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[[Category:Patient_Care]]
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THIS IS NOW CONSIDERED ARCHIVED MATERIAL. THIS PROJECT HAS BEEN REPLACED BY [[Care Plan Project 2012|Care Plan Initiative project 2012]].
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Return to: [[ Patient Care]]
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<br>
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Go to: [[Care Plan Project - PCWG]]
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<br>
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Go to: '''[[Care Plan Project 2012]]'''
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<br>
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Go to: [[Care Plan Initiative project 2011]]
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<br>
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'''Other Relevant Links:'''
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<br>
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further to: [[Care Plan Topic & Ordersets]]
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further to: [[Care Plan Glossary]]
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further to: [[Care Plan Storyboards]]
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further to: [[Care Plan Use cases]]
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=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.  
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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 PC will work together with:
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For the content of this DSTU material.
 
For the content of this DSTU material.
  
=Project Intent=
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=Project Need=
 
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Items about Care Planning to be discussed towards a future round of DSTU include:
The plan for 2010 is to complete the contents of Care Plan.
+
* Existing RMIM: does it cover all kinds of care plans and pathways.
 +
* Definition of care plan
 +
* The overall structure that has been agreed: Care Plan -> Order set -> Clinical Statement. Discussion about this hierarchy is done in PC, O&O and CDS WG.
  
 
=Project Scope=
 
=Project Scope=
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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.
  
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=Project Team=
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Primary Sponsor/Work Group is Patient Care WG
  
=Project Team=
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Co-sponsor Work Group(s) is Structured Documents WG
  
 
{| class="wikitable sortable" border="1" cellpadding="5" cellspacing="0"
 
{| class="wikitable sortable" border="1" cellpadding="5" cellspacing="0"
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|Other interested parties||IMIA-NI and IHE|| ||
 
|Other interested parties||IMIA-NI and IHE|| ||
 
|-
 
|-
|Publishing facilitator||Jean Duteau||jean.duteau@gpinfornatics.com||To be discussed by William, Jean and Woody Beelers before the HL7 WGM in May||
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|Publishing facilitator||??||||
 
|-
 
|-
 
|Vocabulary facilitator||Susan Matney||susan.matney@utah.edu ||
 
|Vocabulary facilitator||Susan Matney||susan.matney@utah.edu ||
 
|-
 
|-
|Modeling facilitator||Jean Duteau||jean.duteau@gpinfornatics.com||
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|Modeling facilitator||??||||
 
|-
 
|-
 
|Domain expert representative 1||Rosemary Kennedy||rkennedy@qualityforum.org||
 
|Domain expert representative 1||Rosemary Kennedy||rkennedy@qualityforum.org||
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|-
 
|-
 
|Requirements process facilitator|| || ||
 
|Requirements process facilitator|| || ||
 +
|-
 
|Business requirement analyst|| || ||
 
|Business requirement analyst|| || ||
 
|-
 
|-
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|-
 
|-
|Analyse and model Glasgow Coma Scale for DSTU||An DCM for the Glascow Coma Scale is in enterprise archtect available for ballot.Also available is an export document so clinicians can give comment on the clinical content.||Informative ballot september 2010||In progress.   
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|Conceptuel, contextual and structural definitions of Care Plan|| new text ||Informative ballot 2011||In progress.   
|-
 
|Revise Barthel index in PC DSTU and ISO 13606-3||An DCM for the Barthel index is in enterprise architect available for ballot. Also available is an export document so clinicians can give comment on the clinical content.||Informative ballot september 2010||In progress
 
|-
 
|Translate Dutch example scales into English||Examples are available. Different scales with different modeling issues should be choosen for balloting. the different examples must be modeled in EA. An export document must be made and available.||Informative ballot september 2010||To be discussed during the HL7 WGM in Rio de Janeiro
 
 
|-
 
|-
|Identify use cases for larger scales and make new R-MIM for nested scales based on PC DSTU and Oemig’s set of scores and model and Coonans clinical examples||Last revisions underway before filing DSTU status.||Informative ballot september 2010||Status to be discussed in HL7 WGM in May 2010.
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|Definitions for each part of the care plan||The parts must be consistent with the structural definition of care plan||Informative ballot 2011||In progress.
 
|-
 
|-
|Proof of concept with Top 10 of items||Together with CIC (clinical), Terminfo (apply Snomed CT and or LOINC), Templates (authorization and registry) for 10 items (now 9).Simultaneous work. Send out the material now and ask for review feedback.||Informative ballot september 2010||In Progress. Material is available on the HL7 wiki. General feedback has been given. Yes must go on.
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|Work on Storyboards||Multiple: for example for Emergency, Clinical hospital (discharge), Nursing home, chronic disease, primary care. Mono- and Multidisciplinary||Informative ballot 2011||In progress.
 
|-
 
|-
|Specification how to link to the work in clinical groups||To be specified in the ballot. Before that a discussion in the clinical groups||May 2010||In Progress
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|Work on Use cases||Example use cases can be: chronic condition, obstetric case with transfer||Informative ballot  2011||In progress.
 
|-
 
|-
|Analyse the feedback on the actions above||Feedback given on the content of the DCM. Feedback given on the methodology of DCM.||After the ballot of september 2010||Waiting.
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|Development of a Dynamic model for the Care Plan Topic|| ||Informative ballot 2011||Waiting.
 
|-
 
|-
|Outline a methodology for making DCM, checking for vocabulary requirements, template requirements||Based on the analysis of the feedback.||Informative ballot January 2011||Waiting.
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|Development of a Structural model||DAM (HDF within HL7)||Informative ballot 2011||Waiting.
 
|-
 
|-
|Transform DCM to R-MIM, archetypes and EHR profiles||See DAM vs DCM vs SAEAF||Informative ballot 2011||Some progress made.  
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|R-MIM update, meeting all care plan and pathway requirements||This is work for PC WG only|| 2011||Waiting.
 
|-
 
|-
|Develop a guideline for creating a DCM||Simultaneous work with work for the ISO standard and NIctiz. Include quality criteria for DCM.||Informative ballot september 2010||In progress
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|CDA for discharge of a nursing care plan||Joint PC, SD and IHE), including a robust set of examples|| 2011||Waiting.
 
|-
 
|-
|Publishing DCM in the HL7 repository||Contribution to the work done by Jane Curry, Mark Shafarman and Keith Boone||To be determined||Waiting.
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|Work on relationship of care plan with ordering, verifying and reporting of orders|| || ||Waiting.
|-
 
|Publishing the top 10 of DCM on the wiki HL7 Patient Care||Includes the Glasgow Coma Scale and the Barthel index. Open for feedback||Is published already||In Progress.
 
|-
 
|Publishing the examples DCM of some scales on the wiki HL7 Patient Care|| ||May 2010||Waiting.
 
|-
 
|Publishing the guideline for creation of a DCM on the wiki HL7 Patient Care|| ||May 2010||Waiting.
 
|-
 
|Develop and use metrics for quality criteria||This will be based on the work of Sunju Ahn from South Korea.This is put into ISO work as soon as this is allowed due to PhD obligations||After May 2010||Waiting.
 
|-
 
|Make a summary of different existing models, approaches and their implementation|| || ||
 
|-
 
|Identify where work is done and future work should be done, in relationship with ISO and JIC|| || ||
 
|-
 
|Do comparison of DCM work as in first motion||This is a follow up on the Cologne DCM meeting where some work started from|| || ||
 
|-
 
|Create tooling to do DCM and exchange with other tools||A tool has been created in Enterprise Architect. This is ungoing work. Exchange with other tools is work to be done||Before 2011||In Progress
 
|-
 
|Identify a method for inclusion of DCM into the larger SAEAF picture of HL7 methodology||This included how to engage clinicians in particular in the HL7 space, and methods for how to go from DCM to HL7 templates and message artefacts. It will include also the position of DCM in the overall picture which is about decoupling semantics from constraining and from implementing. It should account why this reduces complexity in HL7 as a whole in keeping the clinical data element expression and use consistent. Patient care will accept the request to become an ARB SAEAF alpha project|| ||In Progress
 
|-
 
|Set up joint meeting with ARB and MnN and publishing||This to ascertain that DCM fits in the overall SAEAF approach as part of methodology in HL7 and can be published for balloting||May 2010||In Progress
 
|-
 
|Identify dependencies for success and how these can be met||In particular to identify dependencies such as on a templates registry and specification, tooling, publishing and linkage to SAEAF||May 2010||In Progress
 
|-
 
|Submitting DCM to JIC||A particular approach was agreed roughly a year ago with the JIC chair. That is in particular to bring it to JIC once it is established as a project in both HL7 (May 2008) and ISO (July 2009). The plan has always been to bring the JWG requested projects to JIC||As soon as possible by William||In Progress
 
|-
 
|
 
 
|}
 
|}
  
Remark: The actions came from the project scope statement, but must be reviewd by William Goossen as a co-chair of Patient Care.
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Remark: The actions came from the project scope statement.
  
 
=Project Process=
 
=Project Process=
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**Review of project plan and action items
 
**Review of project plan and action items
 
**Opportunity to ask questions and answers
 
**Opportunity to ask questions and answers
 +
 +
Please also refer to IHE PPC page 7 in attached linked document.
 +
http://www.ihe.net/Technical_Framework/upload/IHE_PCC_Patient_Plan_Of_Care_PPOC_TI_-2009-08-10.pdf
 +
 +
IHE approves to reuse the existing storyboard / use case / swim lane diagrams for HL7 PC use cases.
 +
 +
Also Australia agreed to the Patient Care WG the use cases they developed in the Care Plan project in Australia.
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 +
These can be found at http://ihe-australia.wikispaces.com/Care+Coordination+and+eReferra along with some background.
  
 
=Project Objectives and Deliverables=
 
=Project Objectives and Deliverables=
  
 +
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)
  
 +
2. R-MIM update, meeting all care plan and pathway requirements (PC WG only)
  
=Project Dependencies=
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3. CDA for discharge of a nursing care plan (joint PC, SD and IHE), including a robust set of examples.
  
 +
4. Work on relationship of care plan with ordering,  verifying and reporting of orders
  
 +
=Success Criteria=
 +
 +
Clear definitions of Care Plan and components, harmonized with CEN Contsys standard, the risk management standards, IHE profiling and IMIA NI project work.
 +
Use cases and storyboards updated
 +
Proper description how the care plan and pathways can be mapped to the Care Plan R-MIM
 +
Update of the R-MIM, if necessary to accommodate the use cases
  
 
=Project Timeline=
 
=Project Timeline=
  
 
+
Work will be done during 2010 en 2011. Accepted as DSTU end of 2011
  
 
=Project Resources=
 
=Project Resources=
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=Participants=
 
=Participants=
  
==DCM Users==
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==Users of the Care Plan Topic==
  
==DCM Annonators==
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==Annonators of the Care Plan Topic==
  
==DCM Liasons==
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==Liasons of the Care Plan Topic==
  
==DCM Developer==
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==Developers of the Care Plan Topic==
  
==DCM Contributors==
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==Contributors of the Care Plan Topic==
  
 
{| class="wikitable sortable" border="1" cellpadding="5" cellspacing="0"
 
{| class="wikitable sortable" border="1" cellpadding="5" cellspacing="0"
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|-
 
|-
|CEN||Existing||
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|IMIA-NI||Existing||
 
|-
 
|-
|ISO||Existing||
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|IHE||Existing||
 
|-
 
|-
|OpenEHR||Unknown||Informal agreement on this work
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|CEN||Existing|| Swedish Care Plan project
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|-
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|}
 
|}
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Download CEN materials from Sweden here: http://www.hl7.org/Special/committees/patientcare/docs.cfm
 +
 
=Sub Projects=
 
=Sub Projects=

Latest revision as of 03:32, 17 December 2014


THIS IS NOW CONSIDERED ARCHIVED MATERIAL. THIS PROJECT HAS BEEN REPLACED BY Care Plan Initiative project 2012.

Return to: Patient Care


Go to: Care Plan Project - PCWG
Go to: Care Plan Project 2012
Go to: Care Plan Initiative project 2011


Other Relevant Links:
further to: Care Plan Topic & Ordersets

further to: Care Plan Glossary

further to: Care Plan Storyboards

further to: Care Plan Use cases

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 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 Need

Items about Care Planning to be discussed towards a future round of DSTU include:

  • Existing RMIM: does it cover all kinds of care plans and pathways.
  • Definition of care plan
  • The overall structure that has been agreed: Care Plan -> Order set -> Clinical Statement. Discussion about this hierarchy is done in PC, O&O and CDS WG.

Project Scope

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 - 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 Team

Primary Sponsor/Work Group is Patient Care WG

Co-sponsor Work Group(s) is Structured Documents WG

Role Name Email Notes
Project facilitator Rosemary Kennedy rkennedy@qualityforum.org
Other interested parties IMIA-NI and IHE
Publishing facilitator ??
Vocabulary facilitator Susan Matney susan.matney@utah.edu
Modeling facilitator ??
Domain expert representative 1 Rosemary Kennedy rkennedy@qualityforum.org
Domain expert representative 2 Anneke Goossen agoossen@results4care.nl
Data Analyst facilitator Gay Gianone gay@alschulerassociates.com
Business requirement analyst Rosemary Kennedy rkennedy@qualityforum.org
Requirements process facilitator
Business requirement analyst
Requirements process facilitator Frank Oemig hl7@oemig.de
Implementor Ewout Kramer e.kramer@furore.com

Action items

Action Description Timeline Status
Conceptuel, contextual and structural definitions of Care Plan new text Informative ballot 2011 In progress.
Definitions for each part of the care plan The parts must be consistent with the structural definition of care plan Informative ballot 2011 In progress.
Work on Storyboards Multiple: for example for Emergency, Clinical hospital (discharge), Nursing home, chronic disease, primary care. Mono- and Multidisciplinary Informative ballot 2011 In progress.
Work on Use cases Example use cases can be: chronic condition, obstetric case with transfer Informative ballot 2011 In progress.
Development of a Dynamic model for the Care Plan Topic Informative ballot 2011 Waiting.
Development of a Structural model DAM (HDF within HL7) Informative ballot 2011 Waiting.
R-MIM update, meeting all care plan and pathway requirements This is work for PC WG only 2011 Waiting.
CDA for discharge of a nursing care plan Joint PC, SD and IHE), including a robust set of examples 2011 Waiting.
Work on relationship of care plan with ordering, verifying and reporting of orders Waiting.

Remark: The actions came from the project scope statement.

Project Process

  • Teleconferences on Wednesday at 4 pm Eastern time.
  • Using Tooling's telecon. Will be announced via the Patient Care mailing list.
  • Standing Agenda Items
    • Review of project plan and action items
    • Opportunity to ask questions and answers

Please also refer to IHE PPC page 7 in attached linked document. http://www.ihe.net/Technical_Framework/upload/IHE_PCC_Patient_Plan_Of_Care_PPOC_TI_-2009-08-10.pdf

IHE approves to reuse the existing storyboard / use case / swim lane diagrams for HL7 PC use cases.

Also Australia agreed to the Patient Care WG the use cases they developed in the Care Plan project in Australia.

These can be found at http://ihe-australia.wikispaces.com/Care+Coordination+and+eReferra along with some background.

Project Objectives and Deliverables

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)

2. R-MIM update, meeting all care plan and pathway requirements (PC WG only)

3. CDA for discharge of a nursing care plan (joint PC, SD and IHE), including a robust set of examples.

4. Work on relationship of care plan with ordering, verifying and reporting of orders

Success Criteria

Clear definitions of Care Plan and components, harmonized with CEN Contsys standard, the risk management standards, IHE profiling and IMIA NI project work. Use cases and storyboards updated Proper description how the care plan and pathways can be mapped to the Care Plan R-MIM Update of the R-MIM, if necessary to accommodate the use cases

Project Timeline

Work will be done during 2010 en 2011. Accepted as DSTU end of 2011

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

There will be a budget necessary for the HL7 repository

=Ballot strategy - general||

Revision of existing DSTU materials, inclusion of new scales into ballot and ongoing maintenance and new materials. Future normative will probably only possible if HL7 at large has established a repository of templates / R-MIMs.

Links to relevant documents

Templates Registry Pilot

Participants

Users of the Care Plan Topic

Annonators of the Care Plan Topic

Liasons of the Care Plan Topic

Developers of the Care Plan Topic

Contributors of the Care Plan Topic

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

Sub Projects