2015-10-05 PA WGM Minutes

Patient Administration Work Group Minutes - October 5, 2015

Monday Q1

HL7 Patient Administration Meeting Minutes Location: Room #		Date: 2015-10-05 Time: Monday Q1
Facilitator	Line Saele	Scribe	Alex de Leon
Attendee	Name	Affiliation
X	Irma Jongeneel	HL7 Netherlands
X	Alex de Leon	Kaiser Permanente
X	Line Saele
X	Brian Postlethwaite	HealthConnex, Australia
X		Gevity, Canada
X	Christian Hay	GS1
X	Alexander Henket	Nictiz
X		EPIC
X
Quorum Requirements Met (Chair + 2 members): Yes

Agenda

Agenda Topics
Welcome/introductions

• Approve agenda
  
• Review PA mission & charter
  
• Review PA decision making practice
• Review PA 3-year work plan
• Review SWOT Analysis

Supporting Documents

• May 2014 WGM
• PA mission & charter
• PA decision making practice
• PA 3-year work plan

Minutes

Minutes/Conclusions Reached:
Introductions
The WG reviewed the agenda. The only changes are changes of chair from Irma to Line So that Q4 can
Action Item : . Owner: . Due: .
Irma moved to approve the agenda with the above change. Alex seconded. Vote (for/against/abstain): 10/0/0
The WG reviewed the PA mission & charter.
Irma moved to approve the mission and charter. Christian seconded. Action Item : . Owner: . Due: .
Vote (for/against/abstain): 10/0/0
The WG reviewed the decision making practice. Although Alex d brought up the potential changes that would be made per conversations of Q4 the day before, wherein the WG would have to inform other WGs if FHIR changes put into GForge affect interested WGs. Irma moved to approve the decision making practices. Brian seconded Vote (for/against/abstain): 10/0/0
The WG continued to review the 3 year work plan. (Do we still retain this item? There was a question as to whether this would remain as a work group product).
. The WG discussed the work to be done and what can be removed. In this discussion, the WG reviewed the current status of the FHIR resources. Brian noted that we have a resources at the following level • Patient – 3 • Practitioner - 1 • Organization - 1 • Group - 1 • RelatedPerson - 1 • Encounter - 1 • Location - 1 • HealthCareService - 1 • Schedule - 1 • Appointment – 1 • Slot - 1 • AppointmentResponse - 1 • EpisodeOfCare - 1 Value Set (vocabulary) is also at level - 3 The only other resources of interest to PA are • BillableItem • Account The goal is that these will be at level 5 next year. FHIR 2.1 update to DSTU 2 – constrained up to subset of resources. The next major release of FHIR is 3.0 – WGs will be committing all of the changes. Alex brought up the subject of “mapping” of trigger events from v2 to FHIR. There has been work within Kaiser Permanente Action Item: Address FMG in order to get feedback on the consideration of PA work for the next 12 month period to include providing not just element level mappings for the FHIR mappings to V2, v3, etc. but also the even level. Owner: Brian. Due: .
Motion to approve the 3 year work plan was made by Alex. Seconded by Irma. Vote (for/against/abstain): 10/0/0
Update to agenda to review the SWOT
The WG updated the SWOT with current items. Opportunities were changed to include: • HL7 FHIR PA adoption by new markets • Implementer interest in advancing FHIR encounter management (e.g. Norway • IHE interest in development profiles based on PA FHIR content • Strong interest in FHIR PA resources from implementers • Interest for v2 PA implementations to migrate to FHIR Threats were changed • Lack of interest in PA v3 content might lead to lack of interest in reaffirming the v3 standard • Conformance profiles diverge from our published standards without providing PAWG feedback (e.g. IHE, NHIN, etc.) • Dependencies of limited critical • Missing participation from the HL7 community may lead to the termination of projects Brian moved to approve the SWOT. Christian seconded. Vote (for/against/abstain): 10/0/0

Meeting Outcomes

Actions (Include Owner, Action Item, and due date) Action: Change the charter. Accountable: Alex d. Date: 5/5/14 (must be done before tonight) Action Item : Add PHER and CBCC to the formal relationship list. Accountable: Alex d. 5/5/14 before tonight. Action: Contact Lynn/Dave on how to view closed projects and the process to close projects in Project Insight.

Next Meeting/Preliminary Agenda Items .

Monday Q2

HL7 Patient Administration Meeting Minutes Location: Room # 1367		Date: 2014-05-05 Time: Monday Q2
Facilitator	Irma Jongeneel	Scribe	Alex de Leon
Attendee	Name	Affiliation
X	Irma Jongeneel	HL7 Netherlands
X	Alex de Leon	Kaiser Permanente, USA
X	Brian Postlethwaite	Kaiser Permanente, USA
X	Daniel Lowenstein	EPIC
X	Alexander Henket	Nictiz
X	Iryna Roy	HL7 Canada
X	Christian Hay	GS1
X	Younjian Bao	GE Healthcare
Quorum Requirements Met (Chair +2 members): Yes

Agenda

Agenda Topics

1. FHIR – Scheduling Resource

Supporting Documents

• Administration Resources
• Appointment Resource

Minutes

Minutes/Conclusions Reached:
Nictiz
Project overview: Explanation benefits from Alexander Henket.

The WG continued to review Availability and Slot
Availability FHIR resource
The WG discussed the relationship between Availability and Slot, both being resources, clarifying that the Availability resource is made up of (Referenced by) the Slot resource. Most use cases would be searching on Slots rather than availability since query on slots would actually give what times can be scheduled.
The WG continued to discuss the attributes and what they mean. Most specificly it was clarified that Availability is more of a “planning horizon” while the slots give specific times that are available within that planning horizon.
The WG discussed the attribute “Individual” to “Actor” this was agreed upon by the WG.

Content tab – Availability is made up of slots and service types. Brian noted that there is currently verbiage from the V2 content. However he is questioning whether this should be removed.

Meeting Outcomes

Actions (Include Owner, Action Item, and due date) Change the “individual” attribute to “actor” in the Availability resource. Responsible: Brian. Due: TBD

Next Meeting/Preliminary Agenda Items .

Monday Q3

HL7 Patient Administration Meeting Minutes Location: Room # 1367		Date: 2014-05-05 Time: Monday Q3
Facilitator	Irma Jongeneel	Scribe	Alex de Leon
Attendee	Name	Affiliation
X	Irma Jongeneel	HL7 Netherlands
X	Alex de Leon	Kaiser Permanente
X	Christian Hay	GS1
X	Brian Postlethwaite	HL7 Australia
X	Prashant Trivedi	EPIC
X	Iryna Roy	HL7 Canada
Quorum Requirements Met (Chair + 2 members): Yes

Agenda

Agenda Topics

1. V3 Work – Scheduling Ballot Reconcilliation

Supporting Documents

Minutes

Minutes/Conclusions Reached:
The WG continued with the ballot reconciliation for Scheduling. There were negative minors from Kaiser Permanente. These were resolved. Since the comments were essentially of an administration nature, the comments were easily resolved.
Vote: 5/0/0
Since we had an interested party for the Scheduling topic, the WG reviewed the Scheduling domain.
The RMIM for Scheduling was reviewed.

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items .

Monday Q4

HL7 Patient Administration Meeting Minutes Location: Room # 1367		Date: 2014-05-05 Time: Monday Q4
Facilitator	Irma Jongeneel	Scribe	Alex de Leon
Attendee	Name	Affiliation
X	Irma Jongeneel	HL7 Netherlands
X	Barry Guinn	EPIC
X	Nat Wong	HL7 Australia
X	Christian Hay	GS1
X	Alexander Henket	E. Novation
X	Alex de Leon	Kaiser Permanente
Quorum Requirements Met (Chair + 2 members): Yes

Agenda

Agenda Topics

1. Open Session – New Proposals

Supporting Documents

Minutes

Minutes/Conclusions Reached:
The WG had two items for this quarter. A harmonization proposal for Foster Parents and a proposal for a new FHIR Resource: Appointment Response. The WG began with addressing the harmonization proposal. The proposal is to add Foster Parent, foster mother and foster father to the vocabulary. The current vocabulary does include foster child, foster son and foster daughter concepts, but not the foster parent constructs. The WG reviewed the text and updated the description a bit. The idea is to send the amended harmonization proposal to Wendy, our vocabulary facilitator, to move forward. Motion was made by Alexander H, seconded by Iryna, to accept the proposal as amended. Vote(for/abstain/against): 4/1/0 The WG continued to address the Appointment Response resource proposal. http://wiki.hl7.org/indenx.php?title=AppointmentResponse_FHIR_Resource_Proposal#Resource_Relationships The WG continued with editing of the AppointmentResponse proposal. After some minor edits, the proposal was agreed upon. A motion was made by Brian, seconded by Iryna, to accept the AppointmentResponse FHIR Resource as amended and submit the proposal. Vote (for/against/abstain): 5/0/1 The WG continued to do the FHIR element to RIM mappings for appointment resources.

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items .

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