Transcript Slide 1
Patient Care
Elaine Ayres, Stephen Chu,
Jean Duteau, Laura Heerman Langford,
Russ Leftwich, Michael Tan
Paris WGM 2015
Monday Q3
© 2014 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.
Patient Care Work Group Purpose
The Patient Care WG is chartered to define
messages to support the needs for
communicating information regarding the
creation, management, execution and the
quality of diagnostic and therapeutic care
© 2014 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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7/20/2015
Current Projects
Care
Plan
Care Coordination Services
Health Concern
Allergy and Intolerance
FHIR Resources
NI 2016 Nursing Connectathon
© 2014 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
Standardizing Care Plan
Storyboards;
Use cases
Types of Plan/Care Plan
http://wiki.hl7.org/index.php?title=Care_Plan_Project_-_PCWG
© 2014 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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Dynamic care collaboration Model
7/20/2015
Care Plan – project update
Second Care Plan DAM informative ballot
submitted May 2014
Ballot reconciliation completed post January 2015 WGM
Changes to DAM contents based on approved ballot
reconciliation disposition in progress
Anticipated publication: post May 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
© 2014 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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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 May 2015 WGM
CCS FM progresses to OMG project
Anticipated outcome: OMG technical profile for CCS
© 2014 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
Last ballot in January 2015.
Ballot reconciliation is complete.
This has led to changes to the model.
Harmonization with Care Plan now active
© 2014 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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PCWG Health Concerns
Most recent DAM model
class Health Concern Class Diagram
Name:
Package:
Version:
Author:
Health Concern Class Diagram
Health Concern Class Model
1.0
Jay Lyle
Patient
hasSubject
ConcernAuthor
ConcernCustodian
ConcernMonitor
0..*
subjectOf
hasSubject
subjectOf
ListOw ner
creates
owns
CarePlan
0..*
1
monitors
compiles
0..*
compiles
HealthConcern
manages
1..*
0..* -
0..*
isReasonFor
concernTime
confidentiality
likelihood
severity
status
1..*
collects
0..*
Allergy List
1..*
0..*
collects
1..*
1..*
1..*
concernNameBeginDate
concernNameEndDate
clinicalStatus
clinicalTime
componentKind
confidentiality
likelihood
recordTime
value
«enumeration»
ConcernRelationshipKind
split
merge
supersede
0..*
ConcernRelationship
1..*
-
0..*
relationshipKind: ConcernRelationshipKind
© 2014 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.
relationshipKind: ConcernEventRelationshipKind
«enumeration»
ConcernEv entRelationshipKind
causedBy
hasComplication
evidenceFor
subconcernOf
subsequentTo
inPatientWithKnown
comorbidity
measures
Ev entRelationship
-
Problem List
Removed association class
Changed HealthConcernListOwner to
ListOwner as HealthConcern no longer
exists
Changed ListOwner to ListAuthor and
"defines" to "compiles"
HealthConcernEv ent
-
ConcernFocalEv ent
-
1
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01/01/2011
Next steps Health Concerns
Republish Health Concern DAM
Revisit existing HL7v3 DMIM from 2009
What to publish:
Clinical Model?
FHIR?
© 2014 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 Allergies & Intolerances
Harmonization
DAM and Clinical
Models in V3 (DSTU)
C-CDA
Version 3
FHIR
C-CDA
R1.1 and R2.0
DSTU comments
FHIR
AllergyIntolerance
Calls – Semi-monthly
Wednesday 5 PM ET
© 2014 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.
OpenEHR
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7/20/2015
PCWG FHIR Resources
Clinical Resources:
AllergyIntolerance
CarePlan
ClinicalImpression
Condition
Questionnaire
QuestionnaireAnswers
ReferralRequest
.............
Third HL7 FHIR Clinician Connectathon
http://wiki.hl7.org/index.php?title=FHIR_Clinician_Connectathon_
-_May_2015:_Paris
© 2014 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
Where help is needed
Broad clinician involvement
Variety of backgrounds welcome
Passion for patients – the raison
d’etre for health care!
© 2014 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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