PCC TC Face to Face May 4-8, 2020 Minutes
Jump to navigation
Jump to search
May 5, 2020 Virtual Meeting Day 2
Attendees:
- On phone
- Andrea Fourquet
- L Fourquet
- Laura Bright
- Chris Melo, Philips
- Steve Moore
- John Moehrke, By Light
- Genny Luensman
- John Donnelly
- Steve Kay
- Giorgio Cangioli
- Tone Southerland (OneRecord)
- Michael Clifton, Epic
- Emma Jones, Allscripts
- Thierry Dart, ANS
PCS - Paramedicine Care Summary (Andrea Fourquet)
- Change proposals to update PCS with some of the changes applied to IPS
- Switzerland is implementing PCS and would like to align it to IHE as a point of reference.
- Some elements need to align across borders - change reference from EMS 1 report to inherit from IPS
- IHE need to get the medical summary aligned
- Andrea reached out to Zoll. They continue to be supportive. Attempting to get a larger reach out to existing EMS vendors.
- Analysis on the IPS element - not encounter based but more summary
- Suggestion from John M - might be useful to include in the supplement an Open Issue to remind us about the need to align as needed to X, Y, and Z known regions that are doing that evaluation work.
- Playing around with the cardiac procedure note into the encounter to call out Cardiac issues -
- might be too detailed
- Question for this piece of the encounter is for the procedures
- procedures, interventions and active problems are things that occur in the encounter
- taking what IPS have and restructuring it to meet the PCS use case.
- review of slicing - when to slice Vs when to add a second slice.
- How does Zoll organize the stuff they do today.
- Discussion about how to deal with medications
- need to decide what to do about medication administered and historical meds
- Will the same approach be taken with procedures?
- Vital signs and Physical exam mappings.
IPS - International Patient Summary (public comments, Andrea Fourquet)
- Resolving public comments
- Typos:
- Motion to approve the typos
- No discussion, 3 abstains, no against, 6 actives votes
- The motion passes
- PCC starts discussion by the highest priorities (for comments)
- 6.3.1.D.2 - Parent template and OID of the document
- Shall we use the same OID of HL7 document ?
- Ok to keep the same parent ID with versioning
- Add open issue: we are still working on the collaborative approach with the extension of the template. Further harmonization to align HL7 and IHE is still under consideration
- The PCC agree that we need to add a versioning of the document as an extension (in a templateId element)
- Motion to add an open issue: 2 abstention, no against, 6 actives votes, motion is accepted
- 6.3.1.D.4 - Data Elements : a table with lot of confusion
- Motion to put the mapping at the element level: no discussion, 2 abstain, motion is accepted
Additional Discussion IPS
- Public Comment
- All comments are available on IPS Google Doc
Motion - John Donnelly move to approve typos pending udates applied for publication. Lori foruquest second No further discussion abstain - 3 Against - 0 For - 6
- 143 comments for discussion
- Candidates for discussion
- High Priority items
IPS Document OID
- Suggesiton to use the HL7 IPS document template with versionining as extension
- This is a collaborative initiative between HL7 and IHE.
- Giorgio - We need to have one main gola of avaoiding two diffrent templates. We need to assure there are no divergence and have tight coupling.
- John Donnelly agrees we need to honor the collaborative option.
- Added an IPS option
- Suggestion to add an open issue that the intent is to add an extension for the template.Should this be done with versioning or with an extension?
- John Moerke - in the case of C-CDA, IHE has not re-written the specification. When C-CDA is desired, it is used. They have even defined the FormatCode --> That is an example of a joint-work-item... as it created ONE specification jointly owned/authored/managed by both IHE and HL7.and in the case of C-CDA there are very well written, tested, and respected tests of C-CDA in the IHE space.
- IPS is an STU in HL7 7 could be consider an evolving template. Need to clarify the governance before we can determine the versioning. Need to do this to determine what is the best option.
- Tone - why would we need a single template ID? Why do we not have an IHE template ID? Ahy are we using HL7 template ID and not using IHE template ID? WHy can we not use 2 different template ID.
Motion - will document as an open issue and keep the same template ID
- Tone second
- No further discussion
- Abstain - 2
- Against - 0
- For - 6
Table 6.3.1.D.4-1
- CED data element mapped to the IPS CDA
- Lori - Andrea is to do the mapping at element level
- Second - John Donnelly
- Abstain - 0
- Against - 0
- For - 6
May 6, 2020 Virtual Meeting Day 3
Attendees:
- On phone
- Andrea Fourquet
- Derek Ritz
- Giorgio Cangioli
- John Donnelly
- John Moehrke, By Light
- L Fourquet
- Luke Ducan
- Tone Southerland (OneRecord)
- Michael Clifton, Epic
- Steve Kay
- Emma Jones, Allscripts
- Thierry Dart, ANS
IPS - International Patient Summary (public comments, Andrea Fourquet)
- Resolving public comments
- How do we present the fact that ITI transactions are embedded in PCC-1 in a clearer way
- There seems to be confusion about how MHD and PCC-1 relate
- Suggestion to update the note regarding referencing MHD to note that it is referenced by PCC-1 and point to the ITI TF location for MHD
- Table 6.3.1.D.4-1 and 6.6.X.1.2.1
- Shall we need to put/fix the cardinalities at the Data Element level ?
- PCC decides that we need to discuss this topic in an other session
- Need to use a common language to express the constraints
- Appendix D
- Two comments to remove this appendix
- Motion to remove the appendix D --> General agreement of PCC TC to remove the appendix D
- X.1.1.1.1 Trigger events
- Change adopted : "Upon the Request to prepare an IPS document."
- 6.6 HL7 FHIR Content Module
- Comment accepted : "the folowing section maps the IPS FHIR found ..."
- Immunization section
- The representation of the targeted disease has to be clarified: PCC TC decides to add an note to clarify
- IPS Allergy and Intolerance section
- Motion to remove IPS Category Observation
Attendees:
- On phone
- Andrea Fourquet
- Chris Melo, Philips
- Holly Miller
- John Donnelly
- John Moehrke, By Light
- L Fourquet
- Michael Clifton, Epic
- Thierry Dart, ANS
- Tone Southerland (OneRecord)
- Spencer LaGesse, Epic
- Vassil Peytchev, Epic
360XL (volume 1 and 2, Vassil Peytchev)
- Volume 1
- X.4.2.1.1 Acute care to SNF use case description
- Security consideration : signature is required
- Open question : shall we need to use a second use case for an ambulatory environment ?: ambulatory acute care to SNF
- PCC TC decides that we need to put it in, to be discussed tomorrow
- Volume 2
- Need to update the existing transactions
- Will be added in a CP for tomorrow
- Add an new transactions
- HL7 V2.9 as the content, this message is a XDM package
- Content part of the profile will be discussed tomorrow
- Need a slot on Friday to approve the complete supplement
- Need to update the existing transactions
May 7, 2020 Virtual Meeting Day 4
Attendees:
- On phone
- Andrea Fourquet
- Derek Ritz
- Giorgio Cangioli
- John Donnelly
- John Moehrke, By Light
- L Fourquet
- Tone Southerland (OneRecord)
- Michael Clifton, Epic
- Steve Kay
- Emma Jones, Allscripts
- Thierry Dart, ANS
IPS - International Patient Summary (public comments, Andrea Fourquet)
- Comment resolution
- Upload of a
- X.5 Mobile security consideration
- Appendix Z