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Difference between revisions of "Conference call minutes 9 February 2016"

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'''February 9nd 2016'''
 
'''February 9nd 2016'''
 
==Attendees:==
 
==Attendees:==
*Michael Tan – Chair
+
*Michael Tan – Chair/ Scribe
 
*David Pyke
 
*David Pyke
 
*Dan Russell
 
*Dan Russell
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* It does not seem to represent the model that Larry Weed has documented in his POMR article.
 
* It does not seem to represent the model that Larry Weed has documented in his POMR article.
 
* How does the health concern acquire it's name? The health concern itself does not seem to contain the content of the health concern.
 
* How does the health concern acquire it's name? The health concern itself does not seem to contain the content of the health concern.
* The health concern originates from a health concern event. This could be an diagnosis, a finding or even an observation where a care providers expresses his concern and tags the event to a health concern.  
+
* The name of health concern originates from a health concern event. This could be an diagnosis, a finding or even an observation where a care providers expresses his concern and tags the event to a health concern.
 +
* The health concern event from which the health concern derives it's name can be found through the relationship of ConcernIdentifyingEvent.
 
* The name of the health concern is derived from this event and copied into the local name of the health concern class.
 
* The name of the health concern is derived from this event and copied into the local name of the health concern class.
 
* Eventually the care provider might reconsider the name of the health concern and override it with newer insight extracted from a new finding.
 
* Eventually the care provider might reconsider the name of the health concern and override it with newer insight extracted from a new finding.
 +
* A new ConcernIdentifyingEvent is created with a newer validity date.
 +
* The name health concern event is misleading for Dan and suggests to call it EHR data item.
 +
* The others object because not all items are meant to be attached to the health concern.
 +
* The intention is to connect events that occur at a certain time point to the health concern.
 +
* This enables a care provider to select and tag events, such as findings, encounters, observations, therapies, medication therapies to that health concern.
 +
* The DAM illustrates these time related stories in figure 1 and figure 7.
 +
* The explanation in figure 7 is not professional enough and has to be corrected.
 +
* Question arises whether the moment ( time) when the health concern event was attached to the health concern should be captured.
  
 
== Action items==
 
== Action items==
  
 
*Propose text about priorities between health concerns: David
 
*Propose text about priorities between health concerns: David
*Submit the NIB: Michael
+
*Revise text in Patient Journey story chapter 7.1; Michael
*Change allergy and problem lists to concern lists: jay
 
*Proposal for alternative model diagram with SOAP elements related to the health concern: Jay.
 
  
  
 
Go back to health concern minutes[[http://wiki.hl7.org/index.php?title=Health_Concern_Meetings/Conference_Calls_Agenda_and_Minutes]]
 
Go back to health concern minutes[[http://wiki.hl7.org/index.php?title=Health_Concern_Meetings/Conference_Calls_Agenda_and_Minutes]]

Latest revision as of 08:49, 10 February 2016

Health Concern Topic

Patient Care WG

February 9nd 2016

Attendees:

  • Michael Tan – Chair/ Scribe
  • David Pyke
  • Dan Russell
  • Hank Mayers
  • David Tao
  • Russell McDonell
  • Lawrence McKnight


Participation Information Phone Number: +1 770-657-9270 Participant Passcode: 943377

Web Meeting Info www.webex.com Meeting number 238 558 505

Minutes 2 February

  • Motion to approve the minutes by Hank Mayers, second by David Tao.
  • 1 abstention, 0 against, 5 approve.


DAM

  • Jay could not be present, but has sent a proposal for the new model in which the concern list and health concern events were adapted according to the motions of February 2nd.

HealthConcernmodel20160209.jpg


  • Discussion arises whether the SOAP boxes should be grayed out to express that they are not in scope of the DAM.
  • The annotation in the green box actually is clear enough.
  • Motion to discard the SOAP boxes ( Subjective, Objective, Judgement, Intervention) and keep the annotation in the green box.
  • Motion moved by Dan, second by David Tao: 0 abstentions, 0 against, 5 in favour.


  • Dan raises the issue that the model does not convey the relationship between health concern and health concern event properly.
  • It does not seem to represent the model that Larry Weed has documented in his POMR article.
  • How does the health concern acquire it's name? The health concern itself does not seem to contain the content of the health concern.
  • The name of health concern originates from a health concern event. This could be an diagnosis, a finding or even an observation where a care providers expresses his concern and tags the event to a health concern.
  • The health concern event from which the health concern derives it's name can be found through the relationship of ConcernIdentifyingEvent.
  • The name of the health concern is derived from this event and copied into the local name of the health concern class.
  • Eventually the care provider might reconsider the name of the health concern and override it with newer insight extracted from a new finding.
  • A new ConcernIdentifyingEvent is created with a newer validity date.
  • The name health concern event is misleading for Dan and suggests to call it EHR data item.
  • The others object because not all items are meant to be attached to the health concern.
  • The intention is to connect events that occur at a certain time point to the health concern.
  • This enables a care provider to select and tag events, such as findings, encounters, observations, therapies, medication therapies to that health concern.
  • The DAM illustrates these time related stories in figure 1 and figure 7.
  • The explanation in figure 7 is not professional enough and has to be corrected.
  • Question arises whether the moment ( time) when the health concern event was attached to the health concern should be captured.

Action items

  • Propose text about priorities between health concerns: David
  • Revise text in Patient Journey story chapter 7.1; Michael


Go back to health concern minutes[[1]]