PCC TC Face to Face May 01-2013

Attendees: Laura Bright, Keith Boone,Denise Downing, George Cole, Emma Jones, Tone Southerland, Tom Kuhns, Stacey Marovich, Ed Larsen, John Donnelly. John Feikema

MCV (formerly PVVS)

Phone in attendees: Benjamin Flessner, Denise Downing

• Led by George Cole
  • Open issue to check with Keith about the stylecode property need to use an "x" and if CDA has made any changes
  • Updates: Narrative formatting - capability for multiple stylesheet, Content creator SHALL provide capability for multiple views. Currently is a SHALL - may need to change with feedback from public comment.
  • New HL7 update to the style code (security fix) is a good thing for the consuming system because it enables the data to display.
  • New Semantic tagging option for content creator and content consumer
  • work on the styleCode table - contains formatting semantics and clinical context semantics.
  • Updated the names of the options
  • Need templateId to specify conformance to this profile
  • MCV Next steps

DAF

Phone in Attendees: Karen Whiting, John Feikema, Nagesh Bashyam; Angelique Cortez; Gayathri Jayawardena

• led by Keith Boone and Nagesh Bashyam (Dragon)
  • Comments received from Karen Whiting and Stacey Marovich; reviewed
  • Updates made to white paper.
  • Proposal for next step
    • Include the white paper in the round for further public comments.
    • Each of the gaps should describe what the next steps are. Request comments on the gaps
    • Publish the white paper and ask for more public comments with explanation that requesting additional time for comments because of the limited comments received
    • Groups such as the EU/USA joints should review
    • Need to do assessment and prioritization of the gaps and get feedback on that.

Publish the finished white paper - trial implementation cycle is end of July. Spend time now about the gap prioritization piece DAF is taking the output of the whitepaper and developing an implementation guide fro document based query. Want it available for fall 2nd work on data element based query (QED, FHIR, and V2 query messages to put up an implementation guide)

continue to develop a strawman that documents the gaps prioritization. Will continue with Monday morning 10am EST calls Publish the white paper with the implementation guide publication cycle beginning at the end of July

publish the white paper now documenting awareness that the gaps prioritization is occurring Results of the prioritization of the gap can be used to drive a DAF specific planning road map

S&I has what they need for them to proceed. IHE is asking for more feedback and will try to broaden the region via the other membership committees with Announce at the same time with other public comments Add this will be used

Extending the public comment periods - need to let Mary know and provide the pharsing to use. S&I will put out an announcement and consolidate their comments and forward to S&I Start prio

RECON (formally RCCCP)

Phone in Attendees: Denise Downing

• Led by Emma Jones and Denise Downing
  • Discussion about the process of reconciling and the end result of reconciling.
  • Discussion about clinical data source
  • Discussion about care team members.
  • Update to RECON so that regardless of IG (IHE, HL7, etc), reconciliation can be done.

HL7 PCWG FHIR Resources

Phone in Attendees: Stephen Chu, Laura Heerman Langford, Denise Downing

• Presented by Stephen Chu and Laura Heerman Langford
  • DSTU for FHIR and HL7 Patient Care workgroup collaboration for transition of care/referral and health concern
  • Need leadership directions in how to interact with IHE for possible collaboration

PCC Profile Certifiability (Discussion with Alex Lippitt)

• Coordination of effort between HL7 and IHE is needed: Goal of not duplicating work
  • Need coordination of HL7 and IHE leadership boards resulting in initiative guidance from IHE board
  • Value proposition is needed for certification: upcoming international program certification for larger certification groups is coming
  • Suggest a face-to-face with HL7 and IHE leadership and committee chairs at the World Summit meeting in Sept 2014

Joint Meetings

• PCC, QRPH
  • Agenda Items
    • Header Constraints
    • Volume 4 Issues
    • Coordination of profiles using common components
      • Reconciliation profile impacts to QRPH Profiles- content and care team reconciliation: Action item: followup with HL7 StrucDoc group and HL7 patient care group discussion about Care Team at HL7 meeting next week.
      • Universal realm header elements are needed. Work going on to create an international version of CCDA with ISO and EU. Harmonization is needed.

• ITI, PCC, QRPH
  • update provided by domains on profiles currently being worked on by the various groups.
  • Announcements
  • Special Presentation
  • QRPH/PCC/ITI Report-Out
    • QRPH: 4 new profiles (SDC, EDHI, BFDRE, Family Planning), Large CPs (RPE), EHR enabled Research white Paper and other maintenance things
    • ITI: 2 new profiles: PDQ for mobile devices, Digital Signature
    • PCC: 2 profiles: MCV and RECON, completed DAF white paper comments, CP
  • DAF update
    • Updated Document on ftp site; Discussion tomorrow if need to send out for additional comment period
  • Volume 4 Publication Process
    • Committees are becoming aware of the need for national extensions. There is a national extension process that radiology has been using for many years. Domain coordination committee has been discussed. Developed by national and regional domains. International domains review. when both national and domain agrees, they release it for public comments. Have a wiki page about this - provide feedback to co-chairs
  • IHE formatCodes for CCDA/US Realm: HL7 doesn't have a concept of formatCode. Need an official position with HL7 on what the formatcodes are for CCDA and publish it. Further discussion about this is with Keith
  • Documentation Priority/Updates
    • Mary Jungers is full time with RSNA and HIMSS - to keep things up to date
    • Need a data librarian role. Need your thoughts on general documentation needs. IHE and HL7 Meetings together in September (IHE World Summit - regional and national leadership)hoping to have IHE leadership and the appropriate folks from IHE present.
  • Virtual Testing/Tooling
    • HIMSS Innovation center in Cleveland - Need for year-round virtual testing.
  • Status of De-Identification Whitepaper: on the Wiki and ready for use.
  • Next steps for IHE-FHIR collaboration
    • Alex will be speaking with Chris Carr about the need for collaboration. For example, MHD and PDQ is leveraged in FHIR. HL7 is utilizing PDQ resources. Keith will presenting a discussion topic with the HL7 board next week. Suggest that committee chairs make a list of issues they would like to address.
  • Johanna's announcement - family planning profile need technical feedback from vendors
  • IHE volunteer spotlight - Karen request sent out.

Change Proposal Review

• Led by Laura Bright
  • Various change request assigned and resolved
  • Further discussion on CP 0178 needed

T-Cons

• CP time change to Tues at 12 pm EST

General Action Items

• Add PCC Planning meeting (One hour) to July F2F agenda