2010-10-04 PA WGM Minutes

PA work group meeting Monday Q3

HL7 Patient Administration Meeting Minutes Location: Parlor 211		Date: 2010-10-04 Time: Monday 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
X	Wendy Huang	Canada Infoway
X	Barry Guinn	EPIC
X	Line Saele	Helse Vest IKT Norway
X	Morten Myhre	Helse Vest IKT Norway
X	Adri Burggraaff	HL7 Netherlands
X	Alex de Leon	Kaiser Permanente
Quorum Requirements Met (Chair + 4 members): Yes

Agenda

Agenda Topics

1. Welcome/Introductions
2. Agenda review and approval
   • Motion: Approve agenda as published on 9/20/2010
3. Review Mission and Charter
4. New Decision Making Practices review and approval
   • Motion: Approve revised Decision Making Practices as published on 9/28/2010
5. SWOT review
6. Work Plan review

Supporting Documents

• Cambridge Agenda (2010-09-20)
• Mission and Charter (2010-01-19)
• Current Approved DMP (2009-05-13)
• Revised DMP Draft (2010-09-14)
• PA SWOT (2010-01-18)
• Work Plan (2010-02-01)

Minutes

Minutes/Conclusions Reached:

1. Welcome/Introductions
2. Review and Approve Agenda
   • Motion (made by Jay / seconded by Alex): Approve agenda as is
   • Vote: 8 / 0 / 0 (for, against, abstain)
3. Review Mission & Charter
   • The HL7 Process Improvement work group issued a new generic Decision Making Process template. Each work group was requested to review their existing DMP to see whether it covers all the issues addressed by the new generic DMP. Gregg drafted a new DMP for PA based on the generic DMP and the current PA DMP (See Revised DMP Draft (2010-09-14). That was sent to the PA list for consideration on September 28. The new DMP is very similar to our current DMP except that it provides more clarity regarding email voting. In our last revision we removed proxy voting and added email voting but we were not very specific about our procedures surrounding email votes.
   • Motion (made by Jay / seconded by Jane): Accept revised DMP as posted to the list server on September 28, 2010
   • Discussion: Further discussion was held, with clarification that the quorum for the PAWG being chair plus 4 members
   • Vote: 8 / 0 / 0
4. SWOT discussion
   • WG reviewed the SWOT and agreed that the environment is the same. No changes made. Still valid.
5. Review Work Plan
   • The WG reviewed the work plan as it was January 1, 2010. Service Delivery Location, Provider Registry and Organization Registry were originally scheduled to peer-review for May 2010 with DSTU in January 2011. This will more than likely have to change. So, the WG is aware that this schedule will have to change by the end of this week when these items will be discussed in more detail. For now, the WG sees no changes to the work plan as it is.

Meeting Outcomes

Actions (Include Owner, Action Item, and due date) Gregg to submit revised DMP to webmaster@hl7.org and to PIC work group

Next Meeting/Preliminary Agenda Items .

PA work group meeting Monday Q4

HL7 Patient Administration Meeting Minutes Location: Parlor 211		Date: 2010-10-04 Time: Monday Q4
Facilitator	Gregg Seppala	Note taker	Alex de Leon
Attendee	Name	Affiliation
X	Gregg Seppala	VHA
X	Jay Zimmerman	HL7 Canada
X	Jane Daus	McKesson
X	Wendy Huang	Canada Infoway
X	Barry Guinn	EPIC
X	Line Saele	Helse Vest IKT Norway
X	Morten Myhre	Helse Vest IKT Norway
X	Adri Burggraaff	HL7 Netherlands
X	Alex de Leon	Kaiser Permanente
Quorum Requirements Met (Chair + 4 members): Yes

Agenda

Agenda Topics

1. V3 Work - Interdependent Provider Registry Proposal
   • Scope
   • Timelines
   • Deliverables
   • Resources

Supporting Documents

• Ron Parker Presentation from Rio
• PA_Interdependent_Registries

Minutes

Minutes/Conclusions Reached:

1. Interdependent Registry Scope
   • The WG reviewed slides presented by Ron Parker at Canada Infoway to PAwg at the Rio meeting, describing the interdependency of the various registries (e.g. service delivery location, provider registry, organization registry, etc.) Observation was made that some of these interdependent registries are RIM class role based registries (organization, provider, service delivery) while others are ACT based registries (Health program, Health service, etc.) registries that might be overseen by other WG domains.
   • Gregg presented wiki page summarizing possible needs for the US realm. Gaps were identified (e.g. HITSP/IS03 (Consumer Empowerment and Access to clinical information via Networks) and HITSP/CAP121 (Communicate Referral Request)). Further slides not in the original presentation were viewed that defined more gaps, business needs and use cases as well as other efforts for interdependencies of registries based on provider needs.
   • The scope of this work would be Provider, Person, Patient, Service Delivery location, Organization registries. The WG has questions whether the group’s scope includes Device. Health Program and Health Service would, for now, be placeholders for defining within which group the scope would lie.
   • The WG discussed the possible need for an application registry.
2. Timeline
   • Jay explained that for Canada, the interdependencies framework needs to be in place and implemented by 2015. Working back, this means that the standards that might govern this, would have to be complete within 18 months or by the end of 2012. It was decided that there would be a DSTU cycle to allow for feedback and change without too many changes to try to track and implement. This means that final DSTU would have to be approved 01/2012, with normative in 02/2013 (work being performed in the 05/2012 and 09/2012). The WG could work on a Domain Analysis Model (DAM) in 01/2011 and ballot in 05/2011, which would move the work on this forward quicker.
3. Deliverables
   • The WG would need use cases, requirements from those use cases, in support of this effort. This includes the updated DAM to include interdependent registries information. The DAM will include both a dynamic model and a static model.
4. Resources
   • The WG discussed the need for resources, noting that volunteers may not be sufficient for moving this effort forward. Canada, Jay, will assist with the DAM analysis, while the VA has offered help in the form of a resource to review once the DAM analysis has been complete.
5. Conclusions
   • Since this is a requirement from Netherlands and Australia, their representatives should review the requirements. The WG proposed finding more interested entities to review requirements.
6. Motion (Jay /Wendy) Move to adjourn for the day Vote: 8 /0 / 0
7. Adjourn at 5pm

Meeting Outcomes

Actions (Include Owner, Action Item, and due date) Jay to review and update the personnel management DAM to include content to support interdependent registries.

Next Meeting/Preliminary Agenda Items .

PA work group meeting Tuesday Q1

HL7 Patient Administration Meeting Minutes Location: Parlor 211		Date: 2010-10-05 Time: Tuesday Q1
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	Morten Myhre	Helse Vest IKT Norway
.	Adri Burggraaff	HL7 Netherlands
X	Alex de Leon	Kaiser Permanente
X	Irma Jongeneel	HL7 Netherlands
Quorum Requirements Met (Chair + 4 members): Yes

Agenda

Agenda Topics

• V3 Work - Interdependent Provider Registry - Define Use Cases

Supporting Documents

• PA_Interdependent_Registries

Minutes

Minutes/Conclusions Reached:
The WG reviewed the wiki for background information and for defining what is within the scope of the PA Working Group. The current scope is to define the interactions across the following topics:

• Person topic (DSTU in Patient Administration domain)
• Patient topic (DSTU in Patient Administration domain)
• Service Delivery Location (DSTU in Patient Administration domain)
• Provider topic (Normative R1 in Personnel Management domain)
• Organization topic (Normative R1 in Personnel Management domain)

The WG needs to explore further whether work on the following topics for this effort should be done within the PAWG:

• Health Service
• Health Program

Next the WG reviewed business cases beyond the interest of Netherlands, Australia and Canada, including interest based on US HITSP needs, US Health Information Technology Policy Committee’s Information Exchange Workgroup and the HL7 EHR System Functional Model (IN.3 Registry and Directory Services). Defined use cases were reviewed in the wiki:

• ONC Use Case - Consumer empowerment: consumer access to clinical information
• ONC Use Case - Consultation and Transfer of Care
• ONC Use Case - Scheduling

The PAWG also reviewed current standards around provider registries along with the following analysis documents

• HITSP Information Interchange Subcommittee Interface to Provider Directory/Registry Harmonization Project
• Healthcare, Community Services and Provider Director Service Functional Profile, Release 1 mapped to HL7 Personnel Management

Gregg proposed that the wiki be the area where the PAWG does it’s work for this effort.
The PAWG decided that understanding the business cases would be the best first step to defining the use cases for this effort. Jay volunteered to review the presentation “Blueprint 2015 Interdependent Registries – A Discussion Paper“ to review the business case so that the PAWG would be clear on the business case. For Canada, the business case includes:

• EHRs
• Health System Services
• Consumer Health Solutions
• Clinical Decision Support

HL7 Netherlands represented by Alexander Henket the business case includes the need for an application registry to include in this interdependency.

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items .

PA work group meeting Tuesday Q3

HL7 Patient Administration Meeting Minutes Location: Parlor 211		Date: 2010-10-05 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
X	Line Saele	Helse Vest IKT Norway
X	Morten Myhre	Helse Vest IKT Norway
.	Adri Burggraaff	HL7 Netherlands
X	Alex de Leon	Kaiser Permanente
X	Irma Jongeneel	HL7 Netherlands
X	Norman Daoust	Daoust and Associates
X	Tim McNeil	Surescript
X	Joe Piene	Siemens (Norway)
Quorum Requirements Met (Chair + 4 members): Yes

Agenda

Agenda Topics

1. V3 Work - Interdependent Provider Registry - Define Use Cases

Supporting Documents

• PA_Interdependent_Registries

Minutes

Minutes/Conclusions Reached:

• The chair gave a short review of the subject of interdependent provider registries.
• The WG decided that working in smaller teams to developed use cases for this effort would be the best way to take on this work.
• Norman Daoust explained the use case format that was used in past efforts within PA. Specifically, he defined scope, as either business, or system, where the former refers to actors interacting with a business, whereas the latter describes actors interacting with systems.
• The WG decided to first do a use case together, then possibly move into groups. Doing this, it was decided to define the gaps in functionality today of the Canada Infoway registry interactions to try to define an initial use case.

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items .

PA work group meeting Tuesday Q4

HL7 Patient Administration Meeting Minutes Location: Parlor 211		Date: 2010-10-05 Time: Tuesday Q4
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	Morten Myhre	Helse Vest IKT Norway
.	Adri Burggraaff	HL7 Netherlands
X	Alex de Leon	Kaiser Permanente
X	Irma Jongeneel	HL7 Netherlands
X	Norman Daoust	Daoust and Associates
X	Tim McNeil	Surescript
X	Joe Piene	Siemens (Norway)
Quorum Requirements Met (Chair + 4 members): Yes

Agenda

Agenda Topics

1. V3 Work - Interdependent Provider Registry - Define Requirements

Supporting Documents

• PA_Interdependent_Registries
• Registry Design Issues from Rio meeting

Minutes

Minutes/Conclusions Reached:

• The WG continued with the attempt to define a use case for this effort. Norman suggested that we define a simple use case, using the alternate flows for as the various registries are engaged in the business flow.
• Expand the DAM to allow for the Health Program Health services, user registry and application instances and look to Ron and Sasha to help flesh the needs out. That includes relationships to the other classes with businesses. Requirements, both business and including use cases are needed. Look to develop interactions to come up with a detailed list of interaction patterns for registries in general so that they can be applied to the related registries Provider, Person, Patient, SDL, Organization. After Gregg comes up with these interactions, this pattern will be compared with what exists to define needs.
• Gregg reviewed the differences in patterns within the WG’s work try to see if they can be applied to all relevant registries: Provider, Person, Patient, Service Delivery Location, and Organization. This included the PM and PA domains.
• The workgroup reviewed the Registry

Meeting Outcomes

Actions (Include Owner, Action Item, and due date) Requirements/Use Case will be validated by Sasha and Ron through Jay Gregg – Detailed list of interactive patterns Jay will update the DAM

Next Meeting/Preliminary Agenda Items .

PA work group meeting Wednesday Q1

HL7 Patient Administration Meeting Minutes Location: Parlor 211		Date: 2010-10-06 Time: Wednesday Q1
Facilitator	<Chair of Meeting>	Note taker(s)	<Scribe of Meeting>
Attendee	Name	Affiliation
[mark x if on the conference call, or regrets]	[In this section, list those on the conference call]	[In this section, record attendee affiliation to identify preponderance of influence; indicate those guests that are not members of the WG.]
.	.	.
.	.	.
Quorum Requirements Met: (yes/No)
quorum achieved as defined in the Work Group Decision Making Practices?

Agenda

Agenda Topics

1. V2.8 New Content Proposals

Supporting Documents

Minutes

Minutes/Conclusions Reached:

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items .

PA work group meeting Wednesday Q2

HL7 Patient Administration Meeting Minutes Location: Parlor 211		Date: 2010-10-06 Time: Wednesday Q2
Facilitator	<Chair of Meeting>	Note taker(s)	<Scribe of Meeting>
Attendee	Name	Affiliation
[mark x if on the conference call, or regrets]	[In this section, list those on the conference call]	[In this section, record attendee affiliation to identify preponderance of influence; indicate those guests that are not members of the WG.]
.	.	.
.	.	.
Quorum Requirements Met: (yes/No)
quorum achieved as defined in the Work Group Decision Making Practices?

Agenda

Agenda Topics

1. V3 Work - Link / unlink roles in registries (Spronk)

Supporting Documents

• Linking_and_Unlinking_of_Roles_in_Registries

Minutes

Minutes/Conclusions Reached:

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items .

PA work group meeting Wednesday Q3

HL7 Patient Administration Meeting Minutes Location: Parlor 211		Date: 2010-10-06 Time: Wednesday Q3
Facilitator	<Chair of Meeting>	Note taker(s)	<Scribe of Meeting>
Attendee	Name	Affiliation
[mark x if on the conference call, or regrets]	[In this section, list those on the conference call]	[In this section, record attendee affiliation to identify preponderance of influence; indicate those guests that are not members of the WG.]
.	.	.
.	.	.
Quorum Requirements Met: (yes/No)
quorum achieved as defined in the Work Group Decision Making Practices?

Agenda

Agenda Topics

1. Approve minutes from Rio WGM
2. Plan next meeting (Sydney)
3. V3 Work - Harmonization proposals

Supporting Documents

• PA Minutes Rio

Minutes

Minutes/Conclusions Reached:

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items .

PA work group meeting Wednesday Q4

HL7 Patient Administration Meeting Minutes Location: Parlor 211		Date: 2010-10-06 Time: Wednesday Q4
Facilitator	<Chair of Meeting>	Note taker(s)	<Scribe of Meeting>
Attendee	Name	Affiliation
[mark x if on the conference call, or regrets]	[In this section, list those on the conference call]	[In this section, record attendee affiliation to identify preponderance of influence; indicate those guests that are not members of the WG.]
.	.	.
.	.	.
Quorum Requirements Met: (yes/No)
quorum achieved as defined in the Work Group Decision Making Practices?

Agenda

Agenda Topics

1. V3 Work - Encounter DSTU Findings

Supporting Documents

• OUH_Encounter_Model
• Proposal:_update_Find_Encounters_Query_-_part_2

Minutes

Minutes/Conclusions Reached:

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items .

PA work group meeting Thursday Q1

HL7 Patient Administration Meeting Minutes Location: Parlor 211		Date: 2010-10-07 Time: Thursday Q1
Facilitator	<Chair of Meeting>	Note taker(s)	<Scribe of Meeting>
Attendee	Name	Affiliation
[mark x if on the conference call, or regrets]	[In this section, list those on the conference call]	[In this section, record attendee affiliation to identify preponderance of influence; indicate those guests that are not members of the WG.]
.	.	.
.	.	.
Quorum Requirements Met: (yes/No)
quorum achieved as defined in the Work Group Decision Making Practices?

Agenda

Agenda Topics

1. V3 Work - Registry Service Specification

Supporting Documents

Minutes

Minutes/Conclusions Reached:

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items .

PA work group meeting Thursday Q3

HL7 Patient Administration Meeting Minutes Location: Parlor 211		Date: 2010-10-07 Time: Thursday Q3
Facilitator	<Chair of Meeting>	Note taker(s)	<Scribe of Meeting>
Attendee	Name	Affiliation
[mark x if on the conference call, or regrets]	[In this section, list those on the conference call]	[In this section, record attendee affiliation to identify preponderance of influence; indicate those guests that are not members of the WG.]
.	.	.
.	.	.
Quorum Requirements Met: (yes/No)
quorum achieved as defined in the Work Group Decision Making Practices?

Agenda

Agenda Topics

1. V3 Work - Registry Service Specification

Supporting Documents

Minutes

Minutes/Conclusions Reached:

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items .

PA work group meeting Thursday Q4

HL7 Patient Administration Meeting Minutes Location: Parlor 211		Date: 2010-10-07 Time: Thursday Q4
Facilitator	<Chair of Meeting>	Note taker(s)	<Scribe of Meeting>
Attendee	Name	Affiliation
[mark x if on the conference call, or regrets]	[In this section, list those on the conference call]	[In this section, record attendee affiliation to identify preponderance of influence; indicate those guests that are not members of the WG.]
.	.	.
.	.	.
Quorum Requirements Met: (yes/No)
quorum achieved as defined in the Work Group Decision Making Practices?

Agenda

Agenda Topics

1. Schedule conference calls
2. Approve next ballot
3. Update Work Plan
4. Adjourn

Supporting Documents

Minutes

Minutes/Conclusions Reached:

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items .

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