PCC TC Face to Face May 24-2017

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Monday April 24, 2017

  • Attendees: Thom Kuhn, Steve Moore, Denise Downing, Emma Jones, Tone Southerland, Andrea Fourquet, Lori Fourquet, Vassil Peytchev, Dr. Holly Miller, Brett Andriesen, Dr. Nemanja Milenkovic
  • On Phone: George Cole, Kwekour, Dr. Chris Melo
  • Introductions - Announcements
  • RIPT Profile (presented by Andrea Fourquet)- reviewed and discussed.
  • PR profile - Presented by Kwekour
    • extended telecommunication number, country code- Vassil will point Kwekour to an updated profile that discusses how to handle this.
  • QEDm - presented by Fabio Buti and Charles
    • RECON has a functional gap that should be covered by this profile. This profile provides the provenance to be handled. RECON need to deal with provenance.
    • Each class of information will represent an option. US Core is listed but the profile is not based on it. Will be based on the basic FHIR resources.
    • Include Smoking status as an observation option
    • Clarification of the Actors used in the profile
  • 360X - Presented by Vassil
    • Attendees (in addition to the list above): Rob Rose, Hans Buitendijk
    • Expected Service provision time - discussion about the concept of the time frame for which the referral to occur. Will add the number of occurrences to support the request to have a patient seen for x number of visits (request for 6 PT visits)
      • Suggestion to think thru the flow for when there are no-show or handle visits that did not occur.
      • If the scheduling option is used then each visit has idendifiers that can be used. One referral identifer with multiple appointment identifiers.
      • Need to be able to track the number of visits and also add new visits without creating a new referral
      • There might be a situation where in HL7 lab implementation at sub profiles - this would be named option for the profile.
    • Reason for referral as a message with referral question and coded data.
  • PCMD Profile - presented by Iaona and Denise. Discussed what to do about "supported" elements.
  • DCTM Profile - presented by Emma and George. Answered Steve's question.
  • RPM (FHIR) - presented by Brian
    • PCHA is still working on how to represent devices in FHIR.
    • FHIR upload and hData should almost be identical. only difference is one is V2 and the other is FHIR
    • format as PCD01 is not working out. Need to wait until there is resolution across the group. Will have to wait.
    • FHIR resources today do not provide elements to map all the things about devices that need to be mapped.
    • HL7 extension to C-CDA that covers the device information.
    • Meeting tomorrow to discuss the harmonization. If no decision will go forward with what we have. FHIR is an evolving spec and the device resource is maturity level 1. Still very young.
    • May need to go ahead and have a seperate chapter for the mapping because the mapping might change.

Tuesday April 25, 2017

  • Attendees - Anne Diamond, Thom Kuhn, Lori Fourquet, Vassil Peytchev, Dr. Holly Miller, Brett Andriesen, Dr. Nemanja Milenkovic, Celina Roth
  • On Phone: Andrea Fourquet, George Cole, Danielle Cote, Tone Southerland
  • RIPT - presented by Andrea Fourquet
    • reviewed C-CDA content for medical necessity and FHIR mappings. Discussed FHIR mapping.
  • PR Profile (presented by Kwekor)
    • Table 203 - want to add additional identifiers - student ID is missing.
    • Added "Patient Declined to answer" to Race value table 5 - user defined table so can add elements to the table
    • reference ITI CP 977 in ITI for handling country code
    • Reminder that IHE USA need to be contacted about this extension being added to ITI tech framework. Per Kwekor, AHIMA team will contact IHE USA and ITI. WIll include PCC in the communication.
  • QEDm (Presented by Fabio and Charles)
    • Discussed the search parameters for profiled elements versus base resources
    • Security considerations - will ask ITI if Appendix D will go into detail as to the audit needed from the queries.
    • volume 3 - need consistency in documenting the resource profiled in the IHE template. Other profiles uses text in the table. Need consistency in how this is done in IHE.
  • DCTM (presented by Emma and George)
    • Updated subscription content with link to FHIR resource
    • Discussed email as a subscription type
    • added open issue relating to careTeam.participant cardinality
  • 360X (Presented by Vassil)
    • on phone - Rob Rose
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