This wiki has undergone a migration to Confluence found Here
<meta name="googlebot" content="noindex">

Difference between revisions of "2017-01-17 PA WGM Minutes"

From HL7Wiki
Jump to navigation Jump to search
m
m
Line 1: Line 1:
−
[[Category:PA WGM Minutes 2017 01-San Antonio]]
+
[[Category:WGM Minutes 2017 01-San Antonio]]
−
[[Category:WGM Minutes 2017]]
 
  
−
Return to: [[:Category:WGM Minutes|WGM Minutes]] > [[:Category:WGM Minutes 2017|2017]] > [[:Category:PA WGM Minutes 2017 01-San Antonio|Jan San Antonio]]
+
Return to: [[:Category:WGM Minutes|WGM Minutes]] > [[:Category:WGM Minutes 2017|2017]] > [[:Category:WGM Minutes 2017 01-San Antonio|Sept San Antonio]]
  
 
<!-- LOOK FOR THE APPROPRIATE SECTION ****** TO ENTER INFORMATION-->
 
<!-- LOOK FOR THE APPROPRIATE SECTION ****** TO ENTER INFORMATION-->
Line 22: Line 21:
 
'''Location: Hyatt Regency San Antonio, Directors Conference Room'''
 
'''Location: Hyatt Regency San Antonio, Directors Conference Room'''
 
<!-- ********  CHANGE Date and Time  ON NEXT LINE  **********************-->
 
<!-- ********  CHANGE Date and Time  ON NEXT LINE  **********************-->
−
| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''Date: 2017-09-17'''<br/> '''Time: Tuesday Q1'''
+
| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''Date: 2017-01-17'''<br/> '''Time: Tuesday Q1'''
 
|-
 
|-
 
<!-- ********  CHANGE chair and scribe ON NEXT LINES  *******************-->
 
<!-- ********  CHANGE chair and scribe ON NEXT LINES  *******************-->
 
| width="10%" colspan="1" align="right"|'''Facilitator'''
 
| width="10%" colspan="1" align="right"|'''Facilitator'''
−
| width="35%" colspan="1" align="left"| Line Saele
+
| width="35%" colspan="1" align="left"| Brian Postlethwaite
 
| width="25%" colspan="1" align="right"|'''Scribe'''
 
| width="25%" colspan="1" align="right"|'''Scribe'''
 
| width="30%" colspan="1" align="left"| Alexander de Leon
 
| width="30%" colspan="1" align="left"| Alexander de Leon
Line 45: Line 44:
 
===============================================================================--->
 
===============================================================================--->
 
<!-- ********add attendee information here *********-->
 
<!-- ********add attendee information here *********-->
−
|-
 
−
| X  || Line Saele
 
−
|colspan="2"| Helse Vest IKT Norway
 
 
|-
 
|-
 
| X  || Brian Postlethwaite
 
| X  || Brian Postlethwaite
Line 55: Line 51:
 
|colspan="2"| Kaiser Permanente, USA
 
|colspan="2"| Kaiser Permanente, USA
 
|-
 
|-
−
| X  ||  
+
| X  || Irma Jongeneel
−
|colspan="2"|  
+
|colspan="2"| HL7 The Netherlands
 +
|-
 +
| X  || Line Saele
 +
|colspan="2"| Helse Vest IKT, Norway
 +
|-
 +
| X  || Kathy Pickering
 +
|colspan="2"| Cerner, USA
 +
|-
 +
| X  || Drew Torres
 +
|colspan="2"| Cerner, USA
 +
|-
 +
| X  || Sam Rubenstein
 +
|colspan="2"| Montefiore, USA
 +
|-
 +
| X  || Wes Rishel
 +
|colspan="2"| Self
 +
|-
 +
| X  || Ewout Kramer
 +
|colspan="2"| Furore, The Netherlands
 
|-
 
|-
 
|colspan="4" style="background:#f0f0f0;"|
 
|colspan="4" style="background:#f0f0f0;"|
Line 75: Line 89:
 
<!-- ***** Delete instructions and fill in agenda items ON NEXT LINES  ****-->
 
<!-- ***** Delete instructions and fill in agenda items ON NEXT LINES  ****-->
 
*  
 
*  
 +
Coordination with FHIR Infrastructure
 +
 +
* Gender vocab 10018
 +
* Encounter.class naming 11205
 +
* Implementation Guidance Location - where to put it (for detailed HL7 examples e.g. Provider Directory/location structures)
 +
* Group resource / Introduction for Affiliation Resource proposal 10304
 +
* None/any cardinality 10763
  
 
'''Supporting Documents'''<br/>
 
'''Supporting Documents'''<br/>
 
<!-- *****  Delete instructions and add document names/links ON NEXT LINES *****-->
 
<!-- *****  Delete instructions and add document names/links ON NEXT LINES *****-->
−
*
+
* [[Media: PA_San_Antonio_Lloyd_McKenzie_email_011517.docx]]
 +
* [[Media: PA_San_Antonio_FHIR_Tracker_Validation_Issues_011517.docx]]
 +
* [[Media: PA_San_Antonio_FHIR_Tracker_Summary_011517.docx]]
 +
* [[http://wiki.hl7.org/index.php?title=FHIR_Ballot_Prep FHIR Publication Schedule]]
 +
* [[http://build.fhir.org/qa.html FHIR QA report]]
 
===Minutes===
 
===Minutes===
 
<!---================================================================
 
<!---================================================================
Line 97: Line 122:
 
Ewout representing the FMG reviewed where we are today.<br/>
 
Ewout representing the FMG reviewed where we are today.<br/>
 
<br/>
 
<br/>
−
STU3 to Release 4. STU3 publicatino End of march, or april. Aiming for ballot in may session in 2018, with publication in September or October. Will contain normative and draft content. It will be challenting to isolate the items that are normative versus the draft. For instance, we can’t have a situation where, Patient is normative, for instance, but a datatype used by Patient is not normative. <br/>
+
STU3 will move to release 4. <br/>
−
The WG continued to review the email. Tracker issues clean-up. <br/>
+
STU3 publication - end of March, or April. Aiming for ballot in may session in 2018, with publication in September or October. Will contain normative and draft content. It will be challenging to isolate the items that are normative versus the draft. For instance, we can’t have a situation where, Patient is normative, for instance, but a datatype used by Patient is not normative. <br/>
 +
The WG continued to review the email from Lloyd McKenzie along with the FHIR tracker issues list and summary. <br/>
 +
* [[Media: PA_San_Antonio_Lloyd_McKenzie_email_011517.docx]]<br/>
 +
* [[Media: PA_San_Antonio_FHIR_Tracker_Validation_Issues_011517.docx]]<br/>
 +
* [[Media: PA_San_Antonio_FHIR_Tracker_Summary_011517.docx]]<br/>
 +
Ewout asked about substantive changes since the last WGM. The only one the WG seems to have is the decision to make the Practitioner role its own resource, as it currently is a sub resource under Practitioner.<br/>
 
<br/>
 
<br/>
−
(doc) Lloyd FHIR countdown email<br/>
+
The WG did scan the deferred ballots for urgent low/hanging fruit, and determined that there were not many. However, it does seem possible to meet the deadlines. <br/>
−
(doc) FHIR Tracker Issues<br/>
 
−
(doc) Summary<br/>
 
−
<br/>
 
−
Ewout asked about subtative changes. The only one the WG seems to have is the decision to make the Practitioner role its own resource, as it currently is a sub resource under Practitioner.<br/>
 
−
<br/>
 
−
The WG did scan the deferred ballots for urgent low/hanging fruit, and determined that there were not many. However, it does seem possible. <br/>
 
 
The WG considered the following resources as good candidates for going normative in 2018:<br/>
 
The WG considered the following resources as good candidates for going normative in 2018:<br/>
 
* Paractitioner 3<br/>
 
* Paractitioner 3<br/>
Line 114: Line 138:
 
* Person<br/>
 
* Person<br/>
 
<br/>
 
<br/>
−
The WG discussed the patient resource and the fact that it could probably move to 5 if the veterinary use case can be moved to an extension.<br/>
+
The WG discussed the patient resource and the fact that it could probably move to 5 if the veterinary use case can be moved to an extension. However Brian noted that there were indeed participants at this connectathon for that particular use case.<br/>
 
<br/>
 
<br/>
 
Scheduling feedback is needed from Norway (DIPS?).<br/>
 
Scheduling feedback is needed from Norway (DIPS?).<br/>
 
<br/>
 
<br/>
 
Appointment 4?<br/>
 
Appointment 4?<br/>
−
EpisodeOfCare 1
+
EpisodeOfCare 1<br/>
 
HealthcareService 1<br/>
 
HealthcareService 1<br/>
 
<br/>
 
<br/>
−
Irma noted that with 20 minutes left, perhaps we should handle some of items to cover.<br/>
+
Irma noted that with 20 minutes left, perhaps we should handle some of the tracker items to cover.<br/>
 
<br/>
 
<br/>
 
# 10018 - Use v2/v3 aligned vocab for [Patient.]gender <br/>
 
# 10018 - Use v2/v3 aligned vocab for [Patient.]gender <br/>
Line 136: Line 160:
 
Suggest to change the binding to https://hl7-fhir.github.io/v3/AdministrativeGender/vs.html
 
Suggest to change the binding to https://hl7-fhir.github.io/v3/AdministrativeGender/vs.html
 
<br/>
 
<br/>
−
The WG discussed, this and the fact that this keeps coming up. D
+
The WG discussed, this and the fact that this keeps coming up. After some discussion, the group noted that a decision should be made on this once and for all. <br/>
 
A motion was made by Irma to leave the FHIR code with the following values, seconded by Line to disposition this as non-persuasive and retain the following values for this element:<br/>
 
A motion was made by Irma to leave the FHIR code with the following values, seconded by Line to disposition this as non-persuasive and retain the following values for this element:<br/>
 
* male
 
* male
Line 148: Line 172:
 
There is an idea of a new resource: Org to Org resource – Affiliation. An alternative is to use the Group resource and include a reference to the Organization resource. Ewout noted that a group is set of things for a particular purpose which does not seem to be the same thing. In addition, the Group seems to be a set that is acted upon as a group.<br/>
 
There is an idea of a new resource: Org to Org resource – Affiliation. An alternative is to use the Group resource and include a reference to the Organization resource. Ewout noted that a group is set of things for a particular purpose which does not seem to be the same thing. In addition, the Group seems to be a set that is acted upon as a group.<br/>
 
<br/>
 
<br/>
−
<br/>
+
The quarter ended with the general feeling that this concept may indeed require a new resource and not merely the use of the Group resource. This will be further discussed by the WG.<br/>
 
<br/>
 
<br/>
 
===Meeting Outcomes===
 
===Meeting Outcomes===
Line 194: Line 218:
 
'''Location: Hyatt Regency San Antonio, Directors Conference Room'''
 
'''Location: Hyatt Regency San Antonio, Directors Conference Room'''
 
<!-- ********  CHANGE Date and Time  ON NEXT LINE  **********************-->
 
<!-- ********  CHANGE Date and Time  ON NEXT LINE  **********************-->
−
| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''Date: 2017-09-17'''<br/> '''Time: Tuesday Q2'''
+
| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''Date: 2017-01-17'''<br/> '''Time: Tuesday Q2'''
 
|-
 
|-
 
<!-- ********  CHANGE chair and scribe ON NEXT LINES  *******************-->
 
<!-- ********  CHANGE chair and scribe ON NEXT LINES  *******************-->
 
| width="10%" colspan="1" align="right"|'''Facilitator'''
 
| width="10%" colspan="1" align="right"|'''Facilitator'''
−
| width="35%" colspan="1" align="left"|Line Saele
+
| width="35%" colspan="1" align="left"|Irma Jongeneel
 
| width="25%" colspan="1" align="right"|'''Scribe'''
 
| width="25%" colspan="1" align="right"|'''Scribe'''
 
| width="30%" colspan="1" align="left"|Alex de Leon
 
| width="30%" colspan="1" align="left"|Alex de Leon
Line 218: Line 242:
 
<!-- *** Delete below instructions (5 lines) and add attendee information on following lines **-->
 
<!-- *** Delete below instructions (5 lines) and add attendee information on following lines **-->
 
<!-- ********add attendee information here *********-->
 
<!-- ********add attendee information here *********-->
 +
|-
 +
| X || Irma Jongeneel
 +
|colspan="2"| HL7 The Netherlands
 
|-
 
|-
 
| X || Line Saele
 
| X || Line Saele
Line 227: Line 254:
 
| X || Alex de Leon
 
| X || Alex de Leon
 
|colspan="2"| Kaiser Permanente, USA
 
|colspan="2"| Kaiser Permanente, USA
 +
|-
 +
| X || Drew Torres
 +
|colspan="2"| Cerner, USA
 +
|-
 +
| X || Wes Rishel
 +
|colspan="2"| S elf, USA
 +
|-
 +
| X || Sam Rubenstein
 +
|colspan="2"| Montefiore, USA
 +
|-
 +
| X || Christian Hay
 +
|colspan="2"| GS1, Switzerland
 +
|-
 +
| X || Cooper Thompson
 +
|colspan="2"| EPIC, USA
 +
|-
 +
| X || Simone Heckmann
 +
|colspan="2"| HL7 German
 
|-
 
|-
 
|colspan="4" style="background:#f0f0f0;"|
 
|colspan="4" style="background:#f0f0f0;"|
Line 244: Line 289:
 
'''Agenda Topics''' <br/>
 
'''Agenda Topics''' <br/>
 
<!-- ***** Delete instructions and fill in agenda items ON NEXT LINES  ****-->
 
<!-- ***** Delete instructions and fill in agenda items ON NEXT LINES  ****-->
−
#  
+
# FHIR STU3 Account/BillableItem draft prep
 
'''Supporting Documents'''<br/>
 
'''Supporting Documents'''<br/>
 
#
 
#
 
<!-- *****  Delete instructions and add document names/links ON NEXT LINES *****-->
 
<!-- *****  Delete instructions and add document names/links ON NEXT LINES *****-->
−
*  
+
* [[http://build.fhir.org/claim.html Claim Resource]]
 +
* [[http://build.fhir.org/account.html Account Resource]]
 +
* [[http://build.fhir.org/episodeofcare.html Episode of Care Resource]]
 +
* [[http://build.fhir.org/chargeitem.html Charge Item]]
 
===Minutes===
 
===Minutes===
 
<!---================================================================
 
<!---================================================================
Line 282: Line 330:
 
<br/>
 
<br/>
 
There was a suggestion to collapse the two models for potential resources: ClaimItemModel (charge item) and ClaimModel <br/>
 
There was a suggestion to collapse the two models for potential resources: ClaimItemModel (charge item) and ClaimModel <br/>
−
After looking at some of the elements of the proposed claim resource, it seems that many of the elements were realm specific, thereby potential for moving into extensions. The WG did also note that some elements were not only realm specific but also specialtly specific. At this point the WG considered whether the Claim.item in the proposed Claim resource can’t cover all, otherwise it will be so complex as to be unusable.
+
After looking at some of the elements of the proposed claim resource, it seems that many of the elements were realm specific, thereby potential for moving into extensions. The WG did also note that some elements were not only realm specific but also specialtly specific. At this point the WG considered whether the Claim.item in the proposed Claim resource can’t cover all, otherwise it will be so complex as to be unusable. <br/>
 
The WG felt comfortable with collapsing the two proposed resources noted above and adding diagnosis and modifier and naming it ChargeItem. Whether this should replace the Claim.item element is something that the WG decided to discuss at a later time.
 
The WG felt comfortable with collapsing the two proposed resources noted above and adding diagnosis and modifier and naming it ChargeItem. Whether this should replace the Claim.item element is something that the WG decided to discuss at a later time.
 
Joint meeting Coverage, Account and this resource BillableItem (now ChargeItem).
 
Joint meeting Coverage, Account and this resource BillableItem (now ChargeItem).
 
The WG decided to collapse the two resources and discusw with financial management here at the WGM. After this, workgroup meeting, the discussion will be kicked off in Zulip to determine what elements should be in the core and what elements should be in the standard extensions.
 
The WG decided to collapse the two resources and discusw with financial management here at the WGM. After this, workgroup meeting, the discussion will be kicked off in Zulip to determine what elements should be in the core and what elements should be in the standard extensions.
−
<br/>
 
−
<br/>
 
−
<br/>
 
 
<br/>
 
<br/>
 
===Meeting Outcomes===
 
===Meeting Outcomes===
Line 333: Line 378:
 
'''Location: Hyatt Regency San Antonio, Directors Conference Room'''
 
'''Location: Hyatt Regency San Antonio, Directors Conference Room'''
 
<!-- ********  CHANGE Date and Time  ON NEXT LINE  **********************-->
 
<!-- ********  CHANGE Date and Time  ON NEXT LINE  **********************-->
−
| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''Date: 2017-09-17'''<br/> '''Time: Tuesday Q3'''
+
| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''Date: 2017-01-17'''<br/> '''Time: Tuesday Q3'''
 
|-
 
|-
 
<!-- ********  CHANGE chair and scribe ON NEXT LINES  *******************-->
 
<!-- ********  CHANGE chair and scribe ON NEXT LINES  *******************-->
Line 358: Line 403:
 
<!-- ********add attendee information here *********-->
 
<!-- ********add attendee information here *********-->
 
|-
 
|-
−
| X || Line Saele
+
| X || Irma Jongeneel
−
|colspan="2"| Helse Vest IKT Norway
+
|colspan="2"| HL7 The Netherlands
 
|-
 
|-
 
| X || Brian Postlethwaite
 
| X || Brian Postlethwaite
Line 366: Line 411:
 
| X || Alex de Leon
 
| X || Alex de Leon
 
|colspan="2"| Kaiser Permanente, USA
 
|colspan="2"| Kaiser Permanente, USA
 +
|-
 +
| X || Cooper Thompson
 +
|colspan="2"| EPIC, USA
 +
|-
 +
| X || Simone Heckmann
 +
|colspan="2"| HL7 Germany
 +
|-
 +
| X || Andrew Torres
 +
|colspan="2"| Cerner, USA
 +
|-
 +
| X || Wes Rishel
 +
|colspan="2"| Self, USA
 +
|-
 +
| X || Sam Rubenstein
 +
|colspan="2"| Montefiore, USA
 
|-
 
|-
 
|colspan="4" style="background:#f0f0f0;"|
 
|colspan="4" style="background:#f0f0f0;"|
Line 383: Line 443:
 
'''Agenda Topics''' <br/>
 
'''Agenda Topics''' <br/>
 
<!-- ***** Delete instructions and fill in agenda items ON NEXT LINES  ****-->
 
<!-- ***** Delete instructions and fill in agenda items ON NEXT LINES  ****-->
−
*  
+
* Joint with SOA. SOA hosting.
 
'''Supporting Documents'''<br/>
 
'''Supporting Documents'''<br/>
 
<!-- *****  Delete instructions and add document names/links ON NEXT LINES *****-->
 
<!-- *****  Delete instructions and add document names/links ON NEXT LINES *****-->
Line 443: Line 503:
 
'''Location: Hyatt Regency San Antonio, Directors Conference Room'''
 
'''Location: Hyatt Regency San Antonio, Directors Conference Room'''
 
<!-- ********  CHANGE Date and Time  ON NEXT LINE  **********************-->
 
<!-- ********  CHANGE Date and Time  ON NEXT LINE  **********************-->
−
| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''Date: 2017-09-17'''<br/> '''Time: Tuesday Q4'''
+
| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''Date: 2017-01-17'''<br/> '''Time: Tuesday Q4'''
 
|-
 
|-
 
<!-- ********  CHANGE chair and scribe ON NEXT LINES  *******************-->
 
<!-- ********  CHANGE chair and scribe ON NEXT LINES  *******************-->
 
| width="10%" colspan="1" align="right"|'''Facilitator'''
 
| width="10%" colspan="1" align="right"|'''Facilitator'''
−
| width="35%" colspan="1" align="left"| Line Saele
+
| width="35%" colspan="1" align="left"| Irma Jongeneel
 
| width="25%" colspan="1" align="right"|'''Scribe'''
 
| width="25%" colspan="1" align="right"|'''Scribe'''
 
| width="30%" colspan="1" align="left"|Alex de Leon
 
| width="30%" colspan="1" align="left"|Alex de Leon
Line 473: Line 533:
 
| X || Brian Postlethwaite
 
| X || Brian Postlethwaite
 
|colspan="2"| HealthConnex, Australia
 
|colspan="2"| HealthConnex, Australia
 +
|-
 +
| X || Irma Jongeneel
 +
|colspan="2"| HL7 The Netherlands
 
|-
 
|-
 
| X || Alex de Leon
 
| X || Alex de Leon
 
|colspan="2"| Kaiser Permanente, USA
 
|colspan="2"| Kaiser Permanente, USA
 +
|-
 +
| X || Cooper Thompson
 +
|colspan="2"| EPIC, USA
 +
|-
 +
| X || Sam Mater
 +
|colspan="2"| EPIC, USA
 +
|-
 +
| X || Nick Radov
 +
|colspan="2"| Optum, USA
 +
|-
 +
| X || Wes Rishel
 +
|colspan="2"| Self, USA
 +
|-
 +
| X || Sam Rubenstein
 +
|colspan="2"| Montefiore, USA
 +
|-
 +
| X || Drew Torres
 +
|colspan="2"| Cerner, USA
 
|-
 
|-
 
|colspan="4" style="background:#f0f0f0;"|
 
|colspan="4" style="background:#f0f0f0;"|
 
|-
 
|-
−
|colspan="4" |'''Quorum Requirements Met''' (Chair + 3 members): '''Yes'''
+
|colspan="4" |'''Quorum Requirements Met''' (Chair + 2 members): '''Yes'''
 
|}
 
|}
 
<!---=======================================================
 
<!---=======================================================
Line 493: Line 574:
 
'''Agenda Topics''' <br/>
 
'''Agenda Topics''' <br/>
 
<!-- ***** Delete instructions and fill in agenda items ON NEXT LINES  ****-->
 
<!-- ***** Delete instructions and fill in agenda items ON NEXT LINES  ****-->
−
#3 Year Work Plan – FHIR
+
# Approve Last WGM Minutes
 +
# Draft next meeting agenda
 +
# Updates from Steering Division
 +
# Harmonization proposals
 +
# v2.9 Ballot Report
 
'''Supporting Documents'''<br/>
 
'''Supporting Documents'''<br/>
 
<!-- *****  Delete instructions and add document names/links ON NEXT LINES *****-->
 
<!-- *****  Delete instructions and add document names/links ON NEXT LINES *****-->
Line 554: Line 639:
 
|}
 
|}
 
==Navigation==
 
==Navigation==
−
* [[2017-09-16_PA_WGM_Minutes|Go To Monday Minutes]]
+
* [[2017-01-16_PA_WGM_Minutes|Go To Monday Minutes]]
−
* [[2017-09-17_PA_WGM_Minutes|Go To Tuesday Minutes]]
+
* [[2017-01-17_PA_WGM_Minutes|Go To Tuesday Minutes]]
−
* [[2017-09-18_PA_WGM_Minutes|Go To Wednesday Minutes]]
+
* [[2017-01-18_PA_WGM_Minutes|Go To Wednesday Minutes]]
−
* [[2017-09-19_PA_WGM_Minutes|Go To Thursday Minutes]]
+
* [[2017-01-19_PA_WGM_Minutes|Go To Thursday Minutes]]
 
* [[2017-01_PA_WGM|Return to PA January 2017 WGM]]
 
* [[2017-01_PA_WGM|Return to PA January 2017 WGM]]
 
© 2007-2017 Health Level Seven® International.  All rights reserved.
 
© 2007-2017 Health Level Seven® International.  All rights reserved.
 
[[Category:PA_Minutes]]
 
[[Category:PA_Minutes]]
−
[[Category:WGM Minutes 2017]]
 
 
[[Category:2017_PA_Minutes]] Patient Administration – Tuesday, January 17, 2017
 
[[Category:2017_PA_Minutes]] Patient Administration – Tuesday, January 17, 2017

Revision as of 16:59, 7 February 2017


Return to: WGM Minutes > 2017 > Sept San Antonio

Patient Administration Work Group Meeting - Tuesday January 17, 2017

Tuesday Q1

HL7 Patient Administration Meeting Minutes

Location: Hyatt Regency San Antonio, Directors Conference Room

Date: 2017-01-17
Time: Tuesday Q1
Facilitator Brian Postlethwaite Scribe Alexander de Leon
Attendee Name Affiliation
X Brian Postlethwaite HealthConnex, Australia
X Alex de Leon Kaiser Permanente, USA
X Irma Jongeneel HL7 The Netherlands
X Line Saele Helse Vest IKT, Norway
X Kathy Pickering Cerner, USA
X Drew Torres Cerner, USA
X Sam Rubenstein Montefiore, USA
X Wes Rishel Self
X Ewout Kramer Furore, The Netherlands
Quorum Requirements Met (Chair + 2 members): Yes

Agenda

Agenda Topics

Coordination with FHIR Infrastructure

  • Gender vocab 10018
  • Encounter.class naming 11205
  • Implementation Guidance Location - where to put it (for detailed HL7 examples e.g. Provider Directory/location structures)
  • Group resource / Introduction for Affiliation Resource proposal 10304
  • None/any cardinality 10763

Supporting Documents

Minutes

Minutes/Conclusions Reached:
Introductions

The WG began by reviewing the email sent out by Lloyd McKenzie regarding FHIR deliverable dates and timelines.

Ewout representing the FMG reviewed where we are today.

STU3 will move to release 4.
STU3 publication - end of March, or April. Aiming for ballot in may session in 2018, with publication in September or October. Will contain normative and draft content. It will be challenging to isolate the items that are normative versus the draft. For instance, we can’t have a situation where, Patient is normative, for instance, but a datatype used by Patient is not normative.
The WG continued to review the email from Lloyd McKenzie along with the FHIR tracker issues list and summary.

Ewout asked about substantive changes since the last WGM. The only one the WG seems to have is the decision to make the Practitioner role its own resource, as it currently is a sub resource under Practitioner.

The WG did scan the deferred ballots for urgent low/hanging fruit, and determined that there were not many. However, it does seem possible to meet the deadlines.
The WG considered the following resources as good candidates for going normative in 2018:

  • Paractitioner 3
  • PracitionerRole 3
  • Patient 3
  • RelatedPerson 3
  • Person


The WG discussed the patient resource and the fact that it could probably move to 5 if the veterinary use case can be moved to an extension. However Brian noted that there were indeed participants at this connectathon for that particular use case.

Scheduling feedback is needed from Norway (DIPS?).

Appointment 4?
EpisodeOfCare 1
HealthcareService 1

Irma noted that with 20 minutes left, perhaps we should handle some of the tracker items to cover.

  1. 10018 - Use v2/v3 aligned vocab for [Patient.]gender

Yesterday I was in a discussion with CGIT. Vocab came up (Frank/Ioana) and then there was Ewout on the one side who claimed that vocab in FHIR is harmonized with v2/v3, but then Frank/Ioana brought up the valid point that a number of PA resources at least have severe deviations still: RelatedPerson.gender (Required) Practitioner.gender (Required) Person.gender (Required) FamilyMemberHistory.gender (Required) StructureDefinition FamilyMemberHistory-Genetic: FamilyMemberHistory.gender ((Required)) Patient.gender (Required) Patient.contact.gender (Required) What's keeping us from alignment there? Could we silence that discussion that keeps coming up with the vocab people? It also leads to real world headache in mixed environments where people need to map because of this. Suggest to change the binding to https://hl7-fhir.github.io/v3/AdministrativeGender/vs.html
The WG discussed, this and the fact that this keeps coming up. After some discussion, the group noted that a decision should be made on this once and for all.
A motion was made by Irma to leave the FHIR code with the following values, seconded by Line to disposition this as non-persuasive and retain the following values for this element:

  • male
  • female
  • other
  • unknown

Discussion: None
Vote: 13/1/0

To take advantage of Ewout’s presence, 2 items were discussed. Practitioner/practitioner role usages… were should it be stored. Leaning toward storing it outside of the specification, with references within the spec.
There is an idea of a new resource: Org to Org resource – Affiliation. An alternative is to use the Group resource and include a reference to the Organization resource. Ewout noted that a group is set of things for a particular purpose which does not seem to be the same thing. In addition, the Group seems to be a set that is acted upon as a group.

The quarter ended with the general feeling that this concept may indeed require a new resource and not merely the use of the Group resource. This will be further discussed by the WG.

Meeting Outcomes

Actions (Include Owner, Action Item, and due date)
  • Action Item:

Owner: , Due:

Next Meeting/Preliminary Agenda Items
  • .

Tuesday Q2

HL7 Patient Administration Meeting Minutes

Location: Hyatt Regency San Antonio, Directors Conference Room

Date: 2017-01-17
Time: Tuesday Q2
Facilitator Irma Jongeneel Scribe Alex de Leon
Attendee Name Affiliation
X Irma Jongeneel HL7 The Netherlands
X Line Saele Helse Vest IKT Norway
X Brian Postlethwaite HealthConnex, Australia
X Alex de Leon Kaiser Permanente, USA
X Drew Torres Cerner, USA
X Wes Rishel S elf, USA
X Sam Rubenstein Montefiore, USA
X Christian Hay GS1, Switzerland
X Cooper Thompson EPIC, USA
X Simone Heckmann HL7 German
Quorum Requirements Met (Chair + 2 members): Yes

Agenda

Agenda Topics

  1. FHIR STU3 Account/BillableItem draft prep

Supporting Documents

Minutes

Minutes/Conclusions Reached: The WG started with the Account/BillableItem resources.

The discussion was around whether these would be resources owned by PA or FM. The idea is that the ownership will be FM eventually, but since this is an overlap, it’s valid that PA is working on this.

Simone showed Claim resource. Which contains items, but today there is no way to depict where the items come from.

The WG discussed the name of the resource that would capture the items that may (may not) end up being billed or on a claim. After discussions areound name of BillableItem, ClaimModel, it was decided that the best name would be ChargeItem.
Simone noted that even if we isolate the various charge items, there still should be a sort of envelope to give the items context for usage (e.g. for claims, billable use, etc.).

The WG discussed the various usage of the elements in the ClaimModel shown by Simone. Most notably:

  • patient
  • encounter
  • account
  • requestedService
  • providedService
  • performedBy
  • Item


The WG discussed the encounter which references Encounter or EpisodeOfCare. There was a suggestion to separate these into individual elements. This seemed useful for Denmark and for use cases in the room.

There was a suggestion to collapse the two models for potential resources: ClaimItemModel (charge item) and ClaimModel
After looking at some of the elements of the proposed claim resource, it seems that many of the elements were realm specific, thereby potential for moving into extensions. The WG did also note that some elements were not only realm specific but also specialtly specific. At this point the WG considered whether the Claim.item in the proposed Claim resource can’t cover all, otherwise it will be so complex as to be unusable.
The WG felt comfortable with collapsing the two proposed resources noted above and adding diagnosis and modifier and naming it ChargeItem. Whether this should replace the Claim.item element is something that the WG decided to discuss at a later time. Joint meeting Coverage, Account and this resource BillableItem (now ChargeItem). The WG decided to collapse the two resources and discusw with financial management here at the WGM. After this, workgroup meeting, the discussion will be kicked off in Zulip to determine what elements should be in the core and what elements should be in the standard extensions.

Meeting Outcomes

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

Tuesday Q3

HL7 Patient Administration Meeting Minutes

Location: Hyatt Regency San Antonio, Directors Conference Room

Date: 2017-01-17
Time: Tuesday Q3
Facilitator Line Saele Scribe Alex de Leon
Attendee Name Affiliation
X Irma Jongeneel HL7 The Netherlands
X Brian Postlethwaite HealthConnex, Australia
X Alex de Leon Kaiser Permanente, USA
X Cooper Thompson EPIC, USA
X Simone Heckmann HL7 Germany
X Andrew Torres Cerner, USA
X Wes Rishel Self, USA
X Sam Rubenstein Montefiore, USA
Quorum Requirements Met (Chair + 2 members): Yes/No

Agenda

Agenda Topics

  • Joint with SOA. SOA hosting.

Supporting Documents

Minutes

Minutes/Conclusions Reached: Joint with SOA. SOA hosting.

Meeting Outcomes

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

Tuesday Q4

HL7 Patient Administration Meeting Minutes

Location: Hyatt Regency San Antonio, Directors Conference Room

Date: 2017-01-17
Time: Tuesday Q4
Facilitator Irma Jongeneel Scribe Alex de Leon
Attendee Name Affiliation
X Line Saele Helse Vest IKT Norway
X Brian Postlethwaite HealthConnex, Australia
X Irma Jongeneel HL7 The Netherlands
X Alex de Leon Kaiser Permanente, USA
X Cooper Thompson EPIC, USA
X Sam Mater EPIC, USA
X Nick Radov Optum, USA
X Wes Rishel Self, USA
X Sam Rubenstein Montefiore, USA
X Drew Torres Cerner, USA
Quorum Requirements Met (Chair + 2 members): Yes

Agenda

Agenda Topics

  1. Approve Last WGM Minutes
  2. Draft next meeting agenda
  3. Updates from Steering Division
  4. Harmonization proposals
  5. v2.9 Ballot Report

Supporting Documents

Minutes

Minutes/Conclusions Reached:
Action: Update attendees for Tuesday, Wednesday, Thursday All quarters.

Motion to approve the minutes by Brian. Drew seconds Discussion: None Vote: 7/0/1

The WG continued with the draft agenda for May WGM 2017. From the last quarter, we understand that we still will want a joint sesson with SOA but PA will host at that time.

In addition, Alex noted that the status of the V2.9 is that it will go through a second ballot round, but it is unclear which cycle now. Therefore V2 work will be kept on the agenda

Action: Line to request rooms for next meeting.

Action: Discuss with Publishing regarding the “replacement” of the ROL segment with the PRT segment. Action: Discuss addition of IAM segment as an optional segment where AL1 segments exist in the trigger events. This might mean that the WG would have to consider the deprecation process for the AL1 segment.


Meeting Outcomes

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

Navigation

© 2007-2017 Health Level Seven® International. All rights reserved. Patient Administration – Tuesday, January 17, 2017

Retrieved from "https://wiki.hl7.org/w/index.php?title=2017-01-17_PA_WGM_Minutes&oldid=133520"