PCCTech Minutes 2015 02 23
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Monday 2015 02 23 thru Thursday 02 27
Attendees
- Keith Boone
- Alex Lippitt
- Isabelle G
- George Cole
- Mike Bohl
- Tone Southerland
- Thom Kuhn
- Chris Lindop
- Jesse Shiah
- Emma Jones
- Julie Dumons
- Kevin McDermott
- Jean Camille
- John DeLong
- On phone - Nagesh Bashyam (Dragon), Gayathri Jayalardena, Angelique Cortez, Glen Marshall, Brian Reinhold, Dave Stumpf, Teri Sippel, Lynn Felhofer, Kinson Ho
Minutes
Intro/Agenda Review
- Request to record and make available the DCB discussions for those unable to attend the sessions due to time zone differences
RECON on FHIR
- George/Emma led discussions, reviewed several sections, made some changes to document
- may need interaction with IHE-HL7 Joint Workgroup (HSI), in relation to using the provenance FHIR resource. Need a PSS work item for HSI with PCC and Patient Care as co-sponsors. HSI will sponsor
- discussion around using PCC-1 Share Content
- will likely need a new transaction that provides more explicit/specific guidance
- Options section need to be implementation agnostic (remove specific references to CDA, PCC TF and FHIR)
Remote Patient Monitoring (RPM)
- Brian led discussion, reviewed actor/transaction diagrams
- discussion resulted in clarity of actor/transaction definitions, and use of grouping
- Clean up of various diagrams
- Clean up of Other dependencies section
Device Clinical Bridge (DCB)
- Alex led discussion, reviewed actors/transactions diagrams
- actors and transactions we reworked based on committee feedback
- next action: Alex to apply changes to DCM document for follow up session
- - updated 2nd use case - clinical to billing use case.
- Clarification of Transaction (multiple back and forth until it is done - multiple activities can occur. Will be a complete business request)
Workflow Discussion
- Keith led discussion, reviewed selection of BPMN as the standard of choice
- Dave Stumpf/Jesse Shiah from AgilePoint discussed reasons for using BPEL and/or XPDL
- next action: for Dave to bring details to next session on market penetration levels for XPDL/BPEL vs BPMN
DAF
- Keith led international discussion
- decision made to not proceed further with international DAF efforts as there really does not seem to be much to do
- Alex/Dragon led IHE USA extension discussion
- DAF US extension is mostly complete
- Need to identify ITI SMEs to review the DAG IG and provide examples
- next steps - develop testing tools
- would like to test at Connectathon 2016 (CAT16)
Content Creator/Consumer change discussion
- Led byTone Southerland
- Discussion
- Need a better way to keep track of the Content creator/content consumer actors, actor options and transactions.
- Suggestion of doing a framework update
- Recon 3.1.1 - need to do a little bit more cleaning up. View option is CDA specific but can be fixed - "when the document is CDA, do this". Will set this up as part of the joint discussion - Need to confirm what the transaction number is and how we will fix it.
- Original issue about CC/CC raised by DSG - need to make the option not bound tightly to CDA. Generic framework will describe the options and profiles will specify how the options are used. Content creator/consumer is about "document" sharing. (will need a new transaction for RECON on FHIR because it's about resources - not document)
- CP 211 - created and edited by Keith.
- Plan
- Discuss CP 0211 at joint meeting
- Going forward, will need the following - CPs to TF - IC, XDS, XPHR; CPs to fix other individual supplements
- Tone will create a google spreadsheet that will be used to track changes
- Plan
- Discussion
Remote Read WD
- Discussion lead by Chris Lindop
- Volume 1 discussion - clean up of RR workflow definitions.
- Double ready workflow - need to clarify if over-read or double-read. The rest of it is part of the workflow.
- Clean up of workflow scenarios - removed administrator function because it's pre-condition of the profile.
- Concurrent update of BPMN workflow definition by Keith
ICDS
- Discussion led by John DeLong
- Imaging CDS profile -
- PCC Profile - interaction between the EHR and the CDS so that CDS can provide clinical based guidelines (patient data, lab data, allergy data, problem list, etc)
- Mechanism (technology piece)
- IHE RAD - deals with the ordering
- PCC to deal with Content set
- PCC has done a number of Decision Support work with little implementation -
- Info button is working
- In the US - this is required to become mandatory Jan 2016
- Discussion about the payload and the contracts to use - RFD Form Filler and form processor, look at CRD - (QRPH profile) for some of the data usage of session ID, etc) - CRD in the Quality Domain discusses Clinical Research as a content profile on top of RFD.
- PCC Profile - interaction between the EHR and the CDS so that CDS can provide clinical based guidelines (patient data, lab data, allergy data, problem list, etc)
- Imaging CDS profile -