Longitudinal Coordination of Care

LCP SWGThursday August 1, 2013

Topic Presenter Time Allotted

Announcements and Reminders Becky 5 minutes

Care Plan C-CDA Revisions Lantana 55 minutes

Agenda

2

• Sign up for the HL7 Ballot Pools to Vote on the LCC C-CDA Revisions:– http://www.hl7.org/ctl.cfm?

action=ballots.home&ballot_cycle_id=531&ballot_voter_id=0– Click the “Join Ballot Pools” link on the right– Select “HL7 Implementation Guide for CDA Release 2: Consolidated CDA

Templates for Clinical Notes, Release 1 – US Realm” • Final Care Plan Recommendations to be presented to HITPC

– HITPC: Aug 7th, 2013 9:30am-3:00pm EST – http://www.healthit.gov/policy-researchers-implementers/hit-policy-committee-19

• Call for Pilot Participation!– LCC Pilot Wiki Page: http://wiki.siframework.org/LCC+Pilot+Plan

• Contains Pilot Survey, Pilot Overview Document, and Planning Template

• Meeting Reminders (next week)– LTPAC SWG meeting – Monday at 11am ET– LCP SWG meeting – Monday at 5pm ET– LCC All Hands meeting – Tuesday at 10am ET– LCC HL7 Tiger Team SWG meeting – Wednesday at 11am ET– LCP SWG meeting – Thursday at 5pm ET

3

Announcements and Reminders

© 2011 Lantana Consulting Group, www.lantanagroup.com4

Care Plan - CDA Document Type Development

Thursday, August 1, 2013

© 2011 Lantana Consulting Group, www.lantanagroup.com5

• Discuss (haven't really worked on this – was just lifted from LCC Use Case):

• This template represents patient Goals. A goal is a defined outcome or condition to be achieved in the process of patient care. Goals include patient-defined goals (e.g., prioritization of health concerns, interventions,  longevity, function, comfort) and clinician-specific goals to achieve desired and agreed upon outcomes.

•  David Tao's comment:

These are confusing. Since there is a Health Concerns section that includes prioritization, and an Interventions section that includes interventions, why are they listed here as patient-defined goals? Perhaps it should say “alleviation of health concerns, positive outcomes from interventions,…”

Goals Section Description

© 2011 Lantana Consulting Group, www.lantanagroup.com6

• Discuss (haven't really worked on this – was just lifted from LCC Use Case):

• This template represents status, at one or more points in time, of health status evaluations or outcomes related to established

care plan goals and/or interventions.  

•  David Tao's comment:

• Added these words because it is not really the status of the goal (e.g., is the goal proposed or actual) but is the status of the evaluations or outcomes for the goal.

Health Status Evaluations/Outcomes Section Description

© 2011 Lantana Consulting Group, www.lantanagroup.com7

IS CAUSE OF

HAS SU

PPORT

REFERS TOH

AS R

EASO

N

Relationships (Happy Path) – SC changes

Health Concern

[mood EVN]

Goal [mood GOL]

Outcome Observation [mood EVN]

Intervention [mood: INT/ RQO/ etc.]

[mood: EVN]

Observation [mood EVN]

RELATES TO

RELATES TO

HAS COMPONENT EVALUATES

Outcome Assessment Observation [mood EVN]

SUPP

ORTS

© 2011 Lantana Consulting Group, www.lantanagroup.com8

• Goal Observation

• Patient Priority Preference (name change)

• Provider Priority Preference (name change)

• Health Concern Act

• Intervention Act

• Outcome Observation (new)

Templates to discuss

© 2011 Lantana Consulting Group, www.lantanagroup.com9

• Blog post by Grahame Grieve

• Identifiers in CDA Documents

Referencing Objects internally

© 2011 Lantana Consulting Group, www.lantanagroup.com10

• Related documents?

Other topics