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20150922 US Realm SC Call
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| US Realm Steering Committee Call Agenda/Minutes Location: call 770-657-9270 using code 985371# |
Date: 2015-mm-dd Time: 1 PM Eastern | ||
| Co-Chairs | Ed/Ken | Note taker(s) | Anne |
| Attendee / Name | |||||
| Regrets | Calvin Beebe | Regrets | Keith Boone | Hans Buitendijk | |
| x | Lorraine Constable | x | Johnathan Coleman | x | Ed Hammond |
| x | Tony Julian | x | Paul Knapp | x | Austin Kreisler |
| Ken McCaslin | Brian Pech | x | John Quinn | ||
| x | Pat Van Dyke | x | Anne Wizauer | Sandra Stuart | |
| Visitor / Name | |||||
| x | Evelyn Gallego | x | John Ritter | ||
| no quorum definition | |||||
Agenda
Administrivia
- Agenda review
- Review notes from 20150908_US_Realm_SC_Call
- Action Items
- Discussion:
- Continued discussion of eLTSS with Evelyn Gallego
- HL7 Implementation Guides for CDA Release 2: IHE Health Story Consolidation, DSTU Release 1.1 - US Realm at TSC Tracker 8678
- This DSTU has been cited by US regulation and needs to be available for up to five years - four years longer than our typical extension.
- Significant concerns regarding maintenance; looking into ramifications of citing a lapsed DSTU
- Should we make expired DSTUs retrievable on the standards grid
- Approval Item:
- Project Approval Request for Work and Health Functional Profile and Associated Glossary, including Occupational Data for Health (ODH) and Injury and Poisoning Causation (External Cause) Codes at Tracker 8722 - John Ritter
Minutes
- Evelyn Gallego here to finish discussing eLTSS. Electronic Long Term Services and Support.
- Provides funding to state Medicaid offices; need to identify standards for an eLTSS plan, which is developed in a home and community -based environment to list services provided to an individual. Components contain clinical information, so for that part they are identifying data elements to align with ONC's common clinical data set.
- There is interest in sharing the plan with clinical providers which is why they need a standard. There is no known HL7 WG who is known to be working on non-clinical data elements but states will be piloting the plan and have been pointed to HL7 standards to meet their functional requirements.
- Austin: there is a CDA project put forward already that is related. Evelyn: yes, they have advanced care planning, which we're monitoring and will contribute to, but it won't encompass the non-clinical data elements.
- Paul: have you collaborated with CBCC? Johnathan: I'll talk with Evelyn about that as I am a co-chair of that group.
- Ed: is there any value to us reaching out to the groups that have the pilots? Evelyn: Absolutely. There are seven states that will be conducting pilots. There could be an opportunity to collaborate/learn. It is a four year grant program with two rounds of piloting. We'd like to know if there are any relevant projects we should bring back to the states that are doing the work.
- Ed: what might be useful is educating HL7 on this topic; perhaps you could write an article for the HL7 newsletter to get the word out. The sooner groups work together the more successful it will be.
- Paul: it's really important that you socialize what you're doing so we can coordinate these efforts. A standards is what comes out at the end. Would recommend not limiting focus to US; in many cases you can learn from what they may already have done. Check with the NHS in the UK and Holland.
- Evelyn: should we present to the international community or the larger HL7 meeting? John Q: You could engage the international community on Sunday or Thursday lunch. Christian Hay is the Swiss representative to Hl7 who you could connect with at the Sunday morning meeting.
- Lorraine: multiple pathways are useful to get your message out widely
- HL7 Implementation Guides for CDA Release 2: IHE Health Story Consolidation, DSTU Release 1.1 - US Realm
- SD WG had a contentious discussion about extending the DSTU. Some are opposed to extending the DSTU. What would ONC's position be on a cited standard becoming a lapsed standard during which time the regulation is enforced?
- Johnathan will raise it within ONC and will sit in on the Structured Docs meeting as available
- Ed: we need to understand what the arguments are. Austin: There are implications in maintenance for keeping it active. WG still has to monitor comments, apply errata, etc. In a volunteer environment it's a huge workload, especially if there are multiple DSTUs this applies to.
- Anne to pull out of GOM how the new section is written.
- Anne to make this a topic on Thursday lunch.
- John Ritter here to discuss Work and Health Functional Profile and Associated Glossary, including Occupational Data for Health (ODH) and Injury and Poisoning Causation (External Cause) Codes.
- Should work information be included in functional model itself? If it's not, the information may be lost. Current proposal offers it as a companion functional profile, but it could be included in functional model instead. Discussion over whether it would be universal if it was a functional profile.
- Ed: should be part of the EHR. Austin: entire focus of this is US Realm and they have not recruited anyone from other realms. Are current project sponsors prepared to take on a much broader international efforts? John replies no. Ed: we should still ask the international community if they'd like to be part of this. Austin; A US realm representative should bring it forward to the international council in Atlanta..John Ritter: We should write this in a way that it's easy for international counterparts can pop their information in. But we can't stop the work for the time being. Austin: doing it as a functional profile makes sense for the time being. If there is international interest that arises, then do the functional model work.
- MOTION to approve by Austin; second by Paul
- VOTE: all in favor
Meeting Outcomes
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