IPS TCON Minute in red Notes from the previous calls in green

Transcription

1 IPS TCON Minute in red Notes from the previous calls in green

2 Attendees Rob Hausam Sabutsch, Stefan Giorgio Cangioli Gary Dickinson Catherine Chronaki François Macary Kai U. Heitmann Didi Davis Laura Heermann Langford Philip Scott David DeAbreu Christof Gessner John Moehrke Fernando Portilla Stephen Chu 2

3 Plan Overview Work for making the IPS real Complete and Publish the STU IPS IG Move the IPS CDA IG forward Launch the IPS FHIR IG

4 Agenda 1. Updates on the IPS PSS review and approval process 2. Review CDA ballot status and ballot reconciliation 3. New Orleans sessions 4. AOB

5 IPS PSS REVIEW AND APPROVAL PROCESS 5

6 IPS PSS (for FHIR IG) SDWG approval approved by SDWG Co-sponsors WG approval (notification?) (excluding IC) Rob will send to co-sponsor and interested party WGs when approved (In progress) Notification to International Council the PSS has been shared with IC ( from Giorgio) 6

7 IPS PSS (for FHIR IG) No defined way to have formal approval from International Foundation Ask the HL7 Board chair for recommendations on the proper approach for this Rob will send an to Calvin FMG? SD Austin will send to the SD. Rob will ask for further detail an the approval process TSC? 7

8 BALLOT STATUS AND RECONCILIATION

9 IPS STU ballot Aff. Neg. Abst. NV Totals 54 (37 for Approval) % of Votes 32.93% 4.27% 50.61% 12.20% Quorum 87.80% Comments: 49 NEG 10 A-C 23 A-Q 0 A-S 4 A-T 11 A-A 1

10 IPS process How we proceed with reconciliation ballot#1 and #2? Keep distinct reconciliation files Close comments on ballot #2 Revise ballot#1 comments to determine what needs to be implemented 10

11 Ballot #2 Negatives Negative Comments: #1; #4; #5; IG format. Same comment from GE #2 use of SNOMED coded elements by nonlicensed parties see slide (see slide) #3 Missing samples, resolution agreed in ballot#1 #45; last meal/oral intake including food modifications, special needs, including parenteral/enteral nutrition. In person resolution requested (SDWG meeting?)

12 Ballot #2 Negatives Negative Comments: #46; how to record vulnerable patient nutrition problem. To be discussed #47; International Definition of a value set. #48; use of nullflavors #49; contagious diseases

13 Ballot #2 reconciliation Comment from Gary #2 Comments regarding IPS content authenticity and implications for integrity of clinical practice and most importantly patient safety, are included in the attached.pdf document. These comments were previously shared with the IPS team. Without an appropriate resolution on use of SNOMED coded elements by non-licensed parties, we believe the IPS Implementation Guide for CDA R2 should be revised to specify options 2, 3 and/or 4 as enumerated in our comment document, page 3. SNOMED CT is no more required (but preferred) for essential information in the IPS SNOMED International published a clarification on the transmission of SCT code to nonlicenced countries The original code is transmitted together with the transcoded one The original text can always be accessed and shown as part of the CDA Narrative Option 2,3 and 4 depends on how the IPS exchange service will be set up and on the jurisdictional requirements (e.g. option 2 in that adopted in epsos/ehdsi). This is out of scope of this guide Not related because out of scope for this guide.

14 Ballot #2 reconciliation Comment from Keith #1, 3 and 4 I cannot readily tell from this ballot content its compatibility with other HL7 CDA Implementation guides or IHE Implementation guides. In general, Structured Documents must come up with ONE format for the publication of guides. Not related The current SDWG-preferred CDA IG format seems to be generated by a single tool (trifolia), the formats produced are not however so substantially different. Both are using a table-based representation as required by the HL7 Template ITS standard. We are following the HL7 normative specification the HL7 Template ITS We are compliant with the quality criteria for CDA IGs. The common format for the CDA Implementation Guide should be a topic for the CDA Management Group not in scope for this project.

15 This section refers only to unknown / known absent activities and conditions. In these cases we request not to use nullflavor or negationind, but explicit codes. For all the other cases e.g. unknown addresses; not applicable coded values; nullflavors are used as described by the V3 standard. This specification represents this core set of negations ( general condition/activity unknown and general condition/activity/known absent ) by leveraging the expressiveness of SNOMED CT and other primary terminologies to use using explicit coded elements rather than relying on specific mechanisms of HL7 CDA such as nullflavor and negationind attributes. 15

16 To be added In contrast to the practice to use negationind or nullflavor attributes on a section itself, we prohibit the use of these attributes on section level to express unknown or no information situations. A section holds the categorized (coded) narrative part of the documented activity and will never carry negationind or nullflavor attributes. Instead, we enforce by design, that unknown or no information expressions always go to the coded entry with a corresponding act code. 16

17 IPS STU 1 st ballot Comments: 443 NEG 33 A-S 143 empty 6 A-C 85 A-T 115 A-Q 39 A-A 22 Pending Items from other WG (Pharma) from sumbitter 17 (No Negatives) 1 (Negative) Items to be applied

18 NEW ORLEANS 19

19 New Orleans WGM 1. SDWG Mon Q3 1. IPS CDA IG project update (brief) and ballot reconciliation [Rob] 2. IPS-only separate quarter for FHIR IG 1. Tuesday Q1 Norwich (confirmed) 3. EHR Wed. Q2 1. Ballot reconciliation 20

20 New Orleans (cont.) International Council Thursday Q3-4 Project status update. Ok from Melva International Foundation Tue. Q4? Catherine will check if possible - pending Patient Care Find a quarter to give update not done yet Update interested parties PHER, EC, HSI?, etc. Send s to contacts Rob still pending 21

21 New Orleans WGM Agenda for the FHIR IG session Confirmation/clarification of the topics discussed FHIR IG based on STU3 Ballot in May Reuse Trillium deliverables where possible Can use Forge tool 22 Canonical URL what is the process? Should be under HL7 will clarify - use this? Compatibility levels between CDA and FHIR Develop Action Plan Paris Meeting 1. Meeting Agenda (review) : 4 days (19-22 March Paris) 2. Francois; Kai, Rob; Giorgio

22 Paris meeting Agenda Ballot comment resolution and preparing for publishing CDA IG Working on FHIR IG and preparing for ballot in May Trillium II deliverables first available in January What will we re-use? Trillium is re-using IPS value sets 23

23 Paris meeting (cont.) March (dates are confirmed) This is best week prior to ballot content deadline How many days 4 Final content deadline for May ballot March 25 th Phast will be able to host Up to 12 participants 24

24 ACTION LIST