PCC Minutes - December 4th

Attending

Keith Boone, Audrey Dickinson, Laverne Palmer, Thom Kuhn, Larry McKnight, Anne Diamond, Marcia Veenstra, John Moehrke

Discussion

Query for Dynamic Clinical Data

Go forward with the profile, restrict scope to problems, allergies, vitals, labs, and demographics. Push on HL7 to address issues with missing queries for patient medications. Meet with HL7 Clinical Statements group to discuss our approach with queries in January.

Antepartum Care Summary

We prioritized ACOG forms in this order: C, A, B, D, E We would look at form C first. The PPHP profile seems to address the needs of Form A. The XD*-LAB profile would address labs. We need to find appropriate vocabulary for folders.

Research Data Capture Clarification

Not sure where to go with this. On one side, there is a very simple answer to this problem using secure e-mail with a link to a specific form. On the other hand, looking at the wider scope, to meet the needs of others using RFD, then we need to look at the broader set of use cases. One thought is to move this process into the white paper on case management.

One reason for this profile is to keep Clinical Trial vendors engaged in IHE processes. However, the Query for Dynamic Clinical Data might also keep them engaged.

Landen will update the profile. We will discuss this in more detail with ITI regarding use of other Web Services profiles, e.g. BPEL and Orchestration.

Update on HITSP

Starting immediately on Privacy and Security. Glen Marshall was participating in this discussion. Setting up a cross-TC workgroup to work on the issues tabled for previous specifications.

They have identified the following areas:

Security and Privacy
Basic Consents
Node Authentication
Audit Trails
Verify Authenticity of Contents

Identify everything that is out there, what other groups need to be brought into the process, relationship of groups like CCHIT, et cetera, what are there approaches.

Initial scope of work will be on sharing of documents transaction package.

Some initial comments:

Reference NCVHS letter published recently -- recommendations to RHIOS.
CCHIT Security and Privacy Roadmap
RFC-3881
IHE might have a few profiles in these areas

The key here is going to be related to patient related issues, rather than underlying technical security issues. Intractible without some policy changes and clarifications. A lot of the state regulations in these areas conflict and would need to be dealt with.

The HISPC is currently in the process of consolidating their 35 responses into a somehow coordinated set of issues to identify opportunities and to develop requirements. This is going to be a tough problem. The ultimate goal is to map the requirements will be mapped to the standards.

Bob Dolin presented a report on where things stand with CCD, what the timeline looks like. Gary Dickerson, reported on ASTM meeting which he attended, and that CCR was going to continue on. John Halamka said that over the wire should be CCD. Alan Zuckerman indicated that CCR might still be feasible.

There is now a joint working group between CCHIT and HITSP, which starts next week.

Lab Reporting is going to be the big one that they work on first.