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Revision as of 20:15, 31 May 2013

Return to the HL7 Technical Committee Wiki

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 Patient Care WG wiki is evolving and regularly being updated. If you find any links not working, please email one of the PCWG co-chairs with specific details. We will try our best to rectify the issues identified ASAP. Thanks for your patience and continuous support

Meeting Information

Patient Care Workgroup Meeting: Draft Agenda and Minutes updates:

Patient Care Work Group meeting Agenda and Draft Minutes

Meeting information on HL7 Website

Draft agenda for next WGM

minutes from the HL7 website

Conference calls schedule
Phone Number: +1 770-657-9270
Participant Passcode: 943377

Allergies and Intolerances; biweekly on Wednesday at 5:00 pm US Eastern Time
Patient Care Co-chair call; first Monday of the Month at 5:00 pm US Eastern Time

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

Conference Calls / Meetings

Current Ballots: We Need Your Input and Help!

  • Ballot Announcements
Project/Topic Ballot Cycle Status
Allergy & Intolerance DAM Informative Ballot 2 January 2013 Completed
Allergy/Intolerance and Adverse Reaction DSTU September 2013 Open
Care Plan DAM Informative Ballot 1 planned for September 2013 Open
Health Concern DSTU planned for September 2013 open
Care Coordination Services FM DSTU (joint with SOA) planned for September 2013 Open

Archived Ballot Announcement and Information


Co-Chair Co-chair Co-chair Co-Chair
Stephen Chu, MD
National eHealth Transition Authority Australia
Phone: +61 416 960 333
Kevin M Coonan, MD
Data Network Corp (DNC)
Phone: +1 202 213 3891
Russ Leftwich, MD
Phone: + 1 615.480.3111
Elaine Ayres
NIH Clinical Center, NIH
Phone: +1 301 594 3019
Michael Tan
National IT institute for the Healthcare (NICTIZ),
Phone: + 31 70 3173450
Hugh Leslie, MD
Ocean Informatics
Phone: +61 404 033 767
Klaus Veil
HL7 Australia
Phone: +61 412 746 457
(Term ends in Sept. 2013)
Phone ...
Email ...

Model Facilitator Publishing Facilitator Vocabulary Facilitator
Jean Duteau
Phone: ??
Michael Tan
Phone: 31-70-3173459
Susan Matney
Phone: ??

Project lead: Allergy/Intolerance Project lead: Care Plan
Elaine Ayres;
Phone: 301-594-3019
Laura Heermann Langford
Phone: 801-507-9254
Stephen Chu
Stephen Chu

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.


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.

  • Mission & Charter: *Overview Updated in Kyoto, 2009, Due for revision January 2012.
  • 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]
  • 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.

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.
The domain model has reached the normative status, but all underlying R-MIMs are split to separate topics and balloted seperately. This has already been carried out for the RMIM's for Care Record, Care Record Query and Care Transfer, which all has been succesfully balloted. Other new (sub)topics such as Care plan will be added over time.
Project ID: 284

Project contact: William Goossen,|

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;; Elaine Ayres;

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.
The ballot on the Assessment Scales topic has been succesfully completed. The topic has now been nominated as DSTU.
Project ID: 664
Project contact: William Goossen;

Care Plan Project 2012

Care Plan was balloted in 2007 as DSTU. However, a few negative comments had not been resolved and the balloted contents did not achieve DSTU status.
A new project was initiated in 2011. The plan for 2011 is to first develop a Domain Analysis Model (DAM) for the Care Plan, and then decide on further contents development.and activities to follow. 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: A project scope statement document has been submitted and waiting to be processed by TSC.
SOA WG is working in collaboration with the PCWG Care Plan project team to define a set of Care Collaboration Services for care plan development and implementation including care activities scheduling and orchestration.
Project contact: Laura Heermann Langford,; or Stephen Chu, MD,

New PSS and Project ID needed before moving any material to ballot
Care Plan Topic & Ordersets

After 2 years of no activity this project has been cancelled.

Care Composition

No further work is done.

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;

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


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;

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.
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

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;

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


Other topics the Patient Care TC has defined:

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

This topic is completed and published in the normative edition since 2013.

This topic is completed and published in the normative edition since 2013.

This topic is completed and published in the normative edition since 2013.

  • 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)

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


External links