PCC TC Face to Face Nov 16-17 2016

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November 16, 2016

Introductions & Agenda Review:

  • Present: Amit, Anne, Ioana, Andrea, Thom, Thierry Dart
  • Phone: George Cole, Tone, Laura, Elena, Steve Beller, Chris Melo, Brett Andriesen, Manual Metz


ASIP Sante’s Interoperability Framework

  • By: Thierry Dart & Manuel
    • French gov agency, GIP-DMP for the dev of a national HER, GIP-CPS agency for the prod of HC professional smartcards
    • Regulation for improving eHealth, Implementation of shared national services, Promotion and speeding up of use and innovation in eHealth
    • Interoperability mission 1 for improving eHealth, organized in 3 layers (transport, Service, Content)

Uses IHE profiles, XDS, PCC MS-Medical Summary, IC – Immunization Content, antepartum, L&D, QRPH Mother & Child Health

    • Modeling tooling Modelio is used, terminology & value sets testing CTS2, mapping modeled data on CDA sections/entries don’t have a tool yet,
    • Search PCC profiles, search TF for section or entries, time consuming if none is found they create a specific section
    • Mapping between modeled data on CDS sections/entries using Art Décor, PCC not use Art Décor yet because it was slow and there were many issues, will re-evaluate it in 2 yrs, developed a mapping tool automation HIS-IF document production, need to parse PCC content modules (in progress)
    • Propose that we publish the tooling on the IHE website to evaluate it, get a better understanding of their process, how can PCC help, constraints with PCC templates for international
    • Define the common data elements and represent it in the standard

Trying to implement a specific implementation, need assistance with tooling, provides end-user with a tool to export all the narrative content is preferable, common way to define where the data is for each standard (CDA v2, FHIR, etc.),

    • No immediate ask, at the board level there is discussion about CDA harmonization, explore other content efforts going on,
    • Showed PCC the mapping tool France is using.




360 Closed Loop Referrals Present: Amit, Anne, Ioana, Andrea, Thom, Thierry Dart Phone: George Cole, Tone, Laura, Elena, Steve Beller, Chris Melo, Brett Andriesen, Vassil Petychev, Rob Rose

2012 initiative by ONC State Health Information Exchange Cooperative Agreement Program goal using MU 2 to enable provider exchange for referrals

Pt Care Coordination is a national priority due to changing payment models Gap in available standards to support the Use Cases, Goals: Standardize the type of data exchange and how data is transported Provide transparency to progress and/or gaps in care until the loop is closed Design a process with a low bar of entry for implementation


Technical: XDM XDR/XDM for Direct Messaging Specification XD metadata HL7 v2.x Messaging; HL7 C-CDA (Summary of Episode Note, Consultation Note, or Referral Note preferred)

?? Two New Actors: Referral Initiator, Referral Recipient

Open Issue – Relationship with other Profiles, haven’t looked at the Actors in ROL, will do that Get a vendor list who are interested in this profile, is DIRECT here to stay? Do we see it growing? Yes, there is additional pts and HCO signing up, interest is increasing with the number of transactions, and this profile has a generic referral and for specific referrals can add additional content as an extension Provider directory target for the referral, but not a requirement

RPM Present: Amit, Anne, Ioana, Andrea, Thom, Thierry Dart, Chris Melo Phone: George Cole, Vassil Petychev, Rob Rose


Want to adopt it and a market demand, supporting it in PCHA and keep it consistent with RPM

PCD-01 replaced with a FHIR bundle

Semantically similar to PCD-01 and semantically similar to FHIR, use FHIR Resource for a Push

The profile adds different transactions using FHIR Interested in the profile? Countries are interested, Scandinavian development work is being tested at FHIR Connect-a-thon, do not know the list of vendors for the IHE Connect-a-thon

HL7 Update Project Scope for Cross Paradigm IG for Medical Device Interoperability – PSS Present: Amit, Anne, Ioana, Andrea, Thom, Thierry Dart, Chris Melo Phone: George Cole, Vassil Petychev, Bret Andriesen, Brian Reinhold

May 2017 ballot for domain analysis DCM


POCMDM – Closed Loop Referral Whitepaper for EDHI Present: Amit, Anne, Ioana, Andrea, Thom, Thierry Dart, Chris Melo, John Stamm, Ghia Gdong Phone: George Cole, Vassil Petychev, Rob Rose, Serefina Versaggi, Nicohle, Lori Fourquet, Gila Pyke, Elena, Diana Warner, Tone

Discussed the Whitepaper, suggested other profiles PCC to look at ROL, Dynamic CP, EDHI for reference

Will QRPH need PCC time – yes, will put some time on the schedule to discuss this tomorrow.

Pt Registration Content Profile

Present: Amit, Anne, Ioana, Andrea, Thom, Thierry Dart, Chris Melo Phone: George Cole, Nicohle, Lori Forquet, Gila Pyke, Elena, Diana Warner, Tone , Laura Hermann-Langford


Registration data not in a standardized format, only talking about content in the profile



Discharge to EMS Transport Present: Amit, Anne, Ioana, Andrea, Thom, Thierry Dart, Chris Melo Phone: George Cole, Nicohle, Lori Forquet, Tone , Laura Hermann-Langford, Dr. Greg Mears, Diana Warner

Discussed needing a text box for transport instructions, new functionality, embed into the workflow.

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