Care Plan (CP) WGM Meeting 90 minutes André Boudreau Laura Heermann Langford Stephen Chu – Laura to lead *C are Plan wiki: HL7 Patient Care Work Group To join the meeting: Phone Number: Participant Passcode: # WebEx link (thanks to Canada Health Infoway): With WGM discussion notes

Page 2 Agenda for San Antonio WGM meeting Welcome and introductions (Stephen) – 10 min. Review Chronic Conditions care Plan Storyboard - 3rd draft (before external review) (Stephen) – 15 min. Review Perinatology appendices with tables of expected artifacts (Laura) – 15 min. Review of feedback on the Home Care SB (André) – 10 min. Review of Care Plan DAM/SB status (André) – 10 min. Review of forward plan to complete the DAM (André) – 15 min. Conclusion (Stephen) – 5 min. Thursday 19 January Q1- 9am-10h30 CT (10:00am to 11:30am ET) (Stephen to lead) Updated

Page 3 Participants- Meetg of WGM p1 Name Country YesNotes André Boudreau CA Yes Co-Lead- Care Plan initiative/HL7 Patient Care WG. B.Sc.(Physics), MBA. Owner Boroan Inc. Management Consultin. Chair, Individual Care pan Canadian Standards Collaborative Working Group (SCWG). Sr project manager. HL7 EHR WG. Laura Heermann Langford US Yes Co-Lead- Care Plan initiative/HL7 Patient Care WG. Intermountain Healthcare. RN PhD,: Nursing Informatics; Emergency Informatics Association, American Medical Informatics Association; IHE Stephen Chu AU Yes NEHTA-National eHealth Transition Authority. RN, MD, Clinical Informatics; Clinical lead and Lead Clinical Information Architecture; co-chair HL7 Patient care WG; vice-chair HL7 NZ Carolyn Silzle USYes American Dietetic Association Susan Campbell USYes PhD microbiologist. Principal at Care Management Professionals. HL7 Dynamic Care Plan Co-developer Margaret Dittloff US Yes The CBORD Group, Inc.. RD (Registered Dietitian); Product Manager, Nutrition Service Suite; HL7 DAM project for diet/nutrition orders; American Dietetic Association Luigi Sison US Information Architect at LOINC and at HL7. Enterprise Data Architect at VA. Developing standard for Detailed Clinical Models (DCM), information models for Electronic Health Record (EHR) Diabetes Project, etc. Peter MacIsaac AU HP Enterprise Services. MD; Clinical Informatics Consultant; IHE Australia; Medical Practitioner - General Practice William Goossen NL Yes Results 4 Care B.V. RN, PhD; -chair HL7 Patient Care WG at HL7; Detailed Clinical Models ISO TC 215 WG1 and HL7 ; nursing practicioner Anneke Goossen NL Results 4 Care B.V. RN; Consultant; Co-Chair Technical Committee EHR at HL7 Netherlands; Member at IMIA NI; Member of the Patient Care Working Group at HL7 International Ian Townsend UK NHS Connecting for Health. Health Informatics; Senior Interoperability Developer, Data Standards and Products; HL7 Patient Care Co-Chair Rosemary Kennedy US Thomas Jefferson University School of Nursing. RN; Informatics; Associate Professor; HL7 EHR WG; HL7 Patient care WG; terminology engine for Plan of care; Jay Lyle US JP Systems. Informatics Consultant; Business Consultant & Sr. Project Manager Ian McNicoll UK Ocean Informatics. Health informatics specialist; Formal general medical practitioner; OpenEHR; Slovakia Pediatrics EMR; Sweden distributed care approach Maggie Gilligan US Yes Dietician; Owner, Senior Member, Nutra Tech Technology, LLC Kevin Coonan US MD. Emergency medicine. HL7 Emergency care WG. Gordon Raup USYes CTO, Datuit LLC (software industry). Elaine Ayres US Yes NIH National Institutes of Health. MS, RD; Deputy Chief, Laboratory for Informatics Development, NIH Clinical Center ; Project manager for BTRIS (Biomedical Translational Research Information System), a Clinical Research Data Repository

Page 4 Participants- Meetg of WGM p2 Name Country Yes Notes David Rowed AU MD. Family GP.; Was chair, 2005, Electronic Communications Working Group of the AU General Practice Computing Group Charlie Bishop UK Walter Suarez US Peter Hendler US Ray Simkus CA Practicing Family GP, Vancouver, BC. User of EMR. Intense interest and involvement in EHR and EMR standards, functionality and terminology Serafina Versaggi USClinical Systems Consultant Brett Esler AUPen Computer Sys Catherine Hoang USVA Hugh Leslie AUYes a General Practitioner ; Chief Medical Officer, Ocean Informatics Seam Heard Thomson Kuhn USYes Sr. Systems Architect at American College of Physicians Russell Leftwich US Md, Allergist, internal medicine; Chief Medical Informatics Officer, Office of eHealth Initiatives, State of Tennessee Michael Tan NLYes Publishing Facilitator, Care Provision, PC WG; Senior Project manager, Nictiz, NL Corinne Gower NZ Senior Business Analyst at NZHIS; Senior Advisor at Ministry of Health New Zealand Susan USYes Medical Informaticist at 3M Health Care; Chair Elect of the SNOMED CT Nursing Special Interest Group at IHTSDO; Vocab Facilitator for Patient Care TC at HL7 Standards Audrey Dickerson US HIMSS. RN, MS; Standards Initiatives at HIMSS; ISO/TC 215 Health Informatics, Secretary; US TAG for ISO/TC 215 Health Informatics, Administrator; Co-Chair of Nursing Sub-committee to IHE-Patient Care Coordination Domain. Gaby Jewell US Senior strategist at Cerner Corp, Ken Rubin US Yes Co-Chair, HL7 Service Oriented Architecture Work Group; Chief Architect, Federal Healthcare Portfolio, HP Enterprise Services Mark Shafarman US Yes Member of HL7 since Co-Chair, HL7 Template WG; Shafarman Consulting Inc.

Page 5 General discussion Ken Rubin – SOA update on scheduling  SOA – initiating collaboration with domains  Defining services to enabling business  To explore how SAO and scheduling can be used in care coordination – how to manage resources including care team  SOA = black box approach – user asks for something and something comes back, what happens to make something come back is the business of services  There are protocols for, e.g. how to ask for medication details, and what are returned are medication information  Question for care services: what are the protocols, how do we ask the services what do we get in return  Collaborative model – to offer the value of services Question – care plan is at stage of planning and is technology agnostic, how does services fit in?  Answer – need to work with domains to define how business services/processes work for them and how do services support care team coordination and scheduling Mark Shafarman – V3 already has scheduling and should be considered in care plan modelling discussions  Care plan implementation can consider using ACT + mood codes + ActRelationships Suggestion – Ken Rubin to present to care plan group SOA and its values to care plan in a conference call after the WGM Andre – will follow up with Ken after the group has completed the SBs and requirements

Page 6 REVIEW OF CHRONIC CONDITION CARE PLAN STORYBOARD Reference file from the wiki: Chronic-Conditions_Care-Plan-Storyboard_V0-5_Revised_ docx

Page 7 Discussion Notes- Chronic Condition CP SB Walkthrough of the SB The document is on the wiki Comments are invited Discussion to be pursued at the next regular meeting

Page 8 REVIEW OF PERINATOLOGY CARE PLAN STORYBOARD: APPENDICES WITH TABLES OF EXPECTED ARTIFACTS Reference file from the wiki: Perinatology StoryBoard v docx

Page 9 Discussion Notes- Perinatology CP SB Walkthrough of the SB The document is on the wiki Comments are invited Discussion to be pursued at the next regular meeting

Page 10 STATUS AND PLAN FOR ALL STORYBOARDS

Page 11 Status of SBs OwnerSB NameStatusDate for Complete Draft PCCP Final review Kevin CoonanAcute ConditionDraft 1 nearly completed Feb 28th André Boudreau Home CareUnder external review DoneFeb 15th Stephen ChuChronic ConditionsReviewed. Third draft completed DoneFeb 28th Susan Campbell -Pediatric Allergy -Immunization Reviewed. Second draft of both Immunization done Allergy: Feb 1st Feb 28th Laura Heermann Langford PerinatologyReviewed. Second draft Feb 28 th Carolyn SilzleStay healthy/ health promotion Draft 1 nearly completed Feb. 2 nd (after meetg review on the 1 st ) Feb 28th

Page 12 FORWARD PLAN See Spreadsheet

Page 13 HDF- Domain Analysis Overview Source: HDF_1.5.doc, page 37 Last updated:

Page 14 Forward Plan Discussion Notes Suggestion from William – WRT HDF processes: good to follow  But do not use glossary  Capture data definitions/metadata as data element specification  William to send standard examples of data element specification to the group Work plan discussed as per work plan excel file contents:  Itemised deliverable components, need to work on and agree on deliverable dates  Target DAM ballot date: possible September 2012  To be discussed and confirmed in next conf calls Feb 1 Good storyboards will make the mapping and modelling of process flows a lot easier

Page 15 FUTURE MEETINGS Conference calls between now and May 2012 – see wiki 90 min., Wednesday 5-6:30pm US Eastern, fortnightly (every 2 weeks) Starting Feb. 1 st Webex supplied by Canada Health Infoway

Page 16 Next Meeting Agenda – Feb 1 st – 90 min. Review Stay Healthy SB- first draft (Carolyn) Review Acute Care SB (Kevin) Review any further comments collected on Home Care SB (André) Review Pediatric Allergy and Immunization SBs (Susan) Review Perinatology SB (Laura) Start summary of requirements (André) Advance work plan (André) Agenda of next meeting (André) Revised

Page 17 APPENDIX Various material

Page 18 Order Sets PatientOrderSets.com Order sets are evidence-based checklists that allow healthcare professionals to quickly and easily identify appropriate treatments for medical conditions in all hospital departments. With a network of over 165 client hospitals, PatientOrderSets.com has reached a tipping point. The collaborative platform allows hospitals to share knowledge and resources, resulting in a cost- effective, customized order set solution. PatientOrderSets.com provides its client hospitals with a comprehensive web- based order set technology that includes:  A reference library of hundreds of evidence-based order sets that can easily be customized by hospitals.  Libraries of hospital-customized order sets that allow hospitals to share and learn from each other  Advanced order set project implementation tools and methodologies EntryPoint software that allows clinicians to complete order sets using computers and/or mobile tablet devices  Analytic software that lets clinicians view comparative data on their use of order sets

Page 19 InterRAI Assessment Tools interRAI is a collaborative network of researchers in over 30 countries committed to improving health care for persons who are elderly, frail, or disabled. Our goal is to promote evidence-based clinical practice and policy decisions through the collection and interpretation of high quality data about the characteristics and outcomes of persons served across a variety of health and social services settings. InterRAI as tools to do assessments  Compatible assessment instrumentation that can be used across care domains  Integrated suite of instruments o interRAI HC - Home Care o interRAI CHA - Community Health Assessment o interRAI CA - Contact Assessment o interRAI LTCF - Long Term Care Facility o interRAI AL - Assisted Living o interRAI AC - Acute Care o interRAI PAC - Post-Acute Care o interRAI MH - Mental Health o interRAI CMH - Community Mental Health o interRAI ESP - Emergency Screener for Psychiatry o interRAI PC - Palliative Care o interRAI ID - Intellectual Disability