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© 2015 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.
HL7 FHIR Connectathon
Care Plan Track Outcome Summary
September 2017, San Diego, CA Track Lead: Dave Carlson (VA)
© 2015 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.
Participation
n All testing with FHIR Release 3 (March 2017) n Organizations:
Ø Academy of Nutrition and Dietetics Ø Allscripts Ø Datuit Ø InterSystems Ø PatientLink Enterprises Ø Rdnote Ø SAMHSA (Substance Abuse and Mental Health Services
Administration) Ø VA (U.S. Department of Veterans Affairs) Ø And others..
9/10/17 2
© 2015 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.
Use Case Scenarios
n Three Veteran “personas” with care plans Ø Working with VA clinicians to validate and expand
n Meghan (post 9/11): TBI & Seizures, PTSD, Depression, Pregnant
n Byron (post 9/11): PTSD, Substance Abuse, Suicide risk n Dan (Vietnam): PTSD, Diabetes, Hypertension
n Nutrition Orders and Care Plans Ø Adding nutrition orders to Dan’s care plan
n Behavioural Health care plans and coordination n Exchange FHIR Care Plans between multiple
vendors and servers
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© 2015 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.
HSPC Sandbox Test Server n https://api-stu3.hspconsortium.org/careplantest/open
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© 2015 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.
Using clinFHIR Scenarios
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© 2015 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.
clinFHIR view for Meghan
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© 2015 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.
Plan Definition and Care Plans
n Using PlanDefinition and ActivityDefinition Ø Order sets Ø Clinical practice guidelines Ø Protocols
n Create new Care Plan for a patient
n Work by AllScripts and Stephen Chu
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© 2015 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.
Activity Request e.g. ProcedureRequest
PlanDefinition e.g. DM Type II
Activity Event – uses action resources e.g. Procedure
definition
initiates
ActivityDefinition ActivityDefinitio
n ActivityDefinition ActivityDefinitio
n ActivityDefinition
ActivityDefinition library
Protocol/Template/orderSets
Care Plan
Patient specific basedOn
Health Concern
Health Goal
addresses
identifies
fulfils
PlanDefinition
First Line Monotherapy Metformin HCL 500 mg ….. description: Metformin HCl 500 MG Oral Tablet; TAKE one TABLET Twice daily with meals; 60 tablet; 2 refills purpose: Defines a guideline supported prescription for the treatment of DM Type II usage: This activity definition is used as part of Diabetes Mellitus, Type 2, Adult +MU care guides approvalDate: 04/28/2017 lastReviewDate: 05/04/2017 effectivePeriod: 05/04/2017 --> 05/04/2018 ….. Diet Recommendation – follow a 1500 calories diabetic diet ….. description: Diabetes diet, specified calories; Follow a diabetic diet with 1500 calories. purpose: Defines a guideline supported patient instructions for the treatment of DM Type II usage: This activity definition is used as part of Diabetes Mellitus, Type 2, Adult +MU care guides approvalDate: 04/28/2017 lastReviewDate: 05/04/2017 effectivePeriod: 05/04/2017 --> 05/04/2018 …..
actionDefintion (group)
© 2015 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.
Conclusions and Next Steps
n Continue to expand sample CarePlan resources with clinically valid data Ø Expand Veteran care plans with validation by VA clinicians
n Next Steps: Ø Continue work on PlanDefinition & ActivityDefinition Ø Continue creation of NutritionOrder examples and
relationship with Care Plan Ø Subscription to care plan changes
n Set up test environment on HSPC servers Ø Reconcile and integrate multiple care plans Ø Integrate with cds-hooks
n Evaluate progress toward care plan goals
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© 2015 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.
Care Plan Track References
n Connectathon track wiki, September 2017 Ø http://wiki.hl7.org/index.php?title=201709_Care_Plan
n Sample FHIR resources for Veteran patients with care plans Ø JSON transaction bundle files Ø https://github.com/clinical-cloud/sample-data
n HSPC Sandbox test server Ø https://api-stu3.hspconsortium.org/careplantest/open
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