HL7 PC Co-Chair Open Meeting – [March] [27] [2017]

Current WG Co-Chairs: Stephen Chu, Laura Heermann-Langford, Jay Lyle, Michelle Miller, Emma Jones, Michael Tan, Michael Padula

Present – David Pyke, Michael Tan, Jay Lyle, Stephen Chu, Martin Rosner, Emma Jones, Michael Padula, Rob Hausam, Michele Miller

Previous minutes notes are here: http://wiki.hl7.org/images/0/0a/PC_Co-Chair_Mtg_2017_02_13.docx

Move to Approve: Stephen ; Second: Michael Tan

AGENDA

1.  Roll Call and Review Agenda –

  1. Agenda items and New Items to plan for
  1. FHIR Resource Consent (David Pyke)

David – Project started with privacy consent. Then added the other types of consents. Currently stuck on Advance Directive consent. Was told that PC has an alert resource that may work for Advance Directive (AD). Need SME. Currently working with RCRIM and BRIDG. For medical treatment consent, is this different from consent for information sharing about sharing medical records? Need domain expert or is this a terrible idea and don’t do it?

Stephen – Alert resource has been changed to flag resource. It’s not used for consent purposes. Flag resource is used to call attention to things that people need to be aware of. SDWG has a similar concept of AD. Lisa Nelson is contact there. Child health working on care plan for children with special needs. Mike Padula can speak to that. The special needs care planning takes more than a consent. It includes medical treatment and clinical content – PC can provide input for that part.

David – have been working with Lisa Nelson

Mike Padula – Happy to provide input and feedback and use CH use case scenario for AD and see how it fits.

David – Immediate need is the living will aspect will be the source document. The consent resource will be the DNR piece that is instantaneous signed as part of the AD. We meet Friday’s at 2pm EST for those who can come and offer their expertise. This will be very helpful. Will send the meeting information to patient care list serv.

Stephen – patient care can provide input if more information than the instantaneous consent is needed. Friday 2pm will not work for Stephen’s time zone

Jay – would it be useful to post this question to the VA and see if someone can join?

David – have folks from Mike Davis team but anyone can join. People from Mike’s team are security folks. Don’t have any medical SME. Will send information about the meeting times and contact info.

  1. Clinical Status Valueset

Stephen provided an update - Voted and approved the value set. Stephen uploaded three document here - http://wiki.hl7.org/index.php?title=FHIR_Clinical_Resources_-_PCWG

Long version of the slide deck and the short version and a scenario walk thru spreadsheet.

Summary: we have approved the valueset that will be used in next FHIR release on the condition resource.

Next steps is to propose the valueset to SDWG and International Patient Summary. Will wait until FHIR applies the current changes then will notify SDWG. Rob Hausam usually attends and can present to them. Stephen will make presentation to and International Patient Summary group this week.

  1. Project 1309 - Cross-Paradigm Implementation Guidance for Medical Device Data Sharing with Enterprise Health Systems –

Multiple emails with Iaona and TSC. Confusion from Iaona - Stephen will send her an email. We thought she was referring to the PSS approval. But there is a DAM that was done. We approved the PSS on Nov 14, 2016 for a release 1 DAM. The document on gForge is Release 3

Melva is asking if all the other WG have signed off on it.

Stephen will send Ioana email to come to our next call on April 10

  1. Announcement: FHIR STU3 is Live
  2. Announcement: Ballot sign-up close date is Thursday march 30
  3. Housekeeping:
  4. Update of the 3 year planning spreadsheet –
  5. Michael will email the previous version to review. Need to include Child health part of the 3 year plan. PC will send the plan to Child health folks to update that part
  6. Mike P – will email out his version.
  7. Mission and Charter
  8. SWOT
  9. DMP (Wayne was planning on creating one general DMP instead of per WG
  10. Question from Michael: Allergy Valuset – Netherlands looking for frequency data for substances in allergy records. Looks like there is cost involved.
  11. Updates on [If time permits]:
  12. Current Topics
  13. PC Ballots
  14. PC Projects Status
  15. Co-Sponsored Projects Status
  16. From TSC ?

Current Topics

1.  LHS PSS – Russ was to update

  1. Updates: none

2.  NIB assessment scales, problem of publication facilitator.

  1. Ballot reconciliation of the previous ballot of September.
  2. V3 model intention to move to normative
  3. Need an e-vote for the disposition
  4. Need to republish the assessment scales in the may WGM. We don’t have a publishing facilitator. This is a big problem.
  5. Need someone with the V2 tooling to apply changes to the V3 model. Is William Goosen willing to do it? Suggestion to ask M&M or Lynn
  6. Action: Michael will send email to M&M
  7. Updates: Michael getting it ready for Ballot

3.  Trauma IG project - PCWG is 'Interested party'

  1. Revision to an existing IG for the trauma registry data submission]. Plan is to update and ballot in May. ACS is driving this
  2. Updates: none

4.  Allergy Intolerance Topic:

  1. Updates: none

5.  Care Plan Topics

  1. ONC Types of ‘Care Plan’ Work

ONC need updates on care plan implementation – the ONC interoperability proving grounds is a way to track active interoperability projects. We will discuss during the WGM

  1. Content
  2. Structural
  1. Care Team Definition Project [with ONC]
  2. Content
  3. Structural
  4. Update: none
  1. IHE: New Care Team Management Profile proposal
  2. Proposal can be found here
  3. Update: none

Discussions:

PC Ballot updates

1.  FHIR Clinical Resources (Michelle):

a.  http://wiki.hl7.org/index.php?title=FHIR_Ballot_Prep – has the FHIR timeline.

b.  Updates: none

c.  Allergy ‘reactions’ need to split from Adverse ‘reactions’ agreed to – discussion did not get resolved at Jan WGM. Still need to continue the discussion

PC Projects Status Updates

Co-sponsored projects Updates

1.  International Patient Summary Document – Decided to leave with SDWG (HSI co-sponsoring). Content part is still in the project scope which means more involvement for PC. PC need to contribute up-front. Encourage PC members to join calls– not just co-chairs. Need content SMEs.

·  Action: Rob

o  Will start project page when fully approved.

o  Will send out a poll: Stephen: email with rob. He’s trying to coordinate call times that will work. Looking forward to the first call.

o  IHTSDO coordination. Continue to move ahead. Will continue to work jointly with CDA on FHIR. Working on the minimal data needed for a useful set.

·  Updates: Stephen will present clinical status valueset to them

2.  PC - CIMI POC

  1. PC and CIMI co-sponsoring. Involves MnM. Rob Hausam and Susan Matney participating. Modeling comes from CIMI. Anticipate finishing this summer. Resulting artifact is a CIMI model and analysis. No ballot.
  2. Want to re-ballot in May 2017. Need to meet the Feb deadline. We may need to vote on email to meet the Feb deadline.

Updates: Ready for Ballot

3.  PC/FHIR – Negation

i.  Rob and Jay lead

ii. See spreadsheet – look at column D and if you have a scenario that is missing, email Jay.

iii.  Plan on getting to something that’s ready to publish with plan for May 2017 informative ballot

iv.  Artifact will be a “policy” – something that people have to follow. Why will it not be a DAM? Stephen preference is a DAM that will wash out a set of policies that can be used as an appendix. Negation is a large and important topic. Jay thinks we can call it a DAM. The work will be the same. There is interest in writing a policy that people will have to follow. DAM will be heavy with existing design patterns. Will talk about it on the next negation call. Whether we do a DAM or not can still do a policy paper. Strongly support the policy paper.

Updates: Ready for ballot

5.  CIMI/FHIM Investigative Study

iii.  Updates: none

6.  PC/JET - Allergy

i.  Substance terminology harmonization (JET project – analysis of the list and regeneration of use frequency list.)

1.  Up for which ballot? – was not balloted in Jan.

2.  Action: Need to ask Elaine if needed for May.

3.  Updates: none

6.  PC/FHIR - Care Plan

ii. Care Plan Harmonization

1.  Stephen: Next steps is a Care Plan harmonization project looking at harmonizing the DAM and the Care Plan FHIR resource. Laura started a spreadsheet. Stephen sent out the spreadsheet. Calls will be during the Bi-monthly care plan calls. Goal is to do high level analysis and proposed resolutions.

  1. Updates: note

7.  PC/SOA - CCS Publication

a.  Currently Located here - http://www.hl7.org/Special/committees/patientcare/index.cfm

b.  Notification of intend to publish done.

c.  Documents to Linda –

i.  TSC made some changes in their tracking system.

  1. Stephen followed up with Enrique for the spreadsheet and with TSC
  2. TSC call was cancelled last week

Updates: none

8.  PC/SOA - PSS for "Scheduling Service" Specification

a.  Laura – Round 2 of CCS See http://hssp.wikispaces.com/scheduling"

b.  PC is co-sponsor. SOA will do the heavy lifting

c.  Laura will review off line and update PC via email discussion

d.  Stephen – we need to be aware of how this contributes to PC care plan work

e.  Updates: none

9.  PC/FHIR Updates

  1. Clinical Notes –

2.  Clinician-on-FHIR

a.  Plans for next steps

i.  Suggestions for overall approach next time around

ii. ClinFHIR tool use

Parking Lot

1.  Family member FHIR resource – Hackathon

  1. Elaine: NIH project thru NCBI – propose taking a look at FM history that will enable adding family tree information to FHIR resources. Genomic tool used for entering family history.
  2. Project postponed - will try again in Jan. 2017

2.  Adverse Event Resource –

a.  Owned by RCRIM (we are co-sponsoring).

  1. Updates: none

Other Committee Business

Next PC WG Co-Chair call – March 13, 2017 (2nd Monday)

** Topics to discuss during this call

DESD Assignments:

1.  Anatomic Pathology – Stephen

2.  Anesthesia – Stephen

3.  Attachments – Jay

4.  BRIDG – Jean Emma

5.  Child Health – Russ Stephen

6.  Clinical Genomics – Laura

7.  CIC – Jay

8.  CQI – Russ Stephen

9.  CBCC – Jean Laura

10.  Emergency Care – Laura

11.  Devices – Laura Michelle

12.  Patient Care – Stephen

13.  Pharmacy – Michael, Michelle

14.  PHER – Elaine Laura

15.  RCRIM – Elaine Emma

16.  Learning Health Systems – Laura

17.  Triage Person: Emma (notice from Melva Peters)