PCCTech Minutes 2012 02 07

Attending: Laura Heermann Langford, Anne Diamond, Vincent Van Pelt, Robert Breas, Tone Southerland, Thom Kuhn, Emma Jones, Luca Zalunardo, Arianna Cocchiglia, Isabelle Gibaud, Ahderazek Bonfahja, Denise Downing, Michael McCoy, Laura Bright, Keith Boone, Charles Rica, Anna Orlova

Call in: Valentina Ferrarini, Chris Melo

Joint with QRPH and ITI

• The three workgroups met at the request of PCC Tech to discuss the use of XDW in workflow profiles for confirmation of current use and direction.
• Vincent Van Pelt presented current use of XDW in Tumor Board Review Profile as example.
• Landon Bains presented RPE/XDW comparison document

**Workflow Definition General Profile Template Discussion

• Main Messages of previous hour discussion..
• Actors can be represented with the currently defined creator, updater, consumer concepts. It is recognized one actor in a workflow definition profile may have a creator, updater, consumer contained within.
• It is recognized most of a workflow definition is contained in Volume 1 and some of Volume 3. Probably very little use of Volume 2 for a workflow definition.
• Need to add new actors table that explains the inheritance of creator, updater, consumer
• XDS meta data attributes used in XDW Profiles that are contained in Volume 3 need to be evaluated. These will likely be specified in Volume 3 and be constrained and may have value sets provided.
• Need to add a section to the document for workflow profiles that describes metadata
• A change proposal will need to be created for XDW to fix some issues and accommodate needs of the workflow definition profiles. Keith will submit the change request to ITI.

**To Do List for Tumor Board Review workgroup

• Team will call in on Thursday during conference call planning to get on call schedule.
• Team encouraged to keep localization/internationalization in mind while writing
• Team will keep in close contact with Luca, Arianna & Valentina, authors of other workflow definition profiles in flight, for document format, organization and content.
• PCC Tech will look at creating a template for workflow definition templates once these three are concluded using the learned experience from current workflows in flight.

**Review of Change Proposals

• No new change proposals received for review
• all open change proposals reviewed for progress.
• 107 needs more information of what the solution needs to be. Laura to send back to submitter for clarification
• 105 rejected. Needs to be broken into separate proposals directed at the workgroup of interest. Top part of table should be directed to QRPH. Bottom 4 items on table will be spit into 4 different change proposals for future review and assignment by PCC Tech.
• 100 - need to have conference call with PCC Tech and Mary Jungers to clarify.

**Request for Clinical Knowledge

• • Review, discussion and refinement of vocabulary proposed for profile.
  • Risk Analysis brainstorming: (Risks can be expected...)
• exposure of PHI
• DNS spoofing
• Credibility/Accuracy of data
• Denial of Service
• Thoroughness/Completeness/Comprehensive
• Appropriateness of content/Quality of Content
• Reading level/Education/Comprehension appropriate
• Language Appropriate
• RSS Reader Attacks
• Employer access/IT infrastructure
• Request precision and recall
• reliability
• Currency
• comphrehensive

Telehealth Monitoring

• agreed to scope of "current residence" only
• agreed to transfer of alert only - not data generating, before or after alert

Nursing workflow

Plans for tomorrow - clarify diagram clean up, clarify MD/RN process,