2012-01-17 PA WGM Minutes

Patient Administration Work Group Minutes - Tuesday January 17, 2012

Tuesday Q1

HL7 Patient Administration Meeting Minutes Location: Garden Terrace, Suite #127		Date: 2011-05-16 Time: Tuesday Q1
Facilitator	Alex de Leon	Note taker	Alex de Leon
Attendee	Name	Affiliation
X	Line Saele	Helse Vest IKT Norway
X	Alex de Leon	Kaiser Permanente
X	Irma Jongeneel	HL7 Netherlands
Quorum Requirements Met (Chair + 4 members): No

Agenda

Agenda Topics

• V3 Work - Encounter (hosted by Patient Care)

Supporting Documents

• OUH Encounter Model
• Interdependent Registry Slide

Minutes

Minutes/Conclusions Reached:

Irma, who is heading the effort to harmonize the Patient Care Care Provision Model and the Patient Administration, Encounter Model reviewed the meeting she had in Q5 yesterday with a representative with Patient Care. There was an issue: The participations of the Patient Care WG Care Provision Act and the Patient Administration WG encounter model care provision acts seem to be similar but need to be analyzed to see if their meanings support the same concepts. This is also true of the player roles that are linked to the participations.

One other challenge is the recursive relationships. For the care provision, there is a sequelTo recursive relationship element, a component3 recursive relationship element and pertinentInformation3 recursive relationship element. This means that the recursive inherits all the pertinent associations to that recursive CareProvision act.

Discussions lead to attempting to conceptualize how the CareProvision Act, Encounter Act and CareStatement should be modeled. Generally, the WG feels that the modeling of Encounter should be the same in both PA and PC. Presently, they should be harmonized with a view to the future of possibly collapsing the models into one.

It is suggested that we focus first on the participations in both models. What PA could do is to focus on our participations and see how they may fit into the PC models. The issue is that the PC has little idea of administration issues with regard to encounters. For instance, billing, insurance and reporting of encounter, are all concepts that need to be accounted for in both models.

The WG discussed the possibility of having the Encounter Act be part of the PC domain, therefore be in the Care Provision DMIM but have use of the PA RMIMs (or possibly templates) that account for the Patient Administrative concepts (financial management, etc.). We may need to go to other WGs, such as financial management, to get potential requirements so that we assure that we are accounting for the appropriate administrative items.

Patient Care is currently reviewing and updating their models. Our WG just needs to assure that the changes support the PA concerns.

Irma will start writing a proposal to describe this idea and suggest that it be discussed first in the individual workgroups with a joint session to be had in a future meeting (Vancouver, May 2012 ).

Meeting Outcomes

Actions (Include Owner, Action Item, and due date) Irma Jongeneel to write a proposal that outlines the scope and considerations for harmonizing the Patient Care "Care Provision Model" and the Patient Administration, "Encounter Model". Due ???.

Next Meeting/Preliminary Agenda Items .

Tuesday Q2

HL7 Patient Administration Meeting Minutes Location: Room 674		Date: 2011-05-16 Time: Tuesday Q2
Facilitator	Gregg Seppala	Note taker	Alex de Leon
Attendee	Name	Affiliation
X	Gregg Seppala	VHA
X	Jay Zimmerman	HL7 Canada
X	Jane Daus	McKesson
.	Wendy Huang	Canada Infoway
X	Barry Guinn	EPIC
X	Line Saele	Helse Vest IKT Norway
X	Espen Moeller	Helse Vest IKT Norway
X	Alex de Leon	Kaiser Permanente
.	Irma Jongeneel	HL7 Netherlands
X	Alexander Henket	HL7 Netherlands
Quorum Requirements Met (Chair + 4 members): No

Agenda

Agenda Topics

1. V3 Work - Encounter ballot reconciliation

Supporting Documents

• Encounter Ballot
• Reconciliation Spreadsheet
• Patient Encounter Wiki

Minutes

Minutes/Conclusions Reached:

.

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items .

Tuesday Q3

HL7 Patient Administration Meeting Minutes Location: Room 774		Date: 2011-05-16 Time: Tuesday Q3
Facilitator	Gregg Seppala	Note taker	Alex de Leon
Attendee	Name	Affiliation
X	Gregg Seppala	VHA
X	Jay Zimmerman	HL7 Canada
X	Jane Daus	McKesson
.	Wendy Huang	Canada Infoway
X	Barry Guinn	EPIC
.	Line Saele	Helse Vest IKT Norway
.	Espen Moeller	HL7 IKT Norway
.	Morten Myhre	Helse Vest IKT Norway
X	Alex de Leon	Kaiser Permanente
.	Irma Jongeneel	HL7 Netherlands
X	Alexander Henket	HL7 Netherlands
X	Amit Popat	EPIC
X	Ioana Singureanu	VHA
X	Ron Parker	Canada Infoway
Quorum Requirements Met (Chair + 4 members): Yes

Agenda

Agenda Topics

1. Interdependent Registries.

Supporting Documents

• Interdependent Registries Wiki

Minutes

Minutes/Conclusions Reached:

The WG entertained a discussion regarding Canada Health Infoway’s perspective on some key areas and issues related to a nationwide effort to improve the capabilities of directories especially as State 2 Meaningful use approaches.

Questions were asked by a consultant representing ONC. Ron Parker began with the presentation of questions/perspectives regarding interdependent registries. Ron stressed that these items are a Canadian architectural perspective. The WG worked to validate and provide context for the questions being asked.

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items .

Tuesday Q4

HL7 Patient Administration Meeting Minutes Location: Room 774		Date: 2011-05-16 Time: Tuesday Q4
Facilitator	Gregg Seppala	Note taker	Alex de Leon
Attendee	Name	Affiliation
X	Gregg Seppala	VHA
X	Jay Zimmerman	HL7 Canada
.	Jane Daus	McKesson
.	Wendy Huang	Canada Infoway
X	Barry Guinn	EPIC
.	Line Saele	Helse Vest IKT Norway
.	Espen Moeller	HL7 IKT Norway
.	Morten Myhre	Helse Vest IKT Norway
X	Alex de Leon	Kaiser Permanente
.	Irma Jongeneel	HL7 Netherlands
X	Alexander Henket	HL7 Netherlands
.	Amit Popat	EPIC
X	Ioana Singureanu	VHA
.	Ron Parker	Canada Infoway
Quorum Requirements Met (Chair + 4 members): Yes

Agenda

Agenda Topics

1. Interdependent Registries.

Supporting Documents

• Interdependent Registries Wiki

Minutes

Minutes/Conclusions Reached:

The WG decided to set aside editorial issues to be addressed later. The WG continued to address the ballot items focusing on the non-editorial negative items.

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items .

Navigation

• Go To Monday Minutes
• Go To Tuesday Minutes
• Go To Wednesday Minutes
• Go To Thursday Minutes
• Return to PA January 2012 WGM
• Return to PA Main Page

© 2011 Health Level Seven® International. All rights reserved.