Patient Care

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Welcome to the HL7 Patient Care WG Wiki!

Welcome to the Patient Care Work Group Wiki Site.The Patient Care WG is chartered to define messages to support the needs for communicating information regarding the creation, management, execution and the quality of diagnostic and therapeutic care. This wiki page is for facilitation of ongoing discussions. Please see the hl7 website for more information about the patient care TC

NOTE: the wiki page of Patient Care is under construction. Not all links to following wiki pages are working. These are shown in red. We are working on these pages. You can help if you like!

Current Elections and Ballots: We Need Your Input and Help!

Preparation of the May 2012 Normative Ballot D-MIM and R-MIM

Out of Cycle meeting for ballot preparation 20&21 Feb 2012 The Hague the Netherlands

Steps:

• Sept 2011 PSS preparation and vote in San Diego Dealth with and approved
• Okt 2011 modeling, walk-through and publishing ongoing
• Jan 2012 discussion
• Feb 2012 finalization
• March 2012 submission
• May 2012 reconciliation
• Changes to handle: Patient Care Change Requests
• Workplan: Care Provision D-MIM
• Content: Patient Care Normative Ballot Content

I hope that work within ISO and JIC is progressing such that we also can have a formal vote on the ISO 13972 in the HL7 community. You will be informed on this progress.

William November 2, 2011. / Updated Jan 16, 2012

Leadership

Co-Chair	Co-chair	Co-chair	Co-chair
William Goossen Results 4 Care The Netherlands Phone: +31654614458 Email: wgoossen@results4care.nl (Term ends in May 2013)	Stephen Chu National eHealth Transition Authority (NEHTA) Australia Phone: +61 416 960 333 Email: stephen.chu@nehta.gov.au (Term ends May 2013)	Ian Townend NHS Connecting for Health United Kingdom Phone: ?? Email: ian.townend@nhs.net (Term ends in May 2013)	Klaus Veil HL7 Australia Phone: +61 412 746 457 Email: Klaus@Veil.net.au (Term ends in Sept. 2013) Responsible for V2

Model Facilitator	Publishing Facilitator	Vocabulary Facilitator	Project lead	Project lead
Jean Duteau Canada Phone: ?? Email: ??	Michael Tan Netherlands Phone: 31-70-3173459 Email: Tan@Nictiz.nl	Susan Matney USA Phone: ?? Email: ??	André Boudreau Care Plan Canada Phone: 514-996-0590 Email: a.boudreau@boroan.ca	Laura Heermann Langford Care Plan USA Phone: 801-507-9254 Email: Laura.Heermann@imail.org

The role of a project lead is to take responsibility for one of the Patient Care Projects and engage PC membership to achieve the project goals. Hence, they relieve the work of the co-chairs. Once a project could go to ballot, co-chairs will arrange for appropriate voting procedures and ballot formalities.

26 May 2011: Missing information can be added.

Responsibilities

This section contains the management issues for the PC committee. This is for work group health, to track and trace our work and to stay current.

• Patient Care Work Group HL7 main page: *the HL7 Patient Care TC webpage
• Agenda and Minutes are available at: *Patient Care Minutes The meeting minutes draft are placed here: patient care work group meeting draft minutes
• Mission & Charter: *Overview Updated in Kyoto, 2009, Due for revision January 2012.
• Project Matrix: *[http://www.hl7.org/Special/committees/patientcare/minutes.cfm in either Minutes or Documents section, please browse. Current approved version is v 0.8. Up for revision every WGM, in particular go through document in September 2011 and synchronize with HL7 HQ.
• Project Status: *Projects This shows the subset of projects PC is actively working on, and if we are meeting our deadlines for each.
• Decision Making Policies *[ weblink to document to be included here]
• SWOT analysis *[ http://www.hl7.org/Special/committees/patientcare/docs.cfm look for May 2010]
• Listserv * Subscribe to email list from PC WG
• Leadership (as formal in HL7 administration available): *Leadership

Change Requests

Patient Care has now a formal request for change (RFC) page which can be used to request changes in the ballot materials.

Patient Care Change Requests

Please use this for RFC you have pertaining to Topics, D-MIM, R-MIM, use cases, interactions, walkthrough etc. Those that have been handled by either a motion accepted, and /or models or descriptions being changed are listed under Dispositioned Requests.

Meeting Information

Draft agenda for next WGM minutes from the HL7 website

patient care work group meeting draft minutes

Please also look both in the general document section and minutes section.

Conference Calls / Meetings

Project Priorities

Patient Care has several active projects and some waiting for volunteers to step up and carry on.

• Our main goals are to bring the Domain Message Information Model (D-MIM) to normative ballot in the January 2012 cycle, and following this the 4 core Topics Referral, Acceptance, Record Query and Care Record in the May 2012 cycle (unless we can speed up the work for January).

• In addition two Active Topics include Allergy and Intolerance and Care Plan. For both information analysis

is ongoing, leading to Domain Analysis Models (DAM) and updating the dynamic models R-MIMs for both Topics. Allergy and Intolerance Topic is currently planned to go to Normative in September 2012 ballot.

• Beside these more infrastructural parts we are working on the domain content. In principle: a HL7 sound specification of what goes into the Care Record, what can be in the Query, or what goes in the Care Plan.

Two current examples include the DAM for Skin Care and Detailed Clinical Models (DCM) for five frequently used clinical materials.

• We are cleaning up the Assessment Scale R2 DSTU ballot to be included into the NE 2012.

All other Topics in the table below are still on our to do list, but will follow our above priorities.

Project Information

Project	Status
Care Provision D-MIM The Care Provision D-MIM is the fundamental piece of work of the Patient Care Working Group. All HL7 messages under Care Provision are dependend on this Domain Message Information Model. All R-MIMs representing specific messages for specific tasks for continuity of care are derived from this basic model. The derivation is done via removing from D-MIM what we do not need, replacing full classes with CMETs, constraining attributes, cardinalities or relationships, or - very important - roll out specific structures that are derived from the clinical statement. Activity ongoing is to move this as a single Topic in the ballot to normative ballot, and to split all underlying R-MIMs to separate topics. In particular obsolete material such as the assessment scale part in care structures with RM_***120 needs to be removed, in favor of the new DSTU version R2, with number RM_**125. The latter has been submitted for publication. Project ID: 284 Project contact: William Goossen, wgoossen@results4care.nl|	Active
Allergy & Intolerance This topic covers all interactions related to clinically recorded adverse reactions. Finish the work from the ballot resolution on the Allergy/Intolerance topic and have it published as DSTU. Project ID: 881 Project contact: Stephen Chu; stephen.chu@nehta.gov.au; Elaine Ayres; eayres@nih.gov	Active
Pressure Ulcer Prevention This topic covers pressure ulcer risk assessment and interventions. The project will develop a Domain Analysis Model based on work performed by the Kaiser-Permanente US Department of Veterans Affairs collaboration. Project ID: Project contact: Jay Lyle; jay@lyle.net	Active
Health Concern Concern Tracking and Care statements provide a framework for tracking and managing health concerns. Item itself will be withdrawn. PC will harmonize this with concern tracker and other R-MIMs with Concern. Project ID: Needs new PSS once preparational work is done Project contact: Kevin Coonan, USA	In preparation PSS.
Care Plan Topic & Ordersets After 2 years of no activity this project has been cancelled.	Removed
Care Plan Initiative project 2011 Care Plan has been balloted some years ago as DSTU. However, it was felt at that time that more work needed to be done in defining care plan, the components of the care plan, identifying use cases and use. The plan for 2011 is to first develop a Domain Analysis Model (DAM) for the Care Plan, and then decide on follow on activities. The HDF 1.5 (HL7 development framework) approach will be followed. HL7 PC will build on the material and knowledge of various groups to develop the DAM. Project ID: No project id assigned yet, once PSS gets in, the ID will be assigned. Project contact: André Boudreau, a.boudreau@boroan.ca or Laura Heermann Langford, Laura.Heermann@imail.org	New PSS and Project ID needed before moving any material to ballot
Care Plan Topic project Care Plan has been balloted some years ago as DSTU. However, it was felt at that time that more work needed to be done in defining care plan, the components of the care plan, identifying use cases and use. The plan for 2010 is to complete the contents of Care Plan. HL7 PC will work together with: HL7 Structured Documents WG IMIA-NI IHE For the content of this DSTU material. Project ID: 651 Project contact: Laura Heermann Langford, Laura.Heermann@imail.org	Active
Care Composition No further work is done.	Cancelled
Assessment Scales The aim of this release is to provide a generic template based on the clinical statement pattern for use with almost all scores systems and assessment scales. Therefore, it provides a framework for use in messages and documents. Finish the work from the ballot resolution on the Assessment Scales topic and have it published as DSTU. It has been completed and is submitted for DSTU publication in NE 2012. Awaiting actual publishing support. Project ID: 664 Project contact: William Goossen; wgoossen@results4care.nl	Active
Detailed Clinical Models The underlying assumption for a standard on Detailed Clinical Models is that to use, exchange and reuse data, and to obtain meaningful information from it for each purpose, data need to be handled consistently. This consistent use is required on both the mono- and multidisciplinary health professional level. Five examples where balloted in September 2010. Patient care has finished the reconciliations and the ballot has received sufficient support. PC is now planning meetings on methodology and following that will re-ballot each DCM one by one. Project ID: 320 Project contact: William Goossen; wgoossen@results4care.nl	Postponed waiting for D-MIM / Core R-MIMs to be balloted as normative.
Detailed Clinical Model guidelines for creation The DCM guidelines are distributed as ISO CD 13972-1 and 2. Project contact: *****	Moved to JIC, HL7 HQ will handle from now on.
Detailed Clinical Models for Medical Devices The intent of this project is to create and maintain one generic Domain Analysis Model and a set Detailed Clinical Model that defines the main concepts of using medical device-related data safely and traceably for patient care. the work is carried out as joint project with HL WG Devices Project ID: project contact for devices: John Rhoads	Finalized
DAM vs DCM vs SAIF The relationship between a Domain Analysis Model (DAM) and a Detailed Clinical Model (DCM)and how this fits into the Services-Aware Inteoperability Framework (SAIF) Project ID: no project ID required, ongoing harmonization work in HL7 international and with other groups Project contact: Michael van der Zel; mvdzel@results4care.nl	Active
Patient Care Glossary The concepts that Patient Care is using are defined in the glossary. Project is just started with defining the concepts that are being used in the Care Plan Topic project. See Care Plan Glossary Patient Care Glossary this work is done in conjunction with the SKTM glossary of the international SDO's See ISO 13940 Continuity of Care standard for definitions Project ID: 495 Project contact: David Rowed	Active
Patient Care V2 Patient Care has resumed some responsibility for HL7 version 2 chapters 11 and 12. Australia will take care of the work involved. Project ID: Project contact: Klaus Veil	Active

Other topics the Patient Care TC has defined:

These have their own project numbers, or project scope statements need to be developed and balloted.

• Care Record -- currently DSTU

Needs New PSS and Project ID: by August 2011.

• Care Record Query -- currently DSTU

Needs New PSS and Project ID: by August 2011.

• Care Transfer -- currently DSTU

Needs New PSS and Project ID: by August 2011.

No later than before the Sept 2011 PC needs to create PSS for Care Transfer, Care Record and Care Record Query to check consistency with D-MIM update 2011, check Topic status as separate material in order to better manage our ballot publications, make changes and so on. This is necessary to move to normative ballot for January 2012. Next action needed for below materials: Include Care Transfer, Care Record and Care Record Query in table above and create PSS for each. Current # 284 for D-MIM needs to be split into four #. 284 then remains for D-MIM and Care Transfer, Care Record and Care Record Query each need a new Project ID:

• Care Statement -- the clinical statement version in the D-MIM for patient Care, currently DSTU.

Will in future versions of Care Provision be replaced by the Clinical Statement CMET A_SupportingClinicalStatement universal (COCT_RM530000UV)

• Care Structures -- currently DSTU

Needs to be split up in a whole set of different topics to allow finding these in the ballot. Current clustering renders it not findable. Each separate Topic needs a new PSS and separate ID around January 2012 once the D-MIM and first Topics Care Record, Query, Transfer have been brought to ballot.

• Concern Tracking -- currently DSTU as part of care structures, to be moved to separate topic level

Needs new PSS and ID by January 2012 to move to normative

Resources

• Names of storyboard actors
• Care Provision Domain Artefact Identifier Registration
• Format for use cases, storyboards, activity diagrams and interaction diagrams
• Diagnosis topic
• Change Requests

External links

• The HL7 homepage

• The HL7 Patient Care TC webpage

• The current v3 ballot content

• Ongoing IHE PCC work based on the Patient Care domain interactions

• The Detailed Clinical Models webpage