Slide 1

Report
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
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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.
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.
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7/20/2015

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