2014-01-20 PA WGM Minutes

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Patient Administration Work Group Minutes - Monday January 20, 2014

Monday Q1

HL7 Patient Administration Meeting Minutes

Location: Directors Room

Date: 2014-01-20
Time: Monday Q1
Facilitator Line Saele Note taker Alex de Leon
Attendee Name Affiliation
X Alex de Leon Kaiser Permanente
X Irma Jongeneel HL7 Netherlands
X Line Saele HL7 Norway
X Christian Hay GS1
X Iryna Roy HL7 Canada
X Brian Postlethwaite DCA eHealth
Quorum Requirements Met (Chair + 2 members): Yes

Agenda

Agenda Topics
Welcome/introductions

Supporting Documents
PA mission & charter
PA decision making practice PA 3-year work plan
SWOT

Minutes

Minutes/Conclusions Reached:
The WG reviewed and made minor clarifications on the agenda for this Work Group. Any changes made had to do with administrative work done for planning purposes.
The WG reviewed the Mission and Charter and noted no changes needed. HL7 HQ will need to be notified that this has been reviewed.
Action: Advise HL7 HQ that the work group has reviewed the Mission and Charter in order to update the work group health. Responsible: Alex de Leon
After reviewing the Decision Making Practices (DMP), the WG noted that there were minor changes to be made to bring it in line with the latest template and to specify that this is for the Patient Administration Work Group. Action: Update the DMP to reflect it’s scope for the PAWG and assure that it is in line with the latest HL7 DMP Template. Responsible: Alex de Leon
The WG then continued on with updating the SWOT.

Meeting Outcomes

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

Monday Q2

HL7 Patient Administration Meeting Minutes

Location: Directors Room

Date: 2014-01-20
Time: Monday Q2
Facilitator Line Saele Note taker Alex de Leon
Attendee Name Affiliation
X Alex de Leon Kaiser Permanente
X Line Saele HL7 Norway
X Irma Jongeneel HL7 Netherlands
X Micheal Steen BD Global Services
X Brian Postlethwaite HL7 Australia
X Christian Hay GS1
X Barry Guinn (remotely) EPIC
X Daniel Loewenstein (remotely) EPIC
Quorum Requirements Met (Chair + 2 members): Yes

Agenda

Agenda Topics

  1. 3 Year Work Plan Update

Supporting Documents

Minutes

Minutes/Conclusions Reached:
The WG continued working on the 3 year work plan.

Meeting Outcomes

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

Monday Q3

HL7 Patient Administration Meeting Minutes

Location: Directors Room

Date: 2014-01-16
Time: Monday Q3
Facilitator Line Saele Note taker Alex de Leon
Attendee Name Affiliation
X Alex de Leon Kaiser Permanente
X Line Saele HL7 Norway
X Irma Jongeneel HL7 Netherlands
X Micheal Steen BD Global Services
X Brian Postlethwaite HL7 Australia
X Christian Hay GS1
X Barry Guinn (remotely) EPIC
X Daniel Loewenstein (remotely) EPIC
X Iryna Roy Gordon Point Informatics, Canada
Quorum Requirements Met (Chair + 2 members): Yes

Agenda

Agenda Topics

  1. Ballot Reconcilliation of Encounter and Personnel Management Topics

Supporting Documents

Minutes

Minutes/Conclusions Reached:
The WG began with Ballot Reconciliation for encounter and personnel management as per the agenda.

The Personnel Management Topic tally showed 62 aff 36 abstain. 21 not answered out of 119.

Irma moved to proceed with publication of the Personnel Management reaffirmation. Brian seconded. Discussion: The WG will add comments to continue with publication.
Vote: 9/0/0

The encounter ballot showed negatives. Topic passed ballot and should now be published as normative.

Barry Guinn and Daniel attended via Skype to address the negative comments representing EPIC systems submitted by Vassil Peytchev.

The WG continued with addressing the comments from the latest Patient Encounter topic comments. (please see “V3_PA_ENCOUNTER_R1_D1_2014JAN_v_peytchev_20140113231556.xls” comment spreadsheet):

1-5 Based on the “considered for future use” dispositions, the WG asked whether these were true implementations that were driving these. The EPIC representatives said that they are trying to assure that the models adhere to customer requirements before considering migrating from their v2 implementations. So, they will try to find out if there are use cases to support these changes. So, for now, the WG will consider these for future use, not update the 3 year work plan, until EPIC returns to the work group with a proposal for these changes.
from V_paytchev comment spreadsheet
6 Emergency Encounter - A patient encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment, provided until the patient can be discharged or responsibility for the patient's care is transferred elsewhere (for example, the patient could be admitted as an inpatient or transferred to another facility.)
Short Stay Encounter - A patient encounter where the patient is admitted to a health care facility for a predetermined length of time, usually less than 24 hours.
7 Field Encounter – If a patient received care in an accident site, then taken to the emergency room, will this be 2 separate encounters. The WG answered that this would be considered 2 separate encounters.
8 Encounter definitions from Joint Initiative for Global Standards Harmonization Health Informatics Document Registry and Glossary Standards Knowledge Management Tool (http://www.skmtglossary.org/)

  • A contact between a clinician and a patient
  • An encounter is a service event that occurs within an Episode of Care
  • A contact between a patient and a provider occurring at a given time and place, where one or more services or products are provided to maintain or restore the patient’s good health. Examples include an interaction between the emergency doctor and the patient at the ED, an interaction between a specialist and the out-patient at the doctor’s clinic, an interaction between the social worker and an in-patient at the unit where the patient is assigned.

Meeting Outcomes

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

Monday Q4

HL7 Patient Administration Meeting Minutes

Location: Directors Room

Date: 2014-01-16
Time: Monday Q4
Facilitator Line Saele Note taker Alex de Leon
Attendee Name Affiliation
X Alex de Leon Kaiser Permanente
X Line Saele HL7 Norway
X Irma Jongeneel HL7 Netherlands
X Micheal Steen BD Global Services
X Brian Postlethwaite HL7 Australia
X Christian Hay GS1
X Iryna Roy Gordon Point Informatics, Canada
Quorum Requirements Met (Chair + 2 members): Yes

Agenda

Agenda Topics

  1. FHIR PA Ballot for Comment - Status (cont.)

Supporting Documents

Minutes

Minutes/Conclusions Reached:
The WG proceeded to discuss the continuing FHIR appointment resources. Brian continued to present where appointments are today.
Brian briefly covered the scope for appointments and service availability and slots.
Availability
The WG then continued reviewing the Availability resource. There was an issue found with the individual attribute which is currently 1..1 and refers to resource (location|practitioner|device|patient|relatedPerson). The WG discussed the ability to add to this list for resources that later become within the 80%.
Type was discussed
The WG continued to discuss the various requirements for scheduling: The period vs. slots vs. planning horizon. The period as defined, will change from day to day to show the slots available, say a 3 month period will be from today three months out, whereas tomorrow will add a day to the period defined yesterday. The WG decided to update the definition of the period attribute to better define what it is meant to cover.

The WG considered the author attribute. After discussion, it was decided to remove it as it most likely is not within the 20%. The attribute “authorDate” was also changed to last modified date.
Slots – The WG will continue the discussion of slot within another FHIR working quarter.

Meeting Outcomes

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

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