2011-01-12 PA WGM Minutes

Patient Administration Meeting - Wednesday January 12, 2011

Wednesday Q1

HL7 Patient Administration Meeting Minutes Location: Room 2.08		Date: 2011-01-12 Time: Wednesday Q1
Facilitator	Irma Jongeneel	Note taker	Alex de Leon
Attendee	Name	Affiliation
.	Irma Jongeneel	NICTIZ
.	Alex de Leon	Kaiser Permanente
.	Sasha Bojicic	Canada Infoway
.	Ron Parker	Canada Infoway
.	Rene Spronk	HL7 Netherlands
.	Corinne Gower	HL7 New Zealand
.	.	.
.	.	.
Quorum Requirements Met (Chair + 2 members): <Yes/No>

Agenda

Agenda Topics

1. V3 Work - Interdependent Registries

Supporting Documents
<<insert slide deck here>>

Minutes

Minutes/Conclusions Reached:

Sasha and Ron from Canada Infoway presented a slide deck for Interdependent Registries and reviewed the significant investments being made and support being received in the Canadian realm. This slide deck covered these subjects:

• What is the role of the registry
• EHRS Registry Types
• Why Interdependent Registries
• Concept of Identity Management vs Registry
• Examples of Interdependent

They discussed the anticipated set of registry components to manage information of the key business entities that define the process of health care delivery.

Initially, four registries were introduced Client, Provider, Location, Terminology later, the following is the final set of registries within Blueprint for 2015:

• Client
• Organization
• Provider
• Application
• Location
• User
• Health Service
• Health program
• Relationship Management Services

The Person registry has been deliberately left out due to the problems with where this might be relegated.

The WG discussed the concept of location and the various definitions based on context (patient location, provider service location, specialty location). This underscored the need to socialize these concepts to the larger PA audience so that they may examine the various registries to define appropriate use cases, examples, etc.

Canada Infoway is putting forth that the following are needed to move forward:

• Service Interfaces
• Data Elements
• HL7 Ineraction messages

The WG put forth that requirements would be needed to support these items. Canada Infoway is prepared to develop use cases to help define the requirements.

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items .

Wednesday Q2

HL7 Patient Administration Meeting Minutes Location: Room 2.08		Date: 2011-01-12 Time: Wednesday Q2
Facilitator	<faciliator>	Note taker	<scribe>
Attendee	Name	Affiliation
.	Irma Jongeneel	NICTIZ
.	Alex de Leon	Kaiser Permanente
.	Sasha Bojicic	Canada Infoway
.	Barry Guinn	EPIC
.	Wendy Huang	Canada Infoway
.	Morten Myhre	Helse Vest IKT Norway
.	Ron Parker	Canada Infoway
.	Line Saele	Helse Vest IKT Norway
.	Rene Spronk	HL7 Netherlands
.	.	.
.	.	.
.	.	.
Quorum Requirements Met (Chair + 2 members): <Yes/No>

Agenda

Agenda Topics

1. V3 - Interdependent Registries

Supporting Documents

• .

Minutes

Minutes/Conclusions Reached:
1. The WG discussed the goal for PA regarding interdependent registries. We should have fairly well defined requirements for interdependent registries for inclusion into the next ballot cycle.

2. The WG then continued with the use cases for interdependent registries from Canada Infoway.

Within the discussions, the WG considered some interdependency business requirements that arose as a result of the review of the eReferral use cases from Canada:

• Health Service Type – This may be covered in provider
• Provider – This information is most likely covered in the Provider Registry Topic
• Location – This needed information may be covered in the Service Delivery Location Topic
• Organization – This information may be covered

Note: Health payer is not included into the consideration here, but this may need to be included within the business requirements at some point.

The WG reviewed the Add Provider R-MIM model, which seems to support the health service type through the HealthCare ProviderRoleType code.

ServiceDeliverLocation is covered in the Ade Provider R-MIM, but it was not clear if this satisfied the needs of this use case.

The WG clarified that in review of the model, we may need to update/expand the model based on the needs of this project.

It seemed like a good approach to explicitely define the registries depicted in the use cases from Canada, to see if the concepts there are currently depicted in the registry topics within HL7 today.

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items .

Wednesday Q3

HL7 Patient Administration Meeting Minutes Location: Room 2.08		Date: 2011-01-12 Time: Wednesday Q3
Facilitator	Irma Jongeneel	Note taker	Alex de Leon
Attendee	Name	Affiliation
.	Irma Jongeneel	NICTIZ
.	Alex de Leon	Kaiser Permanente
.	.	.
.	.	.
.	.	.
Quorum Requirements Met (Chair + 2 members): <Yes/No>

Agenda

Agenda Topics

1. Approve Cambridge minutes
2. Plan next meeting
3. V3 Work - Harmonization proposals

Supporting Documents

• Cambridge minutes

Minutes

Minutes/Conclusions Reached:
1. The WG did not have quorum, so was not able to approve the Cambridge minutes.

2. The WG worked on the Agenda:

Patient Administration work group meeting, May 2011, Orlando

Day	Date	'	Time	Icon	Event	Chair	Scribe	Room
Monday	May 16	AM	Q1	|	Welcome/introductions Approve agenda Review PA mission & charter Review PA decision making practice Review PA 3-year work plan	Chair	Scribe
			Q2		V3 Work – Regarding GS1 taskforce on patient identifiers (hosted by Patient Safety)	Chair	Scribe	.
		PM	Q3		V3 Work - Encounter ballot reconciliation	Chair	Scribe	.
			Q4		V3 Work - Encounter ballot reconciliation	Chair	Scribe	.
.
Tuesday	May 17	AM	Q1		V3 Work - Encounter (hosted by Patient Care)	Chair	Scribe	.
			Q2		V3 Work - Encounter ballot reconciliation	Chair	Scribe	.
		PM	Q3		Interdependent Registries	Chair	Scribe	.
			Q4		Interdependent Registries	Chair	Scribe	.
.
Wednesday	May 18	AM	Q1		V2.8 - New proposals	Chair	Scribe	.
			Q2		V3 - Scheduling domain	Chair	Scribe	.
		PM	Q3		Approve Cambridge minutes Plan next meeting V3 Work - Harmonization proposals	Chair	Scribe	.
			Q4		V3 Harmonization proposals	Chair	Scribe	.
.
Thursday	May 19	AM	Q1		V3 Work - Interdependent Registries (hosted by SOA)	Chair	Scribe	.
			Q2		V3 Work - Interdependent Registries (hosted by SOA)	Chair	Scribe	.
		PM	Q3		V3 Work - Interdependent Registries	Chair	Scribe	.
			Q4		Wrap up * Approve next ballot * Update work plan	Chair	Scribe	.
.

Icons:

• Work Group business meeting
• Ballot Reconciliation meeting
• Work Group technical discussion

3. There were no proposals identified for the WG to address

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items .

Wednesday Q4

HL7 Patient Administration Meeting Minutes Location: Room 2.08		Date: 2011-01-12 Time: Wednesday Q4
Facilitator	<facilitator>	Note taker	<scribe>
Attendee	Name	Affiliation
.	Irma Jongeneel	NICTIZ
.	Alex de Leon	Kaiser Permanente
.	Wendy Huang	Canada Infoway
.	Rene Spronk	HL7 Netherlands
.	.	.
.	.	.
.	.	.
Quorum Requirements Met (Chair + 2 members): Yes

Agenda

Agenda Topics

1. Approve Cambridge minutes.
2. V3 Harmonization proposals
3. Continue clarification of encounter items

Supporting Documents

• http://wiki.hl7.org/index.php?title=PA_Patient_Encounter
• http://wiki.hl7.org/index.php?title=Three_PC/PA_harmonization_issues

Minutes

Minutes/Conclusions Reached:
1. Having acheived quorum,

Motion (Rene/Alex): To approve the minutes from the September 2010 WGM in Cambridge Massachusetts

Discussion:None

Vote: 2/0/0 (for/against/abstain)

2. There were no new harmonization proposals to consider.

3. The WG continued to address and clarify the encounter-related items and the wikis for the various items were added to the PA Encounter Model wiki (Proposals from implementers):

• Proposal: update Find Encounters Query - part 2 - added 20110112, accepted with mods by PA 2011-01 WGM (Monday Q4)
• Add Ward/Bed/Room to ServiceDeliveryLocationRoleType - added 20110112, accepted at conf call at 2009 07 15, accepted for a future release
• Harmonization Proposal: add three concepts to ServiceDeliveryLocationRoleType - associated harmonization proposal
• Proposal: add Find Appointments Query - accepted by PA 20100120, part of harmonization process of Scheduling and Encounter model

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items Thursday Q1 & Q2 hosted by Services Oriented Architecture in Room 2.12 Registry Services specifications

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