HL7 PCWG: Care Plan, CCS and Health Concern Updates Updates for EHRWS January 2014 WGM San Antonio Stephen Chu, MD, PhD, co-chair PCWG Laura Heerman Langford, RN, PhD, co-chair PCWG Michael Tan, co-chair PCWG Enrique Menses, PCWG and SOA

PCWG Projects: Care Plan Progress as at January 2014 Domain Analysis model: first informative ballot in September 2013 Ballot reconciliation in progress Negative major: Three types of plan (care plan, plan of care, treatment plan) Significant debates/variation in stakeholder opinions and no consensus Decision: to remove references to the different types of plan in DAM 7/6/2019

Care Plan Model: design decision Preserve the concepts of Dynamic and static plan Ensure the “plan” structure of logical model capable of supporting implementation of different types of plan by different stakeholders Support for "composition" and/or "association" between different types of plans in the model need to be addressed Storyboards to be adjusted to reflect the changes Types of Plan discussions: http://wiki.hl7.org/index.php?title=Types_of_Plan_-_Differentiation_and_Definitions 7/6/2019

Care Plan Ballot reconciliation to continue post San Antonio WGM http://wiki.hl7.org/index.php?title=Care_Plan_Project_2012 Ballot reconciliation to continue post San Antonio WGM Fortnightly conference call to commence 5 February 2014 at 4:00pm (1.5 hours) till week ending 9 March 2014 then call time change to 5:00pm start Participation and contributions welcome Plan: update Care Plan DAM package for May 2014 ballot submission 01/01/2011

Care Plan: collaborations Collaboration with CQI since Sept 2013 WGM Identity/develop a set of domain specific quality measures relevant to care plan implementation Examples – implementation in care plans: Measure for falls Measure for urinary incontinence Medication orders Follow-up care arrangements, etc Follow-up collaboration: Map CQI use cases to Care Plan DAM 01/01/2011

PCWG & SOA: CCS Project CCS: care coordination services functional model and technical profile to support the development and implementation of care plan of different levels of complexity First balloted in May 2013 Comment resolution now completed Begin dynamic/behavior models development in response to ballot comments 7/6/2019

PCWG & SOA: CCS Project 7/6/2019

PCWG & SOA: CCS Project 7/6/2019

PCWG & SOA: CCS Project http://wiki.hl7.org/index.php?title=Coordination_of_Care_Models NOTE: the CCS models are still evolving 7/6/2019

PCWG & SOA: CCS Project Dynamic/behavior modeling will continue after San Antonio WGM Plan to complete revision of CCS functional model and profile package for DSTU ballot by or before May 2014 Weekly conference call: Tuesday 5:00pm US Eastern Participation and contributions welcome 7/6/2019

PCWG Health Concerns Concern topic developed by PCWG in 2007 http://wiki.hl7.org/index.php?title=Health_Concern Concern topic developed by PCWG in 2007 Published in 2009 as DSTU Discussions on HL7 listserv in early 2013 on how to use “concern” model in CDA showed considerable confusion 11 01/01/2011 01/01/2011

PCWG Health Concerns PCWG decided to revisit “Health Concern” topic during September 2013 WGM Objectives: Clarify health concern and related topics Condition vs Concern Health concern vs Problem concern Health concen vs Health concern tracker Develop domain analysis model complete with storyboards and use cases Review, harmonise/revise Concern DSTU contents Join the Health concerns project Fortnightly conference calls: Thursday 4:00pm 01/01/2011

PCWG Active Projects PCWG welcome your participation and contributions Lots of fun PCWG is a gold star WG