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[[Category:WGM Minutes 2018 01-New Orleans]]
 
  
Return to: [[:Category:WGM Minutes|WGM Minutes]] > [[:Category:WGM Minutes 2018|2018]] > [[:Category:WGM Minutes 2018 01-New Orleans|Jan New Orleans]]
 
 
<!-- LOOK FOR THE APPROPRIATE SECTION ****** TO ENTER INFORMATION-->
 
=Patient Administration Work Group Meeting - Tuesday January 30, 2018=
 
==Tuesday Q1==
 
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|  MM MMM MM    TT    GG  GGG        II    NN NN NN  FFFF    OO  OO    |
 
|  MM  M  MM    TT    GG  GG        II    NN  NNN  FF      OO  OO    |
 
|  MM    MM    TT    GGGGG        IIIIII  NN    NN  FF      OOOOO      |
 
|                                                                          |
 
========================================================================--->
 
<!-- ********  CHANGE WG Name or Project ON NEXT LINE *******************-->
 
| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''HL7 Patient Administration Meeting Minutes''' <br/>
 
<!-- ********  CHANGE conf call details or meeting room ON NEXT LINE*****-->
 
‘‘‘Location: Hilton New Orleans Riverside, Durham Conference Room’’’
 
<!-- ********  CHANGE Date and Time  ON NEXT LINE  **********************-->
 
| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''Date: 2018-01-30'''<br/> '''Time: Tuesday Q1'''
 
|-
 
<!-- ********  CHANGE chair and scribe ON NEXT LINES  *******************-->
 
| width="10%" colspan="1" align="right"|'''Facilitator'''
 
| width="35%" colspan="1" align="left"| Brian Postlethwaite
 
| width="25%" colspan="1" align="right"|'''Scribe'''
 
| width="30%" colspan="1" align="left"| Alexander de Leon
 
|-
 
| border="4" cellpadding="1" colspan="4" style="background:#f0f0f0;"|
 
|-
 
| border="1" cellpadding="2" colspan="1" align="left"|'''Attendee'''
 
| '''Name'''
 
|colspan="2"|'''Affiliation'''
 
<!---==============================================================================
 
|                                                                                |
 
|    AAAA  TTTTTT  TTTTTT  EEEEEE  NN    NN  DDDDD    EEEEEE  EEEEEE  SSSSS    |
 
|  AA  AA    TT      TT    EE      NNN  NN  DD  DD  EE      EE      SS        |
 
|  AAAAAA    TT      TT    EEEE    NN NN NN  DD  DD  EEEE    EEEE    SSSS      |
 
|  AA  AA    TT      TT    EE      NN  NNN  DD  DD  EE      EE          SS    |
 
|  AA  AA    TT      TT    EEEEEE  NN    NN  DDDDD    EEEEEE  EEEEEE  SSSSS      |
 
|                                                                                |
 
===============================================================================--->
 
<!-- ********add attendee information here *********-->
 
|-
 
| X  || Brian Postlethwaite
 
|colspan="2"| HealthConnex, Australia
 
|-
 
| X  || Alex de Leon
 
|colspan="2"| Kaiser Permanente, USA
 
|-
 
| X  || Irma Jongeneel
 
|colspan="2"| HL7 The Netherlands
 
|-
 
| X  || Line Saele
 
|colspan="2"| Helse Vest IKT, Norway
 
|-
 
| X  || Stefan Sigle
 
|colspan="2"| University of Chile
 
|-
 
| X  || Drew Torres
 
|colspan="2"| Cerner, USA
 
|-
 
| X  || Patrick Werner
 
|colspan="2"| Heilbronn University, Germany
 
|-
 
| X  || Christian Hay
 
|colspan="2"| GS1
 
|-
 
| X  || Ewout Kramer
 
|colspan="2"| Firely, The Netherlands
 
|-
 
| X  || James Agnew
 
|colspan="2"| Smile CDR, USA
 
|-
 
| X  || Simone Heckmann
 
|colspan="2"| HL7 Germany
 
|-
 
| X  || Tricia Chitwood
 
|colspan="2"| Cerner, USA
 
|-
 
| X  || Cooper Thompson
 
|colspan="2"| EPIC, USA
 
|-
 
| X  || Jenni Syed
 
|colspan="2"| Cerner, USA
 
|-
 
| X  || Michel Rullen
 
|colspan="2"| Firely, The Netherlands
 
|-
 
|colspan="4" style="background:#f0f0f0;"|
 
|-
 
|colspan="4" |'''Quorum Requirements Met''' (Chair + 2 members): '''Yes'''
 
|}
 
<!---=======================================================
 
|                                                          |
 
|    AAAA    GGGGG  EEEEEE  NN    NN  DDDDD    AAAA      |
 
|  AA  AA  GG      EE      NNN  NN  DD  DD  AA  AA    |
 
|  AAAAAA  GG  GGG  EEEE    NN NN NN  DD  DD  AAAAAA    |
 
|  AA  AA  GG  GG  EE      NN  NNN  DD  DD  AA  AA    |
 
|  AA  AA  GGGGG  EEEEEE  NN    NN  DDDDD    AA  AA    |
 
|                                                          |
 
========================================================--->
 
===Agenda===
 
'''Agenda Topics''' <br/>
 
<!-- ***** Delete instructions and fill in agenda items ON NEXT LINES  ****-->
 
Coordination with FHIR Infrastructure<br/>
 
* 14154 - Searching a patient by Identifier Type
 
* 14880 - Move Patient.animal to a standard extension - 2018-Jan Core #272
 
 
'''Supporting Documents'''<br/>
 
<!-- *****  Delete instructions and add document names/links ON NEXT LINES *****-->
 
* [[Media: A friendly reminder that FHIR deadlines are coming.pdf]]
 
* [[Media: Tracker Issues.pdf]]
 
* [[Media: FHIR Tracker Summary from 2018-01-02 to 2018-01-08.pdf]]
 
* [[http://wiki.hl7.org/index.php?title=FHIR_Ballot_Prep#Ballot_schedule FHIR Ballot Schedule]]
 
* [[http://build.fhir.org/qa.html FHIR QA report]]
 
*{{gforge|14154|Searching a patient by Identifier Type}}
 
*{{gforge|14880|Move Patient.animal to a standard extension - 2018-Jan Core #272}}
 
===Minutes===
 
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|                                                                  |
 
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|  MMM  MMM    II    NNN  NN  UU  UU    TT    EE      SS        |
 
|  MM MMM MM    II    NN NN NN  UU  UU    TT    EEEE    SSSS      |
 
|  MM  M  MM    II    NN  NNN  UU  UU    TT    EE          SS    |
 
|  MM    MM  IIIIII  NN    NN  UUUU    TT    EEEEEE  SSSSS      |
 
|                                                                  |
 
=================================================================--->
 
<!-- **** Delete instructions  and fill in minutes ON NEXT LINES  ******-->
 
'''Minutes/Conclusions Reached:'''<br/>
 
Introductions<br/>
 
The WG started with introductions since there were many new attendees. <br/>
 
The WG then moved to the FHIR deadlines reminder from Lloyd, with the subject “A friendly reminder that FHIR deadlines are coming sooner than you wish they were...” <br/>
 
<br/>
 
Brian updated where the provider directory project was at this time.. <br/>
 
<br/>
 
# 14154 - Searching a patient by Identifier Type<br/>
 
It would be beneficial to add a standard search criteria for Identifier Type. For example to  allow for a search for a patient with MRN 123 using Identifier.type= http://hl7.org/fhir/v2/0203 | MR with a value of xyz .
 
 
The WG discussed that this could be a query. <br/>
 
This may be a PA issue (which will also be relevant for Practitioner, and likely others) and considered that this should be covered at the search token level so it can be used on the other resources with the identifier. <br/>
 
Including the full identifier.syste.type and code<br/>
 
Patient?ident-with-type=http://hl7.org/fhir/v2/0203#MR|1234<br/>
 
 
Patient?ident-with-type=http:/hl7.org.au/dental#MR|1234<br/>
 
 
Patient?ident=http:.regionalmrn|1234<br/>
 
This is a current search, which required<br/>
 
Patient?ident=http..dept-A-mr|1234<br/>
 
For any identifier search does this need to be a more generalized solution, or if it is more a PA related issue. <br/>
 
Irma moved to move this tracker item to FHIR infrastructure/Drew <br/>
 
Discussion: None<br/>
 
Vote: 13/0/0<br/>
 
<br/>
 
#14880 - Summary: Move Patient.animal to a standard extension - 2018-Jan Core #272 <br/>
 
The WG discussed the option of making the Patient a modifier extension rather than keeping it in the core. This is the feeling of the group. <br/>
 
Simone noted that this would actually entail one of the following choices:<br/>
 
*Move the elements as standard extension.
 
* Remove altogether
 
* Create a new resource.
 
* Another option from Lloyd is to leave it and flagging the “animal” portion as “non-normative”.
 
The work group discussed the various options. The least preferable was leaving it and marking as non-normative. The most viable seems to be to create a modifier extension. <br/>
 
Drew moved to move the animal element portion into a  modifier extension/Simone. <br/>
 
Discussion: None<br/>
 
Vote: 13/0/0<br/>
 
<br/>
 
Having gone through the agenda items, the WG moved on to review the Gender issues that have come up for review with Ewout. <br/>
 
# 14767 -  Loosen binding for AdministrativeGender - 2018-Jan Core #107 <br/>
 
Existing Wording: Patient.gender of type "code", required value set "Admnistrative Gender"<br/>
 
Proposed Wording: Patient.gender of type "Codeable" with "preferred" value set "Administrative Gender"<br/>
 
Changing this datatype allows juridictions to localize the "admnistrative gender" while at the same time it identifies a "preferred" value set.. <br/>
 
Loosen binding for AdministrativeGender<br/>
 
The WG updated this with decision made on previous requests of this type: # 11930, 3070, <br/>
 
Cooper moved to disposition this as non-persuasive, cooper seconded<br/>
 
Vote: 13/0/0<br/>
 
<br/>
 
===Meeting Outcomes===
 
{|border="1" cellpadding="2" cellspacing="0"
 
|-
 
<!---==============================================================
 
|                                                                |
 
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|  AA  AA  CC        TT      II    OO  OO  NNN  NN  SS        |
 
|  AAAAAA  CC        TT      II    OO  OO  NN NN NN  SSSS      |
 
|  AA  AA  CC        TT      II    OO  OO  NN  NNN      SS    |
 
|  AA  AA  CCCCC    TT    IIIIII  OOOOO  NN    NN  SSSSS      |
 
|                                                                |
 
===============================================================--->
 
| width="100%" align="left" style="background:#f0f0f0;"|'''Actions''' ''<font color="green">(Include Owner, Action Item, and due date)''</font>
 
* '''Action Item: ''' <br/>
 
Owner: , Due: <br/>
 
|-
 
<!---=======================================================================
 
|                                                                          |
 
|  NN    NN  EEEEEE  XX  XX  TTTTTT      MM    MM  TTTTTT  GGGGG      |
 
|  NNN  NN  EE      XX XX    TT        MMM  MMM    TT    GG          |
 
|  NN NN NN  EEEE      XXX      TT        MM MMM MM    TT    GG  GGG    |
 
|  NN  NNN  EE      XX XX    TT        MM  M  MM    TT    GG  GG    |
 
|  NN    NN  EEEEEE  XX  XX    TT        MM    MM    TT    GGGGG      |
 
|                                                                          |
 
========================================================================--->
 
|width="100%" |'''Next Meeting/Preliminary Agenda Items'''<br/>
 
*.
 
|}
 
==Tuesday Q2==
 
{|border="1" cellpadding="2" cellspacing="0"
 
<!---=======================================================================
 
|                                                                          |
 
|  MM    MM  TTTTTT  GGGGG        IIIIII  NN    NN  FFFFFF  OOOOO      |
 
|  MMM  MMM    TT    GG              II    NNN  NN  FF      OO  OO    |
 
|  MM MMM MM    TT    GG  GGG        II    NN NN NN  FFFF    OO  OO    |
 
|  MM  M  MM    TT    GG  GG        II    NN  NNN  FF      OO  OO    |
 
|  MM    MM    TT    GGGGG        IIIIII  NN    NN  FF      OOOOO      |
 
|                                                                          |
 
========================================================================--->
 
<!-- ********  CHANGE WG Name or Project ON NEXT LINE *******************-->
 
| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''HL7 Patient Administration Meeting Minutes''' <br/>
 
<!-- ********  CHANGE conf call details or meeting room ON NEXT LINE*****-->
 
‘‘‘Location: Hilton New Orleans Riverside, Durham Conference Room’’’
 
<!-- ********  CHANGE Date and Time  ON NEXT LINE  **********************-->
 
| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''Date: 2018-01-30'''<br/> '''Time: Tuesday Q2'''
 
|-
 
<!-- ********  CHANGE chair and scribe ON NEXT LINES  *******************-->
 
| width="10%" colspan="1" align="right"|'''Facilitator'''
 
| width="35%" colspan="1" align="left"|Irma Jongeneel
 
| width="25%" colspan="1" align="right"|'''Scribe'''
 
| width="30%" colspan="1" align="left"|Alex de Leon
 
|-
 
| border="4" cellpadding="1" colspan="4" style="background:#f0f0f0;"|
 
|-
 
| border="1" cellpadding="2" colspan="1" align="left"|'''Attendee'''
 
| '''Name'''
 
|colspan="2"|'''Affiliation'''
 
<!---==============================================================================
 
|                                                                                |
 
|    AAAA  TTTTTT  TTTTTT  EEEEEE  NN    NN  DDDDD    EEEEEE  EEEEEE  SSSSS    |
 
|  AA  AA    TT      TT    EE      NNN  NN  DD  DD  EE      EE      SS        |
 
|  AAAAAA    TT      TT    EEEE    NN NN NN  DD  DD  EEEE    EEEE    SSSS      |
 
|  AA  AA    TT      TT    EE      NN  NNN  DD  DD  EE      EE          SS    |
 
|  AA  AA    TT      TT    EEEEEE  NN    NN  DDDDD    EEEEEE  EEEEEE  SSSSS      |
 
|                                                                                |
 
===============================================================================--->
 
<!-- *** Delete below instructions (5 lines) and add attendee information on following lines **-->
 
<!-- ********add attendee information here *********-->
 
|-
 
| X || Irma Jongeneel
 
|colspan="2"| HL7 The Netherlands
 
|-
 
| X || Brian Postlethwaite
 
|colspan="2"| HealthConnex, Australia
 
|-
 
| X || Alex de Leon
 
|colspan="2"| Kaiser Permanente, USA
 
|-
 
| X || Drew Torres
 
|colspan="2"| Cerner, USA
 
|-
 
| X || Isabel Gibaud
 
|colspan="2"| HL7 France
 
|-
 
| X || Christian Hay
 
|colspan="2"| GS1, Switzerland
 
|-
 
| X || Cooper Thompson
 
|colspan="2"| EPIC, USA
 
|-
 
| X || Simone Heckmann
 
|colspan="2"| HL7 Germany
 
|-
 
| X || Keith Boone
 
|colspan="2"| General Electric, USA
 
|-
 
| X || Tricia Chitwood
 
|colspan="2"| Cerner, USA
 
|-
 
|colspan="4" style="background:#f0f0f0;"|
 
|-
 
|colspan="4" |'''Quorum Requirements Met''' (Chair + 2 members): '''Yes'''
 
|}
 
<!---=======================================================
 
|                                                          |
 
|    AAAA    GGGGG  EEEEEE  NN    NN  DDDDD    AAAA      |
 
|  AA  AA  GG      EE      NNN  NN  DD  DD  AA  AA    |
 
|  AAAAAA  GG  GGG  EEEE    NN NN NN  DD  DD  AAAAAA    |
 
|  AA  AA  GG  GG  EE      NN  NNN  DD  DD  AA  AA    |
 
|  AA  AA  GGGGG  EEEEEE  NN    NN  DDDDD    AA  AA    |
 
|                                                          |
 
========================================================--->
 
===Agenda===
 
'''Agenda Topics''' <br/>
 
<!-- ***** Delete instructions and fill in agenda items ON NEXT LINES  ****-->
 
# FHIR Ballot Reconciliation – ChargeItem, Account
 
'''Supporting Documents'''<br/>
 
#
 
<!-- *****  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===
 
<!---================================================================
 
|                                                                  |
 
|  MM    MM  IIIIII  NN    NN  UU  UU  TTTTTT  EEEEEE  SSSSS    |
 
|  MMM  MMM    II    NNN  NN  UU  UU    TT    EE      SS        |
 
|  MM MMM MM    II    NN NN NN  UU  UU    TT    EEEE    SSSS      |
 
|  MM  M  MM    II    NN  NNN  UU  UU    TT    EE          SS    |
 
|  MM    MM  IIIIII  NN    NN  UUUU    TT    EEEEEE  SSSSS      |
 
|                                                                  |
 
=================================================================--->
 
<!-- **** Delete instructions  and fill in minutes ON NEXT LINES  ******-->
 
'''Minutes/Conclusions Reached:'''
 
Introductions<br/>
 
FHIR Ballot reconciliation for ChargeItem and Account<br/>
 
There were 6 ballot items for Account and 3 ballot items for ChargeItem. <br/>
 
<br/>
 
#14811 -  Status card should be marked as 1..1 it specify that the account is either active or not. - 2018-Jan Core
 
Status card should be marked as 1..1 it specify that the account is either active or not. <br/>
 
THe WG reviewed various status’ for the templates and patterns, and all other status’ have 1..1 cardinality but include “unknown”, “other”,  and/or “entered-in-error”. <br/>
 
The WG then discussed the values currently in Status, which is the record status, and the lifecycle status. The group seems to lean toward making this a lifecycle status. Then the status list would then need to be extensible. <br/>
 
The WG considered potential Account lifecycle status: Open Discharged/Not Billed, Billed, Zero Balance, Bad Debt, Voided, Closed, Archived, Combined. <br/>
 
Action: Cooper to create a tracker item to crearte a new element to cover lifecycle status’s. <br/>
 
Cooper did this: 14963<br/>
 
The WG then added statuses of hold and other will be included. <br/>
 
Drew moves to disposition this persuasive with mod. Cooper seconded. <br/>
 
Vote: 8/0/1<br/>
 
<br/>
 
# 14812 -  Subject should be marked as required as it specify the reference to any on resource. <br/>
 
Subject should be marked as required as it specify the reference to any on resource. <br/>
 
After discussion, the submitter withdrew based on the idea that the account can be used for more than just patient accounts, so the cardinality will be left as optional. <br/>
 
<br/>
 
In the analysis, Cooper noted that he thinks subject should be 0..*. <br/>
 
<br/>
 
Action: Cooper to create tracker for this to be brought to the group. <br/>
 
<br/>
 
As for current tracker item, it is withdrawn by submitter (in the form of Keith Boone in the room). No vote needed as withdrawn. <br/>
 
<br/>
 
# 14813 - Drop account.active <br/>
 
There was a lively discussion around the description of both period and active.<br/>
 
Account.period - Identifies the period of time the account applies to; e.g. accounts created per fiscal year, quarter, etc. <br/>
 
It is possible for transactions relevant to a coverage period to be posted to the account before or after the coverage period, however the services that are being charged for must be within this period. <br/>
 
<br/>
 
 
Account.active - Indicates the period of time over which the account is allowed to have transactions posted to it. This period may be different to the coveragePeriod which is the duration of time that services may occur. <br/>
 
Accounts are able to be active only during a specific period, and the dates to which charges should be able to be applied. <br/>
 
Proposal: <br/>
 
The Account.period should be renamed to account.servicePeriod and the description clarified from “Identifieds the period of time the account applies to e.g. accounts created per fiscal year, quarter, etc.” to “The date range of services related to this account.” <br/>
 
The comments section will be updated <br/>
 
This helps clarify the situation but does not address the tracker. After discussing this and the impact of Account.status and addition lifecycle status. So, the account.active property. <br/>
 
Drew moves to disposition this as Persuasive with Mod. Keith seconds. <br/>
 
Vote: 8/0/1<br/>
 
<br/>
 
===Meeting Outcomes===
 
{|border="1" cellpadding="2" cellspacing="0"
 
|-
 
<!---==============================================================
 
|                                                                |
 
|    AAAA    CCCCC  TTTTTT  IIIIII  OOOOO  NN    NN  SSSSS    |
 
|  AA  AA  CC        TT      II    OO  OO  NNN  NN  SS        |
 
|  AAAAAA  CC        TT      II    OO  OO  NN NN NN  SSSS      |
 
|  AA  AA  CC        TT      II    OO  OO  NN  NNN      SS    |
 
|  AA  AA  CCCCC    TT    IIIIII  OOOOO  NN    NN  SSSSS      |
 
|                                                                |
 
===============================================================--->
 
| width="100%" align="left" style="background:#f0f0f0;"|'''Actions''' ''<font color="green">(Include Owner, Action Item, and due date)''</font>
 
* .
 
|-
 
<!---=======================================================================
 
|                                                                          |
 
|  NN    NN  EEEEEE  XX  XX  TTTTTT      MM    MM  TTTTTT  GGGGG      |
 
|  NNN  NN  EE      XX XX    TT        MMM  MMM    TT    GG          |
 
|  NN NN NN  EEEE      XXX      TT        MM MMM MM    TT    GG  GGG    |
 
|  NN  NNN  EE      XX XX    TT        MM  M  MM    TT    GG  GG    |
 
|  NN    NN  EEEEEE  XX  XX    TT        MM    MM    TT    GGGGG      |
 
|                                                                          |
 
========================================================================--->
 
|width="100%" |'''Next Meeting/Preliminary Agenda Items'''<br/>
 
*.
 
|}
 
==Tuesday Q3==
 
{|border="1" cellpadding="2" cellspacing="0"
 
<!---=======================================================================
 
|                                                                          |
 
|  MM    MM  TTTTTT  GGGGG        IIIIII  NN    NN  FFFFFF  OOOOO      |
 
|  MMM  MMM    TT    GG              II    NNN  NN  FF      OO  OO    |
 
|  MM MMM MM    TT    GG  GGG        II    NN NN NN  FFFF    OO  OO    |
 
|  MM  M  MM    TT    GG  GG        II    NN  NNN  FF      OO  OO    |
 
|  MM    MM    TT    GGGGG        IIIIII  NN    NN  FF      OOOOO      |
 
|                                                                          |
 
========================================================================--->
 
<!-- ********  CHANGE WG Name or Project ON NEXT LINE *******************-->
 
| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''HL7 Patient Administration Meeting Minutes''' <br/>
 
<!-- ********  CHANGE conf call details or meeting room ON NEXT LINE*****-->
 
‘‘‘Location: Hilton New Orleans Riverside, Durham Conference Room’’’
 
<!-- ********  CHANGE Date and Time  ON NEXT LINE  **********************-->
 
| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''Date: 2018-01-30'''<br/> '''Time: Tuesday Q3'''
 
|-
 
<!-- ********  CHANGE chair and scribe ON NEXT LINES  *******************-->
 
| width="10%" colspan="1" align="right"|'''Facilitator'''
 
| width="35%" colspan="1" align="left"|Brian Postlethwaite
 
| width="25%" colspan="1" align="right"|'''Scribe'''
 
| width="30%" colspan="1" align="left"|Alex de Leon
 
|-
 
| border="4" cellpadding="1" colspan="4" style="background:#f0f0f0;"|
 
|-
 
| border="1" cellpadding="2" colspan="1" align="left"|'''Attendee'''
 
| '''Name'''
 
|colspan="2"|'''Affiliation'''
 
<!---==============================================================================
 
|                                                                                |
 
|    AAAA  TTTTTT  TTTTTT  EEEEEE  NN    NN  DDDDD    EEEEEE  EEEEEE  SSSSS    |
 
|  AA  AA    TT      TT    EE      NNN  NN  DD  DD  EE      EE      SS        |
 
|  AAAAAA    TT      TT    EEEE    NN NN NN  DD  DD  EEEE    EEEE    SSSS      |
 
|  AA  AA    TT      TT    EE      NN  NNN  DD  DD  EE      EE          SS    |
 
|  AA  AA    TT      TT    EEEEEE  NN    NN  DDDDD    EEEEEE  EEEEEE  SSSSS      |
 
|                                                                                |
 
===============================================================================--->
 
<!-- *** Delete below instructions (5 lines) and add attendee information on following lines **-->
 
<!-- ********add attendee information here *********-->
 
|-
 
| X || Irma Jongeneel
 
|colspan="2"| HL7 The Netherlands
 
|-
 
| X || Brian Postlethwaite
 
|colspan="2"| HealthConnex, Australia
 
|-
 
| X || Alex de Leon
 
|colspan="2"| Kaiser Permanente, USA
 
|-
 
| X || Cooper Thompson
 
|colspan="2"| EPIC, USA
 
|-
 
| X || Micheal Donnelly
 
|colspan="2"| EPIC, USA
 
|-
 
| X || Andrew Torres
 
|colspan="2"| Cerner, USA
 
|-
 
| X || Isabel Gibaud
 
|colspan="2"| HL7 France
 
|-
 
| X || Ken Ruben
 
|colspan="2"| Department of Veterans Affairs, USA
 
|-
 
|colspan="4" style="background:#f0f0f0;"|
 
|-
 
|colspan="4" |'''Quorum Requirements Met''' (Chair + 2 members): '''Yes/No'''
 
|}
 
<!---=======================================================
 
|                                                          |
 
|    AAAA    GGGGG  EEEEEE  NN    NN  DDDDD    AAAA      |
 
|  AA  AA  GG      EE      NNN  NN  DD  DD  AA  AA    |
 
|  AAAAAA  GG  GGG  EEEE    NN NN NN  DD  DD  AAAAAA    |
 
|  AA  AA  GG  GG  EE      NN  NNN  DD  DD  AA  AA    |
 
|  AA  AA  GGGGG  EEEEEE  NN    NN  DDDDD    AA  AA    |
 
|                                                          |
 
========================================================--->
 
===Agenda===
 
'''Agenda Topics''' <br/>
 
<!-- ***** Delete instructions and fill in agenda items ON NEXT LINES  ****-->
 
* FHIR Ballot Reconciliation – Scheduling Resources
 
'''Supporting Documents'''<br/>
 
<!-- *****  Delete instructions and add document names/links ON NEXT LINES *****-->
 
*
 
===Minutes===
 
<!---================================================================
 
|                                                                  |
 
|  MM    MM  IIIIII  NN    NN  UU  UU  TTTTTT  EEEEEE  SSSSS    |
 
|  MMM  MMM    II    NNN  NN  UU  UU    TT    EE      SS        |
 
|  MM MMM MM    II    NN NN NN  UU  UU    TT    EEEE    SSSS      |
 
|  MM  M  MM    II    NN  NNN  UU  UU    TT    EE          SS    |
 
|  MM    MM  IIIIII  NN    NN  UUUU    TT    EEEEEE  SSSSS      |
 
|                                                                  |
 
=================================================================--->
 
<!-- **** Delete instructions  and fill in minutes ON NEXT LINES  ******-->
 
'''Minutes/Conclusions Reached:'''
 
There were 9 tracker items for appointments<br/>
 
<br/>
 
# 12474 - Changes to the appointment status value set<br/>
 
There are several changes we would like to propose to the status value set on appointment: <br/>
 
Changed the definition of arrived: <br/>
 
Some of the patients have arrived and is awaiting to be seen. <br/>
 
Add checkedIn status with a definition of: <br/>
 
Patient has proceeded to the room/area for treatment<br/>
 
The text of the arrived status will be udpated to: <br/>
 
"Some of the patients have arrived and are awaiting to be seen" - May even change this to be singular, with an additional note on what it would mean when more than one patient is involved. <br/>
 
<br/>
 
A new concept "checkedIn" will be added to the status: <br/>
 
This will imply that all pre-encounter administrative work is complete, and the encounter may commence. (where multiple patients are involved, they are all present too) <br/>
 
<br/>
 
Will add checked in and clarify the definition of arrived. <br/>
 
Drew moved as persuasive with mod. Irma seconded. <br/>
 
Vote: 8/0/0<br/>
 
<br/>
 
# 14806 - Support actual start/end - 2018-Jan Core #146<br/>
 
Minutes duration can be less than the difference between start and end. If minute duration is less than difference then there should be some field where we can specify actual start and actual end time of appointment. <br/>
 
Support actual start/end<br/>
 
After some discussion and thinking, Drew noted that the question is not clear, but has two options: <br/>
 
Either the question is around actual start/end date/time of when the appointment occurred, or the question is around the actual start/end period of the appointment itself. <br/>
 
In the former, the answer is in the Start/End of the associated encounter. In the latter, the answer is in Appointment.start and Appointment.end. <br/>
 
Ken moves to disposition this as not persuasive with mod. Drew seconds. <br/>
 
Vote: 7/0/0<br/>
 
<br/>
 
# 14805 - Need appointment type for practitioner discussion<br/>
 
Appointment type current has values CHECKUP, EMERGENCY, FOLLOWUP, ROUTINE, WALKIN. There is no code listed which could be used when appointment is scheduled between 2 practitioners to discuss some case. There can be some code added for such appointment types. <br/>
 
This is for AppointmentType element. This element is “preferred” rather than “extensible”. <br/>
 
Additional comments will be added to cover provider to provider scheduling scenarios. <br/>
 
Cooper moves to disposition as Not persuasive with Mod.  Drew seconds<br/>
 
Discussion: None<br/>
 
Vote: 6/0/2<br/>
 
<br/>
 
# 14804 - Field to identify whether patient-practitioner or multi-practitioner appointment<br/>
 
Also, there can be field which specifies if the appointment created is between patient and practitioner or between 2 practitioners. <br/>
 
THe WG feels that there is enough information in the appointment elements (through participants and/or appointment type) to derive if the appointment is patient-practitioner or multi practitioner. No change to the specification is needed. <br/>
 
Action: Cooper will clean up the example around appointment between two doctors. <br/>
 
Irma moves to disposition this as persuasive. Drew seconded. <br/>
 
Vote: 6/0/1<br/>
 
<br/>
 
===Meeting Outcomes===
 
{|border="1" cellpadding="2" cellspacing="0"
 
|-
 
<!---==============================================================
 
|                                                                |
 
|    AAAA    CCCCC  TTTTTT  IIIIII  OOOOO  NN    NN  SSSSS    |
 
|  AA  AA  CC        TT      II    OO  OO  NNN  NN  SS        |
 
|  AAAAAA  CC        TT      II    OO  OO  NN NN NN  SSSS      |
 
|  AA  AA  CC        TT      II    OO  OO  NN  NNN      SS    |
 
|  AA  AA  CCCCC    TT    IIIIII  OOOOO  NN    NN  SSSSS      |
 
|                                                                |
 
===============================================================--->
 
| width="100%" align="left" style="background:#f0f0f0;"|'''Actions''' ''<font color="green">(Include Owner, Action Item, and due date)''</font>
 
* .
 
|-
 
<!---=======================================================================
 
|                                                                          |
 
|  NN    NN  EEEEEE  XX  XX  TTTTTT      MM    MM  TTTTTT  GGGGG      |
 
|  NNN  NN  EE      XX XX    TT        MMM  MMM    TT    GG          |
 
|  NN NN NN  EEEE      XXX      TT        MM MMM MM    TT    GG  GGG    |
 
|  NN  NNN  EE      XX XX    TT        MM  M  MM    TT    GG  GG    |
 
|  NN    NN  EEEEEE  XX  XX    TT        MM    MM    TT    GGGGG      |
 
|                                                                          |
 
========================================================================--->
 
|width="100%" |'''Next Meeting/Preliminary Agenda Items'''<br/>
 
*.
 
|}
 
==Tuesday Q4==
 
{|border="1" cellpadding="2" cellspacing="0"
 
<!---=======================================================================
 
|                                                                          |
 
|  MM    MM  TTTTTT  GGGGG        IIIIII  NN    NN  FFFFFF  OOOOO      |
 
|  MMM  MMM    TT    GG              II    NNN  NN  FF      OO  OO    |
 
|  MM MMM MM    TT    GG  GGG        II    NN NN NN  FFFF    OO  OO    |
 
|  MM  M  MM    TT    GG  GG        II    NN  NNN  FF      OO  OO    |
 
|  MM    MM    TT    GGGGG        IIIIII  NN    NN  FF      OOOOO      |
 
|                                                                          |
 
========================================================================--->
 
<!-- ********  CHANGE WG Name or Project ON NEXT LINE *******************-->
 
| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''HL7 Patient Administration Meeting Minutes''' <br/>
 
<!-- ********  CHANGE conf call details or meeting room ON NEXT LINE*****-->
 
‘‘‘Location: Hilton New Orleans Riverside, Durham Conference Room’’’
 
<!-- ********  CHANGE Date and Time  ON NEXT LINE  **********************-->
 
| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''Date: 2018-01-30'''<br/> '''Time: Tuesday Q4'''
 
|-
 
<!-- ********  CHANGE chair and scribe ON NEXT LINES  *******************-->
 
| width="10%" colspan="1" align="right"|'''Facilitator'''
 
| width="35%" colspan="1" align="left"| Line Saele
 
| width="25%" colspan="1" align="right"|'''Scribe'''
 
| width="30%" colspan="1" align="left"|Alex de Leon
 
|-
 
| border="4" cellpadding="1" colspan="4" style="background:#f0f0f0;"|
 
|-
 
| border="1" cellpadding="2" colspan="1" align="left"|'''Attendee'''
 
| '''Name'''
 
|colspan="2"|'''Affiliation'''
 
<!---==============================================================================
 
|                                                                                |
 
|    AAAA  TTTTTT  TTTTTT  EEEEEE  NN    NN  DDDDD    EEEEEE  EEEEEE  SSSSS    |
 
|  AA  AA    TT      TT    EE      NNN  NN  DD  DD  EE      EE      SS        |
 
|  AAAAAA    TT      TT    EEEE    NN NN NN  DD  DD  EEEE    EEEE    SSSS      |
 
|  AA  AA    TT      TT    EE      NN  NNN  DD  DD  EE      EE          SS    |
 
|  AA  AA    TT      TT    EEEEEE  NN    NN  DDDDD    EEEEEE  EEEEEE  SSSSS      |
 
|                                                                                |
 
===============================================================================--->
 
<!-- *** Delete below instructions (5 lines) and add attendee information on following lines **-->
 
<!-- ********add attendee information here *********-->
 
|-
 
| X || Line Saele
 
|colspan="2"| Helse Vest IKT Norway
 
|-
 
| X || Brian Postlethwaite
 
|colspan="2"| HealthConnex, Australia
 
|-
 
| X || Irma Jongeneel
 
|colspan="2"| HL7 The Netherlands
 
|-
 
| X || Alex de Leon
 
|colspan="2"| Kaiser Permanente, USA
 
|-
 
| X || Cooper Thompson
 
|colspan="2"| EPIC, USA
 
|-
 
| X || Scot Robertson
 
|colspan="2"| Kaiser Permanente, USA
 
|-
 
| X || Elysa Jones
 
|colspan="2"| OASIS, USA
 
|-
 
| X || Riki Merrick
 
|colspan="2"| Vernetzt, LLC, USA
 
|-
 
| X || Genny Luensman
 
|colspan="2"| Centers for Disease Control/NIOSH, USA
 
|-
 
| X || Drew Torres
 
|colspan="2"| Cerner, USA
 
|-
 
| X || Lori Forquet
 
|colspan="2"| E Healthsign, USA
 
|-
 
| X || Nancy Orvis
 
|colspan="2"| DOD MHS, USA
 
|-
 
|colspan="4" style="background:#f0f0f0;"|
 
|-
 
|colspan="4" |'''Quorum Requirements Met''' (Chair + 2 members): '''Yes'''
 
|}
 
<!---=======================================================
 
|                                                          |
 
|    AAAA    GGGGG  EEEEEE  NN    NN  DDDDD    AAAA      |
 
|  AA  AA  GG      EE      NNN  NN  DD  DD  AA  AA    |
 
|  AAAAAA  GG  GGG  EEEE    NN NN NN  DD  DD  AAAAAA    |
 
|  AA  AA  GG  GG  EE      NN  NNN  DD  DD  AA  AA    |
 
|  AA  AA  GGGGG  EEEEEE  NN    NN  DDDDD    AA  AA    |
 
|                                                          |
 
========================================================--->
 
===Agenda===
 
'''Agenda Topics''' <br/>
 
<!-- ***** Delete instructions and fill in agenda items ON NEXT LINES  ****-->
 
# Updates from Steering Division
 
# Harmonization proposals
 
# v2.9 Work
 
* Occupational Data for Health topic.
 
* HAVE Project Update
 
* ARV segment addition to other segments within ADT segments
 
 
'''Supporting Documents'''<br/>
 
<!-- *****  Delete instructions and add document names/links ON NEXT LINES *****-->
 
#
 
===Minutes===
 
<!---================================================================
 
|                                                                  |
 
|  MM    MM  IIIIII  NN    NN  UU  UU  TTTTTT  EEEEEE  SSSSS    |
 
|  MMM  MMM    II    NNN  NN  UU  UU    TT    EE      SS        |
 
|  MM MMM MM    II    NN NN NN  UU  UU    TT    EEEE    SSSS      |
 
|  MM  M  MM    II    NN  NNN  UU  UU    TT    EE          SS    |
 
|  MM    MM  IIIIII  NN    NN  UUUU    TT    EEEEEE  SSSSS      |
 
|                                                                  |
 
=================================================================--->
 
<!-- **** Delete instructions  and fill in minutes ON NEXT LINES  ******-->
 
'''Minutes/Conclusions Reached:'''
 
Introductions. <br/>
 
<br/>
 
The WG started with the HAVE project update. Scott Robertson, in support of the HAVE project, reported back that the balloted material had no real negative dispositions. <br/>
 
There are some affirmative comments which will be handled but otherwise it can be published. <br/>
 
There were about 26 participants for it. <br/>
 
The next step is to request to publish. <br/>
 
Action: Scott Robertson will do the Request to Publish with HL7. <br/>
 
Action: Scott Robertson will notify the two people to withdrawal<br/>
 
Elysa commented that Nancy Orviz and she had a discussion about the use of this in the VA/DOD space. There may or may not be a PA issue, but Scott noted that there may be a PSS having to do with mapping between v2 and DOD/VA. <br/>
 
 
Lori Forquet and Genny Luensman spoke regarding the Occupational Data for Health (ODH) subject stating that there still needs work to be done to include this into the specification now that it may be included when ready. The WG reviewed the working document to identify existing elements to use and/or create new elements for inclusion in v2.9x. The analysis determined that creating new elements to support communicating this information was required. The WG felt some concern regarding being able to finish the work to create these elements before the publication deadline which is the first week in March. However, all efforts can be made between now and then to finalize the needed elements for inclusion.<br/>
 
<br/>
 
The WG reviewed some definitions needed for this work: <br/>
 
Employment Status – Employed, Not employed, Not in Labor Force
 
Work Schedule – Rotating shift, Day Shift, Night Shift (9 values including other)
 
Work Classification – e.g. Self Payed, unpaind, volunteer, gov, armed services (7 values)
 
<br/>
 
There were efforts made to add to LOINC codes, but
 
Final value sets could be referenced in the standard with a URL. <br/>
 
After must consideration, and with the participation of Vocab, the best way to do to this is to work using HL7 tables to add the values needed. <br/>
 
Request conference call to discuss changes to vocabulary and elements. <br/>
 
PD1 changes for retirement rather than create a new segment. <br/>
 
<br/>
 
The WG then moved on to proposal 866 having to do with information restrictions. The proposal seeks to allow the ARV segment to be used after any segment which has potentially sensitive information. <br/>
 
RIki moves to add the two fields (7-Security Classification Tag and 8-Privacy and Security Handling Tags), to the ARV segment use to codify the restrictions authorization, Alex seconded. <br/>
 
Discussion: None<br/>
 
Vote: 5/0/2 <br/>
 
<br/>
 
The WG reviewed the minutes from the last WGM (San Diego, Sept 2017) <br/>
 
Motion to approve the minutes by Brian. Drew seconds <br/>
 
Discussion: None
 
Vote: 7/0/1<br/>
 
<br/>
 
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.<br/>
 
<br/>
 
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<br/>
 
<br/>
 
Action: Line to request rooms for next meeting.<br/>
 
<br/>
 
Action: Discuss with Publishing regarding the “replacement” of the ROL segment with the PRT segment. <br/><br/>
 
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.<br/>
 
<br/>
 
===Meeting Outcomes===
 
{|border="1" cellpadding="2" cellspacing="0"
 
|-
 
<!---==============================================================
 
|                                                                |
 
|    AAAA    CCCCC  TTTTTT  IIIIII  OOOOO  NN    NN  SSSSS    |
 
|  AA  AA  CC        TT      II    OO  OO  NNN  NN  SS        |
 
|  AAAAAA  CC        TT      II    OO  OO  NN NN NN  SSSS      |
 
|  AA  AA  CC        TT      II    OO  OO  NN  NNN      SS    |
 
|  AA  AA  CCCCC    TT    IIIIII  OOOOO  NN    NN  SSSSS      |
 
|                                                                |
 
===============================================================--->
 
| width="100%" align="left" style="background:#f0f0f0;"|'''Actions''' ''<font color="green">(Include Owner, Action Item, and due date)''</font>
 
*
 
|-
 
<!---=======================================================================
 
|                                                                          |
 
|  NN    NN  EEEEEE  XX  XX  TTTTTT      MM    MM  TTTTTT  GGGGG      |
 
|  NNN  NN  EE      XX XX    TT        MMM  MMM    TT    GG          |
 
|  NN NN NN  EEEE      XXX      TT        MM MMM MM    TT    GG  GGG    |
 
|  NN  NNN  EE      XX XX    TT        MM  M  MM    TT    GG  GG    |
 
|  NN    NN  EEEEEE  XX  XX    TT        MM    MM    TT    GGGGG      |
 
|                                                                          |
 
========================================================================--->
 
|width="100%" |'''Next Meeting/Preliminary Agenda Items'''<br/>
 
*.
 
|}
 
==Navigation==
 
* [[2018-01-29_PA_WGM_Minutes|Go To Monday Minutes]]
 
* [[2018-01-30_PA_WGM_Minutes|Go To Tuesday Minutes]]
 
* [[2018-01-31_PA_WGM_Minutes|Go To Wednesday Minutes]]
 
* [[2018-02-01_PA_WGM_Minutes|Go To Thursday Minutes]]
 
* [[2018-01_PA_WGM|Return to PA January 2018 WGM]]
 
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[[Category:PA_Minutes]]
 
[[Category:2018_PA_Minutes]] Patient Administration – Tuesday, January 30, 2018
 

Latest revision as of 18:57, 16 February 2018