esMD+PPA+UC2+Harmonization+Meeting+Minutes+6-6-2012


 * esMD Community Harmonization Meeting **


 * Date of Meeting: 6.6.12 **


 * Actions Items and Decisions: **

Similar to PIX, may be poor mapping to Use Case 1 requirements.
 * Candidate Standards Options - Use Case 1 and 2 Images
 * ACTION ITEM: Will Ryan will modify the diagram to reflect changes made from discussion with Raja Kailar and Bob Dieterle.
 * ACTION ITEM: After mapping decisions have been made Will Ryan will review the decisions with the esMD community.
 * The Implementation Guide will be completed offline with the Harmonization Team and a Tiger Team of experts to bring back to the group for consensus.
 * Gail has confirmed with Will to bring back feedback for X12 838. Rachel Foerster confirmed she does not have input on X12 838.
 * Use Case 1 Evaluation – Detail
 * Suitability
 * HL7 MFN
 * Notes – Need to see if it maps onto Use Case 1? Should contain all provider information, but may not support all the additional dataset requirements.
 * esMD evaluation – Broad
 * Industry Adoption (Current and Expected)
 * IHE PIX
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">Notes – ‘PIX is used to register relationship between patient and provider and to describe patient demographics, Not used for Provider demographics.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">Rating – Low within provider registration or services. Used primarily for patient demographics and reconciliation.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">IHE HPD
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">Notes – ‘Profile is well documented for provider identification, primarily for directory purposes, but may have ability to support Use Case 1 Registration requirements. This is an emerging standard for IHE, there are relatively few implementations. Once of the two mapped standards for Provider Directories.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">IHE XDR
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">Notes - XDR Standard is widely used in the health care industry. XDR is not a standard that is widely used by commercial payers. Content Neutral standard for data exchange. Adopted by esMD Phase 1.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">HL7 CDA
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">Notes - CDA widely used to provide patient clinical information. Does CDA support those things integral to description of claim information.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">ACTION ITEM: Saunya Williams will conduct outreach to find out the other uses of CDA.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">HL7 A01/A04
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">Notes - Used in clinical setting by patient management system to pass patient information, demographics, some institutional demographics but not much.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">HL7 MDM
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">Notes – High adoption for transporting medical documentation, including CDA. Not sure anyone uses it to transport a wrapped 277 message. Content Neutral Protocol for HL7 2.x, defines metadata around content. Normally implemented using MLLP. This is a vehicle that enables us to support an HL7 2.x transport. Do payers Widely support HL7? HL7 is used in clinical systems, but we need to span the gap to billing systems as well. Does MDM support encryption of Payload?
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">SOAP
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">Notes - Supported by CORE connectivity, basis of NwHIN and XDR Common across web and healthcare industry specifically Content neutral.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">Microdata
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">Rating – Evolving/Immature.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">Notes - Microdata is not widely used in the health care industry.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">IHE XDM
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">Notes - Primarily transported over offline media, CDs, USB, and email. Well defined standard.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">Maturity of Standard
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">IHE HPD
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">Notes - Underlying standard is LDAP and relational mapping through XML.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">Rating – Low.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">IHE XDR
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">Notes - Reasonably mature
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">Standards Evaluation – Detailed
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">Security (newly added)
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">Notes - Does the standard support digital identity, signatures, and encryption as required in Use Case 1 and 2.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">ACTION ITEM: Will Ryan will place the notes from todays call (6/6) within the appropriate criteria in the workbook.
 * <span style="font-family: 'Arial','sans-serif'; font-size: 14.6667px;">ACTION ITEM: Initiative Leads will work to review the Standards offline to compile a set of Standards to present for the community call next week Wednesday (6/13).