Pe DS SIG HL7 Pediatric Data Standards Special Interest Group Meeting Minutes January 8-9, 2007 Town and Country Resort San Diego, CA Meeting Participants David Classen, Andy Spooner, (Co Chairs) Noorullah Akhtar, David Butler, Mark Del Beccaro, John Dzivak, Craig Joseph, Eugenia Marcus, Matt Murray, Mitra Rocca, Aileen Sedman, Geraldine Wade, Amita Walden, Carl Weigle, Tim William, Feliciano (Pele) Yu Meeting Objectives Approve Sept. 2006 WGM minutes Review work completed since Sept. WGM Agree upon meeting objectives Gather feedback on draft plans for 2007 Gather feedback on messaging opportunities Provide CDA update; Present volunteer opportunity Conduct Co Chair election Approve John Dzivak as liaison to EHR TC Reach consensus on leftover functions that should be “core” Refine those functions or determine plan for refinement following the meeting Review leftovers not consider to be “core”(i.e. neonatology) What to do with these Determine plan for addressing these (e.g. through profile development) Select dates/times for standing monthly calls Determine interest in Spring meeting in Germany (create agenda) Decide upon interest in out of cycle meeting (e.g. AAP; create agenda) Reach alignment on priorities and assignments for next steps MONDAY QUARTER 3 Welcome, introductions and agenda review High level review of PeDSSIG activity underway and planned - Objectives for 2007; National updates and opportunities - Publishing opportunities; Immunization Messaging - Publishing opportunities; Quality Measurement Messaging Co Chair Election Spooner/Classen Spooner/Classen Noor Akhtar Pele Yu David Classen and Andy Spooner, the PeDSSIG co chairs, opened the meeting with welcome, attendee introductions, and a request for a motion to approve the September 2006 meeting minutes. The minutes were approved. The group discussed the meeting objectives listed above, and no changes were requested. Andy also provided the CDA update. John Dzivak agreed to be the liaison to the EHR TC. Noor reviewed the process for moving the immunization story board through the HL7 V3 process. The co chair election was held, and David Classen was elected co chair HL7 Pediatric Data Standards Special Interest Group Meeting Minutes January 2007 1 Pe DS SIG Andy Spooner led the group in reviewing highlights of work completed in 2006. Reviewed and edited pediatric functional requirements through working webcast series Reconciled requirements with current EHR functional model Participated in education session on starting HL7 Pediatric Profile Coordinated group response to CCHIT inpatient EHR survey Coordinated group response to AAP EMR specifications policy paper Provided group input into HITSP Consumer Empowerment Workgroup pediatric PHR project Presented immunization storyboard to Patient Care; Providing input into HL7 immunization project Participated in working web casts with Corner to provide pediatric input into bidirectional immunization interface project Recruited vendor participation in SIG activities (Cerner, EPIC and Eclipsys participating) Recruited key new members Secured funding for 2006 and ongoing support through APQ Identified representative to EHR TC; Secured funding for support 15 new child health requirements included in EHR FM ballot (congratulations!) Monthly call survey conducted HL7/COCIT coordination in progress through Beki/Joy Andy updated HL7/Partnership for Policy Implementation on PeDSSIG activities Andy held call with Lisa Simpson to explore opportunities; Grant opportunities in consideration Personal meeting invitations extended to vendors Article regarding PeDSSIG activities published in HL7 newsletter Joy followed up with Dr. Broselow regarding lack of interest at this point Pele explored quality measurement messaging opportunities; Update at this mtg. Exploring publishing opportunities related to immunization work; Update at this mtg. Exploring vocabulary opportunities through Paul Biondich Successful in lobbying EHR TC regarding recent ballot – 15 new items included Andy, David and Joy started work on profile documentation; Working document prepared for this meeting John Dzivak attending EHR TC meeting and training as liaison for PeDSSIG Secured financial support in 2007 from APQ members (AAP, ABP, CHCA & NACHRI) MONDAY QUARTER 4 Electronic Health Record Functional Model (EHR-FM) Profile working session Andy led a discussion of the “leftover document,” – a list of pediatric functions that have not been included yet in the EHR TC Functional Model. The list consisted of functions identified by the PeDSSIG, the AAP Council on Clinical Information Technology (COCIT), and in AAP Policy Papers on Important Pediatric EHR Functionality. The group made decisions about what functions in the document were core, core later, not core, or for referral to the Pediatric Profile. The working document will be posted in the online PeDSSIG document library at www.hl7.org. HL7 Pediatric Data Standards Special Interest Group Meeting Minutes January 2007 2 Pe DS SIG TUESDAY QUARTER 1 EHR-FM Profile working session continued As during Q4 on Monday, the group continued reviewing the “leftover document” and making edits. The working document will be posted in the online PeDSSIG document library at www.hl7.org. Concurrently, on behalf of the PeDSSIG, Pele and Noor attended a PHER joint session on harmonizing immunization work. TUESDAY QUARTER 2 Define next steps and assignments Pele presented quality measurement issues in terms of HL7 V3 Messaging Standards and outlined that no other SIG/TC is currently planning to do an HL7 V3 quality messaging standard. The group agreed that this might be a good project to undertake but that it should be proposed to the Alliance for Pediatric Quality (AAP, ABP, CHCA and NACHRI) for consideration of funding needed to complete the time intensive work. The group determined that it would be worthwhile to have a presence at the International HL7 Work Group Meeting in Germany, May 2007. They created an agenda. Noor gave an update on the Immunization project from the PHER meeting. The next step is to create a domain analysis for immunization. The following monthly PeDSSIG call schedule was approved: 1. January N/A 2. Thursday, February 15, 1-2 PM Central, brief update 5 PM EST 3. Tuesday, March 13, 9-10 AM Central, brief update 5 PM EST 4. Thursday, April 12, 1-2 PM Central, brief update 5 PM EST 5. Tuesday, May 8, 9-10 AM Central, brief update 5 PM EST 6. Thursday, June 14, 1-2 PM Central, brief update 5 PM EST 7. Tuesday, July 10, 9-10 AM Central, brief update 5 PM EST 8. Thursday, August 9, 1-2 PM Central, brief update 5 PM EST 9. Tuesday, September 11, 9-10 AM Central, brief update 5 PM EST 10. Thursday, October 11, 1-2 PM Central, brief update 5 PM EST 11. Tuesday, November 13, 9-10 AM Central, brief update 5 PM EST 12. Thursday, December 13, 1-2 PM Central, brief update 5 PM EST ACTION ITEMS 1. Create agenda for next WGM in Germany: May1-2, 2007 a. Tuesday, May 1, Q3 i. Introductions ii. Approval of January WGM Meeting Minutes iii. Update on National Pediatric Developments iv. Update on International Opportunities for Collaboration v. Update on EHR Pediatric Core Functions HL7 Pediatric Data Standards Special Interest Group Meeting Minutes January 2007 3 Pe DS SIG vi. Update on Pediatric Profile Development b. Tuesday, May 1, Q4 i. Joint Meeting with EHR TC c. Wednesday, May 2, Q1 i. Joint Meeting with PHER SIG d. Wednesday, May 2, Q2 i. Joint Meeting with Patient Care TC *Note: CHCA will not cover member hotel and registration expenses for this session. This benefit will resume for the September 2007 meeting in Atlanta, GA. 2. The group has ongoing interest in securing pediatric support in national vocabulary initiatives such as LOINC and SNOMED. Joy will schedule a call for Andy Spooner, Paul Biondich, Tim Williams, Debra Konicek and Geraldine Wade on where we already have resources and where we should try to secure resources; Actions will be recommended following this call. 3. Joy will work with Pele to make a presentation and proposal to APQ on quality measurement messaging within the HL7 V3 model. 4. Joy will update the “leftovers document” and create a project plan for the EHR core functionality to be addressed by HL7 EHR TC and CCHIT and also the creation of the Child Health (Pediatric) Profile. NEXT WORKING GROUP MEETING: May 1-2, 2007 Cologne, Germany Please RSVP to joy.kuhl@chca.com if you plan to attend. HL7 Pediatric Data Standards Special Interest Group Meeting Minutes January 2007 4