2010-04-01 Call Minutes

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HL7 Ambulatory Oncology Functional Profile Meeting

Meeting Logistics

Date/Time: Thursday, April 1, 2010 / 1:00 PM – 2:30 PM EST

Location: Phone: 1- 770-657-9270; Passcode: 510269

URL: http://mt202.centra.com/main/Customers/ncicb/ EventID: HL7

Attendees

• Helen Stevens (co-chair)
• Dr. Peter Harrison
• Christine Bester
• Mollie Ullman-Cullere
• Dr. John Ellerton
• Gene Kraus
• Dr. Kevin Hughes

Minutes

1. Welcome and Introductions
2. Agenda review and approval
3. Minutes approved unanimously from previous calls: March 25th
4. Review Actions from previous meeting(s)

   February 11th Call

   1. ACTION: Christine will add “Nurse Navigator” to the glossary as it compares to “Care Coordinator”.
      • Open – Decision to keep definition of care coordinator and add different terms that may also be used for this funciton, including Nurse Navigator and Patient Coordinator.

   March 18th Call

   1. ACTION: Dr. Kevin to review Overview section 1.4 and 1.5 and update to reflect the expectation of support for the Oncology requirements either through a single EHR system, or through interoperability with a specialized modules.
      • No input recieved from Kevin - but section has been updated based on March25th call discussions.

   March 25th Call

   1. ACTION: Section 1.2: Helen to reword based on the comments and discussions during the call.
      • Completed
   2. ACTION: Section 1.5: Helen to add guiding principles based on bullet points provided by Peter.
      • Completed
   3. ACTION: Section 2.3: Helen to create more oncology specific example such as medication dosage calculation.
      • Completed
   4. ACTION: Section 2.7.1 Helen to check Mollie's email and correct organizational references.
      • Completed
   5. ACTION: Section 2.8 Mollie to add language to strengthen the section and to speak directly about C80.
      • Closed - Mollie feels that section is fine as it is to go to ballot and can be enhanced later as part of a post-ballot review.
   6. ACTION: Section 3: Helen to add introductory language indicating that glossary is under development and expected to be added to – encourage voters to comment.
      • Completed
   7. ACTION: Section 3: Mollie to create place holders for some genealogy terms.
      • Completed
   8. ACTION: Section 5: Helen to check approval organization for HITSP standards and include in example.
      • Completed
   9. ACTION: Section 5.1: Helen to add introductory language indicating that List of Standards is under development and expected to be added to – encourage voters to comment.
      • Completed
   10. ACTION: Section 5.1: Christine to check with caEHR team if there are some standards to add.
       • Open - Helen to work with Kevin Boone to get a list of standards that should be added. Will change action to be for Helen.
   11. ACTION: Section 6.1: Christine to add paragraph related to Outcomes requirements.
       • Completed
   12. ACTION: Section 6.1: Helen to incorporate feedback in email from Mollie.
       • Completed
5. Special Discussion Topics
   • This section has been added, as requested, to the start of the agenda to allow for time boxed discussions on specific topics to support the development of principles that guide the detailed analysis.
   • There were no topics this week.
6. Document Review Session (1:15 – 2:30)
   • Note that this session may be extended if participants wish to continue working.
   1. Overview - includes updates from Helen, Christine and Mollie as submitted over the past week.
      • Section 1.2 Discussion over the types of specialization and the requirements of the EHR based on specializations. Confirmation of the scope statements regarding the focus of the caEHR FP.
      • ACTION: Section 1.2.4 Helen to remove Disease type Example and add more information to Body Site examples as this covers both areas.
      • ACTION: Section 3 Christine to check Care Coordinator definition and add synonyms.
      • ACTION: Section 3 Helen to add hyperlinks to/from glossary items and add a reference to the list of standards section..
      • ACTION: Section 5.1 Helen to check with Keith Boone for some links that could be included.
      • ACTION: Section 7.13 John E to reword to be clinically correct referral to radiotherapy, not radiology.
      • ACTION: Section 7.13 Helen to add context based on caEHR use cases.
      • ACTION: Section 7.16 Helen to add context for scheduling requirements - may need to tag this section as requiring further work subsequent to the balloting.
      • ACTION: Section 7.19 Kevin to review and verify that it is clinically correct.
      • ACTION: Section 8 Helen to check entire document for any other references and add.
7. Other business
   • none raised
8. Agenda items for next meeting (April 8th):
   1. Final review of FP Overview document for submission for Comment Ballot.
      • Note that this meeting will be the final approval for the Overview document to go to ballot.
9. Meeting adjourned at 2:33 pm EST.