PCCTech Minutes 2014 07 22

Kirkistan ISO and IHE Implementation

• Presenter - Anna Orlova, Lisa Spellman
  • Kirkistan implementation of standards for their eHealth initiative
    • Would like to move to eGov, eHealth is part of eGov.
    • Have had an influx of various donors - WHO, USAID, etc
    • Currently have EMRs and Lab information systems
    • 3 level health care system
    • Priorities - Cardiology, TB, Maternal/child health, HIV
    • Request is to provide information about what standards they should use to meet the interoperability needs for their priorities. How should they go about the implementation process for IHE standards?
    • WHO funds one person to come to the US.
    • Objective is for IHE to operationalize the expertise from these countries
    • HOW do they find the information on what they need and how connect?
      • Suggestions: They need to look at all the standards (IHE, HL7, IEEE, etc); They need a general contractor in Kerkistan
      • Recommendations:
        • This is an IHE board level discussion
        • Evaluation of the standards - is it implemented, they can buy products with the standards implemented
    • ISO - looking at their business model because many industries are looking at the way standards are made available. Industries are looking at free access to standards. IHE, IEEE, etc. However, organizations partners with ISO to sell them. CDIS - provides the standards for free.

MCV Comments

• Led by George Cole
  • Profile updates complete

RECON Comments

• Led by Emma Jones, Denise Downing

QRPH PCC Joint

• Issues
  • Admission Medication history: Be able to capture 12 months of medication history for fertility meds in LDS
    • Solution - use admission medication section
  • encompassingEncounter: Need the admission source
    • Solution: Need an extension in encompassingEncounter. Will go above dischargeDisposition code, after effectiveTime.
  • Coded event outcomes: this section is limited. It uses a simple observation.
    • Solution: Need a CP for problem observation to be added.
  • Patient Transfer entry in Coded event outcomes section:inherits from problem concern
    • Solution: need CP to get rid of the parent
  • Coverage Entry: need a payer type.
    • Solution: CP to change policy entry to payer entry
  • EDHI - baby is the record target but need the language to be on the mother (guardian)
    • Solution: Use extension to place the language communication on the guardian person/ext:languageCommunication
  • Technical Framework need concept domains and their name to be defined. Do not have to have OIDs.
  • Current plan for cleaning up/harmonizing: Need to get to a point where HL7 and IHE can have an agreed upon way to make changes. Awaiting agreement as a result of the workgroup meeting.
• DAF
  • No pop level queries in MHD - MPQ use in public Health
    • CP for restful option for MPQ (ITI)
    • Making QRPH aware that this is a use case in their space. If selected to be done, QRPH will bring a profile to ITI
  • Unrestricted patient demographics queries