Minutes Approved as Presented
This is to approve minutes via general consent. "You have received the minutes. Are there any corrections to the minutes? (pause) Hearing none, if there are no objections, the minutes are approved as printed."
Austin - firstname.lastname@example.org Host
Jeff - email@example.com
Sheila Abner - firstname.lastname@example.org
Calvin - email@example.com Host
George Dixon - firstname.lastname@example.org
Lindsey Hoggle - lhoggle@IRISHealthsolutions.com
Crystal Snare - email@example.com
Thomson - firstname.lastname@example.org
Gay Dolin RN MSN - email@example.com
Peter Muir - firstname.lastname@example.org
Didi Davis - email@example.com
Lisa Nelson - LNelson@max.md
Thomson - firstname.lastname@example.org
Discussion on the ONC ISA,
The Policy Committee is requesting feedback by the 28th of Aug. Our intent is to vote on any recommendations that SDWG would like to submit during this comment period.
Gay identified one issue she found:
Statements around the HAI Guides (Reporting Antimicrobial Use and Resistance Information to Public Health Agencies)
Level of Adoption - some places indicated as 1 other place 2
George noted that they did not call out the FHIR ballot also.
Care Plan - pg 31 in PDF
Implementation Specification - reference Pilot should be changes
Documenting and sharing Mediation Related Care Plans by Pharmacist (pg 32)
Why is there a cost "$" is identified, there is not one for the CDA implementation guide
Domain or Disease-Specific Care Plan Standards (pg 32)
HL7 is not aware that ASCO is going to continue supporting this guide.
HL7 CDA® R2 Implementation Guide: Clinical Oncology Treatment Plan and Summary, Release 1 – US Realm
It is also likely that the
IHE Quality, Research, and Public Health Technical Framework Supplement, Early Hearing Detection and Intervention(EHDI), Rev 2.1 Trial Implementation is possibly. may not be currently supported.
Data Provenance (Pg 37)
Establishing the Authenticity, Reliability, and Trustworthiness of Content Between Trading Partners
HL7 CDA® Release 2 Implementation Guide Data Provenance, Release 1 - US Realm - there is a new IG on this topic in progress. (check with PCBCP)
Diet and Nutrition (pg 37)
Exchanging Diet and Nutrition Orders Across the Continuum of Care
This referenced material has been published:
In addition to the specifications listed above, work is underway to create a HL7 CDA R2 Implementation Guide: C-CDA R2.1 Supplemental Templates for Nutrition, Release 1 (US Realm). with this - HL7 CDA R2 Implementation Guide: C-CDA R2.1 Supplemental Templates for Nutrition, Release 1 - US Realm
Images (pg 81)
Format of Medical Imaging Reports for Exchange and Distribution
PS3.20 Digital Imaging and Communications in Medicine (DICOM) Standard – Part 20: Imaging Reports using HL7 Clinical Document Architecture
( no comment from SDWG)
Patient Preference/Consent (pg 68)
Recording Patient Preferences for Electronic Consent to Access and/or Share their Health Information with Other Care Providers
Should remove 1st word in title"
Emerging Implementation Specification"
Public Health Reporting (pg 69)
Case Reporting to Public Health Agencies = these are public health standards
Reporting Antimicrobial Use and Resistance Information to Public Health Agencies (pg 73)
HL7 Implementation Guide for CDA® Release 2 – Level 3: Healthcare Associated Infection Reports, Release 1, U.S. Realm. - for this Reporting Antimicrobial Use and Resistance Information use case is this the right version that they want cited, They may want to check with the CDC program that is responsible. There are more current versions of this standard available.
(pg 73-75) these are public health WG
Reporting Birth and Fetal Death to Public Health Agencies
Reporting Death Records to Public Health Agencies
Reporting Cancer Cases to Public Health Agencies
Reporting Newborn Screening Results to Public Health Agencies
Sending Health Care Survey Information to Public Health Agencies (pg 77)
Suggest that they consistently cite the base standard or not. - Public Health WG
Data Collection for Submission to Registries and Reporting Authorities (pg 77)
Is it intentional that sometimes there is a base standard cited (CDA) vs citing a specific CDA IG ?
Submission of Clinical Research Data Contained in EHRs and Other Health IT Systems for General Purpose or Preserving Specific FDA
Requirements (Pg 79) Is it intentional that sometimes there is a base standard cited (CDA) vs citing a specific CDA IG ?
Data Segmentation of Sensitive Information (pg 82)
HL7 Clinical Document Architecture (CDA®), Release 2.0, Final Edition - Is it intentional that sometimes there is a base standard cited (CDA) vs citing a specific CDA IG ?
Support a Transition of Care or Referral to Another Health Care Provider (pg 83)
HL7 Consolidated CDA® Release 1.1 (HL7 Implementation Guide for CDA® Release 2: IHE Health Story Consolidation, DSTU Release 1.1 - US Realm) this standard should be sunset - HL7 does not recommend using this old standard
We would recommend that these references be used: http://www.hl7.org/implement/standards/product_brief.cfm?product_id=492
Implementation Specification, Production wide spread adoption currently
Implementers should explore use of emerging
CDA on FHIR and FHIR US Core and CCDA on FHIR to support this interoperability need
Administrative Transactions to Support Clinical Care
Health Care Attachments to Support Claims, Referrals and Authorizations (pg 108)
HL7 CDA® R2 Attachment Implementation Guide: Exchange of C-CDA Based Documents, Release 1 - US Realm
HL7 CDA R2 Implementation Guide: Consolidated CDA Templates for Clinical Notes (US Realm) Draft Standard for Trial Use Release 2.1 - this should not be pilot but production.
Administrative Transactions - Non-Claims
Enrollment and Disenrollment in a Health Plan - this is all X12
Motion to approve the comments discussed once they are cleaned up and submit them to the policy committee. opposed 0 abstain: 0 For 10
Vocabulary issues (PG 5)
US CDI - where is lists clinical notes - the LOINC codes to be used need to be identified. We need LOINC codes for Narrative Laboratory Reports and Narrative Pathology Reports.
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