PCC TC Face to Face April 29-May 3, 2019 - Minutes

PCC Monday April 29, 2019 F2F Meeting Day 1

Attendees: Keith Boone(Audacious Inquiry), Steve Moore, Emma Jones (Allscripts), Jeffrey Danford (Allscripts), Georges Dixon, John Donnelly (IntePro), Tone Southerland (IQVIA), Thierry Dart (ASIP Santé)

DCP - Dynamic Care Planing Update

• Update of Volume 2
  • New transaction is listed in the transaction table
  • Added to the actor transaction diagram
  • Describe in the actor option (plan definition)
  • Update of the use cases diagram
• Volume 2 will be reviewed on Tuesday

Updating of DCTM

• CP to update to FHIR R4

CDA-DSS - CDA Document Summary Sections

• Volume 1: history of care team and care team member
  • In the last HL7 meeting, there was a discussion about the historical aspect of care team and care team member. Care team and care team member need to have status to reflect the history of care coordination
  • CDA templates for care team is representing the care team at one point of time.
  • Emma Jones has added a description of a care team with 5 scenarios.
• Volume 2:
  • Specification of "Section template for a care team"
  • The C-CDA 2.1 template needs to be done at the end of June (link to the template C-CD1 2.1)
  • Emma Jones will put the template and the example (XML) in the appendix for Public Comment.

CP session

• RECON profile
  • RECON is DSTU 2 and need to be updated to R4
  • Update of Provenance resource : target, agent, occurredPeriod are now mandatory
  • Update of List resource
  • Capability statement
    • Capability statements need to be done for share list transaction (client side and server side)
  • We need to do the implementation guide
• CMAP profile
  • Keith Bone will update CMAP this year
• CP on QEDm
  • Lynn send a CP on QEDm submitted by Richard Kavanagh, r.m.kavanagh@icloud.com
  • This CP is assigned to Charles Parisot

ACDC - Assessment Curation and Data Collection

• Introduction of this profile is adapted from the text of QEDm profile
• Summary paragraph and glossary need to be done
• Two use cases:
  • Find an assessment score
  • Execute an assessment score
• Two resources:
  • Questionnaire
  • Questionnaire Response
• 4 actors
  • Clinical Knowledge Resource Repository (modified from RCK)
  • Artifact Consumer: consume assessment from a clinical knowledge repository
  • Assessment Requestor: ask an application to do an assessment
  • Assessor: do the assessment
  • The update of the clinical knowledge repository is not in the scope of this profile
• 3 transactions
  • Transaction for patient data are out of the scope of this profile (will be done using PCC-44 transaction defined in QEDm profile)
• Search parameters for a questionnaire
  • code
  • context (aka diabetes),
  • date
  • description, name
  • status
  • publisher

PCC Tuesday April 30, 2019 F2F Meeting Day 2

Attendees: Keith Boone(Audacious Inquiry), Emma Jones (Allscripts), Jeffrey Danford (Allscripts), Georges Dixon, John Donnelly (IntePro), Tone Southerland (IQVIA), Christopher Melo (Philips), Thierry Dart (ASIP Santé)

DCP - Dynamic Care Planing Update

• Update on the FTP site
• Which process to define the structure definition (discussion in joint meeting) ?
  • tooling ?
  • CapabilityStatement
• Update of the resources from FHIR DSTU3 to R4:
  • CarePlan
  • dcpSubscription
  • PlanDefinition
  • ActivityDefinition
  • Task
  • dctmCareTeam
  • dctmSuscription
  • All these resources will be updated for tomorrow
• One implementation guide : DCPImplementation Guide

CDA-DSS - CDA Document Summary Sections

• CareTeam section is a snapshot in time of the care team known by the sender
  • Some members could be inactive a this time
  • There was the same discussion in the HL7 meeting
• Analysis on the text elements has been done (Text elements analysis.docx)
• In the appendix of this profile, there will be:
  • description of the templates (tables)
  • XML example
• For a FHIR profile, update of the wiki page (implementation guide, capability statement) is not mandatory (FHIR tooling is not yet compatible with R4)

ACDC - Assessment Curation and Data Collection

• How the assessment data get back to the EHR ?
  • Example : Request (do assessment 10) / Response (questionnaire result resource)
  • Need to redirect to the EHR, the EHR retrieve the result in the browser.
  • The assessor needs to know the place to redirect to (done by the EHR)
• 3 steps
  • Synchronize context
  • Assess patient using questionnaire
  • Return the questionnaire response
• RFD (Request Form for Display), SDC (Structure Data Capture) is the next challenge, but there is few implementations (2 for RFD, 1 for SDC)