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Health Concern

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This is a new Health Concern Project initiated October 2013.
This wiki page contains latest contents for the Health Concern Project post September 2013 WGM at Cambridge.


Care Plan has been balloted in 2007 as DSTU. However, a number of ballot issues were not resolved satisfactorily and consequently the balloted contents did not reach DSTU status.

The project plan initiated in 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

Michael Tan
Kevin Coonan, MD
Email: k e v i n <dot> c o o n a n [Gmail and Skype--remove the spaces]

Meeting Information

Insert conference call details here

  • Call Logistics- voice
    • Phone Number: 770-657-9270
    • Participant Passcode: 943377#

  • Call Logistics- screen sharing/
    • Web conferencing URL:

Meeting Agendas and Minutes

Health Concern Meetings/Conference Calls Agenda and Minutes

Working Documents and Project Deliverables

Note: the following list of documents/deliverables will change as the project progresses.

Working documents to be inserted here

Links to Other Related and Relevant Projects

Any related resources and documents to be inserted here

Project Scope


A Health Concern is any health related issue which is identified by a user of an EHRS as needing tracking. The concept of a Health Concern is agnostic to the specific content or who identified the need to track it. It is principally concerned with the tracking and maintenance of the expressed content. In all cases there will need to be an Observation (a Condition) which names the Health Concern. Condition can be diagnosis, signs, symptoms, risks (of some future undesirable state), risk factors, abnormal diagnostic study, barrier to care, propensity to adverse reaction (aka "allergy"), or patient preference. This is based on a long-standing convention, and has been broadened to accompany the range of Health Concerns. Additional types of Health Concerns are quite possible, if they differ substantially from some existing type.

Additional criteria based on the specific Condition which names the Health Concern

Previous discussion has indicated that a Health Concern requires some sort of action on the part of the care team (which potentially includes the subject and/or record target), based on the specifics of the Condition which names the Health Concern. Thus, there is a Condition specific requirement to be the reason for some action, even if that action is to simply observe. A Condition also implies one or more (prioritized) Goals, i.e. an assertion of what should happen or the desired outcome.

Project Objectives and Outcomes

As per Health Concern Project Scope Statement.

Project Work Plan and Timeline

As per Health Concern Project Scope Statement.

Project Team and Ressources

Primary Sponsor/Work Group is Patient Care WG