Joint Meeting Patient Administration / Patient Care Meeting minutes Sept 14 2006
Q1
Attendees:
CO Chair: WilliamGoossen
Scribe: Jeri Jones
Attendees:
William Goossen
Tom Oniki
Greg Seppala
Jeri Jones
Linda Mook
Susan Matney
Amit Popat
John Kufuor-Boakye
Laith Boussabah
Karim Keshavjee
Mary Ann Juurlick
Lloyd McKenzie
9:00 - 10:30 am Joint session Patient administration
Lloyd proposed motion
John seconded motion
Motion: Support for creation of a harmonization proposal to make the PatientEncounter Classto be a specialization of the CareProvision Class.
Discussion:
Lloyd: ’ you can have separatePatient Encounter Class from both the parent pa / pc DMIMs.
William: ‘the encounter requires an author.’ This from both the
administration and clinical views of the DMIMs
To make it possible, the Care Event CMET for Encounters must change the cardinality for encounter from 0..1 to 0..*
PA has Diagnosis versus the Condition in Patient Care. Patient Care is moving from condition to Concern. Concern is an Observation and this can be the diagnosis.
January 2006 Schedule for work with Concern Q1 Tuesday should have M & M / PA identifiers to distinguishType.
Episode of illness does not contain encounters while an Episode of Care has encounters.
HL7 should support analytic process and other types which are considered to like other ‘buckets[w1]’.
HL7 will develop wrappers for analysis and wrappers for cost.
Patient Administration will replace the component within encounters model to relate to one or many care provisions.
PA questioned do they have to harmonize with Care Provision the terms i.e. author, attender, etc. “This does not have to be determined at this point.”
VOTE:
For: 13
Against 0
Abstain 0
Action Item: Karim to develop the use caseand model by the end of November 2006
Q2 Administrative clean up Balloting Patient Care
CoChair: WilliamGoossen
Scribe: Jeri Jones
Attendees:
William Goosen
Susan Mathney
Dan Russler
Larry Mcknight
Mary Ann Jjurlick
Max Walker
Deb Konicek
Jeri Jones
11:00 - 12:30 pm
Agenda:
Publishing Facilitator Mary Ann Juurlinckidentified outstanding ballot work.
Comments for Ballot for Allergy Intolerance / Common Observation
Action to be taken:to be reviewed in conference calls
AllergyIntolerance Topic
- Loosen Constraints.
Persuasive:
Resolution: Experts to be in concert agreement with pharmacy. Experts from the Netherlands, Canadian, etc to participate in the AllergyIntolernace call.
Discussion
Allergy
How to do we set up publishing Rim Structure within Care Structure for documentation and use cases.
Rim Structure can be surrounded by wrappers: message, document etc.
Event, Request( message wrapper)
Discussion:
a)If a there are a ‘whole bunch of moods’ then publish in the care structure topic.
b)Do not mix messages and abstract structure in the same list
Action Item: Remove the event class from (A_allergyIntollerence. REPC_RM000321).
If the there is only one Mood then should not be in CareStructureTopics.All queries should be in one Topic.
Issue: Publishing wants to know how to handle topics
Can they put all queries together?
Action item: Approach M & M to provide clear instructions how to handle ( how to publish) various levels of abstractions in queries, control structures, Clinical Statement Patterns and Rim, Event and a Implementation guide. How do you publish queries across domains?
Responsible:John M. will attend M&M round table Wednesday night Sept14,2006.
Q3 /Q4 Joint Sessions with OO, SD
CoChair: Hans
Scribe: Jeri Jones
Attendees:
Co Chair: Hans Buitendijk / William Goossen
Scribe: Peter Kress / Jeri Jones
Attendees:
Hans Buitendijk
Calivin Beebe
Lee Coller
Richard Dixon-Hughes
Bob Dolin
Robert Dunlop
John Gilbertson
Hugh Glover
Jeri Jones
William Goossen
Mary Ann Juurlinck
Peter Kress
John Kufuor-Boakye
Rick Haddorff
Rob Hallowell
John Hatem
Rob Hausam
Andrew Hinckly
Hans Houben
Mike Kenig
Julie James
Mike Kenig
Ruth Kidd
Alexander Krans
Karim Keshavjee
Austin Kreisler
Thom Kuhn
Zhijing Liu
Carolyn Logan
Joann Larson
Patrick Loyd
Nira Manville
David Markwell
Susan Matney
Baryon Mattingly
Patrick Mitchell-Jones
Larry McKnight
Karen Nocera
Masaharu Obayashi
Mike Ostler
Craig Parker
Andrew Perry
Jari Porrasmaa
Diana Perez-Lopez
Dan Russler
Gunther Schadow
Tom Schultz
Amnon Shabo
Mark Sharfarman
Jeff Sutherland
Max Walker
Steve Wagner
Harry Solomon
Agenda:
Ballot Comments
Common Observations
Genomics
Motion: By Hans
2nd by Patrick
Motion: refer all typos to the Editors
For: 23
Abstain: 5
Negative: 0
1. Ballot Vote Neg Mi
Clinical Statement Section 1,2 Attributes Id A
Type disp: Persuasive
Issue: Attributes Id A subset of Clinical Id into the Clinical Statement requiring a different UUID.
Discussion:
What classes are we involved with this problem. Answer: Control Acts
How do you relate one to another in the summary?
Possible solutions
Include a Act Relationship which will allow the relate back to original source.
Change wording “subset” to “summary”
Change wording “all” to “any”
IF there is a different UUID then there has to be an Act relationship back to the original source.
Resolution: More discussion with M & M to give a general ruling
Motion: Lee
2nd Dan Russler
Motion: refer to M&M to get further direction for this use case
Vote:
4 Abstain
31 For
0 Negative
2. Ballot Vote: Neg Mi
Clinical Statement Section 1,2 Attributes Id A
Type disp: Persuasive
Issue: Control Act Id should be the id of the control act and should not be divided into these categories. This would seem to apply to the Clinical Statement
Discussion:
Resolution: Call it Control Act Id for now until M&M to resolve overall distinction. a general ruling
Motion submitted by: Han
2nd Peter
Motion: Call it Control Act Id for now until M&M to resolve overall distinction or a general ruling case.
Vote: Consensus
3. AQ Suggestion
TypeVote: Persuasive
Suggestion: Unique ID for Clinical Statement.
Discussion:
Resolution: Change requestthat we change the text to ii instead of uuid and other changes that would be required
4. same as above
- Withdraw
6. Issue: Removed the NegationInd out the Act but not out of the ActRelationship. Should be able completely remove out the model. Should not be optional in a concrete model.
Motion: Add text that states that in a implementable model it should not be optional model and that it may be constrained out.
For: 32
Against: 3
Abstain: 0
- Rim DEFAULTS ( should be False)
Motion: 2nd
Motion
Clarification from M& M regarding RIM defaults. Guidance for consistent use.
Neg 1
Abstain 8
For 26
Q4
Agenda: Common Observations
Genomics
Attendees:
See list above?
We are not clear about who was there from above list.
Bob Dolin CSD
Added new topics to Clinical Statement Topic
Wrote constraints on medical events and lab results.
SD and PC have both an interest in the Allergy/Intolerance Topic
Ballot comments
1. Ballot Vote: Neg Mj
Constraints are applied to clinical statement and Episode (interval of time) Elink.
Type disp: Persuasive
Issue: lack of consistency between the two areas Structure Document and Patient Care.
Resolution: Should be consistency between the two areas.
- Discussion: Orders and Observations proposal to create a CMET from the clinical statement.
Patrick provided explanation of the removed objects in development of this CMET
Patrik wants to ad back the ActRef
Motioned by Gunther
2ndyes, who is not clear from the minutes.
Motion: to accept and use Patrick’s CMET and defunct the old one. Recognize that this a more constrained version. ActRef will be added back in. The intent is tocreate a universal CMET in the future when all the requirements are available.
Vote:
For: 25
Against: 0
Abstain: 3
- Genome ballot issues
How is the Family History connected to the Clinical Statement?
Discussion:
Should it be connected or possibly the Universal CMET that will be developed be more appropriate.
Motion
William,
Gunther 2nd
Motion: Genome Ammon Shabo personnel to work with Patient Careto develop a consistent approach for the model (change choice box model name to Clinical InformationChoice Box, thus forming a combination of clinical and Genome) include appropriate classes from Clinical Statement that can be constrained.
Vote
For: 26
Against: 0
Abstain: 2
[w1]Cannot figure out what originally was meant here, William