1. Longitudinal Coordination of Care LCP SWG Thursday August 1, 2013

2. TopicPresenterTime Allotted Announcements and RemindersBecky5 minutes Care Plan C-CDA RevisionsLantana55 minutes Agenda 2

3. Sign up for the HL7 Ballot Pools to Vote on the LCC C-CDA Revisions: –http://www.hl7.org/ctl.cfm?action=ballots.home&ballot_cycle_id=531&ballot_voter_id =0http://www.hl7.org/ctl.cfm?action=ballots.home&ballot_cycle_id=531&ballot_voter_id =0 –Click the Join Ballot Pools link on the right –Select HL7 Implementation Guide for CDA Release 2: Consolidated CDA Templates for Clinical Notes, Release 1 – US Realm Final Care Plan Recommendations to be presented to HITPC –HITPC: Aug 7 th, 2013 9:30am-3:00pm EST –http://www.healthit.gov/policy-researchers-implementers/hit-policy-committee-19http://www.healthit.gov/policy-researchers-implementers/hit-policy-committee-19 Call for Pilot Participation! –LCC Pilot Wiki Page: http://wiki.siframework.org/LCC+Pilot+Plan http://wiki.siframework.org/LCC+Pilot+Plan Contains Pilot Survey, Pilot Overview Document, and Planning Template Meeting Reminders (next week) –LTPAC SWG meeting – Monday at 11am ET –LCP SWG meeting – Monday at 5pm ET –LCC All Hands meeting – Tuesday at 10am ET –LCC HL7 Tiger Team SWG meeting – Wednesday at 11am ET –LCP SWG meeting – Thursday at 5pm ET 3 Announcements and Reminders

4. © 2011 Lantana Consulting Group, www.lantanagroup.com 4 Care Plan - CDA Document Type Development Thursday, August 1, 2013

5. © 2011 Lantana Consulting Group, www.lantanagroup.com 5 Discuss (haven't really worked on this – was just lifted from LCC Use Case): This template represents patient Goals. A goal is a defined outcome or condition to be achieved in the process of patient care. Goals include patient-defined goals (e.g., prioritization of health concerns, interventions, longevity, function, comfort) and clinician-specific goals to achieve desired and agreed upon outcomes. David Tao's comment: These are confusing. Since there is a Health Concerns section that includes prioritization, and an Interventions section that includes interventions, why are they listed here as patient-defined goals? Perhaps it should say alleviation of health concerns, positive outcomes from interventions,… Goals Section Description

6. © 2011 Lantana Consulting Group, www.lantanagroup.com 6 Discuss (haven't really worked on this – was just lifted from LCC Use Case): This template represents status, at one or more points in time, of health status evaluations or outcomes related to established care plan goals and/or interventions. David Tao's comment: Added these words because it is not really the status of the goal (e.g., is the goal proposed or actual) but is the status of the evaluations or outcomes for the goal. Health Status Evaluations/Outcomes Section Description

7. © 2011 Lantana Consulting Group, www.lantanagroup.com 7 IS CAUSE OF HAS SUPPORT REFERS TO HAS REASON Relationships (Happy Path) – SC changes Health Concern [mood EVN] Goal [mood GOL] Outcome Observation [mood EVN] Intervention [mood: INT/ RQO/ etc.] [mood: EVN] Observation [mood EVN] RELATES TO HAS COMPONENT EVALUATES Outcome Assessment Observation [mood EVN] SUPPORTS

8. © 2011 Lantana Consulting Group, www.lantanagroup.com 8 Goal Observation Patient Priority Preference (name change) Provider Priority Preference (name change) Health Concern Act Intervention Act Outcome Observation (new) Templates to discuss

9. © 2011 Lantana Consulting Group, www.lantanagroup.com 9 Blog post by Grahame Grieve Identifiers in CDA Documents Referencing Objects internally

10. © 2011 Lantana Consulting Group, www.lantanagroup.com 10 Related documents? Other topics