PCCPlan Minutes 2013 10 09

Attendees: Laura Heermann Langford, Laura Bright, Charles Rica, Bruno Grossin, Denise Downing, Anne Diamond, Keith Boone

Call in Attendees: Emma Jones, George Cole, Dave Stumpf, Lisa Nelson,

Reconciliation of Interventions, Goals and Care Providers

• Emma Jones
• Discussion:

What do we mean by "intervention"? Need to define this in the detailed proposal.

Should we consider other things that need reconciliation? -

• • 1. Advance directives
  • 2. Providers and Pharmacy
  • 3. Family members and Contacts
  • 4. Patient preferences
  • 5. Coded Functional Status
  • 6. Medical Devices (would this go in the "intervention"?)
  • 7. Review of Systems
  • 8. Discharge Instructions (hospital) (would this go in the "intervention"?)
  • 9. Instructions Section (would this go in the "intervention"?)
  • 10. Discharge Diagnosis
  • 11. Hospital Discharge Results Summary
  • 12. Diet and Nutrition (would this go in the "intervention"?)
  • 13. Social History?

Some things have privacy and security risks.

Reconciling Vitals and Results as another profile is discouraged because results is done by other means and vitals are typically collected and utilized locally - this was discussed as part of the SMART project (Per George C.)

Patient Visit View Summary

• George Cole
  • Review of Profile Proposal
  • Discussion:
    • use of section headers, section titles to allow for different phrasing to be used for patients and providers
    • scoping - inclusion of rendering content? At this point encouraged to include for further discussion at the Technical committee.

Voting on Profile Proposals

• Reconciliation of Interventions, Goals and Care Providers
  • Motion made by Laura Bright to accept the brief proposal and move the project on to the PCC Technical Planning Committee. 2nded by George Cole. No abstentions, No objections, 8 affirmatives. Project proposals passes to proceed to next step.

• Patient Visit View Summary
  • Motion made by Keith Boone to accept the brief proposal and move the project on to the PCC Technical Planning Committee. 2nded by Anne Diamond. No abstentions, No objections, 8 affirmatives. Project proposals passes to proceed to next step.

Harmonization of Lab Section

• This issue came up in a recent change proposal meeting. The Results Section in PCC Framework is not aligned with the Laboratory Committee definition. Discussion RT what needs to be done to harmonize/reconcile the difference. Team agreed the work needs to be discussed at the Technical Planning Committee meeting in November. There will be opportunity in November to have joint meetings with IHE Laboratory Committee. Laura Bright will create a Detailed Profile on this topic to facilitate discussion at the Technical Planning meetings.

Synoptic Reporting for Cancer Diagnoses

• There is active work happening in several areas of the world regarding this topic. It has not been brought to IHE by any of the teams actively working on it - but IHE recognizes the need for this to be included in the technical framework. A small group from PCC Tech will create a Detailed Proposal to facilitate discussion at the Technical Committee Planning meetings in November. Efforts to invite and coordinate with Lab and Radiology committees will also be done. It is anticipated Radiology will be meeting at the RSNA offices in November at the same time as the PCC Tech Planning meeting so this too should facilitate collaboration of the teams on this topic.

Data Aquistion Framework (DAF)

• PCC had a discussion regarding the level of team support available and of interest to the PCC community. It was agreed that if needed, PCC likely has the bandwidth to facilitate the project management of this topic. PCC recognizes the importance of the topic within the US and its applicability to other nations. Several members of the PCC team are and will continue to be highly involved in the project regardless. With the current bandwidth of PCC we agree to volunteer to manage the project through IHE process and facilitate high collaboration with the other interested workgroups - if that is what the other workgroups would like to do.

Voting on Profile Proposals

• Reconciliation of Interventions, Goals and Care Providers
  • Motion made by Laura Bright to accept the brief proposal and move the project on to the PCC Technical Planning Committee. 2nded by George Cole. No abstentions, No objections, 8 affirmatives. Project proposals passes to proceed to next step.

• Patient Visit View Summary
  • Motion made by Keith Boone to accept the brief proposal and move the project on to the PCC Technical Planning Committee. 2nded by Anne Diamond. No abstentions, No objections, 8 affirmatives. Project proposals passes to proceed to next step.