2013-09-26 PA WGM Minutes

Patient Administration Work Group Minutes - Thursday September 13, 2012

Thursday Q1

HL7 Patient Administration Meeting Minutes Location: Guest Room 547		Date: 2012-09-12 Time: Thursday Q1
Facilitator	Line Saele	Note taker	Alex de Leon
Attendee	Name	Affiliation
X	Line Saele	Helse Vest IKT Norway
X	Irma Jongeneel	HL7 Netherlands
X	Barry Guinn	EPIC
X	Peter Gilbert	Covisnt
X	Rob Savage	NGC/CDC
X	Michelle Williamson	CDC
X	Alexander de Leon	Kaiser Permanente
Quorum Requirements Met (Chair + 3 members): No/Yes

Agenda

Agenda Topics

1. V3 Work – Joint w/PHER – CMET harmonization

Supporting Documents

Minutes

Minutes/Conclusions Reached:
Introductions
The WG welcomed the PHER group and continued to work on harmonizing the CMETs. The ones in question are:

• E_PublicHealthPlace universal (COCT_RM841300UV09)
  
• E_PublicHealthPerson universal (COCT_RM840200UV09
  
• E_PublicHealthOrganization universal (COCT_RM841400UV09)
  
• E_PublicHealthNonPersonLivingSubject universal (COCT_RM840100UV09)
  
• A_SpatialCoordinate universal (COCT_RM960000UV05)
  

After reviewing the minutes from last meeting, PHER was supposed to review the attributes since it appears that the models are similar. It is unclear whether this was done since neither Alexander nor Joginder are here.
The minutes show that Alexander Henket and Joginder were to review the models specifically focusing on the attributes.
After contacting Alexander Henket, it was clear that no progress has been made in this effort.
It appears that the R_Subject does not have addressed because it only has CMETs that already in the other CMETs.
It appears that Joginder is not available to answer the needs of PHER. The WG considered moving the work forward within this session.
After looking at the CMETs, and reading the overview that the current CMETs in PAWG do not meet the needs of PHER, it seems apparent that Patient Administration should own these and that we should continue the relationship to assure that these are kept harmonized.
First, the work groups decided to have a joint session with PA hosting Thursday Q1.
Action: PHER to discuss in telecon’s the subject of moving these into the PA domain. They will discuss with the past work group stakeholders to understand how and why they were placed within the PHER space. Responsible Person: Rob Savage. Timeframe: Next 30 days.
Action: A joint session (PHER and PA) with results of the above discussion and to discuss the potential logistics of publishing these in the Patient Administration domain. Responsible Person: Alex de Leon. Timeframe: Next 45 days.
Action: Alexander Henket and Jonginder to review the attributes and models to understand the differences between the models. And this will allow PA to understand the attributes needs included in the CMETs. Responsible person: Alexander/Joginder. Timeframe: Next WGM.
PSS – Scheduling

The WG continued on with the administrative work for the Project Scope Statements needed to move forward with that work. The PHER representatives excused themselves from this work.
After reviewing and updating the information left on the PSS, Alex moved to accepted the PSS for the re-establishment of the Scheduling Topic. Irma seconded.

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

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items .

Thursday Q2

HL7 Patient Administration Meeting Minutes Location: Guest Room 547		Date: 2012-09-12 Time: Thursday Q2
Facilitator	Line Saele	Note taker	Alex de Leon
Attendee	Name	Affiliation
X	Line Saele	Helse Vest IKT Norway
X	Irma Jongeneel	HL7 Netherlands
X	Barry Guinn	EPIC
X	Alexander de Leon	Kaiser Permanente
Quorum Requirements Met (Chair + 2 members): Yes

Agenda

Agenda Topics

1. Provider/Organization Registries
2. 3 Year Work Plan

Supporting Documents

Minutes

Minutes/Conclusions Reached:
Agenda shows that we are to work on the Provider and Organization Registries, however we have a lack of stakeholders.
Action: Assure that the registries stakeholders are available for the next WGM in January 2015. Person: Line.
In the meantime, the WG moved on to review and approve the Personnel Management.
Irma makes the motion to accept the Personnel Manaement PSS as updated in the WGM. Alex seconded.

Vote (for/against/abstain): 3/0/1

The WG reviewed the next steps for each of the needed PSSs.
Action: Create publication request forms for CMETs , Encounter, Personnel Management, Scheduling to be used on an as-needed basis.

3 Year Work

The WG continued to update the 3 year work plan.
For the Interdependent Registries, the WG decided to send an email to the stakeholders: Canada Infoway, HL7 New Zealand,
Action: Line Saele will send emails to the stakeholders to see if there is still interest. If no response, the WG will put this project on hold.
The WG considered the necessary work to remove the encounter part from the PA D-MIM, since it is now part of the Care Provision D-MIM, and update the PA D-MIM to include all registries from PA and Personnel Management.
It was decided to wait to include this work until the WG has completed the current work.
Motion to adjourn by Irma. Seconded by seconded by Brian.

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items .

Thursday Q3

HL7 Patient Administration Meeting Minutes Location: Guest Room 547		Date: 2012-09-26 Time: Thursday Q3
Facilitator	Line Saele	Note taker	Alex de Leon
Attendee	Name	Affiliation
X	Line Saele	HL7 Netherlands
X	Alex de Leon	Kaiser Permanente
X	Irma Jongeneel	NICTIZ
X	Michael Steine	BT/Standards Australia
X	Ewout Kramer	Furore
X	Jay Zimmerman	CCHI , Saudi Arabia
X	Brian Postlethwaite	DCA
Quorum Requirements Met (Chair + 2 members): Yes

Agenda

Agenda Topics

1. FHIR Work

Supporting Documents
Minutes/Conclusions Reached:
The WG continued with the FHIR reconciliation.
The discussion continued regarding linking records. Discussions have happened since our last discussion adding use cases to this topic. We had left it that we would have a one-direcctional link from one record to the other.
However, in Norway and in Australia, there are use cases wherein records need to be linked and all records can be “active” and healthcare events continued to be logged to their records. This seems to say that there are use cases for bi-directional link.
We also discussed that links do happen in more than the scenario of being an “error”.
Ewout noted that Rene Spronk had noted in a past posting regarding this subject:

“There are scenarios where a one-way linkage from the oldRole to a new one is application [this Is the use case in Norwegian use case] and to others where there should be a two-way linkage between both roles involved….
The WG continued to discuss the “deprecated” scenario.
Since there are at least use cases –
The current specification says that if you have a deprecation of a record, you create a two-way link. The WG does not want to say this and say that we support only one way link at this time.

1. 196 was revisited
   

To support the semantics of the link we will create a construct where we have 0..* link+code pairs where the code expresses the nature of the link. We will discuss the construct a value set for this code in telecon.
The WG amended the disposition to reflect what we noted above

Vote: 7/0/0

1. 338 , #372
   

This can be used for REST and messaging. This asks for link/unlink and merge messages. The WG discussed making this “Considered for future use”.
Vote (for/against/abstain): 6/0/1

1. 100
   

There is no way to express This is the same as what was decided on #100 . The WG added the advice to use the specialty attribute in Practitioner to address the need for primary care provider.
Vote (for/against/abstain): 4/0/3

The WG continued with the 3 year work planning regarding FHIR. Ewout thinks that the DSTU period will last 3 years. This was questioned as DSTU has typically been maximum of 2 years, per ISO rules. Ewout stated that we will have DSTU updates on a yearly basis within that time.
Action: Ewout will find out what the definitive decision is on the FHIR DSTU and when we expect to have DSTU updates so we can add these to the 3 year action plans.
Ewout also noted that we still need to address the non-negative comments since we have successfully addressed the Negative Majors and Negative Minors. However, there seems to be significant work that might come from the rest of the positive comments. Ewout will review them and we intend to address the significant ones in the telecon.
Action: Ewout will triage the comments remaining and discuss any necessary responses in telecons.
We will work on the new resources Appointment and Schedule with active input from Australia and The Netherlands. The goal would be to have ballot ready for
Brian Postlethwaite has volunteered to be our FHIR facilitator for Scheduling and Appointment.

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items .

Thursday Q4

HL7 Patient Administration Meeting Minutes Location: Guest Room 547		Date: 2012-09-12 Time: Thursday Q4
Facilitator	Line Saele	Note taker	Alex de Leon
Attendee	Name	Affiliation
X	Line Saele	Helse Vest IKT Norway
X	Alex de Leon	Kaiser Permanente
X	Irma Jongeneel	HL7 Netherlands
X	Brian Postlethwaite	DCA
X	Barry Guinn	EPIC
Quorum Requirements Met (Chair + 4 members): Yes

Agenda

Agenda Topics

1. Wrap up

• Approve next ballot
• Update work plan

Supporting Documents

Minutes

Minutes/Conclusions Reached:
Approve the next ballot

1. Ballot Encounter r2
2. Personnel Management
3. Scheduling
4. FHIR DSTU

• Patient • Practitioner • Organization • Group • RelatedPerson • Encounter • Location We are not sure if the publication notification form needs to be done from PA for the FHIR work or if the FHIR group will
Irma motioned to approve the next ballot. Brian seconded.

Vote: 4/0/0

3 year work plan.
The 3 year work plan was uploaded into GForge. Meeting adjourned

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items .

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