PCCTech Minutes 2012 12 04

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Attendees: Laura Heermann Langford, Laura Bright, Emma Jones, George Cole, Anne Diamond, Lisa Nelson, Denise Downing, Tone Southerand, Keith Boone, Charles Rica, Thom Kuhn, Jon Farmer, Eric Larsen

Call in Attendees: Vincent Van Pelt, Robert Breas, Sri Bharadwaj, Chris Melo, Alean Kirnak

EHDI Workflow

  • presented by Lisa Nelson
  • concern expressed of the significant size of this workflow and the complexity of its dependency and need to coordinate with another profile being developed


BSR Workflow Definition

  • Vincent van Pelt
  • Scope clarified to have the profile give a generic way of managing and archiving all basic diagnostic and screening studies.
  • The unique aspects of this profile that differentiates referral manager is the reporting that happens at the end. Referring a patient is different in that the expectation of what is received back after the patient is seen is different.
  • Recommendation made for this project to start with eReferral and determine the similarities and differences. The work for this profile would then be determined if it is to be change proposal type work for eReferral or a new profile write.
  • Quick review of eReferral indicates 3 tasks in eReferral but the inputs and outputs are almost the same as what is being proposed for Basic Study Request.
  • The name "eReferral" would also be concerning as it may not always reflect the needs of the Basic Study Request.
  • Recommended to also keep cross enterprise workflow in mind.


Care Plan

  • Denise Downing, Emma Jones, Laura Heermann Langford, Jon Farmer
    • Change the minimalist version to have syntactical, semantic and vocabulary interoperability.
    • Concern expressed with the standards not being completely defined before undertaking this as a profile. Should this be a whitepaper instead?
    • Concern expressed that a white paper does not meet the needs of the industry. The industry would benefit from IHE undertaking a profile development and contributing to the development of the standard(s).

CCDA Harmonization (including IC work)

  • Keith Boone
    • with the update/harmonization by several groups to the Consolidated CDA we at PCC need to review our current use of CDA and determine if there are changes needed.
    • Technical Framework has been added to model driven health tools.
    • if we put profile in model driven health tools could gain validation tools, make template driven development easier. Could assist with template interchange (along with HL7 tools).
    • With the review the goals would be:

1) we have the data in our technical tool (technical framework), 2) Figure out to to manage/layer vocabulary constraints to national extensions, 3) bring a layer of abstraction (concept domain) to the value sets. and could create national extensions for the value sets.

        • Example: document specification:
          • shall use a template who root = 1.2.3
          • old
      <templateId root="1.2.3" extension=""/>
          • new
     <templateId root="1.2.3" extension="v2"/>
    • The body of the work from this effort would result in a new profile. We would need both versions (old and new to exist in parallel for a period of time)
    • Two key places in the concern/act that are known issues. Could also find issues in guarantor...
    • 3 Buckets work
      • change the templates
      • get them into the correct registry tools
      • document specifications (constraint and conflicts)
      • Would need to connect with ITI and have a discussion with them regarding our intent on what we are planning doing here. Unstructured document would be affected. We could choose to not address unstructured document in the first year. Would also affect and QRPH and Lab folks and how this could affect their Technical Framework.


Order and Referral Matching

  • George Cole
    • Order and Referral Matching is the prequel to workflow management.
    • This answers a gap that has been acknowledge by 360 Exchange.
    • Discussion regarding similarity between this and current profile under consideration at ITI called FSUB.
        • This seems to be more of a metadata work - that is outside of PCC scope.
        • Need to discuss this with ITI in regards to their ideas with FSUB
    • The idea here has support - but there is concern about overlap or coordination with ITI. They are really talking publish/subscrie. There are overlaps but they are uniquely different.
    • Direct is interested in this 360 Exchange is interested. Canada is also working on projects in this area.
    • This seems like it could have some overlap into care plan in managing and tracking items.
    • This profile is written so it could accommodate other items (such as Care Plan) in addition to order and referral.


Joint with ITI and QRPH

PCC & ITI Agenda Items:

  • PCC Referral and other profiles
  • eReferral Search Services Overview
  • Discuss and resolve overlap
  • update of PCC Technical Framework for CCDA inform to ITI
      • scanned document and unstructured documents (scanned will meet the requirements of unstructured document so that will be postponed - but when ti does happened ITI will need to be engaged due to their existing profile.
    • ITI project is referral and scheduling. Propose separating them. There are scope/depth questions with it.
    • Three parts - find who to send patient to, send the order, the actually complete the referral.
    • Request from ITI for names for volunteers for the ITI whitepaper
      • ITI will send an email with more detail on request to the co-chairs or full committee for reviewer names to be submitted.


    • George Cole present his proposal. ITI reminded of a CP coming from Radiology Domain. It will be sent out to the PCC and QRPH for review. Future call to be scheduled to discuss and determine a common solution.


Joint with QRPH

  • Long discussion updating the QRPH team of the PCC discussion on EHDI, Diagnostic Screening/Diagnostic TEsting and eReferral, and Care PLan this am.
  • Decided to keep the profiles in the PCC domain and Technical Framework. QRPH will use their current flawed care plan with change proposals and send resources to work on the workflow definition and the diagnostic screening if approved by PCC for work in 2013.
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