PCC TC Face to Face May 4-8, 2020 Minutes

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

Patent Disclosure Policy

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

May 7, 2020 Virtual Meeting Day 4

Attendees:

• On phone
  • Amit Popat
  • Andrea Fourquet
  • Derek Ritz
  • John Donnelly
  • John Moehrke, By Light
  • Genny Luesman
  • Laura Bright
  • L Fourquet
  • Michael Clifton, Epic
  • Steve Moore
  • Thierry Dart, ANS

IPS - International Patient Summary (public comments, Andrea Fourquet)

• Comment resolution
• X.5 Mobile security consideration
  • Refer to Appendix Z
• ArtDecor is not normative. For IHE, only the PDF published on the IHE web site is normative
• Specialist contact in care plan
  • Not supported actually by FHIR, Put as an open issue, Register a change in the FHIR Jira
• The IPS implementation guide versions are here http://www.hl7.org/fhir/uv/ips/history.html , last build in January
• Please review the proposed solutions on the google drive https://drive.google.com/open?id=1_GW8tQL1qWa0H8mNlBHZhmJ3_AkGTnNc
  • Email Andrea about any of the proposed solutions that you do not agree with

Attendees:

• On phone
  • Chris Melo, Philips
  • John Moehrke, By Light
  • Michael Clifton, Epic
  • Steve Moore
  • Spencer LaGesse, Epic
  • Thierry Dart, ANS
  • Vassil Peytchev, Epic

360XL (vol. 1 and vol. 2, Vassil Peytchev)

• Document progress was posted last night
• Transaction: "referral request transaction"
  • Content was updated
  • Content will be reviewed tomorrow
• Transaction : "Facility admission notification"
• Question 1
  • The Y1 and Y2 transactions seem to represent a single transaction with two messages. I propose that we change it to the following:
    • Transaction Y1 Facility Selection
    • Message 1 of transaction Y1: Referral Request Confirmation
    • Message 2 of transaction Y1: referral Request Discontinue
• Question 2
  • The new Y4 transaction, Facility Admission Notification is currently represented by an Order Status Update HL7 v2 message.
  • An alternative would be to use an HL7 v2 ADT^AO1 message, which is already defined as part of the PAM profile.

Attendees:

• On phone
  • Andrea Fourquet
  • L Fourquet
  • Michael Clifton, Epic
  • Emma Jones, Allscripts
  • Thierry Dart, ANS

PCS - Paramedicine Care Summary (Andrea Fourquet)

• Spreadsheet to compare IPS, Medical Summary
• Extension of IPS Medication for drug administration
• Shall we need to extends IPS procedure ?

May 8, 2020 Virtual Meeting Day 5

Attendees:

• On phone
  • Andrea Fourquet
  • Didi Davis
  • Emma Jones
  • John Moehrke, By Light
  • John Donnelly
  • Genny Luensman
  • Giorgio Cangioli
  • L Fourquet
  • Michael Clifton, Epic
  • Mike Nusbaum
  • Thierry Dart, ANS

IPS - International Patient Summary (public comments, Andrea Fourquet)

• Public comments resolution
• Some will not have solutions and will be out as TBD
• 6.6.X.1 - FHIR Ressources bundle content
  • Need to indent the sections and entries in the table (easier to understand)
  • Keep the cardinalities in the tables only
• 6.3.D.5
  • Add proper references to IPS (version, date)
• Add HL7 terminology and add in language that conformance to CEN
• Next steps : resolve the remaining public comments, voting will be scheduled for the next PCC T-Conf (two weeks from today)

Attendees:

• On phone
  • Holly Miller
  • Emma Jones
  • Michael Clifton, Epic
  • Thierry Dart, ANS
  • Vassil Peytchev, Epic

360XL (volume 1 and 2, Vassil Peytchev)

• To add the second use case, we have an other trasaction to add
• Two content modules: request and transfer documentation (work in progress)
• Two options for this profile
• Voting session will be plan for the next PCC T-Conf (two weeks from today)

CP's session

• google Drive is the primary location for CPs now (FTP drive will go down in 2 weeks)
• Co-chair have access to share with others
• TF-PCC-CP-0288 : one new CP from Steve: some typo in the TF 2
  • Motion to move to ballot
  • No abstention, no against, all in favour
• No other CPs or other business to discuss

End of the meeting