PCCTech Minutes 2018 2 13

Day 2 - 2018-02-12

CDA Document Summary Section (CDA-DSS)

Attendees: Raffaele Giordano, Thom Kuhn, Gila Pyke, Denise Downing, Emma Jones

Phone: Dan Venton, Chris Melo, George Dixon

Open Issue – how should C-CDA templates handle US Realm templates date/time, should it go into IHE vol 6 which is US Realm specific, discussion about doing an errata to HL7 to get this fixed, this affects Notes and Care Team templates to determine if it is restrictive to US Realm vol 6 if not will put it in the vol 1 content and point to the HL7 standard

The profile has received comments which have been addressed, all comments reconciled

Participants:

• Tone Southerland (Quintiles)
• Emma Jones (Allscripts)
• Denise Downing (AORN)
• Thomson Kuhn (ACP)
• Andrea Fourquet (e-Healthsign, LLC)
• Gila Pyke (Cognaissance)
• Chris Melo (Philips)
• Raffaele Giordano (Arsenal.IT)

Motion and Vote

• Motion: Move CDA-DSS Profile Volume 1 forward so Volume 2 can be started.
  • Motioned by Allscript and seconded by ACP.
  • Unanimously approved by 6 voting organizations

OB Discussion

Attendees: Raffaele Giordano, Thom Kuhn, Gila Pyke, Denise Downing, Emma Jones

Proposal coming from the National Academy of Medicine, how to move the PCC OB profiles forward in this project

NAM doing a policy position in the US to move forward vendors, hosp systems to have more interoperable systems, doing a Whitepaper which is device centric at the time and has referenced PCD profiles, wiki page needs to have the profiles seen, looking at FHIR profiles,

Is this similar to the ONC-ISA, this is a draft document, attendees at the meeting were Kaiser, Mayo, VA, Cerner, this project will get a lot of press, part of the VA/Cerner contract language, the agreement will contain specific profile usage, timeline sooner the better for PCC to review/revise the draft Mike put together, the sample language to include in the draft paper needs to be done immediately for final publication, sample language to provide the sample language, need to bring in IHE leadership (Chris Carr, Joyce Seinsmeyer), once the agreement language is developed IHE has a lag time from contract to implementation so IHE has time to work on the suggested profiles to use, alignment of IHE profiles with CCDA with the profiles and other groups (i.e., Stan Huff) and common vocabularies and work done in VSAC should be done with the profiles, national realm extensions, this is US centric, this is a great opportunity for IHE, each hosp will take this agreement/contract language as a sample to use for other IHE profiles (cut/paste) , looking at doing this as a bucket layering (i.e., security, content, language, transport)

• All the IHE PCC profiles are up-to-date and incorporated in FHIR
• How a vendor or hospital to operationalize the use of the profile

Action Items:

• Dr. McCoy will send the draft
• Tone will review the document
• Denise to send Joyce an email about this project

ETF

Attendees: Raffaele Giordano, Thom Kuhn, Andrea Forquet, Lori Forquet, Tone Southerland, Emma Jones, Gila Pyke, Denise Downing

Phone: Elena Vio, Chris Melo

Issue that came up during the QRPH meeting - the FHIR actor name should be more simplified, that way it can be used for other profiles, looked at ITI FHIR actors that push activities, new name data sender and data consumer

Transaction names are good Data elements table reviewed, discussed that the data dictionary should be in vol 1 and the actual table should be in the appendix