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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. 2 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. 3 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. 4 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. 5 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 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. 6 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. 7 01/01/2011 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 8 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. 9 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 10 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. 11 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. 12 7/20/2015