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*RECONCILIATION Committee Meeting 1/25/2013
 
*RECONCILIATION Committee Meeting 1/25/2013
 
**Ballot comment reconciliation focus for 20130125 Meeting: [[File: HL7_Patient_Authored_Notes_20130125.pptx]]
 
**Ballot comment reconciliation focus for 20130125 Meeting: [[File: HL7_Patient_Authored_Notes_20130125.pptx]]
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**Ballot comment reconciliation 20130125: [[File: PGD_Consolidatedballots_20130125.xlsx‎]] BEFORE Committee MEETING 20130125
 
**Ballot comment reconciliation 20130125: [[File: PGD_Consolidatedballots_20130125.xlsx‎]] BEFORE Committee MEETING 20130125
 
**Ballot comment reconciliation 20130125: [[File: PGD_Consolidatedballots_20130125B.xlsx]] BEFORE SDWG MEETING on 20130207
 
**Ballot comment reconciliation 20130125: [[File: PGD_Consolidatedballots_20130125B.xlsx]] BEFORE SDWG MEETING on 20130207
 
**Ballot comment reconciliation 20130207: [[File: PGD_Consolidatedballots_20130125C.xlsx]] AFTER SDWG MEETING
 
**Ballot comment reconciliation 20130207: [[File: PGD_Consolidatedballots_20130125C.xlsx]] AFTER SDWG MEETING
 
***Record of Proposed Copy Changes as of 20130125: [[File: Proposed_copy_changes_20130204.docx]]
 
***Record of Proposed Copy Changes as of 20130125: [[File: Proposed_copy_changes_20130204.docx]]
 
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**Ballot comment reconciliation 20130208: [[File: PGD_Consolidatedballots_20130208A.xlsx‎]] BEFORE committee MEETING 20130208
 
**Ballot comment reconciliation 20130208: [[File: PGD_Consolidatedballots_20130208A.xlsx‎]] BEFORE committee MEETING 20130208
 
**Ballot comment reconciliation 20130208: [[File: PGD_Consolidatedballots_20130208B.xlsx‎]] BEFORE SDWG MEETING on 20130214
 
**Ballot comment reconciliation 20130208: [[File: PGD_Consolidatedballots_20130208B.xlsx‎]] BEFORE SDWG MEETING on 20130214
 
**Ballot comment reconciliation 20130208: [[File: PGD_Consolidatedballots_20130208C.xlsx‎]] AFTER SDWG MEETING  
 
**Ballot comment reconciliation 20130208: [[File: PGD_Consolidatedballots_20130208C.xlsx‎]] AFTER SDWG MEETING  
 
*** Record of Proposed Copy Changes as of 20130214: [[File: Proposed_copy_for_addressing_comment_82.docx]]
 
*** Record of Proposed Copy Changes as of 20130214: [[File: Proposed_copy_for_addressing_comment_82.docx]]
 
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**Ballot comment reconciliation 20130215: [[File: PGD_Consolidatedballots_20130215A.xlsx‎]] BEFORE committee MEETING 20130215
 
**Ballot comment reconciliation 20130215: [[File: PGD_Consolidatedballots_20130215A.xlsx‎]] BEFORE committee MEETING 20130215
 
**Ballot comment reconciliation 20130215: [[File: PGD_Consolidatedballots_20130215B.xlsx‎]] BEFORE SDWG MEETING on 20130221
 
**Ballot comment reconciliation 20130215: [[File: PGD_Consolidatedballots_20130215B.xlsx‎]] BEFORE SDWG MEETING on 20130221
 
*** Proposed Copy for RecordTarget/guardian as of 20130215: [[File: 84_What_does_recordTarget-guardian_encode_20130219.docx]]BEFORE SDWG MEETING on 20130221
 
*** Proposed Copy for RecordTarget/guardian as of 20130215: [[File: 84_What_does_recordTarget-guardian_encode_20130219.docx]]BEFORE SDWG MEETING on 20130221
 
**Ballot comment reconciliation 20130222: [[File: PGD_Consolidatedballots_20130215C.xlsx‎]] AFTER SDWG MEETING
 
**Ballot comment reconciliation 20130222: [[File: PGD_Consolidatedballots_20130215C.xlsx‎]] AFTER SDWG MEETING
 
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**Ballot comment reconciliation 20130222: [[File: PGD_Consolidatedballots_20130222A.xlsx‎]] BEFORE committee MEETING 20130222
 
**Ballot comment reconciliation 20130222: [[File: PGD_Consolidatedballots_20130222A.xlsx‎]] BEFORE committee MEETING 20130222
 
**Ballot comment reconciliation 20130225: [[File: PGD_Consolidatedballots_20130222B.xlsx‎]] BEFORE SDWG MEETING on 20130228
 
**Ballot comment reconciliation 20130225: [[File: PGD_Consolidatedballots_20130222B.xlsx‎]] BEFORE SDWG MEETING on 20130228
 
*** Proposed Copy for RecordTarget/guardian as of 20130225: [[File: 84_What_does_recordTarget-guardian_encode_20130225.docx]]BEFORE SDWG MEETING on 20130228 (APPROVED on 20130228)
 
*** Proposed Copy for RecordTarget/guardian as of 20130225: [[File: 84_What_does_recordTarget-guardian_encode_20130225.docx]]BEFORE SDWG MEETING on 20130228 (APPROVED on 20130228)
 
**Ballot comment reconciliation 20130222: [[File: PGD_Consolidatedballots_20130222C.xlsx‎]] AFTER SDWG MEETING
 
**Ballot comment reconciliation 20130222: [[File: PGD_Consolidatedballots_20130222C.xlsx‎]] AFTER SDWG MEETING
 
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**Ballot comment reconciliation 20130222: [[File: PGD_Consolidatedballots_20130301A.xlsx‎]] BEFORE committee MEETING 20130301
 
**Ballot comment reconciliation 20130222: [[File: PGD_Consolidatedballots_20130301A.xlsx‎]] BEFORE committee MEETING 20130301
 
**Ballot comment reconciliation 20130225: [[File: PGD_Consolidatedballots_20130301B.xlsx‎]] BEFORE SDWG MEETING on 20130307
 
**Ballot comment reconciliation 20130225: [[File: PGD_Consolidatedballots_20130301B.xlsx‎]] BEFORE SDWG MEETING on 20130307
 
**Ballot comment reconciliation 20130222: [[File: PGD_Consolidatedballots_20130301C.xlsx‎]] AFTER SDWG MEETING on 20130307
 
**Ballot comment reconciliation 20130222: [[File: PGD_Consolidatedballots_20130301C.xlsx‎]] AFTER SDWG MEETING on 20130307
 
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**Ballot comment reconciliation 20130222: [[File: PGD_Consolidatedballots_20130308A.xlsx‎]] BEFORE committee MEETING 20130308
 
**Ballot comment reconciliation 20130222: [[File: PGD_Consolidatedballots_20130308A.xlsx‎]] BEFORE committee MEETING 20130308
 
**Ballot comment reconciliation 20130225: [[File: PGD_Consolidatedballots_20130308B.xlsx‎]] BEFORE SDWG MEETING on 20130314
 
**Ballot comment reconciliation 20130225: [[File: PGD_Consolidatedballots_20130308B.xlsx‎]] BEFORE SDWG MEETING on 20130314
 
*** Proposed PersonalAndLegalRelationshipRoleType value set as of 20130308: [[File:PersonalAndLegalRelationshipRoleType_20130308.xlsx‎ ]]BEFORE SDWG MEETING on 20130314
 
*** Proposed PersonalAndLegalRelationshipRoleType value set as of 20130308: [[File:PersonalAndLegalRelationshipRoleType_20130308.xlsx‎ ]]BEFORE SDWG MEETING on 20130314
 
**Ballot comment reconciliation 20130222: [[File: PGD_Consolidatedballots_20130308C.xlsx‎]] AFTER SDWG MEETING on 20130314
 
**Ballot comment reconciliation 20130222: [[File: PGD_Consolidatedballots_20130308C.xlsx‎]] AFTER SDWG MEETING on 20130314
 
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**Ballot comment reconciliation 20130222: [[File: PGD_Consolidatedballots_20130315A.xlsx‎]] BEFORE committee MEETING on 20130315
 
**Ballot comment reconciliation 20130222: [[File: PGD_Consolidatedballots_20130315A.xlsx‎]] BEFORE committee MEETING on 20130315
 
**Ballot comment reconciliation 20130225: [[File: PGD_Consolidatedballots_20130315B.xlsx‎]] BEFORE SDWG MEETING on 20130321
 
**Ballot comment reconciliation 20130225: [[File: PGD_Consolidatedballots_20130315B.xlsx‎]] BEFORE SDWG MEETING on 20130321
 
**Ballot comment reconciliation 20130222: [[File: PGD_Consolidatedballots_20130315C.xlsx‎]] AFTER SDWG MEETING on 20130321
 
**Ballot comment reconciliation 20130222: [[File: PGD_Consolidatedballots_20130315C.xlsx‎]] AFTER SDWG MEETING on 20130321
 
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**Ballot comment reconciliation 20130229: [[File: PGD_Consolidatedballots_20130329A.xlsx‎]] BEFORE committee MEETING 20130329
 
**Ballot comment reconciliation 20130229: [[File: PGD_Consolidatedballots_20130329A.xlsx‎]] BEFORE committee MEETING 20130329
 
**Ballot comment reconciliation 20130229: [[File: PGD_Consolidatedballots_20130329B.xlsx‎]] BEFORE SDWG MEETING 20130404
 
**Ballot comment reconciliation 20130229: [[File: PGD_Consolidatedballots_20130329B.xlsx‎]] BEFORE SDWG MEETING 20130404
 
**Ballot comment reconciliation 20130222: [[File: PGD_Consolidatedballots_20130329C.xlsx‎]] AFTER SDWG MEETING on 20130404
 
**Ballot comment reconciliation 20130222: [[File: PGD_Consolidatedballots_20130329C.xlsx‎]] AFTER SDWG MEETING on 20130404
 
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**Ballot comment reconciliation 20130229: [[File: PGD_Consolidatedballots_20130405A.xlsx‎]] BEFORE committee MEETING 20130405
 
**Ballot comment reconciliation 20130229: [[File: PGD_Consolidatedballots_20130405A.xlsx‎]] BEFORE committee MEETING 20130405
  

Revision as of 17:26, 4 April 2013

Project Details

Overview

In the “era of patient empowerment”, we want to define a specification for patient-authored clinical documents. Medical practices are looking for ways to allow patients to electronically complete certain tasks online such as filling out registration forms, health history forms, consenting to certain practice policies, and other types of clinical documents yet to be defined. As electronic document interchange increases, we see a growing need to communicate documents created by patients (including those needed by providers and/or those document types defined by patients). Often, this is done through a secure web interface controlled by the patient such as a patient portal or a personal health record. As more and more practices incorporate EMR technology into their practice workflow, they want to be able to import patient provided structured information into their EMR’s. This is being driven by the need to meet Meaning Use 2 requirements for patient engagement as well as other needs to reduce manual processes managing patient-provided data.

The HL7 CDA Consolidation Documents types only address provider-initiated documents and do not incorporate guidance for patient-generated documents. It is necessary to create a new implementation guide describing how to incorporate patient-generated input. In many cases, existing templates within the current Consolidation Template Library can be re-used with minimal modification.

The scope of this project is to create an implementation guide, which will guide the users on using the elements of the C-CDA consolidation header for patient authored documents. New CDA document types for patient authored documents is NOT in scope for this project. The document described by this guide could be characterized as a parallel to Consolidated CDA, that would ultimately cover specific patient-authored document types. We anticipate that Consolidated CDA templates will be heavily reused. If required, we may extend the project scope or introduce another project for defining an implementation guide for a set of patient authored document types.

HL7 Project Scope

  • HL7 Project Scope Statement (approved June 07, 2012 by SDWG, pending review/approval by Steering Division and TSC):

http://wiki.hl7.org/images/4/4c/HL7_Project_Scope_Statement_v2012_Patient_authored_notes.docx

Subgroup Members

  • Virinder Batra, Intuit Health
  • Lisa Nelson, Life Over Time Solutions
  • Elaine Ayres, Academy of Nutrition and Dietetics, National Institutes of Health
  • Catherine Welsh, St. Jude Children's Research Hospital
  • Bob Dolin, Lantana Consulting
  • Emma Jones, Allscripts
  • Shawn Meyers, Healthwise
  • Brian Scheller, Healthwise
  • Chris Schultz, Child Health & Development Interactive System (Chadis)
  • Gordon Raup, Datuit
  • Vinayak Kulkarni, Siemens Healthcare
  • Jessi Formoe, Intuit Health
  • Leslie Kelly Hall, Healthwise
  • Kevin Harbauer,Healthwise
  • Allen Traylor, Child Health & Development Interactive System (Chadis)
  • Stephen Chu, National e-health Transition Authority (Nehta), Australia,
  • Vin Sekar, National e-health Transition Authority (Nehta), Australia

Meeting Logistics

Meeting Schedule

Meeting Agendas

Meeting Minutes

Deliverable Timelines

  • Notice of ballot in September 2012
  • Word document (Implementation Guide) by Dec 1, 2012
    • Ballot Package Submitted on December 07
  • Ballot in WG Meeting in Phoenix January, 2013
    • Reconciliation in Structure WG, Q4 in Phoenix

Use Cases

Discussion on Document LOINC Code

Discussion on Header Attributes

Discussion on Value Sets

  • Code System: HL7 ParticipationType 2.16.840.1.113883.5.90
    • ParticipationType Value Set: ParticipationType 2.16.840.1.113883.1.11.10901
  • CodeSystem: NUCC Health Care Provider Taxonomy 2.16.840.1.113883.6.101

Implementation Guide History of Development


Narrative Components Developed and Incorporated into the Implementation Guide

FINAL Implementation Guide and Sample Documents

  • Package Submitted for January 2013 Ballot: File:PAN Document Header IG.zip Includes IG and two (2) Patient Authored Note Document Samples
  • Package Submitted for January 2013 Ballot: File:PGD IGLineNum.zip Includes IG and two (2) Patient Authored Note Document Samples

Ballot Comments and Reconciliation










Other Documents

Open Issues & Tasks

  • When will the Patient Authored CDA documents be created; What are the trigger points;
    • These will be application workflow dependent
    • The CDA document will define the content, NOT the workflow or the application business logic
  • Looking thru the errata of the C-CDA document & reconciling with changes in the draft IG
  • Work with the Vocabulary group on the new / changed value sets
  • While making updates to 20121116-d1, we need to revise the open issues and remove issues that are resolved, and add an open issue about the need to resolve the concept domain binding and subsequent US realm binding of a specific value set to the concept domain. We'll need Rob Hausam's help to figure out how that gets done. We can ask for guide to come from ballot comments, too.