PCC TC Face to Face April 29-May 3, 2019 - Minutes

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PCC Monday April 29, 2019, F2F Meeting Day 1

Attendees: Keith Boone (Audacious Inquiry), Steve Moore, Emma Jones (Allscripts), Jeffrey Danford (Allscripts), Georges Dixon, John Donnelly (IntePro), Tone Southerland (IQVIA), Thierry Dart (ASIP Santé)

DCP - Dynamic Care Planning Update

  • Update of Volume 2
    • New transaction is listed in the transaction table
    • Added to the actor transaction diagram
    • Describe in the actor option (plan definition)
    • Update of the use cases diagram
  • Volume 2 will be reviewed on Tuesday

Updating of DCTM

  • CP to update to FHIR R4


CDA-DSS - CDA Document Summary Sections

  • Volume 1: history of care team and care team members
    • In the last HL7 meeting, there was a discussion about the historical aspect of care team and care team members. Care team and care team members need to have status to reflect the history of care coordination
    • CDA templates for care team is representing the care team at one point of time.
    • Emma Jones has added a description of a care team with 5 scenarios.
  • Volume 2:
    • Specification of "Section template for a care team"
    • The C-CDA 2.1 templates need to be done at the end of June (link to the template C-CD1 2.1)
    • Emma Jones will put the template and the example (XML) in the appendix for Public Comment.


CP session

  • RECON profile
    • RECON is DSTU 2 and need to be updated to R4
    • Update of Provenance resource : target, agent, occurredPeriod are now mandatory
    • Update of List resources
    • Capability statement
      • Capability statements need to be done for share list transaction (client side and server side)
    • We need to do the implementation guide
  • CMAP profile
    • Keith Bone will update CMAP this year
  • CP on QEDm
    • Lynn send a CP on QEDm submitted by Richard Kavanagh, r.m.kavanagh@icloud.com
    • This CP is assigned to Charles Parisot


ACDC - Assessment Curation and Data Collection

  • Introduction of this profile is adapted from the text of QEDm profile
  • Summary paragraph and glossary need to be done
  • Two use cases:
    • Find an assessment score
    • Execute an assessment score
  • Two resources:
    • Questionnaire
    • Questionnaire Response
  • 4 actors
    • Clinical Knowledge Resource Repository (modified from RCK)
    • Artifact Consumer: consume assessment from a clinical knowledge repository
    • Assessment Requestor: ask an application to make an assessment
    • Assessor: do the assessment
    • The update of the clinical knowledge repository is not in the scope of this profile
  • 3 transactions
    • Transaction for patient data are out of the scope of this profile (will be done using PCC-44 transaction defined in QEDm profile)
  • Search parameters for a questionnaire
    • code
    • context (aka diabetes),
    • date
    • description, name
    • status
    • publisher


PCC Tuesday April 30, 2019, F2F Meeting Day 2

Attendees: Keith Boone (Audacious Inquiry), Emma Jones (Allscripts), Jeffrey Danford (Allscripts), Georges Dixon, John Donnelly (IntePro), Tone Southerland (IQVIA), Christopher Melo (Philips), Thierry Dart (ASIP Santé)

DCP - Dynamic Care Planning Update

  • Update on the FTP site
  • Which process to define the structure definition (discussion in joint meeting) ?
    • tooling ?
    • CapabilityStatement
  • Update of the resources from FHIR DSTU3 to R4:
    • CarePlan
    • dcpSubscription
    • PlanDefinition
    • ActivityDefinition
    • Task
    • dctmCareTeam
    • dctmSuscription
    • All these resources will be updated for tomorrow
  • One implementation guide : DCPImplementation Guide


CDA-DSS - CDA Document Summary Sections

  • CareTeam section is a snapshot in time of the care team known by the sender
    • Some members could be inactive at this time
    • There was the same discussion in the HL7 meeting
  • Analysis of the text elements has been done (Text elements analysis.docx)
  • In the appendix of this profile, there will be:
    • description of the templates (tables)
    • XML example
  • For a FHIR profile, update of the wiki page (implementation guide, capability statement) is not mandatory (FHIR tooling is not yet compatible with R4)


ACDC - Assessment Curation and Data Collection

  • How the assessment data get back to the EHR ?
    • Example : Request (do assessment 10) / Response (questionnaire result resource)
    • Need to redirect to the EHR, the EHR retrieve the result in the browser.
    • The assessor needs to know the place to redirect (done by the EHR)
  • 3 steps
    • Synchronize context
    • Assess patient using questionnaire
    • Return the questionnaire response
  • RFD (Request Form for Display), SDC (Structure Data Capture) is the next challenge, but there are few implementations (2 for RFD, 1 for SDC)


PCC Wednesday May 1, 2019, F2F Meeting Day 3

Attendees: Keith Boone (Audacious Inquiry), Emma Jones (Allscripts), Michael Clifton (Epic), Jeffrey Danford (Allscripts), Georges Dixon, John Donnelly (IntePro), Tone Southerland (IQVIA), Christopher Melo (Philips), Steve Moore, Thierry Dart (ASIP Santé)

DCP - Dynamic Care Planning Update / DCTM, RECON

  • Updated document is on the FTP site
  • FHIR resources have been updated
  • Now we have 5 actors, capability statements have been written
  • Review of the search parameters for CarePlan, CarePlanContributor, CarePlanDefinitionService, CareTeam resources
  • Structure Definition will be updated
  • DCP and DCTM will be updated to FHIR R4
  • Implementation materials will be transferred from the FTP site to the GitHub repository
  • Implementation guide and structure definition have been uploaded on GitHub for DCP and DCTM
  • DCP, DCTM and RECON will be updated for tomorrow morning’s review (by phone)


PCC work


CDA-DSS - CDA Document Summary Sections

  • The updated profile is on the FTP site
  • CDA template have now status and coordinator
  • The example will be copied to the appendix
  • Will be sent to public comment


ACDC - Assessment Curation and Data Collection

  • Third transaction PCC-X3
    • The assessment requestor launches the assessment (SMART on FHIR)
      • There is a need of synchronization (log in, smart on FHIR launch, EHR authorization servers...) but it's outside of the scope of this profile
    • The assessor sends a POST with the questionnaire response including the reference to the questionnaire, a status (completed, amended, entered-in-error, stopped), an authored, an author, an source, one or more items


PCC Work : new GitHub

PCC Thursday May 2, 2019, F2F Meeting Day 4

Attendees: Steve Moore, Michael Clifton (Epic), Emma Jones (Allscripts), Thierry Dart (ASIP Santé)

PCC work

  • CP
    • All CPs have been transferred to the PCC GitHub repository
    • CP-PCC-0274 (on QEDm)
      • is moved to assigned category (assigned to Steve Moore)
    • CP-PCC-0273
      • is moved to assigned category
    • A balloted call is needed for the CPs (f
  • PCC GitHub repository
    • Michael Clifton will continue to work to make the PCC GitHub repository more usable
  • 2019 webinar presentation
  • Planning PCC teleconference
    • Starting on the 17th of May: CPs, vote for FHIR R4
  • Deprecation process
    • GAO (Guideline Appropriate Ordering) have been deprecated last year


Voting session to move 3 profiles to Public Comments

  • Participant : Keith Boone (Audacious Inquiry), Steve Moore, Michael Clifton (Epic), Emma Jones (Allscripts), Tone Southerland (IQVIA), Thierry Dart (ASIP Santé)
  • 1 - DCP - Dynamic Care Planning including CareTeam Management
    • Unanimous vote / No discussion / No abstention
  • 2 - CDA-DSS - CDA Document Summary Sections
    • Unanimous vote / No discussion / No abstention.
  • 3 - ACDC - Assessment Curation and Data Collection
    • One discussion (Tone Southerland) : need to add a open issue on how to harmonize with the existing SDC (Structured Data Capture ) profile
    • Unanimous vote / One discussion / No abstention.