1. © 2012 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. HL7 Chicago Wednesday Q3 September 17, 2014 Clinical Assessment Procedure Order Patient Education

2. © 2012 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Use Case – Clinical Assessment Nutrition Assessment See David Hay’s Blog – Hay on FHIR Observations, questionnaires, assessment tools (these might be from a standard assessment protocol)  Some assessments might be ordered What is the clinical status leading to a diagnostic or prognostic statement

3. © 2012 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Ordering Diagnostic orders vs. assessment order? Assessment information – in one place or multiple sources? Key – how data are stored Consider  Observation (diagnosis) – point to condition, outcome assessment, adverse reaction and allergy/intol (specializes types of observations.  Condition (diagnosis)  Risk Assessment (prognosis) – recommend outcome assessment as better name

4. © 2012 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Condition and Outcome (Risk) Assessment Do you need to tie together a diagnosis and prognostic statement? Should these be separate resources? In an assessment section  Diagnosis Are results of instruments a results or observations Where are goals for re-assessment Next step – write a profile (obs, cond, risk assessment)

5. © 2012 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Condition vs. Observation Issues Remove diagnosis from observation Create boundary section re specialized observations - point to condition, outcome assessment, adverse reaction and allergy/intol (specializes types of observations Need clear definition

6. © 2012 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Procedure Order There is a procedure resource Do we need a dedicated resource for procedure order or can we use general order resource?  Decision – need a procedure order Is the provider part of the order or a referral/consult? Who will develop a procedure order resource? OO will own? Check Thursday

7. © 2012 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Patient Education Discussion to be deferred to post Chicago conference calls