PCWG updates: Care Plan DAM CCS Health Concern

1. PCWG updates:Care Plan DAM CCS Health Concern September 2014 Chicago WGM Stephen 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

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

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

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

5. Care Coordination Services (CCS) May 2014 – DSTU ballot: what’s new? • 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 Next phase: DSTU implementation OMG technical spec development

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

7. Health Concern DAM September 2014 – Informative ballot • 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

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

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

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?