September+12,+2012+Agenda+and+Meeting+Minutes

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 * Date: September 12, 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 - Lindsay Brown ||= 4:00 - 4:05 ||
 * Consensus Update & Review - Lindsay Brown ||= 4:05 - 4:25 ||
 * Data Harmonization Update - Nikolay Lipskiy ||= 4:25 - 4:35 ||
 * Stage 3 Sprint Update - Seth Foldy ||= 4:35 - 4:45 ||
 * Discussion / Action Items ||= 4:45 - 5:00 ||
 * Adjourn ||= 5:00 ||

**Meeting Minutes:**
__Consensus Update__ __Consensus Review__ As of 12 PM ET (9/12), 1 vote (“yes”) received with the following comment: “We agree with the above statement; however, we do suggest providing some clarification in the introduction paragraph to the user stories to indicate that these stories represent current process and proposed future flows. Readers may misinterpret the stories as representing current processes. This distinction is noted in Appendix A in the user story names. For example, in the Chronic Disease #1, it indicates 'future flow for NCHS'.”
 * Consensus statement: The general consensus of the Public Health Reporting Initiative is that the Use Case and Functional Requirements documents are complete and correct in their representation of a provider-initiated report from an EHR system to a public health agency system (within the constraints of the scope of the Initiative).
 * Consensus voting:
 * Consensus vote will close tomorrow September 13th EOD
 * A “No” vote requires a comment indicating how to make the document acceptable to you
 * You must be a member of the Public Health Reporting Initiative to vote and only one vote per organization will be accepted
 * Vote on the wiki:
 * Click “Consensus” button from any PHRI wiki page
 * Navigate to http://wiki.siframework.org/PHRI+Consensus
 * If you have additional questions or concerns, contact Lindsay Brown (lrbrown@cdc.gov)

Consensus reached to add the following statement to the introduction of both documents: “Some of the user stories submitted for this initiative represent current workflow and information flows, but others represent a proposed future state.”

__Key Dates__
 * **Task** || **Elements finalized by Data Mapping Group (12 PM ET)** || **Implementation Guidance reviewed by Stage 3 Sprint Group (2 PM ET)** ||
 * Develop preliminary ToC(s) || N/A || 8/30/12 ||
 * “Week 1” Data Elements
 * Patient Information
 * Patient Contact Information
 * Payer Information
 * Provider Information
 * Social History
 * Family History
 * Procedure || 8/30/12 || 9/6/12 ||
 * “Week 2” Data Elements
 * Encounter
 * Order / Diagnostic Test
 * Facility
 * Result
 * Specimen || 9/6/12 || 9/13/12 ||
 * “Week 3” Data Elements
 * Vital Sign Indicators
 * Adverse Event
 * Diagnosis
 * Health Concern/Problem
 * Exposure
 * Medication
 * Employment Information
 * Immunization || 9/13/12 || 9/20/12 ||
 * Outstanding Topics & Draft Review || 9/20/12 || 9/27/12 ||
 * Other section review (e.g., Intro) ||  || 9/27/12 ||
 * Implementation Guide(s) Final Draft ||  || 10/4/12 ||

Please join the data harmonization and sprint calls if interested in discussing the data elements. Meeting information is listed below:
 * || Data Mapping / Harmonization || Stage 3 Sprint / Implementation Guide ||
 * Time || Thursday 12-2 PM ET || Thursday 2-4(5) PM ET ||
 * Phone || 888-565-9980 x3467944 || 800-857-9362 x93830 ||
 * URL || @https://deloittemeetings.webex.com/deloittemeetings/j.php?ED=186013747&UID=1080455317&PW=NNWI1ODhiZGNk&RT=MiMxMQ%3D%3D || @https://deloittemeetings.webex.com/deloittemeetings/j.php?ED=186013747&UID=1080455317&PW=NNWI1ODhiZGNk&RT=MiMxMQ%3D%3D ||

__Data Harmonization Update__ __Stage 3 Sprint – Implementation Guide__ __Announcement from HL7__ HL7 announced on September 4, 2012 its decision to make much of its intellectual property, including standards, freely available under licensing terms. The new policy is expected to take effect in the first quarter of 2013.
 * Next meeting: tomorrow, Thursday, Sept 13, 12-2 PM ET
 * Continuing to work on the common core data elements:
 * Vital Sign Indicators
 * Adverse Event / Allergy
 * Health Problems (Diagnosis / Problem List)
 * Exposure
 * Medication
 * Employment Information
 * Immunization
 * Risk Factors
 * Injury
 * Working to include value sets and links to PHIN VADS
 * What is PHIN VADS?
 * Stands for “Public Health Information Network Vocabulary Access and Distribution System.” Allows public health partners to browse, search and distribute standard vocabularies (value sets) associated with HL7 message implementation guides and public health apps.
 * URL: []
 * Providing finalized data elements for technical writers to create draft implementation guidance for review by the Stage 3 Sprint group
 * Next meeting: Thursday, Sept 13, 2-5 PM ET. Notice we added an additional hour to review the two implementation guides and make direct revisions.
 * Review CDA guidance for finalized sections of common core
 * Review 2.5.1 guidance for finalized sections of common core
 * Work products
 * Guidance for common core in CDA
 * Guidance for common core in 2.5.1
 * Report type examples for both CDA and 2.5.1 under consideration
 * We will include special constraints on common core such as optionality, cardinality (number of items allowed), and value set.
 * Report Types (draft)
 * There are three communities who have strongly expressed an interest and desire to model their report types per our implementation guides. These communities want to make sure that harmonization is taking place between how they define data elements and how we define data elements.
 * FDA is interested in coming up with CDA format that would convey content that is currently part of the MedWatch. FDA will be looking at specifying data elements for CDA.
 * Some groups have said they will not be ready for stage 3.
 * Additional information forthcoming (HL7 working group meeting currently underway)

__Other topics / Discussion__
 * Nikolay Lipskiy: Please let us know if there are specific topics you would like to discuss in upcoming calls. Members may contact the co-leads or Lindsay Brown (lrbrown@cdc.gov)
 * Seth Foldy: This initiative’s story will be highlighted in the next issue of the Standards & Interoperability (S&I) Framework Newsletter. We encourage members to read this newsletter as it explains other activities going on across many initiatives.
 * Seth Foldy will be leaving CDC on September 30th; may remain an active member in this Initiative.

**Presentation:**


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