Automate Blue Button Initiative Content Workgroup Meeting
November 19, 2012
Meeting Etiquette
• Remember: If you are not speaking, please keep your phone on mute
• Do not put your phone on hold. If you need to take a call, hang up and dial in again when finished with your other call o Hold = Elevator Music = frustrated speakers and participants
• This meeting is being recordedo Another reason to keep your phone on mute when not
speaking• Use the “Chat” feature for questions, comments and items you
would like the moderator or other participants to know.o Send comments to All Panelists so they can be addressed
publically in the chat, or discussed in the meeting (as appropriate). From S&I Framework to Participants:
Hi everyone: remember to keep your phone on mute
All Panelists
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Agenda
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Topic Time Allotted
Welcome and Announcements 5 minutes
Status, Deliverables, Dashboard 5 minutes
Draft Implementation Guide Review 45 minutes
Next Steps / Reminders 5 minutes
Announcements and Reminders
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• Meeting Reminders– Content Workgroup Meetings are Mondays from 4:00 – 5:00 pm Eastern.– The next Community Meeting will be held as needed – Meeting information is on the Automate Blue Button Wiki Page:
http://wiki.siframework.org/Automate+Blue+Button+Initiative
Pre-Discover
y
Discovery
Reference Implementatio
ns
Agreed and voted on charter, including Scope Timeline Deliverables
Reviewed options to meet human readable + machine readable requirement Reviewed use cases being developed by PUSH group Began discussing implementation guidance for CONTENT, based on C-CDA requirement of MU 2 Write draft implementation guide for CONTENT
PUSH reference implementations Other existing DOWNLOAD implementations that could serve as guidance
Implementation Guidance
Implementations
Refine implementation guide based on PUSH reference implementations Refine implementation guide based on other known DOWNLOAD implementations
3-6 full implementations that reflect implementation guidance
CLINICAL CONTENT Current Status
Clinical
Content Sub-
Group
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PUSH Current Deliverables
• Content Issues– What content format should be sent? What
section and fields are required?– Should first transmission include entire
health history or encounter only?– How should payload be packaged?
Issues Being TackledUse Case Issue List
(Not quite posted yet)
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Clinical
Content Sub-
Group
ToC Guidance Demo
WG Launch(09/17)
Nov-12
Discovery
S&I Framework Lifecycle
Sep-12 Mar-13
Pilot & Implementation Guidance
Oct-12 Dec-12 Jan-13 Feb-13
Reviewed and discussed options
Identified Priority Standard (C-CDA)
Finalize & Document Recommendations for PUSH
Discussed optionsIdentified C-CDA as priorityBuilding recommendationFinalize recommendationReconvene as needed
Timeline
Outstanding Issues
Standards Identified
Accomplishments Status
Draft Implementation Guidance
CLINICAL CONTENT Dashboard
Reconvene As Necessary
Clinical
Content Sub-
Group
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Outstanding Questions
Summary + Encounters
• What gets sent when a patient asks for a transmit?
• What gets sent when the transmit is automated?
Outstanding Questions
XDR / XDM
• How will the files be packaged?• Download – XDR/XDM• Transmit - MIME
Outstanding Questions
Documenting Transmit as Patient Initiated
• How do we remove the implied referral/action/burden ?• Make it clear that this business case was generated by the patient
• Make sure this is placed in a standardized place• “Class Code” might be able to show this (research further)
• How do we indicate that this came from the patient and not the doctor?
Next Steps
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• Next Steps– Review the new version of the IG Draft
• In Person Meetings: – Dec. 6th Direct Connect-a-thon– Dec. 11th ONC Annual Meeting – ABBI Townhall
• Meeting Reminders– Meeting information is on the Automate Blue Button Wiki Page:
http://wiki.siframework.org/Automate+Blue+Button+Initiative
• For questions, please contact your support leads– Initiative Coordinator: Pierce Graham-Jones (
[email protected])– Presidential Innovation Fellow: Ryan Panchadsaram (
[email protected])– Project Manager: Jennifer Brush ([email protected])– S&I Admin: Apurva Dharia ([email protected])
Useful Links
• Automate Blue Button Wiki– http://wiki.siframework.org/Automate+Blue+Button+Initiative
• Content Sub Workgroup– http://wiki.siframework.org/ABBI+Content+Sub+Workgroup
• Join the Initiative– http://wiki.siframework.org/Automate+Blue+Button+Join+the+Initiative
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