PCC TC Face to Face February 17-21, 2020 Minutes

February 18, 2020 F2F Meeting Day 1

Attendees:

• Present
  • Keith Boone
  • Andrea Fourquet, eHealthsign
  • Lori Fourquet
  • Vassil Peytchev, Epic
  • Steve Moore
  • Michael Clifton, Epic
• On phone
  • Mike Nusbaum
  • Bob Hausam
  • Holly Miller
  • Emma Jones, Allscripts
  • Thierry Dart, ANS

IPS (volume 2 review, Andrea Fourquet)

• FHIR section
  • Removing : observation imaging, observation pregnancy, observation pregnancy outcome
  • Device : https://build.fhir.org/ig/HL7/fhir-ips/StructureDefinition-Device-observer-uv-ips.html
    • Need clarification of participant role
  • Allergy and Intolerance
    • Structure do not seem to support the diagnosis
    • Severity value set does not include 'moderate'
  • Functional status
    • Entry functionalAssessment is a ClinicalImpression resource
  • Plan of Care
    • There is no strcture definition for Care Plan
  • Condition category code

360XL (volume 1 review, Vassil Peytchev)

• The 360 Closed Loop Transfer from Acute Care to Skilled Nursing Facility (360XL) profile builds upon the 360X profile for closed loop referrals. This supplement uses some of the existing transactions of the 360X profile and adds some new ones in order to adress use-case specific requirements for the transitionof care from an acute care facility to a long term skilled nursing facility.
• Actors : better to reuse the actors (Transfer initiator and Transfer recipient)
  • Actor grouping ?
  • Important to distinguish interfacility transfer and transfer
• Workflow
  • There are multiple facilities who can receive the requests.
  • Each facility has to accept or decline the transfer of the patient.
  • The patient or care givers make the final choice, and has to confirm his choice to a facility and to cancel to the others.
• Work to be done : review of the actors and transactions diagram

Business and CP work

• CPs session, PCC CPs Spreadsheet
  • CP-PCC-0285 (new CP, RIPT): assigned to Andrea: update NEMSIS mapping
  • CP-PCC-0284 (new CP, PCS): assigned to Andrea: update NEMSIS mapping
  • CP-PCC-0283 (Vassil): work in progress
  • CP-PCC-0282 (Vassil): work in progress
  • CP-PCC-0281 (Vassil): balloted, Michael to incorporate 2/18/20
  • CP-PCC-0280 (Lori): balloted, not incorporated
  • Combing in one CP : CP-PCC-0277, CP-PCC-0276
    • After a discussion with John, QEDm needs to have a vocabulary support. What is a international value set for QEDm ? To support national extension, we may use the search parameters. This topic will be discussed in the jont meeting (valueset binding in international profile and national extension)

ACDC (Comments review, Keith Boone)

• Open issues and questions
  • Seek feedback on the need to be able to update the results of an assessment -> how we address security and privacy.
  • QRPH SDC adresses the definition of forms
• Comments review
• Shall we need to embed the questionnaire into the questionnaire response ?

Joint meeting (ITI, PCC, QRPH)

February 19, 2020 F2F Meeting Day 2

Attendees:

• Present

• On phone