2017-09-26 PA Call Minutes

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Patient Administration Call

Meeting Information

PA Work Group Conference Call

Minutes
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Meeting Information

PA Work Group Conference Call

Minutes
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Local numers

Date: Tuesday, September 26, 2017


Time: 12:00 PM (US Pacific Time, GMT -7)
Quorum Met (Chair+2, Yes/No)? Yes

Facilitator Irma Jongeneel Scribe Alex de Leon
Attendee Name Affiliation
X Alex de Leon Kaiser Permanente
X Irma Jongeneel VZVZ
X Michelle Miller Cerner
X Robert Dieterle EnableCare LLC
X Linda Michaelsen Optum
X Joe Quinn Optum

Agenda

Agenda Topics

  1. Directory Services
  2. OrganizationRole


Supporting Documents


Minutes

The WG began with discussing the DIRECTORY Services with Robert Dieterle Irma noted that in our joint session with FM on Thursday at the WGM, there might
have been a reason to include OrgRole, which was in question during our meeting with Bob.
The WG reviewed the “OrganizationRole” against “Network” and “HealthcareService”. Michelle noted that the healthcareservice resource has some elements of a role and so was trying to contrast that against the proposed OrganizatoinRole.
Michelle cautions against the specifics in the elements within the HealthcareService having to do with organization and location that might clash with the with the OrganizationRole.
Irma noted that the WG is concerned that the OrganizationRole might overlap with resources that already exist. Best to update the current resources to support this use case than to create new resources.
After much discussion there was an idea to proposed to add network elements to org, service and practitioner (e.g. OrganizationRole to network , HealthcareService going to network, and PractitionerRole going to network).
Although there are always efforts to reduce the complexity Michelle noted that the complexity is not completely gone as can be seen between the two resources that have overlapping elements today:
HealthCareService
PractitionerRole
At this point, Michelle shared a previous exchange she had with Brian regarding this:
For a specific PractitionerRole, should we expect the following elements to be equal -- and if not, what is an example to illustrate the differences?

  • PractitionerRole.organization = PractitionerRole.healthcareService.providedBy
  • PractitionerRole.location = PractitionerRole.healthcareService.location
  • PractitionerRole.specialty = PractitionerRole.healthcareService.specialty


For example, consider an anesthesiologist who has an anesthesiology practice, but performs surgical services at a hospital (a different location than the practice). For the surgical services provided by the anesthesiologist at the hospital, these elements appear to be the same, right?

  • PractitionerRole.organization = anesthesiology practice
  • PractitionerRole.location = hospital
  • PractitionerRole.specialty = anesthesiology
  • PractitionerRole.healthcareService.providedBy = anesthesiology practice
  • PractitionerRole.healthcareService.location = hospital
  • PractitionerRole.healthcareService.specialty = anesthesiology


The duplication of organization/location/specialty across both HealthcareService and PractitionerRole is awkward (and HealthcareService has the potential to even create more overlap with OrganizationRole as proposed by the ONC Healthcare Directory efforts). I start questioning if HealthcareService should be slimmed down to just represent a generic service without the “intersection” of who (org), when (availableTimes), where (location) etc. Defer those “intersection” or “role” elements to the *Role resources.

Bob agreed to take this discussion and observations back and “deconstruct” the model to see if any of the resources can be either simplified or reworked given the existing elements in Healthcare and bring it into next week’s call. Note: this topic was to be scheduled biweekly, but we felt that this should be discussed further next week with Brian and others from PA.


The next call is Oct 03, 2017

Next Meeting/Preliminary Agenda Items
  • Next telecom meeting: Tuesday 03. Oct 2017

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