PCCTech Minutes 2018 05 1

2018-05-01

Attendees:

Michael Clifton, EPIC Gila Pyke, Cognaissance Denise Downing, AORN Nemanja Mienkovic, ASIP Emma Jones, Allscripts Raffaele Giordano, Arsenal IT Celina Roth, HIMSS Yvonne, HIMSS Andrea Fourquet, eHealthsign Amit Popat, EPIC Thomson Kuhn

Discussion

Agenda Update: Switched CDA Document Summary, PCS, and DCP

CP Discussions

• CP 222 has been applied to a version of RPM that is in the current published folder, but does not match the version on the IHE.net site.

• Current published TI is FHIR DSTU1, and Brian said that we cannot publish the DSTU2/STU3 version until HL7 has finished the device debate

• 4 things need to happen

o Apply the CP to the old version of RPM, IF it is worth updating o We need to reach out to Brian about updating RPM. If he can do it this year, we skip updating the old one. o Warn Mary that RPM will be republished this year. o The updated CP needs to be approved  Amit moved to approve the CP  Gila seconded  No objections

• Denise to move CP 222 to the Approved folder

• CP 228 – Emma is making the changes to DCP now as part of the Plan Definition updates to DCP

o Need to talk to Chris Melo about this one and then agree on this committee-wide going forward. o Gila added the question of pointing to base FHIR for base FHIR operations or to FHIR STU to the joint meeting agenda

FHIRPlanDefinition: DCP

• Discussed DCP and XDW interactions • John Moerhke joined us to discuss what to do about FHIR and testability

CPs Work continued

• Moved Andrea/PCS topics to Wednesday due to computer issues

• Discussed CP 228 with Chris Melo, will discuss it again at the joint meeting

o Will approve CP 228 after joint meeting discussions are complete, since everyone who had a stake in the ballot was present for resolution o Needs to be moved into the approved folder once approved

• CP 227 approved without changes. o To be moved to approved

• CP 267 assigned to Lori, needs to be moved to assigned

• CP 272 assigned to Gila o Gila to update with volume 2 content o Denise to warn Mary that volume 2 will be republished this year o Move to ready for ballot

• CP 224 has been incorporated into BED by Emma, Emma will send to Denise to put in CommitteeSubmitted and notify Mary that it will be republished

• We will do a May 2018 CP Ballot, with CPs 223, 224, 263, 266, 272 o Last ballot for this publication cycle o Ask Lori about 267

• Schedule 2 CP calls to get updates and do ballot resolution on May 25 and June 8 12-1:30pm CT

• Process for updating documents discussed

CDA Document Summary Section discussion

• Emma reviewed CDA Document Summary changes. The group discussed user/developer expectations and came to resolution with no changes.

• Gila moved to approve CDA Document Summary Section for public comment. Michael Clifton seconded. No objections, no abstentions, no further discussion. SO MOVED. PPOC, eNS, GAO deprecation discussion

• Notes taken direction on the PCC Deprecation page: http://wiki.ihe.net/index.php/PCC_Profile_Deprecation#Profiles.2FNational_Extensions_in_Intent_to_Deprecate.2FDeprecated_Status

• eNS post-mortem, why did this seem like a good idea to write the profile but didn’t get implemented? o Nurses were not EHR customers, so they weren’t buying o The nurses at the time who were writing the use cases in the nursing sub group were united in their belief that this was needed to solve their documentation problems and their care coordination problems, but nobody went through the vendors to see if they would implement something like this. There was no vendor interest at all because vendors were not listening to nurses at the time. And then meaningful use happened and anything not MU related stopped (so bad timing was part of it). o Exchanging the new care plans may help with the problem too. o 2 lessons for the planning committee:  Make sure the vendors are committed or there is no point going forward (we already started this last year)  No more surprised from the federal government!  Prioritize (US) federal priorities during planning. Bring this to the board as well.

• Tone and Amit to talk to DCC about the idea of a notice of intent to deprecate status on the wiki. Need to update the wiki, including creating a status/category page.