PCCTech Minutes 2008 12 12

OB Fetal Monitoring Strips

• Goal is to describing how you can use XDS-SD profile to publish a fetal monitoring strip
• This is a new kind of document - not a white paper, not a profile - more along the lines of an implementation guide...
• What do we call this new document?
  • Implementation guide?
  • Ihe deployment guide?
  • Profile usage guide?
  • Using IHE profiles to [insert problem statement here] - Using ihe profiles to communicate fetal heart tracings?
• Will contain the following:
  • The problem/Use case involving communication of fetal monitoring strips
  • Solution to the problem
  • Don't need to include actors/transactions
  • Do need references to IHE profiles that support this process
  • Provide implementation guidance (i.e. use vector graphics for recording tracing, how to represent scales)
  • Additional recommendations - be mindful of size

Detailed Scores (white paper)

• no one on the call for this

Coded Nursing Documentation

Major Issue(s):  Should we have different forms/tools and documentation content for different healthcare situations? The major situations are as follows:  

1. Triage Notes and Documentation of Nursing Care in ER
2. Transfer Documentation from ER to Inpatient Hospital Nursing Unit.
3. Documentation of Nursing Care in Outpatient Hospital Nursing Units.
4. Documentation of Nursing Care on Inpatient Hospital Nursing Units.
5. Transfer from an Inpatient Hospital Nursing Unit to another Inpatient Nursing Unit in same Hospital/Facility..
6. Referral and Transfer from an Inpatient Hospital Nursing Unit to another Inpatient Hospital Nursing Unit e.g. Rehabilitation Hospital/Facility.
7. Referral and Transfer from an Inpatient Hospital Nursing Unit to a Long Term Care Facility (Nursing Home)
8. Referral from an Inpatient Hospital Nursing Unit to a Community/Home Health Nursing Agency for Home Health Nursing Services.
9. Discharge Summary from Inpatient Hospital Nursing Unit to Home.

Action Items:

1. Above are 9 different transfers of care being described, compose a list of data captured at each stage
2. complete abstract for Vol 1

OB Labor and Delivery Record

• Ana:
  • had a meeting with other individuals on 12/3/08 and has sparked their interest in participation in this profile
  • reviewed APR and concerned about overlap between APR and Labor and Delivery Record with certain Vol 1 sections

Action Items:

1. Ana: Coordinate and setup an webex specifically for Labor and Delivery for next week
2. Work on abstract and use case
3. Decide on a profile name - one suggestion: Labor and Delivery Record (including Labor and Delivery and Postpartum Discharge Summaries)
4. Everyone: upload your document, forms, data element lists to the wiki for all to review (ask for help if needed)

Clinical Decision Support

• Keith: started on minor editorial work
• Reviewed Alean's comments on dstu doc: http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=14 - much discussion around this
• Keith's suggestion: For Jan F2F have someone from ITI come and give overview of Risk Assessment

Pre-Hospital Care Report

• Keith:
  • had discussions with Jim Kragh and NEMSIS folks about harmonization
  • listed some existing PCC sections that can be referenced

Attendance

• Laura Heermann
• Ana Estelrich
• Virginia K. Saba
• Keith Boone
• Vassil Peytchev
• Jason Colquitt
• Celina Roth (HIMSS Secretariat)
• Dr. Catherine Crenn-Hebert
• Marcia Veenstra
• Mike Jolley
• Jean Millar
• Dr. Charles Rica
• Anne Diamond
• Alean Kirnak
• Laura Bright