PCC Minutes - December 5th
Audrey Dickerson, Deb Konicek (SNOMED), Rita Scicolon (AHIMA), Marcia, Larry McKnight, Davera Gabriel, Peter Kress, Thom Kuhn, Ann Diamond, Keith Boone
Functional Assessment and Assessment Instrument Content Profile
Use the ~10 categories from CCD to select possible assessment instruments. Allow for muliple assessments from each category (no "preferred" instruments). Keep instruments small, no MDS. Report assessment and values going into assessment. Focus need for assessments on specific use cases.
Clarify last use case. Change one of first two use cases to home health care.
Laboratory Reporting for Public Health
This is perhaps too small in scope for a profile, but need to keep it in our back pocket for HITSP use cases. Use this to help elaborate on the whitepaper. Work this in to 1 or 2 year plan for a profile this year or next.
Work Effort and Profile Selection
|Antepartum Care Summary||Medium||30||Larry, Thom|
|Emergency Department Encounter Record||Medium||30||Todd, Thom|
|Care Assessments & Assessment Instrument Content||Hard||30||Davera, Keith|
|Query for Dynamic Clinical Data||Hard||50+||Larry, Keith|
|Clinical Trial Clarification||Very Hard||40||N/A|
|Lab Public Health Reporting Content||Hard||40||Sarah|
|XDS-MS To CCD||Medium||10||Larry, Keith|
We restricted the scope of each profile to simplify it.
The four profiles that we believe need to be moved forward are (in alphabetical order):
- Antepartum Care Summary -- This profile is constrained to include the content from ACOG Form C. We feel that the labs data can be accomodated by the XD*-LAB profile.
- Emergency Department Encounter Record -- This profile is effectively an ED Report that builds upon the Medical Summaries Profile and also the Pre-procedural History and Physical and Emergency Department Referral Profile supplements, with some additional data elements from DEEDS 1.0.
- Care Assessments & Assessment Instrument Content -- We are looking to select assessments for the Functional Assessment categories identified from CCD, limiting them to reasonably sized instruments (e.g., we would not be attempting to use the MDS).
- Query for Dynamic Clinical Data -- We have restricted the scope of this profile to Demographics, Labs, Vitals, Problems and Allergies, as the Medications and Immunizations Queries standards in HL7 V3 are not ready yet.
For Lab Public Health Reporting Content, we see this as a two year project, initially exploring a very restricted use case (e.g., one class of reportable conditions), and to feed information into the white paper. As a content profile that covers only a small subset of reportable conditions (5-10%), we felt that the scope would be to small for the needed use, but to broaden it would put it outside the realm of possibility this year, and so have recommended spreading the work over this year and next. We expect that this would be a content profile that could be done in the new directions section next year. If we discover during our research that this can be managed this year, or that other situations warrant it (e.g., HITSP), we did want the option to pull a trigger later in the year to make this a full profile.
The Clinical Trial Clarification was not selected this year. It can be input to the white paper, but right now, it could make very good use of standards that we are simply not ready for (more advanced Web Services).
We plan to discuss a change proposal for moving XDS-MS to be fully compatible with CCD at Connectathon this year. That decision will also depend upon outcome of ballot reconcilliation of CCD.
The outline of the Case Management White Paper has been developed. We need to continue to work with other committees on this white paper. IT Infrastructure was also reviewing profiles that overlapped with areas that this white paper was intended to explore.
Report results out by Friday this week -- Keith
Planning Committee Call 14th or 15th to accept results and discuss next steps -- what profiles to move forward. Review new scope, say yes to which profiles and begin work because we have available resources that are ready to do so.
WebEx on the 18th 10-12CST to show people how to use the Wiki.