2012-01-18 PA WGM Minutes

Patient Administration Work Group Minutes - Wednesday January 18, 2012

Wednesday Q1

HL7 Patient Administration Meeting Minutes Location: Garden Terrace, Suite 137		Date: 2012-01-18 Time: Wednesday Q1
Facilitator	Alex de Leon	Note taker	Alex de Leon
Attendee	Name	Affiliation
X	Alex de Leon	Kaiser Permanente
X	Irma Jongeneel	HL7 Netherlands
Quorum Requirements Met (Chair + 4 members): No

Agenda

Agenda Topics

• V2.8 - New proposals

Supporting Documents

• V2 Proposals Database

Minutes

Minutes/Conclusions Reached:

There were no new v2.x proposals. The WG decided to continue with the reconciliation of the ballot comments for encounter. Having no quorum, the members decided to review and enter proposed dispositions and disposition comments looking forward to when the WG will have quorum and be able to formally vote on the dispositions. .

Meeting Outcomes

Actions (Include Owner, Action Item, and due date) .

Next Meeting/Preliminary Agenda Items .

Wednesday Q2

HL7 Patient Administration Meeting Minutes Location: Garden Terrace, Suite #137		Date: 2012-01-18 Time: Wednesday Q2
Facilitator	Irma Jongeneel	Note taker	Alex de Leon
Attendee	Name	Affiliation
.	Line Saele	Helse Vest IKT Norway
X	Alex de Leon	Kaiser Permanente
X	Irma Jongeneel	HL7 Netherlands
X	Rene Spronk	HL7 Netherlands
Quorum Requirements Met (Chair + 2 members): Yes

Agenda

Agenda Topics

1. V3 - Scheduling domain

Supporting Documents

Minutes

Minutes/Conclusions Reached:

There were neither stakeholders nor any new items for the scheduling domain.

The WG therefore decided to continue with the encounter ballot reconciliation.

In discussing the UB92 Line Item, there were questions about whether there should be US Realm notes, especially with regard to updates to the billing forms, electronic fields for billing (X12 837). The WG decided that the documentation should not retain such references. Therefore, the WG decided to remove all references to the UB form in the encounter domain specs.

In discussion of the item which contains the following text under the Existing Wording Column: “I am worried that the domain does not properly support a change in encounter type where the encounter id stays the same (out to in transfer)”, the WG recognizes the valid use case and has decided to mark this for future use, since the change of ID from fixed (along with other considered solutions) will have a significant impact on the current models. It will be put on the WG worklist.

Action Item: Put this on the worklist. Responsible: Alex de Leon

All typographic errors, the WG agreed would be voted upon as a whole.

A motion was made by Rene to accept all typographic errors within the reconciliation spreadsheet. Line seconded. No discussion

Vote (For/Against/Abstain): 3/0/0

Meeting Outcomes

Actions (Include Owner, Action Item, and due date) Place on the WGs worklist an item that addresses the comment upon the Patient Encounter Topic, Interactions (Sections 6.6.7-6.6.12) having to do with the use case in which the same Encounter ID is preserved, despite the change in patient status. For instance, how could an encounter ID be retained throughout changes of that encounter from "Out Patient" to "In Patient" or "In Patient" to "Out Patient" or other type of change (emergency to "In" or "Out", etc.). The Encounter ID is currently "fixed" per encounter. Responsible: Alex de Leon.

Next Meeting/Preliminary Agenda Items .

Wednesday Q3

HL7 Patient Administration Meeting Minutes Location: Room 774		Date: 2011-05-18 Time: Wednesday Q3
Facilitator	Gregg Seppala	Note taker	Alex de Leon
Attendee	Name	Affiliation
X	Gregg Seppala	VHA
X	Jay Zimmerman	HL7 Canada
X	Jane Daus	McKesson
.	Wendy Huang	Canada Infoway
X	Barry Guinn	EPIC
.	Line Saele	Helse Vest IKT Norway
.	Espen Moeller	HL7 IKT Norway
.	Morten Myhre	Helse Vest IKT Norway
X	Alex de Leon	Kaiser Permanente
.	Irma Jongeneel	HL7 Netherlands
X	Alexander Henket	HL7 Netherlands
.	Amit Popat	EPIC
.	Ioana Singureanu	VHA
.	Ron Parker	Canada Infoway
Quorum Requirements Met (Chair + 4 members): Yes

Agenda

Agenda Topics

1. Approve Sydney minutes
2. Plan next meeting Draft Agenda
3. V3 Work - Harmonization proposals

Supporting Documents

• concept domain
• concept domains

Minutes

Minutes/Conclusions Reached:

.

Meeting Outcomes

Actions (Include Owner, Action Item, and due date) .

Next Meeting/Preliminary Agenda Items .

Wednesday Q4

HL7 Patient Administration Meeting Minutes Location: Room 774		Date: 2011-05-18 Time: Wednesday Q4
Facilitator	Jay Zimmerman	Note taker	Alex de Leon
Attendee	Name	Affiliation
.	Gregg Seppala	VHA
X	Jay Zimmerman	HL7 Canada
.	Jane Daus	McKesson
X	Wendy Huang	Canada Infoway
X	Barry Guinn	EPIC
.	Line Saele	Helse Vest IKT Norway
.	Espen Moeller	HL7 IKT Norway
.	Morten Myhre	Helse Vest IKT Norway
X	Alex de Leon	Kaiser Permanente
.	Irma Jongeneel	HL7 Netherlands
X	Alexander Henket	HL7 Netherlands
.	Amit Popat	EPIC
.	Ioana Singureanu	VHA
.	Ron Parker	Canada Infoway
Quorum Requirements Met (Chair + 4 members): Yes

Agenda

Agenda Topics

1. V3 Harmonization proposals
2. AdministrativeContactRoletype concept domain [1]
3. ServiceDeliveryLocation concept domains

Supporting Documents

• [1]
• concept domains

Minutes

Minutes/Conclusions Reached:

Harmonization proposals

AdministrativeContactRoleType proposal - There is a need to allow context binding to a different realm. Today it is fixed in a specific value set. This proposal seeks to add a concept domain for an existing value set to allow for context binding to different realm.

Motion (made by Wendy/ seconded by Alexander H.): For PA to endorse the AdministrativeContactRoleType proposal for inclusion in the July 2011 harmonization meeting.

Discussion:
The WG discussed the recommendation details and updated the definition to: "Indicates the primary purpose for which this contact information is appropriate"

Vote (for/against/abstain): 4/0/0 (for/against/abstain)

Service Delivery Location Domains document proposal - Proposal to constrain Service definition by adding the concept domain ActServiceDeliveryLocationService. There was a discussion as to whether this concept domain should be constrained to the service delivery location or allow it to be reused and not tied to the service delivery location.

There was a discussion to create a hierarchy of concept domains to allow for use at a generalized level and one or more specified levels. The proposal was modified to first add the concept domain ActServiceType under ActCode with the definition of "Concept representing the categorization of health services." Under this would be a additon of the concept domain ActServiceDeliveryLocationService.

Next within this proposal, the WG discussed the the facility LocationIdentifiedEntityRoleType and modified the descriptions for he 3 concepts JURID LOCHFID and ACHFID.

Note that once we get the concept domain added, we should put in the IdentifiedLocation IdentifiedEntityType.

The ServiceDeliveryLocationPlaceType was reviewed next. Instead of the PlaceEntityType the proposal seeks to add the ServiceDeliveryLocationPlaceType while adding CAMP (campus location) and MOBILE (mobile unit). There was a question as to what the difference between CAMP and the current BLDG. It was also noted that the PLACE class has a mobile indicator which means that CAMP would not be needed.

Motion: (made by Wendy/ seconded by Alexander H.): For PA to endorse the addition of ActServiceType under ActCode. The second to add ActServiceDeliverLocationServiceType under ActServiceType. The third is to add LocationIdentifiedEntityRoleType under IdentifiedEntitRoleType and add three codes for types of location identifiers.

Discussion: This will be taken forward.

Vote (for/against/abstain): 4/0/0 (for/against/abstain)

Meeting Outcomes

Actions (Include Owner, Action Item, and due date) .

Next Meeting/Preliminary Agenda Items .

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