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

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Dustin McCarthy
5 years ago
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1 IPS TCON Minute in red Notes from the previous calls in green

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

3 Agenda Make the IPS real Complete and Publish the STU IPS CDA IG Move the IPS IGs to Normative Develop the IPS FHIR IG

4 Agenda 1. IPS PSS review and approval process 2. CDA IG 1. CDA ballot status and ballot reconciliation 2. CDA IG To do list 3. FHIR IG 1. NIB 2. Medical devices 3. AllergyIntolerance 4. Medication related resources 4. Plan for the next weeks 5. AOB < 30 Mins 1 hour

5 IPS PSS REVIEW AND APPROVAL PROCESS 5

6 IPS PSS (for FHIR IG) Approved by SDWG Shared with the International Council Shared with the other co-sponsoring WGs Approved by SD Approved by FMG ( ). Comments add Pharmacy to the list of interested work groups Pharma WG will evaluate in the feb 12 th call ensure that all profiles are reviewed by the work groups that own the resources that are being profiled. Approved by TSC ( ) Pharma WG? (check minutes) 6

7 BALLOT STATUS AND RECONCILIATION

8 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

9 IPS STU 1 st ballot Agreed changes % 20% 40% 60% 80% 100%

10 IPS STU ballot#2 results 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

11 IPS STU ballot#2 results Send to SDWG for approval Single block? Rob will ask for SDWG for the vote next week 11

12 IPS STU ballot#2 results

13 IPS STU ballot#2 results Agreed changes 13

14 CDA IG «TO DO» LIST 14

15 Assigned Define value sets for Absent or Unknown information and then go to harmonization [consider also devices] Rob will take care of this issue Presented at the Round table, harmonization proposal to be prepared. LOINC Code for NEW-LOINC- VERIFICATION_STATUS Rob will issue the request to LOINC. Still in the to do list

16 Assigned Harmonization with Pharma templates (Kai // Giorgio). No updates Observation Results Radiology: Load the value set provided by Francois as example KAI. No updates

17 Not assigned Bind the ISO 3166 country codes to the country part of Addresses (2) Define an IPS Address (datatype) template fragment (3) Define a value set for countries based on ISO 3166 (how?) Add a textual constraint with the ISO (4) Include this datatype element whenever used Add a surgical pathology example from APSR 2.0. François 17

18 Not assigned Prepare the XML schema (xsd) with the IPS extensions Prepare the Sample(s) to be included in the published document Add links to the published value sets Clean-up of the links to the IPS wiki The underlying publication mechanism is a mediawiki where icons always takes you to the file page with the icon. We will try to erase the link in the PDF rendition so that it goes nowhere. At this point in time the creation of a a link to an artefact in the document itself is investigated 18

19 FHIR IPS IG 19

20 FHIR IPS IG FHIR IG based on STU3 Ballot in May Harmonization March To be confirmed at Facilitator s Roundtable Thurs. evening Will want to take our new codes / value sets there for approval for FHIR and CDA Initial proposals due Feb. 28 Final proposals due March 16 FHIR substantive freeze March 25 FHIR final content freeze April 1 20

21 FHIR IPS IG (cont.) Tools Profile creation Forge Sharing artifacts IG Publisher GitHub ( ) Profile under development Simplifier and FHIR registry registry.fhir.org Others? 21

22 Work organization Conventions to be used Identify the components Identify the resources to be profiled Assign components to a responsible person/team Use the CDA IPS as conceptual reference (CEN IPS EN?) Use the calls to review the work done; discuss open issues 22

23 FHIR IPS IG - Naming and identification convention canonical project URL (for profiles) URL (implementation guide) Resource profiles Name: [Name of Resource]-[qualifier-]uv-ips[-version] URL: (lower case] e.g. AllergyIntolerance-uv-ips; Observation-Laboratory-uv-ips E.g. (to be considered the results of the discussion about versioning) Extensions? Value Set 23

24 Agreements Explicit clinical assertion in case of the following section. Not to use emptyreason for No info about allergies/intolerances ; No allergies/intolerances No info about drugs ; No current drug treatment No info about problems ; No current problem No info about procedures ; No history of procedure No info about medical devices, implants ; No current implant No info about immunizations ; No history of immunization Use emptyreason with the preferred value set for the others. Results Past illnesses? Social History 24

25 TO BE DISCUSSED 25

26 Plan 26 7-Feb First analysis of the resources to be used Assign the canonical URLs to all the value set (to be added to the Art Decor value sets) Progress update 14-Feb Composition draft with allergy and MDs Medical devices / AllergyIntolerance Medication related resources Assign the canonical URLs to all the value set (to be added to the Art Decor value sets) 21-Feb NIB approved

27 1. NIB 1. Informational or STU? STU 2. Rob will prepare a draft 2. Medical devices 3. Medication related resources 4. AllergyIntolerance 5. Reassignment of tasks?

28 Composition Medications section entry entry MedicationStatement MedicationStatement Medication Patient Medical Devices section entry DeviceUseStatement Device

29 Issue #1: Methods for representing known absent and unknown in the FHIR IG Proposal to use 2 methods Specific method for the 3 mandatory sections Allergies, Meds, Problems = the one defined in the CDA IG of IPS. Generic method for the non-mandatory sections (Results, Devices, ), relying on Composition.section.emptyReason

The assertions No device and devices unknown do not need to track by whom (source) and when (assertion date) these

31 Medical Devices section emptyreason: nilknown Known absent Patient Composition Medical Devices section Unknown Patient emptyreason: unavailable Rationale: Medical devices section is not mandatory. The assertions No device and devices unknown do not need to track by whom (source) and when (assertion date) these statements were made. Simply, when building the patient summary, no devices are included, under the responsibility of the patient summary authoring (person system).

medication in use Patient Rationale: Medication

No drug used and drug use unknown are statements

record, which need to be captured by the patient

date), potentially distinct from the authoring of the

32 Composition Medications section entry MedicationStatement medicationcodeableconcept = no medication in use Patient Rationale: Medication section is mandatory. No drug used and drug use unknown are statements about patient drugs, coming from the patient health record, which need to be captured by the patient summary, with a who (source) and a when (assertion date), potentially distinct from the authoring of the summary. Composition Medications section entry MedicationStatement medicationcodeableconcept = medications use unknown Patient

33 For discussion. Cases Assertion unknown case No information at all No medications use Cases Assertion unknown case No information at all No medications use Unknown CDA No medications in use FHIR medicationcodeableconcept = medications use unknown emptyreason: unavailable? medicationcodeableconcept = no medication in use Use the same mechanism of the CDA explicit content and have an entry; even when there is no explicit assertions

34 François proposal Have all the sections specified in the IG present and expressing that there is no content Christof Prefer to omit not required sections Giorgio No in favor of having optional section No strong opinion for the required if known (0..1 R)

35 Issue #2: # scopes for devices between IPS and Trillium II > Choice of the value set for type of medical device CDA IG of IPS: IPS Medical Devices : only implants << Implant, device (physical object).... Trillium II currently uses the regular much broader << Device (physical object)..... which is Update the CDA IPS Medical Devices? Yes Giorgio change the value set definition Note only Kai can make this change; ask Kai

36 We may have different approaches for different sections We can omit some sections when there is no content. Excepting allergies/intolerances 1..1 drugs 1..1 problems 1..1 procedures 0..1 R medical devices 0..1 R Immunizations 0..1 R Non-required section simply omitted

37 allergies/intolerances 1..1 drugs 1..1 problems 1..1 Cannot be omitted procedures 0..1 R medical devices 0..1 R Immunizations 0..1 R Use the same approach of the CDA also for FHIR

38 FUTURE PLAN 38

40 Plan 21-Feb (François absent) Problem List & History of Past Illnesses? Allergy Procedure Observation Imaging? Header? 28-Feb Medications Other Observations Pregnancy Implementation Guide 40

41 Plan 7-Mar Additional call to be agreed Friday 9 March ( CET ) 14-Mar (Giorgio Absent)tory Plan of Care Functional Status Advance Directive Value Sets Examples Mar 41

42 Composition General overview Do we need custodian? (Kai suggested to define a minimal guidance for handling the custodians in case of CDA and FHIR) Kai suggests also to keep a semantic alignment between CDA and FHIR Slices for entries Results single or specialized sections?.. (check on C-CDA on FHIR) How to deal with textual translations? To be investigated How to convey translated designations? To be investigated 42

43 General Plan Overview NIB FHIR core and base IG Substantive change freeze: FHIR Content Freeze (core and IGs) Paris meeting 7-Feb 14-Feb 21-Feb 28-Feb 7-Mar 14-Mar 21-Mar 28-Mar 4-Apr 25-feb 25-mar 01-apr 1 Implementation Guide 2 Document 3 Header (to be expanded ) 4 Allergy/Intolerance 5 Medication Summary 6 Devices 7 Immunizations 8 Problem List 9 History past illnesses 10 Pregnancy 11 Procedure 12 Results 13 Social History 14 Plan of Care 15 Functional Status 16 Advance Directives 17 Value sets 18 Publication 43

44 FHIR IPS IG - Components CDA IPS FHIR IPS Notes / Resp. Implementation Guide ImplementationGuide Rob Document Header (to be expanded ) Composition Bundle Patient Provider Organization < > Giorgio Allergy/Intolerance AllergyIntolerance Rob Low priority Emergency contacts Kai to consider what should be the content Medication Summary MedicationStatement Medication François 44

45 FHIR IPS IG - Components CDA IPS FHIR IPS Owner? Devices DeviceUseStatement Device François Immunizations Immunization Giorgio Problem List Condition Rob History past illnesses Condition Rob Pregnancy Condition Rob Procedure Procedure Giorgio 45

46 FHIR IPS IG - Components CDA IPS FHIR IPS Owner? Results Observation Lab / AP => François Imaging => Rob (Giorgio) Social History Plan of Care Functional Status Advance Directive Examples Provenance Data Kai Sylvia (Rob) Giorgio Giorgio 46

47 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 47

48 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 48

49 ACTION LIST

HL7 Standards uptake in Europe and beyond

HL7 Standards uptake in Europe and beyond estandards Roadmap for the collaborative development of standards for large-scale ehealth Deployment: the case of the International Patient Summary Standard Giorgio