Conference call minutes 19 December 2013
Contents
Health Concern Topic
Patient Care WG December 19, 2013
Attendees:
- Michael Tan – Chair
- Elaine Ayres – Scribe
- Lisa Nelson
- Becky Angeles
Agenda
- Approve minutes
- Review use cases
Minutes from last meeting
December 5, 2013 Vote deferred – no quorum.
Discussion on Use case stories
Becky Angeles has not yet met with LCC re potential use cases. Will do so after the new year.
The stories should explain:
- What is a health concern?
- How is a health concern different from a problem concern.
- How is a tracker used?
Stephen’s use case: Explain problem concern vs. health/problem concern. Please add details. Health concern tracking – what is the correct way to explain the relationship of various health concerns.
The tracker serves as a grouper for the various health concerns. Can have various states within the health concern. Should also point to the related problem.
In the C-CDA v2 – there is a health concern act that can be linked. Would expect to see to observations related to the health concern nested to describe the health concern. Groups many different problems together.
Look at C-CDA templates for health concerns – very broad Problem observation are more limited.
Example – health concern example of lymphoma – a collection of signs and symptoms over time may lead to a diagnosis. May try a number of treatments, some symptoms may disappear.
What about risks?
Reviewed Lisa and Michael’s use cases. Need to try to connect other types of issues that are part of the health concern. Include PROBLEM Concerns, as well as other representations of other types of details. For example – a broken hip, but the patient lives up a flight of stairs, so she can’t go home. What ensues?
Need a bigger longitudinal story to illustrate the complexity and interactions between various problems. Need a movie not a picture.
All agreed to revise their use cases: Standard Use Case – tell story, make sure health concern, tracker and problems are clear. Add Venn diagram and timeline to help tell story. Lisa will come up with a framework for expanded story boards. A Powerpoint template will be provided. This will make it easier to explain the use case at the WGM. Writers will use this template for the following use cases:
- Medication management -- Michael
- Nutritional management – Elaine
- Emergency management -- Laura
- Mental health/TBI - Stephen
- Adverse reaction – use of a collector to string adverse events together. - Lisa
- Financial/Social issues - TBD
- Family issues – TBD
- Home health – LCC
- Reducing hospital readmissions - TBD
Agenda for January 9, 2014 (off-cycle):
- Approve minutes from December 5 and 18th.
- Review storyboards
Next call
Next call is January 9, 2014 at 4 PM ET
