Welcome! HL7 Child Health Work Group Webcast September 25, 2009 (770) , code:

Child Health Work Group Meeting September 25, :00-10:30 central General Business and HL7 Project Updates 11:00-12:30 central Meaningful Use Update 1:00-2:30 central CCHIT Updates; Gap Analysis Findings Overview of Sessions

General Business/HL7 Project Updates 9:00-10:30 AM Central Agenda Introductions Ground Rules Objectives Approval of June 2009 Minutes 10 HL7 Project Updates Agenda

General Business/HL7 Project Updates 9:00-10:30 AM Central Agenda Introductions Ground Rules Objectives Approval of June 2009 Minutes HL7 Project Updates Agenda

1. Use mute feature on phone 2. Avoid hold; Hang up if necessary 3. Introduce self when speaking 4. Stay on schedule Stay on topic Collect electronic questions Use parking lot Ground Rules

Meeting Objectives Approve June 2009 minutes Participants are able to talk comfortably at a high level about projects underway within HL7 that involve child health Draw interest from potential volunteers

June 2009 Minutes Approval Please see meeting minutes: es/ChildHealth_Minutes_HL7WGM_May09.doc

General Business/HL7 Project Updates 9:00-10:30 AM Central Agenda Introductions Ground Rules Objectives Approval of June 2009 Minutes HL7 Project Updates Agenda

10 HL7 Projects to Review Work GroupProjectPresenter Structured DocumentsChildrens Hospitals Neonatal Consortium Neonatal Care Report Mike Padula, MD Electronic Health RecordsEHR-S Functional Model, Release 2John Ritter Clinical Interoperability CouncilEmergency Medical Services Domain Analysis Model AbdulMalik Shakir Structured DocumentsElectronic Quality Measure SpecificationCrystal Kallem Electronic Health RecordsDiabetes Data Strategy ProjectCrystal Kallem AnesthesiaPreoperative Anesthesia Assessment, Release 1 (pediatrics) Pat Gunter Community Based Collaborative Care Consent Directive CDA Implementation GuideJoy Kuhl Patient AdministrationRegistry Enhancements for Social ServicesJoy Kuhl Public Health & Emergency Response and Observations Immunization DSTU Release 2 and IG for Messaging Immunization Information Joy Kuhl

Neonatal Care Report Structured Documents Work Group Child Health and Patient Care Co Sponsor Mike Padula, MD 1/10, have volunteer coverage Purpose: - Consortium is 21+ hospital NICUs, formed Improve decision making for improved care - Use data standards to report segment of data set Status: - HL7 approved project scope statement this week Whats Next:- Project team holds weekly working calls - Planning for January 2010 ballot Of Note:- Based on CDA; compatible with QRDA, eMeasure (267)

EHR-S Functional Model Release 2 Electronic Health Records Work Group John Ritter 2/10, have volunteer coverage Purpose: - General functional requirements for EHR systems - Key reference during CCHIT criteria development - Improve upon first release Status: - Harmonizing Whats Next:- Working toward January 2010 ballot Of Note:- Child Health is suggesting 17 criteria for revised base model; 10 priority items, 7 secondary (847)

Emergency Medical Services Domain Analysis Model Clinical Interoperability Council AbdulMalik Shakir 3/10, have volunteer coverage Purpose: - Produce a EMS Domain Analysis Model based primarily upon the content of the National Emergency Medical Services Information System (NEMSIS) Specification Status: - Completed modeling of NEMSIS v2 data dictionary Whats Next:- Update EMS DAM with NEMSIS v3 revisions and ballot the DAM as an HL7 informative specification Of Note:- EMS DAM will be used to derive DSTU and Normative EMS data exchange specifications (909)

Health Quality Measure Specification (HQMF) Structured Documents Work Group Crystal Kallem 4/10, have volunteer coverage Purpose: - Create a standard to unambiguously represent quality measure specifications, including data elements, logic and definitions Status: - Balloted specification Aug/Sept Conducting ballot reconciliation Whats Next- Complete ballot reconciliation Of Note:- HQMF aligns with Quality Reporting Document Architecture (312)

Diabetes Data Strategy Project Electronic Health Records Work Group Child Health Co Sponsoring Crystal Kallem 5/10, have volunteer coverage Purpose: - Proof of concept project to develop clinical content data standards for minimum data set Status: - Defining data to collect based on use case - Capturing harmonized data definitions - Mapping with existing definitions and models Whats Next:- Analyze proof of concept; Possible spread Of Note:- Use case based on Type 1 diabetes assessment in children in outpatient clinic setting (312)

Preoperative Anesthesia Assessment Release 1 (pediatrics) Anesthesia Work Group Child Health Co Sponsoring Speaker: Pat Gunter 6/10, have volunteer coverage Purpose: - Create and ballot a domain analysis model for Preoperative Anesthesia Assessment Status: - Initiated within Duke University - Strong links to other organizations - Use cases in progress - Data elements being identified Whats Next- Project scope statement approval 9/2009 Of Note:- Seeking support (volunteers) from Child Health (919)

Consent Directive CDA Implementation Guide Community Based Collaborative Care Work Group Joy Kuhl 7/10 Purpose: - Structured document to exchange signed consent directives; Support management of consent directives and policies Status: - Seeking approval of project scope statement Whats Next:- Working toward January 2010 ballot Of Note:- Would like to invite pediatric representation (603)

Registry Enhancements for Social Services Patient Administration Work Group Joy Kuhl 8/10 Purpose: - Enhance person-level messages Status: - Proposed enhancements to existing person registry - Seeking project approval this week Whats Next:- Work toward Jan 2010 ballot as draft for comment Of Note:- Will add a person's current living situation (household membership, information on other household members), data about after school care (e.g. 3 afternoons per week); Based on extensive child healthcare use case brought forward by HL7 Netherlands (617)

Immunization DSTU Release 2 Public Health and Emergency Response Work Group Joy Kuhl 9/10, have volunteer coverage Purpose: - Extend the current set of HL7 V3 messaging to include support for the querying of a patients immunization status Status: - Currently being balloted and reconciled. - Likelihood of achieving Draft Standard for Trial Use designation is high Whats Next:- If all negative comments can be resolved, material will be published as DSTU Of Note:- This adds material to the current set of immunization-related HL7 V3 messaging (608)

Implementation Guide for Messaging Immunization Info Public Health & Emergency Response and Observations Work Groups Joy Kuhl 10/10, have volunteer coverage Purpose: - Replace guide, published Improve interoperability, queries; new use cases Status: - Reviewing during PHER calls - Scope is IZ messaging, not MPI Whats Next:- Informative Ballot, January 2010 Of Note:- Child Health is involved (4 volunteers) - Will need ballot participation in December (608)

Parking Lot

Hold the Date January 17-22, 2010 Child Health: January Sun dinner, Mon full day, Tues half day Pointe Hilton Squaw Peak Phoenix, Arizona Tentative Next HL7 Meeting

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