PCCTech Minutes 2015 02 23

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
  • updated the actors - question around the required groupings
    • no new actors
    • 3 transactions - communicate PHCA - Data, PCD-01 communicate PCD data, PCC document sharing
• Clean up of various diagrams
• Clean up of Other dependencies section

Device Clinical Bridge - Name changed to Clinical Mapping (CMAP)

• 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)
    • 2 actors with one required transaction
  • Clarification of options - limited to device mapping and problem mapping

Workflow Definition

• 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

Remote Read WD

• Discussion lead by Chris Lindop
• Volume 1 discussion - clean up of RR workflow definitions.
  • Double read 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.
  • Discussed actor option grouping from various workflow definition profiles
  • 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 and may be a option
      • In the US - ICDS 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.
      • George provided an overview of RFD
      • Keith provided another possible solution
      • Keith provided review of ITI security cookbook white paper to drive security section of volume 1
        • Discussion about making digital signature as an option
• Next Steps/T-cons -
  • no Fridays - Wednesday at 10am CST
  • IHE Rad F2F -March 31-April 2 at RSNA
  • IHE PCC F2F - April 27-30 at RSNA

JOINT MEETING - PCC, Pharmacy, QRPH, ITI

• See meeting notes - ftp://ftp.ihe.net/IT_Infrastructure/iheitiyr13-2015-2016/Technical_Cmte/F2F%20Meeting%20Material/Volume%201%20F2F%20Feb%202015/IHE%20ITI%20Volume%201%20in%20Paris%20meeting%20notes%20joint%20meeting%20-%2020150225.docx x ]