2011-09-13 PA WGM Minutes

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Patient Administration Work Group Meeting - Tuesday September 13, 2011

Tuesday Q1

HL7 Patient Administration Meeting Minutes

Location: Windsor East

Date: 2011-09-13
Time: Tuesday Q1
Facilitator Jay Zimmerman Note taker Alex de Leon
Attendee Name Affiliation
X Jay Zimmerman Canada Infoway
X Alex de Leon Kaiser Permanente
X Helen Drijfhout-Wisse HL7 Netherlands
X Barry Guinn EPIC
X Norman Doust Doust Associates
Quorum Requirements Met (Chair + 4 members): Yes

Agenda

Agenda Topics

  • V3 Work - Encounter (hosted by Patient Care)

Supporting Documents

Minutes

Minutes/Conclusions Reached:
The WG met with Patient Care regarding encounter models. There was work from the previous WGM in May regarding this. Due to a shift in co-chairs in which the co-chair doing work on this left the group, PA attempted to scope the PA Patient Encounter models.

Change patient participation in encounter from subject to record target. Patient care will propose changes to the clinical statement to add associates that are in the patient adminitration encouner RMIM. A comparison of the list of gaps has to be compiled as any previous list of differences can be found.

Potential changes proposed (COCT_M5300000UV):

There are possible overlaps for PC participations for service provider

  • informant - Discussion was held that indicated that this was includedin the PA models for encounter.
  • performer - Included in the PA encounter model.
  • author - Maybe medical student. This is missing from the PA D-MIM. But in PA, the author is in the control act wrapper - EventReuqestWrapper (human-initiated patient specific).
  • dataEnterer - This would also be in the control wrapper
  • verifier - Also in the control wrapper.
  • responsibleParty - Also in the control wrapper.

The Patient Care WG is concerned with the "intent to see" a patient, whereas when the appointment is made then it moves into the Patient Administration context.

The joint WG/s reviewed the encounter D-MIM, PRPA_DMIM

The Patient Care WG also proposed to depict differently (in the PA D-MIM) the RecordTarget and Subject as participations of PatientorRealatedOrSpecimen

PA produced a wiki link in which these topics were discussed (http://wiki.hl7.org/index.php?title=Three_PC/PA_harmonization_issues).

There was no easy navigation, so this was established off of the main Patient Administration HL7 Wiki page.

Meeting Outcomes

Actions (Include Owner, Action Item, and due date)
  • .
Next Meeting/Preliminary Agenda Items
  • .

Tuesday Q2

HL7 Patient Administration Meeting Minutes

Location: Suite Parlor # 1110, 1st Floor, Royal Palm Tower

Date: 2011-09-13
Time: Tuesday Q2
Facilitator Jay Zimmerman Note taker Alex de Leon
Attendee Name Affiliation
X Jay Zimmerman Canada Infoway
X Alex de Leon Kaiser Permanente
X Helen Drijfhout-Wisse HL7 Netherlands
X Barry Guinn EPIC
X Norman Doust Doust Associates
Quorum Requirements Met (Chair + 4 members): Yes

Agenda

Agenda Topics

  • V3 Work - Encounter Ballot Reconciliation

Supporting Documents

Minutes

Minutes/Conclusions Reached:

The WG first decided to hande the items for which quorum was not reached on monday.

Agenda Motion made by: Helen to approve the agenda. Seconded by: Norman Discussion: Agenda was reviewed. Vote (For/Against/Abstain): 4/0/0

The mission and charter was reviewed by the work group. Motion made by: Helen to add SOA in our formal relationships with other HL7 Groups section of the charter. Seconded by: Alex Discussion: Since we meet with the SOA WG on a regular basis, this seems like a reasonable addition, although there were discussions as to whether all WGs have a formal relationship with the SOA WG. Vote (For/Against/Abstain): 3/1/0

The desicion making practices were now reviewed by the work group. Motion made by: Helen to accept the DMP as it stands. Seconded by: Norman Discussion: None. Vote (For/Against/Abstain): 4/0/0

The WG then moved on to reviewing the 3-year work plan. Discussion: Questions as to whether there would be changes to the work this WGM. The only changes identified may be with the PA CMETs due to the discussions with the Patient Care WG needs, which will require harmonization. The WG will take a look in GFORGE to review the outstanding work needed for Appointment and Slot under V3 Scheduling & Logistics. Helen pointed out that the DSTUs for Person, Identity Document, Patient, Service Delivery Location and Provider Registry and Organization Registry will need to move to DSTU in the 01-2012 review cycle. This was changed on the work plan.

The WG decided to hold off on voting on the 3 year work plan until Alexander Henket can be consulted and we know the specific changes needed to the models for the January ballot cycle.

The next item of business was to reconcile the V3 Work - Encounter Ballot Reconciliation (recon_v3_pa_r2_encounter_r1_d1_2011may.xlsx) .

In the time left in the quarter, the WG decided to eaddress the Affirmative Vote with Comment - Suggestion (A-S) vote and type.

Meeting Outcomes

Actions (Include Owner, Action Item, and due date)
  • The charter will be updated by chair and submitted to the TSC for approval.
Next Meeting/Preliminary Agenda Items
  • .

Tuesday Q3

HL7 Patient Administration Meeting Minutes

Location: Suite Parlor # 1110, 1st Floor, Royal Palm Tower

Date: 2011-09-13
Time: Tuesday Q3
Facilitator Jay Zimmerman Note taker Alex de Leon
Attendee Name Affiliation
X Jay Zimmerman Canada Infoway
X Alex de Leon Kaiser Permanente
X Helen Drijfhout-Wisse HL7 Netherlands
X Barry Guinn EPIC
X Norman Doust Doust Associates
Quorum Requirements Met (Chair + 4 members): Yes

Agenda

Agenda Topics

  • V3 Work - Encounter Ballot Reconciliation

Supporting Documents

Minutes

Minutes/Conclusions Reached:

The WG moved on to reconciling the v3 Encounters ballot (recon_v3_pa_r2_encounter_r1_d1_2011may.xlsx) .

Meeting Outcomes

Actions (Include Owner, Action Item, and due date)
  • .
Next Meeting/Preliminary Agenda Items
  • .

Tuesday Q4

HL7 Patient Administration Meeting Minutes

Location: Suite Parlor # 1110, 1st Floor, Royal Palm Tower

Date: 2011-09-13
Time: Tuesday Q4
Facilitator Jay Zimmerman Note taker Alex de Leon
Attendee Name Affiliation
X Jay Zimmerman Canada Infoway
X Alex de Leon Kaiser Permanente
X Helen Drijfhout-Wisse HL7 Netherlands
X Barry Guinn EPIC
X Norman Doust Doust Associates
X Corinne Gower HL7 New Zealand
Quorum Requirements Met (Chair + 4 members): Yes

Agenda

Agenda Topics

  • V3 Work - Encounter Ballot Reconciliation

Supporting Documents

Minutes

Minutes/Conclusions Reached:

The WG moved on to reconciling the v3 Encounters ballot (recon_v3_pa_r2_encounter_r1_d1_2011may.xlsx) .

Meeting Outcomes

Actions (Include Owner, Action Item, and due date)
  • In reconciling the v3 Encounter Ballot, it became apparent that the PA WG will need to work closely with the PC WG to harmonize the encounter models.
Next Meeting/Preliminary Agenda Items
  • .

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