PCC TC Face to Face Nov 16-17 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 EhR, 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
  • HIS-IF organized in 3 layers
    • Transport
    • Service
    • Content

• • 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 CDA sections/entries using Art Décor
    • note made that they are not using 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 and how PCC can help, constraints with PCC templates for international use

• • 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.

Result of the Devices profiles alignment meeting

• Presenting by Denise and Ioana
  • Answered the following questions:

• • RPM - creating a FHIR equivalent bundle to PCD1
  • Other device profile will use PCD01 as is.

360 Closed Loop Referrals

• Present: Amit, Anne, Ioana, Andrea, Thom, Thierry Dart, Emma
• 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, Emma
• Phone: George Cole, Vassil Petychev, Rob Rose

• • Want to adopt it and there is 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, Emma
• Phone: George Cole, Vassil Petychev, Bret Andriesen, Brian Reinhold
  • Project sponsored by HL7 Patient Care work group. This project need to be aligned with and it informs the Device profile work.
  • Plan on a HL7 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 proposed Whitepaper, suggested other PCC profiles to look at ROL, Dynamic CP, EDHI for reference

• • Will QRPH need PCC time? – yes, will put some time on the schedule to discuss further.

Pt Registration Content Profile

• Present: Amit, Anne, Ioana, Andrea, Thom, Thierry Dart, Chris Melo, Emma
• 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, Emma
• 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.