Orders & Observations Conference Call
Orders & Observations Conference Call
24 January 2013
+1 770 657 9270, Passcode: 653212#
Attendees:
|Name |Organization |
|Rob Savage |NGC / CDC |
|Elaine Ayers (first couple minutes) |NIH |
|Brian Pech |Kaiser Permanente |
|Sumesh Sundareswaran |Lantana Group |
|Debbie Bogert |Canada Health Infoway |
|Freida Hall |Quest Diagnostics |
|Ken McCaslin |Quest Diagnostics |
|Eric Haas |APHL |
|Riki Merrick |iConnect / APHL |
|Rob Hausam |Hausam Consulting |
|Austin Kreisler |SAIC / CDC |
|Margaret Dittloff |The CBORD Group |
|Yan Heras |Lantana Group |
|Ashley Swain |Lantana Group |
|Saunya Williams |Accenture |
|Lorraine Constable |Constable Consulting |
|David Burgess |LabCorp |
|Rita Altamore |Washington State Department of Health |
|Ron van Duyne |CDC |
|Hans Buitendijk |Siemens Healthcare |
Co-Chair:Hans Buitendijk
Scribe: Riki Merrick, Hans Buitendijk
Agenda/Minutes:
Agenda Review
Minutes
• January 3 – Motion to accept as distributed. Ken McCaslin, Riki Merrick
o Against: 0; Abstain: 0; In Favor: 18
• January 10 – Motion to accept as distributed. Ken McCaslin, Margaret Dittloff
o Removed the ? after “Ken” in second topic.
o Clarified Work Group Health that we did not discuss.
o Against: 0; Abstain: 0; In Favor: 18
• January 14-18 (WGM) – Next week
Project Statements
• BMI (PHER)
o [pic]
o Project with American Academy of pediatrics and CDC to develop v2.x IG; Lantana to bring to May 2013 ballot, limited to height, weight, gender, DOB, date of measurement
o Issue is that states are not consistent in how they are collecting this info
o Concern that this message is too specific, BMI only. Akin to creating an IG for CBC in a lab context.
o Hope we are not using a separate message for this, just how to. It is not intended to create a new message, but using ORU.
o Need to clarify universal/US Realm and why this is this specific. Expected to be raised. That was because it is aimed at US regulations - IHE profiles are universal, but we are open;
▪ For universal realm may need to drop vocab – need to have the rationale well described - list the reasons for making this a separate IG for US realm for BMI for SC
o Not any different than other IGs for example newborn screening.
▪ Is this for a separate message, or just guidance on how to communicate on an underlying standard? Or instructions on how to use the EHRsystem results to PH – IIS using ELR, LRI, base standard?
o Is this more of a profile or IG – very narrow topic; what should be the approach?
▪ Suggest to pursue profile to keep the guide thin.
o This is the first step to – would it be better to define the project as the larger goal and then phase it, starting with BMI instead?
o Not clear why it is a bad idea to be this specific.
o Based on V2.5.1, modeled after LRI IG. Working with Bob Yencha, so will include the pre-adopted stuff – will be using LRI; need to sync up with ELR R2 as well
o Material in password protected dropbox is a little concerning – normally make this public domain – open to recommendations – can use HL7 PHER wiki services for this. Before going to TSC you need to declare that. We want to keep it open/accessible. Will be addressed.
o Motion to accept co-sponsorship and work with PHER to address the various issues raised. Lorraine Constable, Rob Savage
▪ Need to clarify which IG it will be based on.
▪ Against: 0; Abstain: 0; In Favor: 16
• Nutrition
o [pic]
o Had completed DAM and successfully balloted, but using DAM for artifact creation we found several issues;
o Also addressing preference tracking that we thought would come from other group, so taking over some patient care use cases, as well as medication preference etc;
▪ Pharmacy will co-sponsor to help address medication preferences.
o Need to adjust the opening to make clear this is a continuation of existing work. Develop vocabulary and include as test case, since it does include
o Will also request to publish errata to DAM in the meanwhile
o Need to update the dates to current dates from original DAM – may be the older version
o Need to fix name to DAM phase II
o Phrase correctly to focus input on new work, not existing work (can you still do revision tracking in v3?
▪ Hard to do in model – will highlight those in the introduction
o Going for Normative, which pushes the boundaries.
o Status 1 year DSTU to normative
o Motion to approve with the changes discussed for clarity/completeness. Freida Hall, Margaret Dittloff
▪ Lorraine to send to Pat van Dyke/Calvin Beebe/Dave Hamill by Sunday.
▪ Against: 0; Abstain: 0; In Favor: 16
• eDOS
o [pic]
o Electronic lab test compendium electronic Directory Of Service) – first phase sponsored by ACLA – now sponsored by ONC and CHCF (Patrick Lloyd is doing pilot PM)
o There are some folks that have implemented- have some change requests from that and in order to align with LOI / LRI;
o Intent is for 6 month DSTU in order to go normative with LRI and LOI
o Use case has been required by ONC work group
o Balloting as universal, as this seems to not be restricted to US
o This is based on masterfile messages in chapter 8 – very lab specific – no other HL7 WG as co-sponsor
o Do we have joint copyright considerations to consider? ACLA gave this to HL7, so shouldn’t be. Freida will double-check.
▪ CHCF is not developing this externally, they are funding.
o If IHE was going to do anything further, they would publish LOI, LRI and eDOS together for Connectathon
o Motion to accept as proposed. Freida Hall, Eric Haas
▪ Against: 0; Abstain: 0; In Favor: 16
V2.8 Ballot Reconciliation – Hans Buitendijk
• One item remaining
• Please look at #91 for next week to make sure whether the red highlighted rows in the message below (end of minutes) indeed can be removed and resolve the item.
V2.9 Proposal
• Proposal 743 – Freida Hall
• Next week
Paired Titers – Eric Haas
• Next week
CWE or CNE – Eric Haas
• Next week
Project updates – No time left to address.
• Table 0078 – Rob Hausam
o No time left to address.
• Composite/Lab Order – Lorraine Constable / Patrick Loyd
o No time left to address.
• Nutrition – Margaret Dittloff / Lorraine Constable
o No time left to address.
• LOI/LRI – Hans Buitendijk / Ken McCaslin
o No time left to address.
• Specimen – Lorraine Constable / Hans Buitendijk
o No time left to address.
• Implantable Devices – Hans Buitendijk
o No time left to address.
• FHIR – Lorraine Constable / Patrick Loyd
o No time left to address.
• Blood Bank – Patrick Loyd
o No time left to address.
• Lab Status Analysis – Jay Lyle
o No time left to address.
• LCC – Jim Harrison
o No time left to address.
Lab Order Ballot Reconciliation
• No time left to address.
• Time Boxed – Lorraine Constable / Patrick Loyd
• Targeted for 30 minutes max next week.
OMQ^O42^OMQ_O42: General Order Message with Document Payload
|Segments |Description |Status |Chapter |
|MSH |Message Header | |2 |
|[{SFT}] |Software | |2 |
| [UAC] |User Authentication Credential | |2 |
|[{NTE}] |Notes and Comments (for Header) | |2 |
|[ |--- PATIENT begin | | |
| PID |Patient Identification | |3 |
| [PD1] |Additional Demographics | |3 |
| [{PRT}] |Participation (for Patient) | |7 |
| [{NTE}] |Notes and Comments (for Patient ID) | |2 |
| [{NK1}] |Next of Kin/Associated Parties | |3 |
| [{ARV}] |Access Restrictions | |3 |
| [ |--- PATIENT_VISIT begin | | |
| PV1 |Patient Visit | |3 |
| [PV2] |Patient Visit- Additional Info | |3 |
| [{PRT}] |Participation (for Patient Visit) | |7 |
| ] |--- PATIENT_VISIT end | | |
| [{ |--- INSURANCE begin | | |
| IN1 |Insurance | |6 |
| [ IN2 ] |Insurance Additional Information | |6 |
| [ IN3 ] |Insurance Additional Information, Certification | |6 |
| }] |--- INSURANCE end | | |
| [GT1] |Guarantor | |6 |
| [{AL1}] |Allergy Information | |3 |
|] |--- PATIENT end | | |
|{ |--- ORDER begin | | |
| ORC |Common Order | |4 |
| [{PRT}] |Participation (for Common Order) | |7 |
| OBX |Observation containing document | |7 |
| [{PRT}] |Participation (for document) | |7 |
| TXA |Transcription Document Header | | 9 |
| [CTD] |Contact Data | |11 |
| [{DG1}] |Diagnosis | |6 |
| [{ |---OBSERVATION begin | | |
| SGH | | | |
| OBX |Observation containing document | |7 |
| [{PRT}] |Participation | |7 |
| [TXA] |Transcription Document Header | |9 |
| [{NTE}] |Notes and comments | |2 |
| SGT | | | |
| }] | | | |
| [{ |--- OBSERVATION begin | | |
| OBX |Observation/Result | |7 |
| [{PRT}] |Participation (for Observation) | |7 |
| [{NTE}] |Notes and Comments (for Results) | |2 |
| }] |--- OBSERVATION end | | |
| [{ |--- PRIOR_RESULT begin | | |
| [ |--- PATIENT_PRIOR begin | | |
| PID |Patient Identification – previous result | |3 |
| [PD1] |Additional Demographics – previous result | |3 |
| [{PRT}] |Participation (for Patient Prior) | |7 |
| [{ARV}] |Access Restrictions | |3 |
| ] |--- PATIENT_PRIOR end | | |
| [ |--- PATIENT_VISIT_PRIOR begin | | |
| PV1 |Patient Visit – previous result | |3 |
| [ PV2 ] |Patient Visit Add. Info – previous result | |3 |
| [{PRT}] |Participation (for Patient Visit Prior) | |7 |
| ] |--- PATIENT_VISIT_PRIOR end | | |
| [{AL1}] |Allergy Information - previous result | |3 |
| { |--- ORDER_PRIOR begin | | |
| ORC |Common Order - previous result | |4 |
| [{PRT}] |Participation | |7 |
| OBR |Order Detail - previous result | |4 |
| [{ |--- TIMING_PRIOR begin | | |
| TQ1 |Timing/Quantity | |4 |
| [{TQ2}] |Timing/Quantity Order Sequence | |4 |
| }] |--- TIMING_PRIOR end | | |
| [{NTE}] |Notes and Comments - previous result | |2 |
| [{PRT}] |Participation (for Order Prior) - previous result | |7 |
| [ CTD ] |Contact Data - previous result | |10 |
| { |--- OBSERVATION_PRIOR begin | | |
| OBX |Observation/Result - previous result | |7 |
| [{PRT}] |Participation (for Oservation Prior) | |7 |
| [{NTE}] |Notes and Comments - previous result | |2 |
| } |--- OBSERVATION_PRIOR end | | |
| } |--- ORDER_PRIOR end | | |
| }] |--- PRIOR_RESULT end | | |
| [{FT1}] |Financial Transaction | |6 |
| [{CTI}] |Clinical Trial Identification | |7 |
| [ BLG ] |Billing Segment | |4 |
|} |--- ORDER end | | |
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