October+3,+2012+Agenda+and+Meeting+Minutes

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 * Date: October 3, 2012**
 * Name:** Public Health Reporting Initiative Web Conference

Live Meeting: []
 * Location:** Conference Call: 1-866-842-6975; passcode: 218840#

**Agenda/Objectives:**

 * **Topic** ||= **Time Allotted** ||
 * Welcome / Agenda Overview - John Stinn ||= 4:00 - 4:05 ||
 * Data Harmonization Update - Nikolay Lipskiy ||= 4:05 - 4:25 ||
 * Sprint Update - Riki Merrick ||= 4:25 - 4:45 ||
 * Phase 2 - Nikolay Lipskiy ||= 4:45 - 4:55 ||
 * Discussion / Action Items ||= 4:55 - 5:00 ||
 * Adjourn ||= 5:00 ||

**Slides:**
Timeline & Artifacts  • Data Harmonization Profile Update  o Common core data elements (note that references to submitted user story / report type data elements will be included, but report type data elements are out of scope for this document)  o FHIM model.  • Implementation specification  o Common core data elements using CDA   Appendix to illustration mapping to 2.5.1. segments  o Report type example #1: General case reports  o Report type example #2: FDA adverse events  • Question: Common core data elements cover a variety of use cases. So are there multiple implementation specifications?  o Riki’s answer: This implementation specification provides a collection from which to select and build their own report. There will be multiple report types of specific implementation. All core common elements will be consistent.  o In that case, it should be called implementation specifications (plural), instead of implementation specification.  Artifact Key Dates  Data Harmonization Profile:  • Common core data elements with references to user story / report type data elements  • FHIM model Review by Data Mapping group: 10/11/12 <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> Publish for Public Comment: 10/25/12 <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> Consensus (estimated): 11/7/12 – 11/14/12 <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> Implementation Specification: <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> • Common core data elements using CDA <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> • Appendix to illustrate mapping to 2.5.1 segments <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> • Report type example #1: generic case report <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> • Report type example #2: FDA adverse events Common Core guidance finalized: 10/10/12 <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> Case Reporting guidance: 10/17/12 <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> Adverse Event Reporting guidance: 10/24/12 <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> Publish for Public Comment: 10/25/12 <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> Consensus (estimated): 11/7/12 – 11/14/12 <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> Data Harmonization Update <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> • Next meeting: Thursday, 12 – 2 p.m. ET. <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> • Goal: Finalize common core data elements. <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> • Currently 95% complete <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Working with FHIM team to complete modeling component. <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> • Core Common “Objects”

<span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Health Problems <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Exposure <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Report Metadata <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Patient Information <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Encounter / Patient Visit <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Facility <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Allergy / Adverse Event <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Immunization <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Medication <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Vital Sign Indicator <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Patient Contact Information <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Payer Information <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Provider Information <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Procedure <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Social History <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Family History <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Order / Diagnostic Test <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Result <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Specimen <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Employment Information <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Medical Devices <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Physical Exam

<span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;">  Each of these “objects” holds a set of data elements with descriptive information including a detailed description, proposed value set, and proposed format. <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;">  Note that "Risk factors" are condition-dependent and can be found in the social history, family history, health problem, exposure, and other objects. Specific risk factors may be enumerated in report-type specific requirements/elements. <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> • Data Harmonization Profile: Core Common Description <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o For each object, there’s a description, references to user stories, data elements, etc. <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> • Data Harmonization Profile: FHIM Component <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Shows relationship among objects, how they are related to data elements, etc. Common core data elements are hyperlinked to documents so the reader can learn details. <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> Stage 3 Sprint – Implementation Guide <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> • Next meeting: Wednesday, 10 – 12 p.m. ET. <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> • Review and finalize CDA guidance for common core data elements. <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Begin discussing the generic case report and adverse event ‘report type’ guidance. <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Time permitting, review and finalize 2.5.1 guidance/mapping for common core data elements. <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> • Other discussions <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Nikolay: What is the title of the document? <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;">  Working title is “Specification Library” as this includes two different documents, one is CDA and the other is HL7 based: <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> • Specification CDA for entry level template – initiative’s primary focus <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> • HL7 2.x (primarily 2.5.1) – if time permitting <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Based on what’s in your model/use case, you can further constrain. <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Some programs who have not participated fully in phase 1 may want to do so in phase 2. We will have to see how their input in phase 2 can be included and the how scalable the model is. Tomorrow’s data harmonization call will discuss this topic. <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> • Lise Stevens, FDA: A critical element from FDA’s perspective is to re-use/leverage/transform the deliverable from this initiative to what we’ve already implemented. We think about how these (PHRI’s deliverables) relate to what we’ve already implemented. I communicate the purpose of this initiative, which is to lessen reporting burden for healthcare providers. <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> Potential PHRI “Phase 2” Topics <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> • Are you interested in leading the Initiative to champion a new or existing activity? Email Lindsay Brown at lrbrown@cdc.gov <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> • Are there topics of interest for a future phase of PHRI? Email Lindsay Brown at lrbrown@cdc.gov <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o Dena’s question: how ambitious can we be? <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;">  Nikolay: We can be ambitious as long as we understand our resources and scope. <span style="display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: 255px; width: 1px;"> o David’s idea: We haven’t discussed “added values” of this initiative. We can talk about the public health reporting platform PHRI offers. We can take a look at relative mechanism, relative value, and cost-effectiveness. We can say there’s more than one on the table we can eliminate and go with the best.