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2012-05-15 PA WGM Minutes

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Patient Administration Work Group Minutes - Tuesday May 15, 2012

Tuesday Q1

HL7 Patient Administration Meeting Minutes

Location: Pavilion Ballroom B

Date: 2012-05-15
Time: Tuesday Q1
Facilitator Alex de Leon Note taker Alex de Leon
Attendee Name Affiliation
X Alex de Leon Kaiser Permanente
X Irma Jongeneel HL7 Netherlands
X Iryna Roy HL7 Canada
X Barry Guinn EPIC
Quorum Requirements Met (Chair + 4 members): Y

Agenda

Agenda Topics

  • V3 Work - Harmonization of Encounter and Care Provision models (joint with/hosted by Patient Care)

Supporting Documents

Minutes

Minutes/Conclusions Reached:

Irma, who is heading the effort to harmonize the Patient Care Care Provision Model and the Patient Administration, Encounter Model, along with the PAWG reviewed the PA submitted reconciliation comments along with the issues identified during Q4 yesterday.

Meeting Outcomes

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

Tuesday Q2

HL7 Patient Administration Meeting Minutes

Location: Room #2761

Date: 2012-05-15
Time: Tuesday Q2
Facilitator Irma Jongeneel Note taker Alex de Leon
Attendee Name Affiliation
X Iryna Roy HL7 Canada
X Irma Jongeneel HL7 Netherlands
X Barry Guinn EPIC
X Alex de Leon Kaiser Permanente
X Oyvind Aassve HL7 Norway
Quorum Requirements Met (Chair + 4 members): Y/N

Agenda

Agenda Topics

  1. V3 Work - Encounter ballot reconciliation

Supporting Documents

Minutes

Minutes/Conclusions Reached:

The WG reviewed the last quarter work with the Patient Care Workgroup. Most of the issue items along with the comments in the ballot spreadsheet were accepted. The item that caused some discussion was the inclusion of priority to add to the sequelTo.

It was clarified that the use cases was that we need admission and discharge primary/secondary diagnosis together.

Meeting Outcomes

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

Tuesday Q3

HL7 Patient Administration Meeting Minutes

Location: Room #2761

Date: 2012-05-15
Time: Tuesday Q3
Facilitator Alex de Leon Note taker Alex de Leon
Attendee Name Affiliation
X Irma Jongeneel HL7 Netherlands
X Iryna Roy HL7 Canada
X Irma Jongeneel HL7 Netherlands
X Barry Guinn EPIC
X Alex de Leon Kaiser Permanente
X Oyvind Aassve HL7 Norway
X Graham Grieve
X Ewout Kramer Furore
X Norman Doust Doust & Associates
X Nat Wong HL7 Australia
Quorum Requirements Met (Chair + 4 members): Yes

Agenda

Agenda Topics

  • FHIR Discussion - Next Steps

Supporting Documents

Minutes

Minutes/Conclusions Reached:

Graham presented the recent history of FHIR and how it became a part of HL7. The Patient/Person resource was developed as an example of a resource to demonstrate his idea.

After reviewing the example for person, Irma suggested that we get a definition of what a resource is. It seems that the definition of a resource has not been clearly done.

Graham explained that a resource is a stand alone entity, separate from a transitional state, for instance.

The group continued to review the Person model which included relationships to qualifications, language and related person.

Graham continued to explain that there was a need, based on the lack of general support of V3, for a standard based on models that are easily implementable.

There were discussions about what FHIR is, what problems it solves, and the complexity involved in presenting an alternative in current HL7 standards.

Graham presented his stance on the considerations of HL7 standards use within his blog at:

www.heathintersection.com.au

Current asks for today is a project scope statement.

Graham also asked that the PAWG review what has been modeled for the following resources:

  • Person
  • Animal
  • Organization
  • Agent
  • Patient

The PAWG has agreed to review the current v3 models to try to determine the "core" elements, then compare with the current FHIR model, at which time we will ask for participation of the FHIR modelers to get a perspective as to why elements were included and why not.

Graham considered that there might be a few more resources that the PAWG might consider such as:

  • Encounter
  • Admission

Meeting Outcomes

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

Tuesday Q4

HL7 Patient Administration Meeting Minutes

Location: Room# 2761

Date: 2012-05-15
Time: Tuesday Q4
Facilitator Irma Jongeneel Note taker Alex de Leon
Attendee Name Affiliation
X Irma Jongeneel HL7 Netherlands
X Iryna Roy HL7 Canada
X Jane Daus McKesson
X Barry Guinn EPIC
X Alex de Leon Kaiser PermanenteD
X Nat Wong HL7 Australia
Quorum Requirements Met (Chair + 2 members): Yes

Agenda

Agenda Topics

  • PA DMIM for Patient - Dutch Use Cases

Supporting Documents

Minutes

Minutes/Conclusions Reached:
The WG proceeded with the review of the analysis done by Alexander Henket of the PA DMIM for Patient - Dutch Use Cases. The following actions were taken

Action Item: Replace content from patientEntityChoiceSubject with the current Activate Person R-MIM

  • Decided to only replace the member structure in the patient activate RMIM with the member structure in the person activate.

Action Item: Replace PatientOfOtherProvider.A_PrincipalCareProvision with Role.CareProvision.performer.R_ResponsibleParty.

  • The CMET was the newer solution, thererefor this needs to be fixed in the DMIM.

The Person topic covers non Patients as well, which means that certain attributes are specific to Patient...

  • For this, the WG decided that we need more information on what the request is, with regarding to some of the listed items. Therefore the WG decided to move on to the other items.

Changed Personal relatiohship from E_LivingSubject to E_Person this should align with person activiate so change both or none.

  • The WG agreed that they shound align and that they should relate to E_Person in both RMIM and D-MIM.

Added Member2 and relationship to ObservationEvent to support conveying houshold

  • The WG accepts this change.

Add Citizen.code

  • The WG accepts this addition to patient

Added Employee.code

  • The WG accepts this addition.

Added Guardian.Code

  • The WG accepts this addition.

Patient Revise
Give this R-MIM the exact same content below the patientEntityChoiceSubject as Activate Patient

  • The WG accepts this proposal.

Patient Demographics
Give this R-MIM the exact same content below the patientEntityChoiceSubject as Activate Patient

  • The WG accetps this proposal.

Patient Identifiers
Replace comparable content in this R-MIM with Person Identifiers

  • The WG accepts this with the clarification that the replacement content is derived from the new Demographic R-MIM with all accepted contstraints.

Patient Nullify
Replace comparable content in this R-MIM with the Person Nullify

  • The WG did not see any difference in the models.

Patient Registry Query by Demogrphics Why are most query parameters are 0...* which means AND logic? It is unlikely that someone has e.g. mulitple bith times. All value attributs are already 1..* so the OR logic is covered.

  • The cardinality (0..*) on the query parameter is to support RIM query infrastructure.

Patient Registry Query by Identifier Why are most query parameters are 0...* which means AND logic? It is unlikely that someone has e.g. mulitple bith times. Use logic

  • The cardinality (0..*) on the query parameter is to support RIM query infrastructure.

Patient Registry Find Candidates Reponses

  • The WG accepts this proposals

A motion was made by Alex to accept the changes outlined above Seconded by Jane

Vote: 5/0/0

Meeting Outcomes

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

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