PD+Electronic+Service+Information+SWG+Meeting+Session+20

**Time:** 11:00PM - 12:00PM EDT
 * Electronic Service Information Discovery Workgroup Call **
 * Date **:10/25/2011


 * Meeting Agenda:**
 * **Topic** || **Time Allotted** ||
 * ESI Examples || 60 ||

Attendance
Peter Bachman, Dan Huber, Michael Nelson, Vince Lewis, Ron Sawdey, Karen Witting, Robert Dieterle, Cletis Earle, Victor Palli, Tynisha Carter, Ernest Grove, Lin Wan

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 10/25/11 || Add a Lab Example for discussion on Thursday || Bob Dieterle || OPEN ||  ||

Meeting Notes

 * How do you mix and match content neutral messages with those that are not?
 * Only a few records are content neutral, such as MDM
 * 99% of HL7 v2 messages sent through MLLP, not email
 * Can’t mix and match content record and type, with the exception of MDM which is content neutral
 * //Do you specify content type for messages that are not content neutral?//
 * //If message type is not content neutral, some validation needs to be done to make sure legal combinations are sent and received//
 * In the event of a rejection, recipients may not send back a rejection notice
 * Need to find some way to specify preferred content type and standard
 * The fact I support Direct, doesn’t mean I want to receive lab orders by Direct
 * Need to be comprehensive on information we need in order to describe the types
 * There are many, but a manageable number of combinations
 * Action Item: Bob Dieterle will add a Lab Example for discussion on Thursday
 * Defined set of standards will need to be created that define what a receiver supports
 * There are different requirements and lots of negotiation will be needed
 * May have to support pdfs, dicom images, etc
 * We are trying to solve an enormous problem in a machine processable way
 * What information needs to be worked out between the communicating parties before hand?
 * Why use a directory if we don’t automate anything?
 * Not all negotiations are point to point, one negotiation could take place between organizations and define policy for all transactions moving forward.
 * We’re assuming there is a policy engine out there deciding some of the policies and issues. This can’t operate without those defined policies.
 * Do we create a program that can read these capabilities/preferences and perform the negotiation on demand?
 * We’re trying to solve the future now. Trying to be ultra-flexible and allow anyone to express whatever they could possibly want to do.
 * Need a way to make this truly extensible because we can’t solve it all in the next month or two.
 * Are these schema going to be so different that we can’t do it as we are now?
 * Extensions in the future are inevitable
 * Maybe point towards a policy document that can grow in the future.
 * Direct, simple
 * MLLP, difficult, point to another party’s explanation of how to do MLLP HL7

Next Meeting

 * Date:** 10/27/2011
 * Time:** 12:00-1:30PM
 * Dial in:** 1-408-600-3600 **| Passcode:** 661 867 655 (Meeting on 10/27)