© 2013 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.

PCWG updates: Care Plan DAM CCS Health Concern

September 2014 Chicago WGMStephen Chu, co-chair PCWG

Laura Heermann Langford, co-chair PCWG

Russ Leftwich, co-chair PCWG

Elaine Ayres, co-chair PCWG

Michael Tan, co-chair PCWG

Enrique Meneses, PCWG and SOA

© 2013 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. 2

Care Plan DAM – Post Phoenix

Ballot reconciliation Balloted contents:

Storyboard (new: Care/Disease Management) Updated model References to care plan processes in CCS

About 90+ ballot comments Half negatives The remaining: questions, comments, suggestions

Post Phoenix fortnightly ballot reconciliation conference calls Completed in mid August

01/01/2011

May 2014 – Care Plan DAM Informative Ballot 2: what’s were balloted?

© 2013 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. 3

Care Plan DAM – current status

Apply ballot issue disposition decision Storyboard on CM/DM update per ballot comments – in

progress All DAM contents update to progress into mid October

Project team final approval review Post Chicago WGM conference call

Publication: Planned for end of October

01/01/2011

© 2013 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. 4

Care Plan DAM – next phase

Post Chicago WGM work Review and update old PCWG care plan RMIM to align

with Care Plan DAM; or Develop new care plan RMIM based on Care Plan DAM C-CDA care plan templates harmonization

Collaboration with SDWG

Care Plan RMIM work project plan: Tentative ballot date: September 2015 Develop strawman PSS for approval

01/01/2011

© 2013 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. 5

Care Coordination Services (CCS)

Include functional capabilities to support care plan initiation, complex negotiations and coordination

Added dynamic/behavioural framework and processes based on care plan process use cases

01/01/2011

May 2014 – DSTU ballot: what’s new?

Next phase: DSTU implementation OMG technical spec development

© 2013 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. 6

CCS – next phase

Ballot reconciliation completed: August Apply changes to CCS specification based on

May 2014 ballot disposition decisions Publish CCS DSTU: October Two implementers working on DSTU

implementation Work with OMG:

OMG to issue RFP (Dec 2014) for vendor response to produce implementation technical specification

01/01/2011

© 2013 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. 7

Health Concern DAM

First Informational ballot for Health Concerns 129 participants

26 affirmative votes 8 negative votes 83% Quorum, mininum required of 21 affirmative

3 ballot spreadsheets with 42 comments. 32 negative comments to deal with during

WGM and post Chicago conference calls

01/01/2011

September 2014 – Informative ballot

© 2013 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. 8

PCWG in FHIR

FHIR clinical resource DSTU Processing change requests from technical

connectathon New FHIR clinical resource developed

ReferralRqeust (scope covering referral and transfer of care requests)

To be decided at Chicago WGM Clinical assessment Procedure request/order Patient education

01/01/2011

© 2013 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. 9

FHIR Clinical Connectathon

Objective: Test the clinical accuracy, validity and usefulness of

FHIR clinical resources Three clinical storyboards/scripts will be used

Allergy/intolerance, adverse reactions Acute care Chronic conditions management

Date: Friday 19 September Likely to be repeated at next WGM

Care plan & referral will be heavily tested

01/01/2011

© 2013 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. 10

PCWG updates

Participation and contributions welcome and highly appreciated

PCWG is fun and GOLD star

Conference calls on Wednesdays & Thursdays (5:00pm US Eastern)

Thank you and Questions?

01/01/2011