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HL7 CDAMG Minutes

Location: online!

Date:

Time: 1:00 PM Eastern

FacilitatorBrettNote Taker(s)Lisa

Attendance:

PresentName
  •   
Lisa R. Nelson
  •   

Brett Marquard

  •   

Jean Duteau

  •   

Rick Geimer

  •   

International Opening

  •   
Emma Jones
  •   
Linda Michaelsen
  •   
Andrew Statler
  •   

Yan Heras

  •   
Raychelle Fernandez

Quorum: Co-Chair +3

Guest(s): 






Agenda (with Integrated Minutes)

STANDING BUSINESS

  • Attendance Review
  • Approve Minutes of 2020-07-15 CDAMG Meeting Minutes
  • Approval Requests
    • Confirm for the minutes: eVote to approve Publication of the PACP Specification Passed. (Andrew/Linda) approved (7-0-0)
  • CDA R2.1 Education
    • Calvin will be coming on August 12 to provide an update
  • CDA Quality Planning
  • Update on C-CDA IAT
    • 51 people attended
    • Review Follow-up Actions - how to track to completion
    • Next IAT scheduled for October 21
    • Call for topic is out, Reply by Sept 15th
  • Work on Conversion of CDA Comments to JIRA (Andrew)
    • Review proposed letter to Work Group Co-Chairs
    • Review message to HL7
    • Update from Andrew on JIRA set-up for first phase of IGs
  • CDA Project and IG Registry Update
    • Review current progress in the context of supporting the JIRA Migration
    • New tracking procedures - what it means to the Quality Process
  • Operational Improvements: CMG Confluence Site
    • Membership Update
      • Giorgio Cangioli has been nominated, waiting for confirmation from TSC
    • Co-Chair Responsibility
      • Brett Marquard has expressed interest in passing the baton on being co-chair, but will fill another term on CMG as a member starting in September
      • Linda Michaelsen has expressed interest in picking up the co-chair role starting in September
      • Motion to approve Linda Michaelsen as CMG co-chair:  (move: | second: )
  • Next Meeting: August 26th

Adjourned:  

PROJECT REPORT OUTS: 


Scheduled Reviews:

DateProjectWhoResources for Review

Use of Structure Definition

Rick

Jean

Lisa


NEXT STEPS:

Working to establish an overarching PSS for CDA IG Web Publishing (Lisa)

Pilot to demonstrate creation of C-CDA R2.1 IG using new process (Lantana dev/MaxMD QA)

OPEN ISSUES:


NOTES:




C-CDA

Update Releases


Brett

Lisa

NEXT STEPS:


OPEN ISSUES:


NOTES:

Depends on new CDA IG Web Publishing capability



 C-CDA

Errata Releases

Brett

Lisa

NEXT STEPS:

Review the current Errata Release Checklist.

OPEN ISSUES:

Can official Errata Releases be prepared by SDWG in the mean time? - discuss at Sept WG meeting


NOTES:

Depends on new CDA IG Web Publishing capability



8/26Quality Plan

Lisa

Brett

NEXT STEPS:

OPEN ISSUES:

NOTES:

Backed up behind ballot for Quality Criteria.  Plan is coming along. (and Roadmap updates)


8/12

C-CDA Implementation-A-Thon

Lisa

Linda

Raychelle

NEXT STEPS:

  • Call for presenters for October 21, 2020 C-CDA IAT (closes September 15, 2020)

OPEN ISSUES:

  • Plan for 2020 needs to be solidified with Dave Hamill - Discuss at Sept WG meeting

NOTES:

GroupingItemResponsible personStatus 
Life and Death in C-CDA

Add rubric for to check that a patient's name is not changed (using any scheme) to indicate a patient is deceased

John D'AmoreBrett will working with John through Examples Task Force.
Life and Death in C-CDA

Create gold-standard example of problem list containing pregnancy information

John D'AmoreBrett will working with John through Examples Task Force.
Payer Section in C-CDA Documents

Determine where payer identifiers should go in the document and represent with gold-standard example

Linda MichaelsenLinda will continue to advance this need and potential solutions.
Payer Section in C-CDA DocumentsConvey support for the new identifier extensionLisa NelsonLisa Informed SDWG of the need to work on approving and executing this extension.
Extending CDA to add more useful identifiers

Update the Companion Guide to add guidance on using the new extension. 

Lisa NelsonLisa will complete following creation of the extension.
Extending CDA to add more useful identifiers

Determine real-world use cases and develop gold-standard examples - e.g. payer identifiers

Lisa Nelson

Jean Duteau

Should  Lisa do this in working with SDWG?

Implementation Considerations

When Generating C-CDA Encounter

Summary and Patient Summary Documents

Develop guidance for the Companion Guide around when summary documents are exchanged.

Joe LamyLisa will reach out to Joe to determine timeframes for guidance from Carequality/CommonWell.
Implementing Clinical Notes

Seek clarification from the ONC to update Companion Guide to include more concise guidance on use of Clinical Notes


Emma JonesEmma - can you write up a request of specific questions that need to be addressed/answered?
Implementing Clinical NotesWork with Regenstrief on LOINC Codes for Laboratory Reports and Pathology ReportsLisaLisa Initiated conversation with Regenstrief. Out of band meeting planned for later in August.
Implementing Clinical Notes

Develop gold-standard examples for each supported USCDI note type (e.g. Consultation Note, Discharge Summary Note, etc.)

Emma JonesEmma can you drive this in Examples Task Force?

Mapping Author Participation Information to 

FHIR US CDI Resources Derived from C-CDA Documents

Engage with SDWG and Patient Care to clarify how this work can move forward.

Perhaps initially focusing on smaller problems to solve

David RiddleLisa Initiated meetings with PCWG 8/6 following up on 8/13.


8/12CDA Base Standard

Lisa

Brett


NEXT STEPS:

  • Working with Calvin to draft an educational webinar that provides an overview of "what's new in CDA R2.1"
  • Waiting for HQ to publish on HL7.org using supplied Product Page request
  • Approved by ANSI in early 2020 - not sure of exact date.

OPEN ISSUES:


NOTES:





Maturity Model

Brett

Rick

Artifact created:

NEXT STEPS:

  • Implementing this after cutting over to use the FHIR IG publishing mechanisms.

OPEN ISSUES:

NOTES:

Agreed this should be utilized after going to Structured Definition.  SDWG would need to apply the Criteria. Could we get feedback at the IAT to apply the rating? Do we need a checklist to help the decision makers to assign the maturity model.

Would need to work with SDWG as the owner of C-CDA templates, to apply it to their templates.  


8/12

Jira Implementation

Andrew

Linda

Raychelle

NEXT STEPS:

OPEN ISSUES:

  • Revisit after February Meeting

NOTES:

Andrew is advancing this sending Wayne what he needs. HL7 supporting this conversion. This is a go via orders from Wayne.



8/12Templates IG RegistryLisa

NEXT STEPS:


OPEN ISSUES:


NOTES:

Working on a list and process to gather accurate information - real-time recording


Cross Workgroup Templates Pilot

Lisa

Linda

NEXT STEPS:

  • Lisa is comparing IPS to C-CDA for Problem Concern and Allergy Concern - update provided
    • Some progress comparing to IPS - reported to PC WG
  • Linda is working with FM and other on this actively.
  • Kai to help with Medication Templates. - No action

OPEN ISSUES:

NOTES




Value Set Process and UTG support

Lisa

Brett

NEXT STEPS:

  • This is being worked with Ted Klein and the Vocabulary WG

OPEN ISSUES:

Topic for Sept WG Meeting: Missing FunctionalStatus VS - Sept WG meeting

NOTES:

Need alignment of Vocabulary binding

Harmonization of Value Sets in aligned data models/USCDI v1.



ADDITIONAL TOPICS 

  • KEY GOALS BEFORE September WG
    • JIRA Migration Plan communication of roll-out
    • Quality Plan communication of roll-out
  • CMG Membership and interest in participation - update CMG objectives and Home Page content
  • Annual items:
    • Term voting, Co-chair confirmations  - July
    • Current member term renewal pattern
      • Even Years: Brett, Jean, Raychelle, Yan, Emma 
      • Odd Years: Lisa, Linda, Rick, 

Meeting Outcomes

Summary of Votes/Key Decisions

Next Meeting/Preliminary Agenda Items

Action items