PCCTech Minutes 2013 03 20

Attendees: Laura Heermann Langford, Laura Bright, Vincent Van Pelt, Thom Kuhn, Emma Jones, Valentina Ferrarini, Keith Boone, George Cole, Charles Rica, Federica Sandri

Call in Attendees: Anne Diamond, Denise Downing, John Eichwald, Alean Kirnak

Change Proposals

• Valentina's #8 assign to Valentina
• Valentina's #5 duplicate of one assigned to Mauro on Monday. Mauro to let us know if the "monday" one does not accomodate all that is in this one.
• Valentina's #6 assign to Mauro and Valentina, update to change the optionality as well as cardinality (R2 instead of R in case the cardinality = 0)
• Valentina's #3 assigned to Valentina and Mauro - the change should be to present tense verbs such as "Approve Request" instead of "Request Approved". Approve as proposed in 2nd version.
• Valentina's #7 assign to Valentina and Mauro - approved as proposed.
• Valentina's #9 assign to Valentina - the change should be R's should be R2's. with a foot note to direct to choose one or the other of the options depending on what your system is capable of doing.
• Valentina's #4 assign to Valentina - recommend for task visit result should have both Visit Result and Consult Note as R2. The rest of the tasks approved as proposed.
• Valentina's #1 assign to Valentina - concern about not getting enough feedback from the alarm workflow to the main workflow, but recognized that it would be difficult to do with current tools. Therefore, recommend approving proposal with the following chagnes: 1) include for a narrative explanation when the task is closed that something main still be working in the sub alarm workflow document. 2) idea for having a separate "lego" building block for repeating use will be postponed and will only include as needed for now in this alarm workflow document (analyze and change protocol)
• Valentina's #2 assign to Valentina - approve as proposed with the exception of change closure telemonitoring process to "close"
• Rewording and inconsistencies one - assign Valentina. approve as proposed. Vincent volunteered to help.
• Change the task type of xBER to present tense verbs. assign to Valentina, approve as proposed.

Call scheduled for Tuesday, April 16 12noon-1 pm central time.

Order and Referral Matching

• Led by George Cole
• Reviewed and provided feedback on specific questions to refine profile volume 1.
  • diagram of order placer, order filler
  • actors, actor groupings

EHDI

• Led by Lisa Nelson
  • discussion re: technical vs business actors (and workflow participants). Lisa and Anna will meet off line to discuss in more detail. Anna will work on the table independently and return it to group for discussion.
  • Need to address these issues related to technical actors, business actors, and workflow participants with Charles and Keith to be sure we are being consistent and correct.

CDA Harmonization

• Led by Keith Boone
  • Backwards Compatibility discussion
    • will add text re: consumer responsibilities.
  • Concept domains allow individual concept domains.
    • There could be a concept domain for each country regional extension
    • we would need to keep a library of these concept domains.
      • Thee would not be managed through OIDS (at least we don't think so)
      • Would prefer/defer to coordinate and have the same library as HL7 concept domain library. (would need to work out the logistics around it).
    • Concept binding is only shall.... Keith will rework the wording on this area.
      • in medication section the medication code must be populated by a medication concpet. What that code is depends on where you are located (country).
  • vocabulary constraint - baseline bindings could be called out in national extensions.

Care Plan

• Led by Emma Jones
• Review of use cases/process flows..
  • EHDI/ CARE Plan - looked correct
  • Provider to Provider Care Plan update -- looked OK.
    • Need to update some of the labels in the use case diagrams for PFCP to PtCP
  • Ambulatory to Acute Care -- Looked OK.
  • Acute care to Ambulatory Care -- Looked OK.
    • need arrows to connect to the boxes
    • Emma and Denise will work together to get the terminology on some of the arrows corrected and consistent

Questions for ITI

• EHDI
  • EHDI Transition Question (same as one below)
  • Nested Linking of workflow definition documents (How does a task call another workflow?)

Answer: XDW only has a pointer out. It is up to the profile to call out specifics beyond. There is language in XDW addressing this but it is unclear. Suggestion made to create a CP to clarify and make it "shall". Mauro will write and submit the CP.

• • How does the workflow profiles explain to workflow participants know there is a a task they need to do? Answer: it is not in XDW - in the profile you can call this out via workflow monitor description of actions. Unable to come to conclusion for this topic in time allowed. Suggestion made for each workgroup to write up their ideas on scheduling and readdress at F2F in May.

• • Should the EHDI workflow document be able to describe the bindings of the actors to the inputs and outputs (specific profiles)

Answer: Do the general profile, then indicate the specialization in 1-2 pages. Master profiles - keep profiles simple, and be mindful of pieces that need to go into XDW

• CDA Harmonization
  • Format codes - does it change or stay the same for profiles which upgrade template ID? Need a governing principle. Answer: Request made for an example to be sent out regarding this described plan. Recommendation made to form a small committee of representatives of all the domains interested in providing input. Current call is scheduled for Friday's at 9 CDT. Nancy to forward the meeting appointment to the PCC, QRPH, ITI and Domain Committee Chairs. All interested in participating should join.

Action Items: ITI/ PCC/ to write white paper on scheduling and their perspective. Nancy to send out Friday CDA Harmonization meeting appointment to all these domains.