=Care_Plan_Project_-_PCWG
© 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.
3
Dynamic care collaboration Model
7/20/2015
Care Plan – project update
Second Care Plan DAM informative ballot
submitted May 2014
Ballot reconciliation completed post September 2014
WGM
Changes to DAM contents based on approved ballot
reconciliation disposition in progress
Anticipated publication: post January 2015 WGM
2015 Care Plan project scope:
HL7 Care Plan Clinical Model (R-MIM)
Harmonization with FHIR care plan resource
Harmonization with CCDA-R2 care plan templates
© 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.
4
01/01/2011
Care Coordination Services (CCS)
Functional Model
Collaborative project with HL7 SOA
Second ballot in May 2014
Objective: support care coordination in care plan
implementation
Ballot reconciliation completed
Changes to CCS FM contents based on approved
ballot disposition close to completion
Anticipated publication: post January 2015 WGM
CCS FM progresses to OMG project
Anticipated outcome: OMG technical profile for CCS
© 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.
5
01/01/2011
PCWG Health Concerns
Problem oriented approach of healthcare
2nd Ballot of Domain Analysis Model
Affiliate
Consultant
Government/Non-Profit
Payor
Pharmaceutical
Provider
Vendor
Totals
% of Votes
Quorum
Aff.
Neg.
Abst.
NV
1
4
10
1
0
23
5
44
30.56%
1
1
0
0
0
1
7
10
6.94%
37
5
1
0
0
17
8
68
47.22%
3
2
6
0
0
8
3
22
15.28%
Approval
33
84.72%
© 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.
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01/01/2011
Ballot Comments – DAM
27 Comments on Second Informative Ballot
Ballot reconciliation underway
Next steps:
2 Negative Major comments
11 Negative Minor comments
Clinical Model
FHIR?
Revisit existing HL7v3 DMIM from 2009
© 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.
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01/01/2011
PCWG Health Concerns
Problem oriented approach of healthcare
class Health Concern Class Diagram
Name:
Package:
Versi on:
Author:
Heal th Concern Cl ass Di agram
Heal th Concern Cl ass Model
1.0
Jay Lyl e
«enumerati on»
ConcernRelationshipKind
HealthConcernTracker
-
Patient
frequency
0..*
subj ectOf
documentsInterestIn
causedBy
hasCompl i cati on
evi denceFor
subconcernOf
subsequentT o
i nPati entWi thKnown
merge
spl i t
comorbi di ty
hasSubj ect
hasSubj ect
0..*
subj ectOf
manages
CarePlan
HealthConcern
0..*
0..*
0..*
-
1..
ConcernRelationship
l i kel i hood
cl i ni cal Status
severi ty
confi denti al i ty
concernT i me
-
rel ati onshi pKi nd :ConcernRel ati onshi pKi nd
«enumerati on»
ComponentRelationshipKind
watches
mayIndi cate
HealthConcernComponent
mayAddress
-
ComponentRelationship
cl i ni cal T i me
componentKi nd
cl i ni cal Status
confi denti al i ty
l i kel i hood
val ue
-
rel ati onshi pKi nd :componentRel ati onshi pKi nd
0..*
Are these rel ati onshi p
val ues the same?
HealthConcernName
ConcernIdentifier
Prov ider
i denti fi es
-
concernNameBegi nDate
concernNameEndDate
© 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.
8
01/01/2011
PCWG Allergies & Intolerances
Allergies and
intolerances
harmonization
DAM and Clinical
Models in V3
C-CDA
Version 3
FHIR
C-CDA
OpenEHR
R1.1 and R2.0
FHIR
AllergyIntolerance
© 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.
9
7/20/2015
PCWG FHIR Resources
Clinical Resources:
AllergyIntolerance
CarePlan
ClinicalAssessment
Condition
Questionnaire
QuestionnaireAnswers
ReferralRequest
Second HL7 FHIR Clinician Connectathon
http://wiki.hl7.org/index.php?title=FHIR_Clinician_Connetathon__January_2015:_San_Antonio
© 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.
10
01/01/2011