PCCTech Minutes 2010 11 18

Attendees: Laura Heermann, Tone Southerland, Audrey Dickerson, Mike McCoy

Call in Attendees:

9:30 – 10:00ET Joint with QRPH re: Clarification on a Trial Implementation Supplement testing issue affecting MCH, LDS and PPVS

Issue We have identified one issue that affects profiles in PCC and QRPH domains, so we are addressing the issue to both committees simultaneously, hoping that one consistent resolution can be provided. The issue has to do with the referencing of multiple individuals in one document. As you may recall, in September we clarified that: • the document would have only a single record target, meaning that there would be one and only one patient role and we agreed that would be the mother. • A mechanism would be added to a section which identified to whom the information pertained, such the record target, a child, or the father of the fetus. In the MCH HBS, LDS and PPVS supplements, the specifications calls out sections that should be included for the mother, child or father of the fetus, but no information or samples are included to show how to identify the other individuals or how to comply code the sections with information that identifies the individual to which they pertain. Also, the LDS and PPVS profiles specify the use of “uber-sections” which are made up of underlying sections. The specification is not clear about how to implement this construct and no conformance examples are provided. Plus, in some places such as in PPVS, information (Observation for Circumcision) in a section (Procedures and Interventions) within an uber-section (Newborn Delivery Information) which is listed as information pertaining to the Mother. This does not make sense. It appears the “uber-section” issue further complicates the “multiple people” issue. Further, The Trial Supplement for Mother and Child-Health Birth Summary (MCHHBS) documents header information as if there were multiple patient roles. The current document, as written, will likely be confusing to implementers of this profile for the Connectathon. Request Please clarify the following so we can complete the task of building sample CDAs for testing the MCHHBS, LDS and PPVS profiles: Given that each CDA document will have only one patient role in the record target, 1. What are the mechanisms for identifying an individual different from the record target (ie a child or a father of the fetus) and indicating that a section of information is associated with a specific individual? 2. What is the xml conformance for specifying an “uber-section” (no examples are included) and how do we handle an uber-section that has sections referencing different people? 3. How do you want to address the need to clean up the way the header elements are documented in the MCH profile? We need this information to complete the tests for these profiles. Would you please review this “multiple people” issue with your committees and let us know how you would like to proceed on developing a resolution?