From: owner-patientcare@lists.hl7.org on behalf of William Goossen [wgoossen@results4care.nl]

Sent: woensdag 4 augustus 2010 23:22

To: patientcare@lists.hl7.org

Subject: Minutes of conference call 4 August 2010

Present in the call where:

Rosemary Kennedy

Kevin Coonan

Anneke Goossen

Laura Heermann

William Goossen (co-chair)

Topic: Care Plan Topic and Project: http://wiki.hl7.org/index.php?title=Care_Plan_Topic_project

Reason for the call is to continue work, discuss scope questions ad plan activities.

1. Definitions have been put on the wiki by David Rowed: http://wiki.hl7.org/index.php?title=Care_Plan_Glossary

This work can be completed, and there are discussions raised. Perhaps for another call when David is present?

Anneke will contribute next week or so with definitions from the ISO glossary.

2. What is the relationship of Care Plan with Care Coordination? Do we need to review the scope of our Topic?

There is interest from IHE Care Coordination to discuss this and to prevent duplication of work. David Stump and John Hilton are working in this area on behalf of IHE. Questions are what HL7 PC should do and what IHE should do. PC core messages are intended for the follow up of plans of care for a life time health record, spanning multiple episodes and multiple professionals and care facilities. In particular continuity of care / care plan. This is in the referral, acceptance, query and care record messages. Further the Care Plan R-MIM is a specialization of the clinical statement allowing a full plan of care, derived from guidelines, to be exchanged.  Does that include episode based care? Yes, in particular via the concern tracker, which also allows sub concern. E.g. concern for a diabetes patient, sub concern 1 for eye risks detection and care, sub concern 2 for foot care, sub concern 3 for education and lifestyle and so on.

PC has also worked with Decision support on Order sets. General agreement is the following hierarchy: 1. Guideline on Top level of abstraction, then 2. Care Plan for individual patient, then 3. Order Set specifying a group of observations, decisions, activities, then 4. an individual Observation (or set like for an particular assessment scale).

3. We need to review the impact of the Care Coordination for Care Plan Topic. This can best be done via describing different use cases in which care planning, continuity and coordination are part.

a. Anneke has put different use cases on the wiki at: http://wiki.hl7.org/index.php?title=Care_Plan_Use_cases

b. Each of us can contribute to this in the next 2-4 weeks (see the name by each use case)

c. Rosemary will contact David Rowed on his public health use case.

4. The Diabetes use case might appeal very much to IHE. Rosemary will contact David Stump and John Hilton to see if they have an interest and if they want to participate in patient care work, e.g. via joining a next call.

5. Once we have the use cases clear, we can work on giving directions for implementations. Nictiz has developed several, including data sets and architectural documents. Although in Dutch, it can be made available.

6. Next call will be August 18, 4 p.m. same time as now. This has been requested by the co-chair immediately after this meeting.

7. William will contact Australian’s who requested a call and 18^th was suggested also. But that might be better done at another time slot. We are waiting for a response of Max Walker for that.  

vriendelijke groet,

dr. William T.F. Goossen

directeur Results 4 Care B.V.

De Stinse 15

3823 VM Amersfoort

the Netherlands

telefoon +31654614458

e-mail: wgoossen@results4care.nl

kamer van koophandel 31133713

http://www.results4care.nl