Care Plan (CP) Meeting Wednesday, June 27, PDT Laura Heermann Langford Stephen Chu *C are Plan wiki: HL7 Patient Care Work Group To join the meeting: Phone Number: Participant Passcode: # With meeting discussion notes

Page 2 June 27, 2012 Agenda  Agenda Review – update as needed  Review of SOA Scope - Enrique  Modeling work – Luigi

Page 3 Participants- Meeting of Name Country YesNotes Laura Heermann Langford US X 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 X 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 USX American Dietetic Association Susan Campbell USX PhD microbiologist. Principal at Care Management Professionals. HL7 Dynamic Care Plan Co-developer Kevin Coonan US x MD. Emergency medicine. HL7 Emergency care WG. Nancy Wilson RomanUSX Enrique Meneses US X Serafina Versaggi USXClinical Systems Consultant Jon Farmer USX Chris White USX

Page 4 Past Participants- Name Country YesNotes André Boudreau CA 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 X 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 X 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 USX American Dietetic Association Susan Campbell USX PhD microbiologist. Principal at Care Management Professionals. HL7 Dynamic Care Plan Co-developer Margaret Dittloff US 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 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 Dietician; Owner, Senior Member, Nutra Tech Technology, LLC Kevin Coonan US x MD. Emergency medicine. HL7 Emergency care WG. Gordon Raup US CTO, Datuit LLC (software industry). Elaine Ayres US 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 Rob Savage US CDC Immunization

Page 5 Past Participants- 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 Steve HufnagelUS 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 Brett Esler AUPen Computer Sys Catherine Hoang USVA Hugh Leslie AU a General Practitioner ; Chief Medical Officer, Ocean Informatics Seam Heard Thomson Kuhn US 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 NL 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 US 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 Co-Chair, HL7 Service Oriented Architecture Work Group; Chief Architect, Federal Healthcare Portfolio, HP Enterprise Services Mark Shafarman US Member of HL7 since Co-Chair, HL7 Template WG; Shafarman Consulting Inc.

Page 6 SOA Project Discussion Notes  The pdf draft of the project scope was reviewed.  Feedback provided  Discussion centered around o Need to use the HL7 template for project scope statements o PCWG team members need to become more familiar with the SOA team deliverable templates for Service Functional Model (SFM) Draft Standards and OMG Technical Submission templates. o More detailed and clear articulation of deliverables  Plan: o Laura will work with Enrique and SOA team to refine the scope statement using the PSS template for review at next team meeting in 2 weeks. o Kevin will investigate resources that may be available to assist with the modeling needed of the care plan team work for the SOA project. o Laura will work with Kevin to bring any new resources up to speed if/when they are available.

Page 7 Use of Plan of Care vs Care Plan Temrs Discussion Notes  Team discussed and determined clarifying the use of these terms is necessary within the scope of work as currently defined.  Susan shared recent events/discussion that had been held within the US ONC teams.  Susan has created and offered to share a document related to the discussion of the similarities and differences of these terms based on broad discussion and literature review she has done.  This topic will remain on the list of work to be done for our working group with the goal of having documentative artifacts created as part of the DAM.  Stephen will draft a storyboard/use case articulating the differences between “nested” and “linked” care plans. Laura, Kevin and Jon agreed to preliminary review of draft prior to next call if draft available.

Page 8 Modeling Discussion Notes  Luigi unavailable to discuss work done up to this point.  Laura will continue reaching out to Luigi to learn his availability to continue supporting the team, or to get copies of the work done until now.   Other topics: o Follow up on documents related to requirement work done by Andre is needed. o Stephen/Laura will look to see if Andre’ has posted his documents and if not will contact him to obtain copies.

Page 9 FUTURE MEETINGS Conference calls between now and September 2012 – see wiki 90 min., Wednesday 5-6:30pm US Eastern, fortnightly (every week) Will be using Mikogo for screen sharing Next meeting July 11, 2012

Page 10 Next meeting Agenda- July 11 (Lead: Laura) Upcoming Topics  SOA Project – Project Scope Statement Review  Linking vs nesting Storyboard review  Updates on progress towards resources and modeling work. Schedule TBD o Requirements Definition o Continued Discussion - Use of the term: “Plan of care” for work done by MD’s, and “Care Plan” used by nursing and all other ancillary folks. o Stephen Hufnagel: EHRS FIM on Care Plan Items

Page 11 APPENDIX