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[[Category:Patient_Care]]
 
[[Category:Patient_Care]]
 +
<br>
 +
Return to: [[ Patient Care]]
  
This is the new Care Plan Initiative project 2011.
+
<br>
 +
Go to: [[Care Plan Project - PCWG]]
 +
<br>
 +
Go to: '''[[Care Plan Project 2012]]'''
 +
<br>
 +
Go to: [[Care Plan Topic project]] (Project contents prior to 2011)
  
return to: [[ Patient Care]]
+
<br>
 +
This is the Care Plan project initiated in 2011. Latest updates on this project has been moved to the Care Plan Project 2012.
  
further to:  
+
Return to: [[ Care Plan Project 2012]]
  
 
=Introduction=
 
=Introduction=
  
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.  
+
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 work together with various groups including HL7 Work Groups (e.g. EHR, Structured documents), IHE, NEHTA, Canada Health Infoway, and others.
HL7 PC will build on the material and knowledge of various groups to develop the DAM.
 
Project contact: André Boudreau, a.boudreau@boroan.ca or Laura Heermann Langford, Laura.Heermann@imail.org
 
 
 
HL7 PC will work together with various groups including HL7 Work Groups (e.g. EHR, Structured documents), IHE, NEHTA, Canada Health Infoway, and others.
 
  
 
==Project Co-Leaders==
 
==Project Co-Leaders==
:'''André Boudreau'''
 
:: Boroan inc.
 
:: Phone: 514.992.8433
 
:: email: a.boudreau@boroan.ca)
 
 
:''' Laura Heermann Langford '''
 
:''' Laura Heermann Langford '''
:: Intermountain Healthcare
+
:: Intermountain Healthcare, USA
 
:: Phone: 801.290.6888
 
:: Phone: 801.290.6888
 
:: Email: Laura.Heermann@imail.org
 
:: Email: Laura.Heermann@imail.org
: [[carePlan:Team List|'''Work Group Team Members''']]
+
:''' Stephen Chu '''
 +
:: NEHTA Australia
 +
:: Phone: +61.416.960.333
 +
:: Email: stephen.chu@nehta.gov.au
  
 
==Meeting Information==
 
==Meeting Information==
 
The Care Plan project team meets via conference call on a regular basis. The group will report to the HL7 Patient Care Workgroup through one of the Co-Chair or at the HL7 meetings.  
 
The Care Plan project team meets via conference call on a regular basis. The group will report to the HL7 Patient Care Workgroup through one of the Co-Chair or at the HL7 meetings.  
  
* Standing Meeting Date/Time:  Wednesday at 17h00 ET /16h00 CST/ 15h00 MST/ 14h00 PST/ add UK and Australia
+
* Standing Meeting Date/Time:  every second Wednesday (starting on Feb. 1st for winter 2012 period) at 17h00 NA Eastern Time /16h00 NA Central Time/ 15h00 NA Midwest Time/ 14h00 NA Pacific Time/ 22h00 UK / 23h00 Central Europe / 08h00 Australia
* Duration: 60 to 90 minutes
+
** Interim meetings can be scheduled if needed.
 +
* Duration: 90 to 120 minutes (1,5 to 2 hours)
 
* Call Logistics- voice
 
* Call Logistics- voice
 
** Phone Number: 770-657-9270     
 
** Phone Number: 770-657-9270     
** Participant Passcode: 943377#  
+
** Participant Passcode: 943377#
* Call Logistics- screen sharing/webex
+
 
**https://infoway-inforoute.webex.com/infoway-inforoute/j.php?ED=155911017&UID=494535562&RT=NCMxMQ%3D%3D
+
* Call Logistics- screen sharing/
**Many thanks to Canada Health Infoway for providing this facility. It will be the same until the WGM in May 2011.  
+
To be determined
 +
 
 +
 
 +
'''Meeting Agendas and Minutes'''
 +
 
 +
:[[carePlan:Agendas and Minutes|Agendas and Minutes]]
 +
<br/>
 +
 
 +
=Project Deliverables and Working Documents=
 +
*[[ Description of deliverables]]
 +
 
 +
*[[ Working Documents-CP]]
 +
 
 +
*[[ Reference Material-CP]]
 +
 
 +
*[[ Glossary-CP]]
 +
 
 +
''Note: the following list of deliverables will be adjusted as the project progresses.''
 +
 
 +
'''REQUIREMENTS DEFINITION'''
 +
<br/>
 +
These are the working versions of the Care Plan requirements, as the DAM work progresses.
 +
 
 +
*[[Media: HL7 Care Plan Requirements-Draft v0_1-20120229c.doc| HL7 Care Plan Requirements-Draft v0_1-20120229c.doc]]
 +
 
 +
 
 +
'''STORYBOARDS (SB)'''
 +
<br/>
 +
The following list of storyboards covers the relevant range of situations sufficient to identify the needs for Care Plan interoperability.
 +
:-Acute Care
 +
:-Chronic Care
 +
:-Home Care
 +
:-Pediatric Allergy
 +
:-Pediatric Immunization
 +
:-Perinatology
 +
:-Stay healthy
 +
<br/>
 +
::Note: Primary care encounters appear in many of the above SB. We may decide to add a specific Primary Care SB as we move along.
 +
 
 +
<br/>
 +
LATEST VERSIONS of Storyboards (in alphabetical order)
 +
 
 +
*[[Media: AcuteCare_storyboard_kmc_20120118-updated 20120201.doc| AcuteCare_storyboard_kmc_20120118-updated 20120201.doc]]
 +
 
 +
*[[Media: Chronic-Conditions_Care-Plan-Storyboard_V0-5_Revised 2012-01-06.docx| Chronic-Conditions_Care-Plan-Storyboard_V0-5_Revised 2012-01-06.docx]]
 +
 
 +
*[[Media: Home Care Care Plan Storyboard V0_4a- Final- 2012-02-28a.docx| Home Care Care Plan Storyboard V0_4a- Final- 2012-02-28a.docx]]
 +
 
 +
*[[Media: Pediatric Allergy Care Plan Storyboard 20120229 final.doc| Pediatric Allergy Care Plan Storyboard 20120229 final.doc]]
 +
 
 +
*[[Media: Pediatric_Immunization_Care_Plan_Storyboard_v0_5_20120314a.doc| Pediatric_Immunization_Care_Plan_Storyboard_v0_5_20120314a.doc]]
 +
 
 +
*[[Media: Perinatology StoryBoard v0_5-20120229.docx| Perinatology StoryBoard v0_5-20120229.docx]]
 +
 
 +
*[[Media: Stay_Healthy_Health_Promotion-_Care_Plan_SB-_Update Final 2012-03-04.docx| Stay_Healthy_Health_Promotion-_Care_Plan_SB-_Update Final 2012-03-04.docx]]
 +
 
 +
*[[Media: Stay Healthy Health Promotion Appendix B info exchanged- 20120214.docx| Stay Healthy Health Promotion Appendix B info exchanged- 20120214.docx]]
 +
 
 +
<br/>
 +
OLDER VERSIONS of Storyboards (in alpha order, most recent on top)
 +
 
 +
*[[Media: Chronic-Conditions_Care-Plan-Storyboard_V0-3_2011-11-30.docx| Chronic-Conditions_Care-Plan-Storyboard_V0-3_2011-11-30.docx]]
 +
 
 +
*[[Media: Home Care Care Plan Storyboard V0_3c- 2012-02-12a BClifford.docx| Home Care Care Plan Storyboard V0_3c- 2012-02-12a BClifford.docx]]
 +
 
 +
*[[Media: Home Care Care Plan Storyboard V0_3c- 2011-12-31a with TC.docx| Home Care Care Plan Storyboard V0_3c- 2011-12-31a.docx]]
 +
 
 +
*[[Media: Home Care Care Plan Storyboard V0_3a- 2011-12-07a.docx| Home Care Care Plan Storyboard V0_3a- 2011-12-07a.docx]]
 +
 
 +
*[[Media: Home Care Care Plan Storyboard V0_2-20111118a TC mode.docx| Home Care Care Plan Storyboard V0_2-20111118a TC mode.docx]]
 +
 
 +
*[[Media: Home Care Care Plan Storyboard 20110929c.docx| Home Care Care Plan Storyboard 20110929c.docx]]
 +
 
 +
*[[Media: Home care Plan Storyboard 20110831b.docx| Home care Plan Storyboard 20110831b.docx]]
 +
 
 +
*[[Media: Perinatology StoryBoard v0.4-20120106.docx| Perinatology StoryBoard v0.4-20120106.docx]]
 +
 
 +
*[[Media: Perinatology StoryBoard 20110915a-WGM update.docx| Perinatology StoryBoard 20110915a-WGM update.docx]]
 +
 
 +
*[[Media: Pediatric Allergy Care Plan Storyboard 20120201a.doc| Pediatric Allergy Care Plan Storyboard 20120201a.doc]]
 +
 
 +
*[[Media: Pediatric Allergy Care Plan Storyboard 20120201-RS.doc| Pediatric Allergy Care Plan Storyboard 20120201-RS.doc]]
 +
 
 +
*[[Media: Pediatric_Immunization_Care_Plan_Storyboard_v0_4_20120306.doc| Pediatric_Immunization_Care_Plan_Storyboard_v0_4_20120306.doc]]
 +
 
 +
*[[Media: Pediatric Immunization Care Plan  Storyboard_v0.3C_20120117.doc| Pediatric Immunization Care Plan  Storyboard_v0.3C_20120117.doc]]
 +
 
 +
*[[Media: Perinatology StoryBoard 20110909a.docx| Perinatology StoryBoard 20110909a.docx]]
 +
 
 +
*[[Media: Perinatology StoryBoard 20110831b.docx| Perinatology StoryBoard 20110831b.docx]]
 +
 
 +
*[[Media: Stay_Healthy_Health_Promotion-_Care_Plan_SB-_final 20120214.docx| Stay_Healthy_Health_Promotion-_Care_Plan_SB-_final 20120214.docx]]
 +
 
 +
**[[Media: Stay Healthy Health Promotion- Care Plan SB- draft 2012-01-17a-updated 20120201a.docx| Stay Healthy Health Promotion- Care Plan SB- draft 2012-01-17a-updated 20120201a.docx]]
 +
 
 +
*[[Media: Stay Healthy Health Promotion- Care Plan SB- draft 2012-01-17a.docx| Stay Healthy Health Promotion- Care Plan SB- draft 2012-01-17a.docx]]
 +
 
 +
<br/>
 +
 
 +
'''ACTIVITY DIAGRAMS- BUSINESS PROCESS MODELS (BPM)'''
 +
<br/>
 +
The business process models (BPM) are built with Enterprise Architect (Sparx Systems) but the files cannot be uploaded to this wiki. The xml version have been uploaded here in a zip file and can be read with any browser.
 +
 
 +
*[[Media: Care Plan HTML 20120411.zip| Care Plan BPM for Chronic Care 20120411.zip]]
 +
 
 +
*[[Media: BPM CC Encounter A and B- Primary Care Physician Initial Visit 2012-03-28.pdf| BPM CC Encounter A and B- Primary Care Physician Initial Visit 2012-03-28.pdf]]
 +
 
 +
*[[Media: BPM CC Encounter C and D - Hospital Admission and Follow-Up Visit 2012-03-28.pdf| BPM CC Encounter C and D - Hospital Admission and Follow-Up Visit 2012-03-28.pdf]]
 +
 
 +
<br/>
 +
 
 +
OLDER VERSIONS OF MODELS
 +
These diagrams are provided in original Enterprise Architect format (eap) but zipped due to file size, and in pdf.
 +
 
 +
*[[Media: Chronic Care Sequence Diagram20110622.zip| Chronic Care Sequence Diagram20110622.zip]]
 +
*[[Media: Chronic Care Sequence Diagram 20110622.pdf| Chronic Care Sequence Diagram 20110622.pdf]]
 +
 
 +
*[[Media: Decision Support assisted Care Planning.pdf| Decision Support assisted Care Planning.pdf]]
  
===[[carePlan:Agendas and Minutes|Agendas and Minutes]]===
 
  
=Project Need=
+
<br/>
 +
 
 +
'''CLASS DIAGRAM'''
 +
To be added here
 +
 
 +
<br/>
 +
 
 +
'''GLOSSARY OF TERMS'''
 +
To be added here
 +
 
 +
<br/>
  
To be added.
 
  
 
=Project Scope=
 
=Project Scope=
To be added.
+
'''To be revised.'''
 
+
<br/>
Thoughts from meetings in February to April meetings:
 
-
 
 
   
 
   
 
THIS IS PAST CONTENTS THAT COULD BE LEVERAGED:
 
THIS IS PAST CONTENTS THAT COULD BE LEVERAGED:
 +
 
The Care Plan Topic is one of the roll outs of the Care Provision Domain Message Information Model (D-MIM). The Care Plan is a specification of the Care Statement with a focus on defined Acts in a guideline, and their transformation towards an individualized plan of care in which the selected Acts are added.  
 
The Care Plan Topic is one of the roll outs of the Care Provision Domain Message Information Model (D-MIM). The Care Plan is a specification of the Care Statement with a focus on defined Acts in a guideline, and their transformation towards an individualized plan of care in which the selected Acts are added.  
The purpose of the care plan as defined upon acceptance of the DSTU materials in 2007 is:  
+
 
- To define the management action plans for the various conditions (for example problems, diagnosis, health concerns)identified for the target of care  
+
The purpose of the care plan as defined upon acceptance of the DSTU materials in 2007 [[Care Provision: Care Plan 2007 DSTU Feedback]] is:  
- To organize a plan for care and check for completion by all individual professions and/or (responsible parties (including the patient, caregiver or family) for decision making, communication, and continuity and coordination)  
+
* To define the management action plans for the various conditions (for example problems, diagnosis, health concerns)identified for the target of care  
- To communicate explicitly by documenting and planning actions and goals
+
* To organize a plan for care and check for completion by all individual professions and/or (responsible parties (including the patient, caregiver or family) for decision making, communication, and continuity and coordination)  
- To permit the monitoring, and flagging, evaluating and feedback of the status of goals, actions, and outcomes such as completed, or unperformed activities and unmet goals and/or unmet outcomes for later follow up.
+
* To communicate explicitly by documenting and planning actions and goals
- Managing the risk related to effectuating the care plan,  
+
* To permit the monitoring, and flagging, evaluating and feedback of the status of goals, actions, and outcomes such as completed, or unperformed activities and unmet goals and/or unmet outcomes for later follow up.
 +
* Managing the risk related to effectuating the care plan,  
 +
 
 
Generally a care plan greatly aids the team (responsible parties – it could be the patient caregiver/family) in understanding and coordinating the actions that need to be performed for the person.
 
Generally a care plan greatly aids the team (responsible parties – it could be the patient caregiver/family) in understanding and coordinating the actions that need to be performed for the person.
 
The Care Plan structure is used to define the management action plans for the various conditions identified for the target of care. It is the structure in which the care planning for all individual professions or for groups of professionals can be organized, planned and checked for completion. Communicating explicitly documented and planned actions and goals greatly aids the team in understanding and coordinating the actions that need to be performed for the person. Care plans also permit the monitoring and flagging of unperformed activities and unmet goals for later follow up.
 
The Care Plan structure is used to define the management action plans for the various conditions identified for the target of care. It is the structure in which the care planning for all individual professions or for groups of professionals can be organized, planned and checked for completion. Communicating explicitly documented and planned actions and goals greatly aids the team in understanding and coordinating the actions that need to be performed for the person. Care plans also permit the monitoring and flagging of unperformed activities and unmet goals for later follow up.
  
=Project Team=
+
=Project Objectives and Outcomes=
 +
'''To be revised.'''
 +
1. Domain Analysis Model with the following deliverables (together with SD WG):
 +
**Definitions of Care Plan and others.
 +
**Work on storyboards and use cases (multiple). Emergency, Clinical hospital (discharge), Nursing home, chronic disease, primary care. Multidisciplinary. Example use cases can be: 1 chronic condition, obstetric case with transfer. After that CDA can use the work that is be done. CDS is an addition to the messages which already exist. They must be updated.
 +
**Dynamic model for the Care Plan Topic
 +
**Structural model. -> DAM (HDF within HL7)
 +
 
 +
== Project Work Plan and Timeline ==
 +
'''To be inserted.'''
 +
 
 +
== Project Team and Ressources ==
  
 
Primary Sponsor/Work Group is Patient Care WG
 
Primary Sponsor/Work Group is Patient Care WG
 +
: [[carePlan:Team List|'''Work Group Team Members''']]
  
 
{| class="wikitable sortable" border="1" cellpadding="5" cellspacing="0"
 
{| class="wikitable sortable" border="1" cellpadding="5" cellspacing="0"
Line 73: Line 215:
 
|width="300pt"|Notes
 
|width="300pt"|Notes
  
|-
 
|Project Co-Lead||André Boudreau||a.boudreau@boroan.ca||
 
 
|-
 
|-
 
|Project Co-Lead|| Laura Heermann Langford || Laura.Heermann@imail.org ||
 
|Project Co-Lead|| Laura Heermann Langford || Laura.Heermann@imail.org ||
 
|-
 
|-
|Other interested parties||to be listed|| ||
+
|Other interested parties||Stephen Chu||Co-Chair PCWG ||
 
|-
 
|-
 
|Publishing facilitator||??||||
 
|Publishing facilitator||??||||
Line 84: Line 224:
 
|Vocabulary facilitator||??||||
 
|Vocabulary facilitator||??||||
 
|-
 
|-
|Modeling facilitator||??||||
+
|Modeling facilitator||Luigi Sison||lsison@yahoo.com||
 
|-
 
|-
|Domain expert representative 1||Rosemary Kennedy TBC||rkennedy@qualityforum.org||
+
|Domain expert representative 1||??||||
 
|-
 
|-
 
|Domain expert representative 2 ||??||||
 
|Domain expert representative 2 ||??||||
Line 92: Line 232:
 
|Data Analyst facilitator||??||||
 
|Data Analyst facilitator||??||||
 
|-
 
|-
|Business requirement analyst||Rosemary Kennedy TBC||rkennedy@qualityforum.org||
+
|Business requirement analyst||??||||
 
|-
 
|-
 
|Requirements process facilitator|| || ||
 
|Requirements process facilitator|| || ||
Line 102: Line 242:
 
|Implementor||??||||
 
|Implementor||??||||
 
|}
 
|}
 
=Action items=
 
 
=Project Process=
 
 
=Project Objectives and Deliverables=
 
To be revised:
 
1. Domain Analysis Model with the following deliverables (together with SD WG):
 
**Definitions of Care Plan and others.
 
**Work on storyboards and use cases (multiple). Emergency, Clinical hospital (discharge), Nursing home, chronic disease, primary care. Multidisciplinary. Example use cases can be: 1 chronic condition, obstetric case with transfer. After that CDA can use the work that is be done. CDS is an addition to the messages which already exist. They must be updated.
 
**Dynamic model for the Care Plan Topic
 
**Structural model. -> DAM (HDF within HL7)
 
 
==StoryBoards==
 
|-
 
|[[Acute Care]]
 
|-
 
|[[Chronic Care]]
 
|-
 
|[[Home Care]]
 
|-
 
|[[Perinatology]]
 
|-
 
 
=Success Criteria=
 
To be defined.
 
 
=Project Timeline=
 
 
To be defined.
 
 
=Project Resources=
 
 
Most will be done in normal committee work time, and online via meetings, where all contributors have their normal responsibilities to develop DCM for their day job / clients / projects.
 
 
=Project Budget=
 
 
To be defined.
 
 
=Ballot strategy - general||
 
 
To be defined.
 
 
=Links to relevant documents=
 
 
To be defined.
 
  
 
=Participants=
 
=Participants=
Line 154: Line 248:
  
 
==Contributors of the Care Plan Topic==
 
==Contributors of the Care Plan Topic==
 +
 +
To be revised.
  
 
{| class="wikitable sortable" border="1" cellpadding="5" cellspacing="0"
 
{| class="wikitable sortable" border="1" cellpadding="5" cellspacing="0"
Line 174: Line 270:
 
Download CEN materials from Sweden here: http://www.hl7.org/Special/committees/patientcare/docs.cfm
 
Download CEN materials from Sweden here: http://www.hl7.org/Special/committees/patientcare/docs.cfm
  
=Sub Projects=
+
See also the reference material wiki page (link above)
 +
 
 +
== Project Resources ==
 +
Most will be done in normal committee work time, and online via meetings.
 +
 
 +
== Project Budget ==
 +
To be defined.
 +
 
 +
=Action items=
 +
'''Table to be inserted.'''
 +
 
 +
=Ballot strategy - general||
 +
 
 +
To be defined.

Latest revision as of 03:30, 17 December 2014


Return to: Patient Care


Go to: Care Plan Project - PCWG
Go to: Care Plan Project 2012
Go to: Care Plan Topic project (Project contents prior to 2011)


This is the Care Plan project initiated in 2011. Latest updates on this project has been moved to the Care Plan Project 2012.

Return to: Care Plan Project 2012

Introduction

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 work together with various groups including HL7 Work Groups (e.g. EHR, Structured documents), IHE, NEHTA, Canada Health Infoway, and others.

Project Co-Leaders

Laura Heermann Langford
Intermountain Healthcare, USA
Phone: 801.290.6888
Email: Laura.Heermann@imail.org
Stephen Chu
NEHTA Australia
Phone: +61.416.960.333
Email: stephen.chu@nehta.gov.au

Meeting Information

The Care Plan project team meets via conference call on a regular basis. The group will report to the HL7 Patient Care Workgroup through one of the Co-Chair or at the HL7 meetings.

  • Standing Meeting Date/Time: every second Wednesday (starting on Feb. 1st for winter 2012 period) at 17h00 NA Eastern Time /16h00 NA Central Time/ 15h00 NA Midwest Time/ 14h00 NA Pacific Time/ 22h00 UK / 23h00 Central Europe / 08h00 Australia
    • Interim meetings can be scheduled if needed.
  • Duration: 90 to 120 minutes (1,5 to 2 hours)
  • Call Logistics- voice
    • Phone Number: 770-657-9270
    • Participant Passcode: 943377#
  • Call Logistics- screen sharing/

To be determined


Meeting Agendas and Minutes

Agendas and Minutes


Project Deliverables and Working Documents

Note: the following list of deliverables will be adjusted as the project progresses.

REQUIREMENTS DEFINITION
These are the working versions of the Care Plan requirements, as the DAM work progresses.


STORYBOARDS (SB)
The following list of storyboards covers the relevant range of situations sufficient to identify the needs for Care Plan interoperability.

-Acute Care
-Chronic Care
-Home Care
-Pediatric Allergy
-Pediatric Immunization
-Perinatology
-Stay healthy


Note: Primary care encounters appear in many of the above SB. We may decide to add a specific Primary Care SB as we move along.


LATEST VERSIONS of Storyboards (in alphabetical order)


OLDER VERSIONS of Storyboards (in alpha order, most recent on top)


ACTIVITY DIAGRAMS- BUSINESS PROCESS MODELS (BPM)
The business process models (BPM) are built with Enterprise Architect (Sparx Systems) but the files cannot be uploaded to this wiki. The xml version have been uploaded here in a zip file and can be read with any browser.


OLDER VERSIONS OF MODELS These diagrams are provided in original Enterprise Architect format (eap) but zipped due to file size, and in pdf.



CLASS DIAGRAM To be added here


GLOSSARY OF TERMS To be added here



Project Scope

To be revised.

THIS IS PAST CONTENTS THAT COULD BE LEVERAGED:

The Care Plan Topic is one of the roll outs of the Care Provision Domain Message Information Model (D-MIM). The Care Plan is a specification of the Care Statement with a focus on defined Acts in a guideline, and their transformation towards an individualized plan of care in which the selected Acts are added.

The purpose of the care plan as defined upon acceptance of the DSTU materials in 2007 Care Provision: Care Plan 2007 DSTU Feedback is:

  • To define the management action plans for the various conditions (for example problems, diagnosis, health concerns)identified for the target of care
  • To organize a plan for care and check for completion by all individual professions and/or (responsible parties (including the patient, caregiver or family) for decision making, communication, and continuity and coordination)
  • To communicate explicitly by documenting and planning actions and goals
  • To permit the monitoring, and flagging, evaluating and feedback of the status of goals, actions, and outcomes such as completed, or unperformed activities and unmet goals and/or unmet outcomes for later follow up.
  • Managing the risk related to effectuating the care plan,

Generally a care plan greatly aids the team (responsible parties – it could be the patient caregiver/family) in understanding and coordinating the actions that need to be performed for the person. The Care Plan structure is used to define the management action plans for the various conditions identified for the target of care. It is the structure in which the care planning for all individual professions or for groups of professionals can be organized, planned and checked for completion. Communicating explicitly documented and planned actions and goals greatly aids the team in understanding and coordinating the actions that need to be performed for the person. Care plans also permit the monitoring and flagging of unperformed activities and unmet goals for later follow up.

Project Objectives and Outcomes

To be revised. 1. Domain Analysis Model with the following deliverables (together with SD WG):

    • Definitions of Care Plan and others.
    • Work on storyboards and use cases (multiple). Emergency, Clinical hospital (discharge), Nursing home, chronic disease, primary care. Multidisciplinary. Example use cases can be: 1 chronic condition, obstetric case with transfer. After that CDA can use the work that is be done. CDS is an addition to the messages which already exist. They must be updated.
    • Dynamic model for the Care Plan Topic
    • Structural model. -> DAM (HDF within HL7)

Project Work Plan and Timeline

To be inserted.

Project Team and Ressources

Primary Sponsor/Work Group is Patient Care WG

Work Group Team Members
Role Name Email Notes
Project Co-Lead Laura Heermann Langford Laura.Heermann@imail.org
Other interested parties Stephen Chu Co-Chair PCWG
Publishing facilitator ??
Vocabulary facilitator ??
Modeling facilitator Luigi Sison lsison@yahoo.com
Domain expert representative 1 ??
Domain expert representative 2 ??
Data Analyst facilitator ??
Business requirement analyst ??
Requirements process facilitator
Business requirement analyst
Requirements process facilitator ??
Implementor ??

Participants

Users of Care Plan

Contributors of the Care Plan Topic

To be revised.

Collaborating with Agreement status Comments
IMIA-NI Existing
IHE Existing
CEN Existing Swedish Care Plan project

Download CEN materials from Sweden here: http://www.hl7.org/Special/committees/patientcare/docs.cfm

See also the reference material wiki page (link above)

Project Resources

Most will be done in normal committee work time, and online via meetings.

Project Budget

To be defined.

Action items

Table to be inserted.

=Ballot strategy - general||

To be defined.