PCC TC Face to Face November 11-15-2019

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Monday November 11st, 2019

  • PCC not meeting


Tuesday November 12nd, 2019

  • Joint meeting ITI, PCC, QRPH, RAD


  • IPS - International Patient Sumary (volume 1 review)
    • Attendees
      • In Person: Michael Clifton (Epic), Emma Jones (Allscripts), Keith Boone (Audacious Inquiry), Tone Southerland (IQVIA), Lori Fourquet, Andrea Fourquet, Thierry Dart (ASIP Santé)
      • Via Webex: Mike Nusbaum (Mike Nusbaum associates), Karima Bouquard (In System), Bob Hausam, Genny Luensman (National Institute for Occupational Safety and Health)
    • Presenter : Andrea Fourquet
    • The goals of this F2F meeting is to review volume 1
    • The values of this profile in a IHE perspective are : connectathon testing + content profile (CDA and FHIR)
    • Outside of the scope of this cycle:
      • localization (national extension)
      • Harmonization with content module (too large ~ 200 pages)
    • Requirements for testing:
      • Actor requirements is already defined in PCC TF 1 (XDS-MS) in paragraph 3.9.1 – requirement for content creator
    • Cross border vocabulary:
      • CEN has written an implementation guide for vocabularies in Europe
    • Transactions: PCC-1 and MHD
    • Actors : content creator and content consumer
    • Use cases :
      • Use case 1 : emergency care abroad
      • Use case 2 : elective surgery abroad
      • Use case 3 :
      • Use case 4 : Within border emergency care



  • CPs session
    • Attendees
      • In Person: Michael Clifton (Epic), Emma Jones (Allscripts), Keith Boone (Audacious Inquiry), Thierry Dart (ASIP Santé)
      • Via Webex: -
    • Most new CPs have been assigned to Michael Clifton
    • Wiki profiles pages have to been updated or created
    • Review of CPs:
      • CP-PCC-0277 - QEDm Search modifier: assigned to Keith Boone
      • CP-PCC-0276 - QEDm typos : assigned to Keith Boone
      • CP-PCC-0271 : assigned to Michael Clifton
      • RECON will be updated to FHIR R4 by Emma Jones (with creation of Wiki page)
    • Maintenance of IHE format codes : IHE_Format_Codes
      • Format codes have been moved to FHIR, but it doesn’t work with XCA
      • Need to be discussed in a large audience (IHE?, HL7?)
  • CMAP
    • ITI proposes take ownership of the CMAP profile and update to FHIR R4, and reference it in SVSm
    • Voting session : to move CMAP in ITI, and reference it in mSVS
      • Qorum: Michael Clifton (Epic), Emma Jones (Allscripts), Keith Boone (Audacious Inquiry), Andrea Fourquet, Thierry Dart (ASIP Santé)
      • No discussion, no abssenttion, no negative, approved.
  • IHE PCC T-CONF minutes
    • PCC has created a google doc page for the T-CONF minutes : 2019-2020


  • IPS - International Patient Sumary (volume 1 review)
    • Attendees
      • In Person: Michael Clifton (Epic), Emma Jones (Allscripts), Keith Boone (Audacious Inquiry), Lori Fourquet, Andrea Fourquet, Thierry Dart (ASIP Santé)
      • Via Webex: -
    • Presenter : Andrea Fourquet
    • Use cases continued
    • A lot of comments has been made by Steve Kay who will be there on Wednesday.
    • XD* includes MHD
    • How to include a test plan in volume 1 ?
    • How to build a cross border standard ?
      • Countries need to create their own national extensions to support their own requirements
      • PCC took 6 years to profile content modules (CDA content module + TF2)
      • During the public comments, collects all the feedback


Wednesday November 13rd, 2019

  • IPS - International Patient Sumary (volume 1 review)
    • Attendees
      • In Person: Michael Clifton (Epic), Emma Jones (Allscripts), Keith Boone (Audacious Inquiry), Tone Southerland (IQVIA), Lori Fourquet, Andrea Fourquet, Thierry Dart (ASIP Santé)
      • Via Webex: Mike Nusbaum (Mike Nusbaum associates), Karima Bouquard (In System), Bob Hausam, Genny Luensman (National Institute for Occupational Safety and Health), Giorgio Cangioli, Jane Millar (Snomed Int), Steve Kay, Suzy Roy
    • Presenter : Andrea Fourquet
    • What are the requirements for the tests plan ?
      • Test plan is a post production stuff after publication in trial implementation
      • Keith Booone recommend not to create a test plan section. Keith will be happy to work with Andrea's team for building a test plan for IPS.
    • Open issues didn't closed yesterday
      • Inconsistency for social history section
      • Keith Booone recommend not to change the IHE template used for IPS
      • Branding section will identify contributions from HL7, CEN and IHE
      • An IPS will be generated after the visit in accordance with local policies
      • ValueSets bindings will be documented in volume 3. There are some inconsistencies between the standards (CDA, FHIR)
  • CPs session
    • Attendees
      • In Person: Michael Clifton (Epic), Keith Boone (Audacious Inquiry), Tone Southerland (IQVIA), Vassil Peytchev (Epic), Thierry Dart (ASIP Santé)
      • Via Webex: -
    • Vassil Peytchev (Epic) will submit 3 CPs for the "360 Exchange Closed Loop Referral (360X)" profile
      • to add information from insurance (payers)
      • to support an authorization from insurance. The way to submit this authorization is a specific HL7-V2 segment
      • to support the changes of an appointment (time, location) in a national US extension (Argonaut project)
    • Vassil Peytchev has a new profile proposal that will be discussed on Thursday morning


  • ACDC - (public comments resolution)
    • Attendees
      • In Person: Michael Clifton (Epic), Emma Jones (Allscripts), Keith Boone (Audacious Inquiry), Vassil Peytchev (Epic), Lori Fourquet, Thierry Dart (ASIP Santé)
      • Via Webex: -
    • ACDC profile has been updated with the comments resolution


  • CPs (Lori Fourquet)
    • GitHub page for QEDm
    • Currently QEDm does not constrain the FHIR Resources. This has been deliberately done due to the limited experience (Trial Implementation) with these FHIR Resources. There will be an effort during the spring and summer of 2019 to add constraints on the FHIR Resources. Three CPs need to be written (Keith Boone)
    • CP-PCC-0278-2019 : adding occupational data (QEDm)
    • CP-PCC-0279-2019: correct the oprion in TF-1 for XPHR and EDR
    • CP-PCC-0280-2019: (MS, XPHR, EDR)
      • PCC TC has decided to work on these CP. These CP will be discussed and be balloted during the next PCC Bi-Weekly call (22th of November, 2019)


Thursday November 14th, 2019

  • Attendees
    • In Person: Michael Clifton (Epic), Tone Southerland (IQVIA), Vassil Peytchev (Epic), Lori Fourquet, Andrea Fourquet, Thierry Dart (ASIP Santé)
    • Via Webex: Emma Jones (Allscript), Mike Nusbaum (Mike Nusbaum associates), Rob Hausam, Genny Luensman (National Institute for Occupational Safety and Health), Didi Davis, Susan Paull


  • IPS - International Patient Sumary (volume 1 review)
    • Presenter : Andrea Fourquet
      • Test plan is still an open issue (need inputs from Keith Boone)
      • Add CEN copyright languages
      • Use case 4 from CDC has been updated
      • A paragraph on "On demand documents" has been added (see XDS.b profile)
      • Cleaning up comments
    • PCC TC approved to move on for volume 3


  • Profile proposal: 360X transfer to Long Term Acute Care Facilities - Vassil Peytchev (Epic)
    • Profile proposal is on the FTP site
      • Rationale: Reuse some of the 360X transactions to create a new profile for transfer to Long Term Acute Care Facilities
      • This profile will need a national extension
      • CDA based profile (FHIR is not good for workflow)
    • Voting session
      • Evaluation is available on the FTP site
      • Motion: to work on this profile
      • No discussion, no oppose, no abstention, motion has been approved
    • This profile will be discussed on the next PCC call


  • CPs session - Vassil Peytchev (Epic)
    • CP-PCC-0281-2019: CP has been assigned to Vassil


Friday November 15th, 2019

  • PCC not meeting