Patient Care Workgroup Care Plan Topic

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Presentation transcript:

Patient Care Workgroup Care Plan Topic Taking care of health data http://bit.ly/HL7PC_Attendees

Agenda http://bit.ly/HL7PC_Attendees Patient Care Care Plan Project Care Plan DAM 2.0 HL7 Care Plan DAM 1.0/FHIR Harmonization Essential Information for Children with Special Healthcare Needs HL7 FHIR Care Plan Resource Social Services new PSS Evelyn Gallego Care Plan Survey - Implementations, pilots, proposals CDA HL7 C-CDA 2.1 Care Plan Document Template - Lisa Nelson HL7 CDA R2 Personal Advanced Care Plan Document - Lisa Nelson IHE QRPH Early Hearing Detection and Intervention (EHDI) Plan of Care- Lisa Nelson IHE PCC Dynamic Care Planning Profile- EJ Update: PlanDefinition/ActivityDefinition Care Team Managment Profile - EJ HL7 Clinical Oncology Treatment Plan and Summary - Jeff Brown/Gay Dolin NCPDP/HL7 Pharmacist Care Plan - Shelly Spiro Learning Health Systems Care team project update (Russ/Laura/Emma) Others Nutrition Care Plan - just balloted. LOINC Code 11/12/2018

CP Dam 2.0 Orders Advance Directives Health Concern – updates Reconciliation – updates Care Team – updates Allergies - updates Social Determinants of Health Self Care items Changes to the diagram as learned from the FHIR harmonization. Address RIM Nuances Modeling available in FHIR? FHIM…. CCS Review – changes? Add Narrative re: FHIR and the harmonization work. Add Narrative re: CCDA? Write a paragraph/section to that? Add: Definitions of Care Plan, Care Planning (methodology/process/decision making), care coordination…. 11/12/2018

Care Plan Reconciling CP DAM and FHIR resources in (slow) progress 11/12/2018

Essential Information for Children with Special Healthcare Needs Care Plan Aim to communicate patient preferences/plans in a variety of settings including urgent or emergent care Modeling selected storyboards in CDA and FHIR e.g., 7 yo with autism, seizure disorder, on ketogenic diet Complementary work Care Team (input from multiple subspecialists) CDA -> FHIR Mapping Use cases for the recent Nutrition IG Clinicians on FHIR Working toward an implementation (companion) guide w/ example content

Essential Information for CSHN Care Plan Timeline 2018 Progress/feedback on Care Plan calls Wednesday (5pm Eastern) Plan to include sub-topics on agenda in advance of call Upcoming topics: Seizure Action Plan ED management of metabolic disorder (OTC deficiency) Nutrition CDA IG assessment & care plan (also reviewed on nutrition call) Aim to complete existing use cases in CDA Section/Entry and FHIR resources through summer, then Document templates Decide on type Implementation Guide by this fall Test examples in Clinicians on FHIR at upcoming WGMs

PCWG Resources Update FHIR care plan and related resources: AdverseEvent (Thurs Q3) AllergyIntolerance (Tues Q2/Q3) CarePlan (Tues Q2/Q3, Thurs Q1) CareTeam (Thurs Q4) ClinicalImpression (Mon Q2) Communication CommunicationRequest Condition (Tues Q2/Q3) FamilyMemberHistory (Tues Q2/Q3) Flag Goal (Tues Q2/Q3) Linkage (Mon Q2) Procedure (Wed Q1) FHIR care plan and related resources: Connectathon track on Saturday and Sunday before WGM week ClinFHIR on Friday of WGM week