Dynamic Care Planning Meetings

This Profile team meets on Mondays 10-11:00 EST Please navigate to https://himss.webex.com for call in information.

Monday November 30, 2015

Attendees: Anne Diamond Lisa Nelson Emma Jones Keith Boone Amit Popat George cole Denise Downing Elena Vio

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Goal for Today's call 1. Need to determine the Use cases we will need 2. Discuss concerns with scope and infrastructure and what we were thinking about profiling in terms of CCS Capabilities

Use Cases Decided we should do two - transition of care and chronic disease management (Chronic disease management - can be useful in Canada) To assist with marketing suggestion made to ensure we include support of MU CCDS Recommendation made to not be specific with use of 'Post-acute' - need to keep it high level and more generalized. Post-acute means different things to different folks Suggestion to flush out the use case before we work on the transactions and actors

Scope and infrastructure Reviewed the CCS capabilities we may need to support Discussion about the scope of what we will profile - the CCS capabilities- this will be the actors and transactions. Suggestion made to focus on care Plan management capabilities primarily Discussion about combination of subscribing and publishing - can be logically and virtual Discussion about not needing to do anything special to have a transaction that is to 'create the plan'. Let that be a pre-condition, one or more care plan exists and this is the process to get those plans aligned and centralized

George presented the 'Back of the napkin' idea

Actor A provides content, actor B pulls data out of the care plan

Certain set of FHIR operations - can get multiple FHIR servers to synchronize their activities. There is a subscription resource in FHIR that can set up queries to query- resource describing a query

Discussion about resolving patient identity. Community EMPI, PDQ - use of PQm First approach is to do a handshake about what patient we're talking about - we would have to profile this - First we have to know the identity - an agreed upon identity Or Use chaining - care plan associated with patient. Federated - Use a network of some sort. Community exchange will handle the staring. Lisa's Star.

Call ended. Next meeting Monday Dec 7th