OO CR003-597 OBX with PID in VXU

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Submitted by: Rob Savage	Revision date: <<Revision Date>>
Submitted date: 24-Apr-2008	Change request ID: OO CR003
Standard/IG: Standard	Artifact ID, Name: <<Artifact ID, Name>>

Issue

See File:OO CR003-597.doc for problem definition and proposal.

Discussion

• May 14, 2009
  • Unclear what proposal is trying to achieve. We think it is:
    • Add the ability to convey evaluation of immunization history and recommendations for next doses due. AND/OR
    • Add additional observations about the patient that can help the provider/registry to assess whether to take further steps or not.
  • If 2)
    • Why not send an ORU with all this information?
    • Also, may position it after IN group and before ORC.
  • If 1), not sure whether an OBX is appropriate or sufficient. How do we convey what is proposed to be ordered without the proposed service identifier(s).
  • While reviewing we wonder whether the ORDER begin/end group should really be called VACCINATION begin/end group since it is not an order for a vaccination, rather the recording of one.
• July 15, 2010
  • We need to change title as it only applies to VXU
  • Proposal is to add OBX and NTE under a PID, have OBX under RXA, but not under PID.
  • Need is to communicate specifically about the person, some could be sent in ORU or some that could be sent in ADT, but that would be second messages.
  • The positioning is copied from ADT lay-out.
  • Have not yet asked PHER, is scheduled.
  • PHER has requested to always have PHER in loop when immunization v2.x proposals are discussed.
    • We’re happy to take considerations from domain experts, but decision rests with OO and invite them to OO calls, when needed.
  • We can also just send over to them for review prior to our next call.
  • Change name of the segment group to Patient or include (PID) in name

Resolution

• July 15, 2010
  • Move to accept and forward to PHER for input, Rob Savage, Austin, further discussion: change name to Observation (for PID),
    • against:0, abstain:0, in favor: 12
• October 4, 2010
  • Motion to accept Proposal 597 as discussed and revised. Rob Savage, Patrick Loyd.

Against: 0; Abstain: 5; In Favor: 21