PCCTech Minutes 2013 03 20

Attendees: Laura Heermann Langford, Laura Bright, Vincent Van Pelt, Thom Kuhn, Emma Jones, Valentina Ferrarini, Keith Boone, George Cole, Charles Rica, Federica Sandri

Call in Attendees: Anne Diamond, Denise Downing, John Eichwald, Alean Kirnak

Change Proposals

• Valentina's #8 assign to Valentina
• Valentina's #5 duplicate of one assigned to Mauro on Monday. Mauro to let us know if the "monday" one does not accomodate all that is in this one.
• Valentina's #6 assign to Mauro and Valentina, update to change the optionality as well as cardinality (R2 instead of R in case the cardinality = 0)
• Valentina's #3 assigned to Valentina and Mauro - the change should be to present tense verbs such as "Approve Request" instead of "Request Approved".
• Valentina's #7 assign to Valentina and Mauro - approved as proposed.
• Valentina's #9 assign to Valentina - the change should be R's should be R2's. with a foot note to direct to choose one or the other of the options depending on what your system is capable of doing.
• Valentina's #4 assign to Valentina - recommend for task visit result should have both Visit Result and Consult Note as R2. The rest of the tasks approved as proposed.
• Valentina's #1 assign to Valentina -

Order and Referral Matching

• Led by George Cole
• Reviewed and provided feedback on specific questions to refine profile volume 1.
  • diagram of order placer, order filler
  • actors, actor groupings

EHDI

• Led by Lisa Nelson
  • discussion re: technical vs business actors (and workflow participants). Lisa and Anna will meet off line to discuss in more detail. Anna will work on the table independently and return it to group for discussion.
  • Need to address these issues related to technical actors, business actors, and workflow participants with Charles and Keith to be sure we are being consistent and correct.

CDA Harmonization

• Led by Keith Boone
  • Backwards Compatibility discussion
    • will add text re: consumer responsibilities.
  • Concept domains allow individual concept domains.
    • There could be a concept domain for each country regional extension
    • we would need to keep a library of these concept domains.
      • Thee would not be managed through OIDS (at least we don't think so)
      • Would prefer/defer to coordinate and have the same library as HL7 concept domain library. (would need to work out the logistics around it).
    • Concept binding is only shall.... Keith will rework the wording on this area.
      • in medication section the medication code must be populated by a medication concpet. What that code is depends on where you are located (country).
  • vocabulary constraint - baseline bindings could be called out in national extensions.

Questions for ITI

• EHDI
  • EHDI Transition Question
  • Nested Linking of workflow definition documents (How does a task call another workflow?)
  • How does the workflow profiles explain to workflow participants know there is a a task they need to do?

• CDA Harmonization
  • Format codes - does it change or stay the same for profiles which upgrade template ID? Need a governing principle.