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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. 6 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. 7 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