Transcript Slide 1

With meeting discussion notes
To join the meeting:
Phone Number: +1 770-657-9270
Participant Passcode: 943377#
WebEx link (thanks to Canada Health Infoway):
https://infoway-inforoute.webex.com/infoway-inforoute/j.php?ED=168011982&UID=494535562&RT=NCMxMQ%3D%3D
Care Plan (CP) Meeting
90 minutes
André Boudreau (a.boudreau@boroan.ca)
Laura Heermann Langford (Laura.Heermann@imail.org)
Stephen Chu (stephen.chu@nehta.gov.au)
2012-04-11 Laura to lead
*Care Plan wiki: http://wiki.hl7.org/index.php?title=Care_Plan_Initiative_project_2011
HL7 Patient Care Work Group
Agenda- April 11th (Lead: Laura)
• Review EHRS FIM activity model work: business flow and rules
(Steve Hufnagel) – deferred
• Review Care Plan BPMN: Chronic Care Care Plan (Luigi)
• Review and augment draft of requirements (André)
 Coordination of care- deferred
 Care management matrix - deferred
 Analyze a few past meetings
• Next meeting agenda
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Participants- Meetg of 2012-04-11 p1
Name
email
Country
Yes
Notes
André Boudreau
a.boudreau@boroan.ca
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
Laura.Heermann@imail.org
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
stephen.chu@nehta.gov.au
AU
Carolyn Silzle
Carolyn.silzle@choa.org
US
yes
American Dietetic Association
Susan Campbell
bostoncampbell@mindspring.com
US
yes
PhD microbiologist. Principal at Care Management Professionals. HL7 Dynamic Care Plan Co-developer
Margaret Dittloff
mkd@cbord.com
US
Luigi Sison
lsison@yahoo.com
US
Peter MacIsaac
peter.macisaac@hp.com
AU
HP Enterprise Services. MD; Clinical Informatics Consultant; IHE Australia; Medical Practitioner General Practice
William Goossen
wgoossen@results4care.nl
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
agoossen@results4care.nl
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
ian.townend@nhs.net
UK
NHS Connecting for Health. Health Informatics; Senior Interoperability Developer, Data Standards and
Products; HL7 Patient Care Co-Chair
Rosemary Kennedy
Rosemary.kennedy@jefferson.edu
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
jaylyle@gmail.com
US
JP Systems. Informatics Consultant; Business Consultant & Sr. Project Manager
Ian McNicoll
Ian.McNicoll@oceaninformatics.com
UK
Ocean Informatics . Health informatics specialist; Formal general medical practitioner; OpenEHR;
Slovakia Pediatrics EMR; Sweden distributed care approach
Maggie Gilligan
mmgilligan@gmail.com
US
Dietician; Owner, Senior Member , Nutra Tech Technology, LLC
Kevin Coonan
Kevin.coonan@gmail.com
US
MD. Emergency medicine. HL7 Emergency care WG.
Gordon Raup
graup@datuit.com
US
CTO, Datuit LLC (software industry).
Elaine Ayres
EAyres@cc.nih.gov
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
hzv3@cdc.gov
US
CDC Immunization
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
The CBORD Group, Inc.. RD (Registered Dietitian); Product Manager, Nutrition Service Suite; HL7 DAM
project for diet/nutrition orders; American Dietetic Association
yes
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.
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Participants- Meetg of 2012-04-11 p2
Name
email
Country
David Rowed
drowed@bigpond.net.au
AU
Charlie Bishop
charlie.bishop@isofthealth.com
UK
Steve Hufnagel
Notes
Yes
MD. Family GP.; Was chair, 2005, Electronic Communications
Working Group of the AU General Practice Computing Group
US
Peter Hendler
Peter.Hendler@kp.org
US
Ray Simkus
ray@wmt.ca
CA
Practicing Family GP, Vancouver, BC. User of EMR. Intense interest and
involvement in EHR and EMR standards , functionality and terminology
Serafina Versaggi
serafina.versaggi@gmail.com
US
Clinical Systems Consultant
Brett Esler
brett.esler@pencs.com.au
AU
Pen Computer Sys
Catherine Hoang
catherine.hoang2@va.gov
US
VA
Hugh Leslie
hugh.leslie@oceaninformatics.com
AU
a General Practitioner ; Chief Medical Officer, Ocean Informatics
Seam Heard
sam.heard@oceaninformatics.com
Thomson Kuhn
TKUHN@acponline.org
US
Sr. Systems Architect at American College of Physicians
Russell Leftwich
Russell.Leftwich@tn.gov
US
Md, Allergist, internal medicine; Chief Medical Informatics Officer, Office
of eHealth Initiatives, State of Tennessee
Michael Tan
tan@nitctiz.nl
NL
Publishing Facilitator , Care Provision, PC WG; Senior Project manager,
Nictiz, NL
Corinne Gower
Corrine@paradise.net.nz
NZ
Senior Business Analyst at NZHIS; Senior Advisor at Ministry of Health
New Zealand
Susan Matney
samatney@mmm.com
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
adickerson@himss.org
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
gjewell@cerner.com
US
Senior strategist at Cerner Corp,
US
Co-Chair, HL7 Service Oriented Architecture Work Group; Chief Architect, Federal Healthcare
Portfolio, HP Enterprise Services
US
Member of HL7 since 1992. Co-Chair, HL7 Template WG; Shafarman Consulting Inc.
Ken Rubin
Mark Shafarman
Mark@Shafarman.net
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CARE PLAN DAM MODELING
• Luigi
Page 5
BPMN Model (Luigi)
•
Last Meeting: Luigi presented the business process model (BPM) for encounters C and D of the Chronic
Condition Care Plan storyboard (SB), and adjusted the model live with other members

•
•
•
See updated versions of the 4 encounters BPM in pdf on the wiki
o BPM CC Encounter A and B- Primary Care Physician Initial Visit 2012-03-28.pdf
o BPM CC Encounter C and D - Hospital Admission and Follow-Up Visit 2012-03-28.pdf
Based on Luigi’s work and the discussion, some adjustments should be made to the SB
Next step: Luigi will complete the BPM of the Home Care SB. There are many similar patterns in the SBs
and we may decide to have a single BPM for all the SB.
Class Model



NHS has provided us with a copy of the CONTSYS conceptual model and Luigi has integrated that information into our
EA work to facilitate reusability where relevant
We also have started to build a Glossary for our terms
This will continue in parallel to our BPM work
• Today:


Review of BPM of the Chronic Care SB
Discussion re:
o Meaning of the class diagram elements, specifically around the provider
o Getting access to HTML and PDF versions for review offline and out of meetings

Next time:
o Look at additional (Home Care) storyboard in model form
o Have more information regarding the class model element definitions
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EHRS FIM ON IMMUNIZATION
PROFILE
• Steve Hufnagel
Page 7
Discussion Notes
•
•
Last Meeting: Steve Hufnagel presented his information modeling work for the EHRS FM R2 IMMUNIZATION
MAGAGEMENT PROTOTYPE

He highlighted the fact that the key patterns in the FM consist of encounters, event, lists, documents, registries

A lot of redundancies could be eliminated in the FM

However, other aspects could be added as the work continues for other parts of the FM

A concern mentioned was about the absence of patient and providers in the CIM
For the latest version of his deck, see the HL7 EHR Interoperability sub-WG wiki

http://wiki.hl7.org/index.php?title=EHR_Interoperability_WG

Version presented:
o
EHR-S_FIM_Immunization_Management_Prototype_Executive_Summary 20120315.pptx
• This Meeting: Workflows
 Not available for review.
 Topic deferred until further notice.
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REQUIREMENTS
Andre Boudreau
Page 9
Discussion Notes
• Have reviewed previous meetings
• Is 1/3 thru capturing minutes into one document to do content
analysis looking for requirements that have been stated
• Have pulled the Care Provision and Care Provision Support
items from the EHR FM into our document.
• Will need to review other sections of the EHR FM as well – we
are not confident all Care Plan related items are in the CP and
CPS sections. (especially around interoperability/information
exchange)
• Target to use the May 2012 Version of FM for our review.
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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. 1st
• Webex supplied by Canada Health Infoway
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Next meeting Agenda- April 25th (Lead: Laura)
• Review Model (Luigi)
 Review Business Process Model (BPM) for Home Care storyboard
 Review of the class diagram elements and their “meanings”
•
•
•
•
Stephen Hufnagel agenda items
Review Care Coordination Requirements (Andre)
Plan on meeting May 9th (usual time) – (Laura to lead)
Plan agenda for F2F – Thursday, May 17th 0900-1030- need to clarify with
Stephen Chu/William Goossen
 Vancouver F2F Meeting
o Updates on Progress
 Storyboard completion (needing completion of Acute Care)
 Information Model
 Draft of Requirements
• Later:


Work done in Manitoba regarding specific care paths and referrals. The care plan is included in
their process. (Published on the Infoway Forum). Andre’ will schedule a time with her and ask how
best for us to prepare for her presentation.
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.
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APPENDIX
Page 13
Status of 7 SBs – 2012-03-14
Owner
SB Name
Status
Date for
Complete Draft
PCCP Final
review
Kevin Coonan
Acute Condition
Draft 1 completed
Second draft
pending
???
Pending
André
Boudreau
Home Care
Under external
review
Done
Feb 15th
Stephen Chu
Chronic Conditions
Reviewed.
Third draft
completed
Done
Feb 29th
Susan
Campbell
-Pediatric Allergy
-Immunization
Reviewed.
Second draft of
both
Immunization
done
March 14
Allergy done
Feb 29th
Laura
Heermann
Langford
Perinatology
Reviewed.
Second draft
Final: pending
Done
Feb 29th
Carolyn Silzle
Stay healthy/ health
promotion
Draft 1 completed
Final draft
distributed
Done
Feb 29th
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Last updated: 2011-02-09
HDF- Domain Analysis Overview
act 3: Domain Analysis Ov erv iew
Business
Requirements
Source: HDF_1.5.doc, page 37
Project
Approved
Analyze Use
Cases
Analyze Business
Context
(from 3.4.2 Use Case Analysis)
«outcome»
(from 3.4.1 Business Context Analysis)
«outcome»
Use Case Analysis
Story board
(from 3.7 Artifacts)
(from 3.7 Artifacts)
Analyze Process Flow
(from 3.4.3 Process Analysis)
Process Flow
(from 3.7 Artifacts)
Glossary
Analyze Information Exchanged
(from 3.7 Artifacts)
(from 3.4.4 Information Analysis)
Information Model (Analysis)
(from 3.7 Artifacts)
Analyze Business Rules
«optional»
Business Rules Description
(from 3.4.5 Business Rules Analysis)
(from 3.7 Artifacts)
Business Trigger Analysis
(from 3.7 Artifacts)
Publish DAM
DAM Approv al
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