HL7 Pediatric Data Standards Special Interest Group Meeting

March 31, 2004
1:00 – 2:00 CT (11:00 – 12:00 PT; 12:00 – 1:00 MT; 2:00 – 3:00 ET)
Call in Number: 877-629-3048
Passcode 210349

Conference Call Participants:

David Classen, MD

Andy Spooner, MD

Cheri Throop

Feliciano Yu, MD

Carl Weigle, MD

David Milov, MD

Hema Bisarya

Leslie Sedehi

David and Andy called the meeting to order at 1:10 PM CST.

New Members Update:

New member recruitment continues especially in specialty and international realms. Andy suggested that our SIG develop an informational brochure for distribution when recruiting. Cheri will assist Andy with a draft brochure for review at the May meeting.

Post conference call update: Ellen Hansen has resigned from our SIG due to a recent change in her position and increase in job accountabilities. She plans to keep in touch with our activities via the HL7 website and hopes to join us on future endeavors. We are now actively recruiting for a nurse with informatics expertise.

Introductions of New Members:

Hema Bisarya, new project manager at CHCA, will be assisting our SIG. She is a dietician with a wealth of expertise regarding WIC programs. Her knowledge has already proved very helpful in our WIC project.

David Milov, MD, gastroenterologist, and clinical director, EHR, at Nemours joined our SIG several months ago and was introduced on this conference call. David has hands on experience in implementation of an electronic health record.

SIG Decision Making Practices Document:

Draft document, based on 2/27/04 meeting, will be sent to SIG members prior to May 3 meeting. Final vote on this document on May 3.

HL7 Project Updates:

Growth Chart (Eileen Sedman)

Eileen was not available to present and this update will be tabled until our next meeting in May.

Prenatal to Perinatal Project (Andy Spooner)

Andy shared that he is in the beginning stages of this project and plans to attend additional HL7 training in May to advance his understanding of modeling. He also plans to e-mail Charlie Mead for his recommendations. No HL7 development framework exists to use as a template.

Developmental Care Project (Paul Biondich)

Paul was not available to present and this update will be tabled until our next meeting in May.

Structured Documents – WIC (Cheri Throop and Ellen Schwalenstocker)

Based on Liora’s feedback and Hema’s WIC expertise, this project will proceed from a federal perspective as the national standard. Liora plans to provide this project with a pilot template as framework for structured documents. She also recommends data be considered in three categories, based on the initial project work: metadata; current (client) status; and assessment data. Cheri and Hema have identified six potential documents within the federal standards depending on the specific program component. Prior to the May meeting, the use questions will be addressed and shared.

EHR Pediatric Profile (Feliciano Yu)

Pele has made no specific changes to the model he shared in February. He would like to refine and link all our SIG projects into the the proposed model. He also described the potential to make use of a standardized tool (Protege) for rapid prototyping. During discussion, David Milov shared that hs has experience with this tool and would be willing to assist Pele with this project.

Asthma Core Measures – (Cheri Throop/Ellen Schwalenstocker)

The Joint Commission will be announcing a call for recruitment of hospitals to participate in the pilot. Final data elements will be determined based on the pilot. The Pedi-QS Collaborative has recently launched a call for PICU measures. This will be the next core measure set.

April 13, 2004 HL7 Education Day (San Antonio)

The following SIG members will be participating in this training: Cheri, Andy, Hema, Carl, Aileen, Leslie, and Noorullah.

Project champions are asked to complete a project overview for presentation during the training. Andy will present projects for those who are not attending training.

May 3, 2004 HL7 Meeting (San Antonio)

Please register for the upcoming on site SIG meeting (see details below).

Other Business:

Conference call participants were polled regarding frequency of meetings other than the scheduled HL7 working group meetings. Consensus was to continue monthly calls even if the agenda is short just as a means to keep on target. The conference call ended at 1:35 PM CST.

May 3, 2004 Meeting Revised Draft Agenda (San Antonio)

Introductions
Review of conference call minutes
SIG revised decision-making process document
Presentation on Balloting process
Action Items for Vote
Outcome of April 13 HL7 Education & Training Day
Pilot Project Updates:

Growth Charts Project - Dr. Aileen Sedman (champion)

Prenatal to Perinatal Care Project - Dr. Andy Spooner (champion)

Developmental Care Project - Dr. Paul Biondich (champion)

Structured documents - WIC certification form - Ellen Schwalenstocker and Cheri Throop (Co-champions)

EHR Pediatric Profile Project – Dr. Feliciano Yu (champion)

Asthma Core Measures – Ellen Schwalenstocker and Cheri Throop

Update on Public Health Data Standards Consortium Meeting – Dr. Philip Gioia

Clinical Decision Support SIG Presentation
Update on Clinical Documents Architecture TC and pilot template – Liora Alschuler
Patient Care Technical Committee Presentation
Vocabulary Process Presentation –Clem McDonald
Update from Netherlands Perinatal Group

Please mark your calendars!

CHCA Sponsored HL7 Education training day scheduled for April 13, 2004. To participate, please contact or (913) 262-1436

May 3 is our next on-site working meeting as part of upcoming HL7 meeting in San Antonio!
HL7 Conference dates: May 2 - 7, 2004
Location: Hyatt Regency San Antonio
Contact: (); Phone number: 210-222-1234; Early Bird Registration & Hotel Cutoffs: April 12, 2004

PLEASE BLOCK YOUR CALENDARS FOR FUTURE HL7 MEETING DATES:
September 26 — October 1, 2004
18th Plenary & Annual Working Group Meeting
Location: Sheraton Atlanta Hotel
Atlanta, GA Contact: ()
Phone number: 800-833-8624
Early Bird Registration & Hotel Cutoffs: August 25, 2004
January 23 — 28, 2005
January Working Group Meeting
Location: The Hilton in Walt Disney Resort
Orlando, FL
Early Bird Registration and Hotel Cutoffs: December 22, 2004
Hotel Phone: 1-407-827-4000 or 800-782-4414
May 2005
May Working Group Meeting
To be Finalized
September 11 — 17, 2005
19th Plenary and Working Group Meeting
Location: Town and Country Resort
San Diego, CA
Early Bird Registration and Hotel Cutoff: August 11, 2005

Pediatric Data Standards Special Interest Group Tracking Log:

ITEM: / Responsible
Party: / Date
Initiated / Date
Closed / Additional Comments:
Finalize education day / Cheri Throop / November 14, 2003 /

CLOSED

2/15 / April 13, 2004 in San Antonio
Recruitment / All SIG members / November 14, 2003 / Formal letter to FDA (David/Andy)
-See 1/19/04 minutes for specialty members still needed.
2/27/04: Efforts to enroll international pediatrician participant underway
3/31: Andy/Cheri develop draft brochure
Request Liora Altshuler to attend May 3, 2004 meeting / Cheri Throop / January 19, 2004 / 2/27: Liora has agreed to present
Request Clem McDonald to attend May 3, 2004 meeting / Paul Biondich / January 19, 2004
Request Clinical Decision Support SIG presentation at May 3, 2004 meeting / Cheri Throop / December 22, 2003 / 2/27: Request made and DCS S:IG representative plans to attend
Growth Chart Project Update / Aileen Sedman / January 19, 2004 / 2/27: See minutes
Prenatal to Perinatal Care Project / Andy Spooner / January 19, 2004 / 2/27: See minutes
Developmental Care Project / Paul Biondich / January 19, 2004
WIC documentation form project / Cheri Throop
Ellen Schwalenstocker / January 19, 2004 / 2/27: See minutes
3/31: Hema Bisarya will assist with this project.
Pediatric Electronic Health Record Project / Feliciano Yu / February 27, 2004 / 3/31: David Milov will assist wit this project.
Asthma Core Measures / Cheri Throop
Ellen Schwalenstocker / January 19, 2004 / 2/27: see minutes
Strawman proxy ballot process / Andy Spooner
David Classen / January 19, 2004 / 2/27: See minutes
3/31: Draft document will be sent to SIG members prior to May meeting
IOM Electronic Health Record framework –distribution to SIG members / David Classen / January 19, 2004 / CLOSED / 2/9/04: Distributed

Parking Lot Issues:

ISSUE / Date Identified / Date Resolved:
Aileen asked how we prevent redundant work across HL7 groups as well as across national entities / January 19, 2004
Aileen asked for further guidance on what format our SIG projects need to be for delivery to other HL7 groups. / February 27, 2004

HL7 Pediatric Data Standards SIG Advisory Group Members

Andy Spooner, MD, FAAPSIG Co-Chair:

Director of General Pediatrics

University of Tennessee and Le Bonheur Children's Medical Center

50 N. Dunlap, #4624

Memphis, TN 38103

(901) 572-3292

David Classen, MD, MSSIG Co-Chair:

VP, First Consulting Group

561 E. Northmont Way

Salt Lake City, UT 84103

Kay Fendt

2814 Fendt Meadows Drive

Hillsborough, NC 27278

Stephen Lawless, MB, MBA

Chief Knowledge Officer

Nemours

1600 Rockland Road

Wilmington, DE 19803

Carl Weigle, MD

Medical Director, Informatics, Children’s Hospital of Wisconsin

424 Grand Ave

Mukwonago WI 53149

Feliciano Yu, MD, FAAP, CPHIMS

Center for Outcomes and Effectiveness Research and Education (COERE)

University of Alabama at Birmingham

1717 11th Ave. South, MT 401

Birmingham, Al 35294

205-934-6838

Ellen Schwalenstocker, MBA

Director, Child Health Quality
NACHRI
401 Wythe Street
Alexandria, VA 22314
703-797-6045

Cheri Throop, RN, MHSA, RHIT, CPHQSIG Coordinator

VP, Quality & Improvement

CHCA

6803 West 64th Street, Suite 208

Shawnee Mission, KS 66202

(913) 262-1436

(913) 262-1575 (fax)

Noorullah Akhtar, MD

Pediatric Intensivist

Driscoll Children’s Hospital

3323 S. Alameda

Corpus Christi, TX 78411

(361) 694-5445

Hema Bisarya, RD, MHSA

PI Project Manager

CHCA

6803 West 64th Street, Suite 208

Shawnee Mission, KS 66202

(913) 262-1436

Aileen Sedman, MD

Professor Emeritus University of Michigan Medical School

Medical Advisor, NACHRI

University of Michigan Medical Center

C201 Med Inn Bldg Box 0825

Ann Arbor, MI 48109

(239) 498-0185

Paul Biondich, MD, MS

Assistant Professor of Pediatrics/Informatics

Children’s Health Services Research Program

Riley Hospital for Children/The Regenstrief Institute

1050 Wishard Blvd, RG5

Indianapolis, IN 46202

(317) 630-7785

David Milov, MD

Pediatric Gastroenterology

Clinical Director, EHR

Nemours

1600 Rockland Road

Wilmington, DE 19803

Sharon Lau, MS

Medical Management Planning, Inc. (MMP)

23945 Calabasas Road #100

Calabasas, CA 91302

Warren Williams

Lead Public Health Analyst

Center for Disease Control (CDC)

1600 Clifton Road

Atlanta, GA 30333

Philip Gioia, MD, MPH

Children’s Health Specialists

37 West Garden Street, Suite 201

Auburn, NY 13021

Matthew Scanlon, MD

Patient Safety Officer

Children’s Hospital of Wisconsin

9000 West Wisconsin Ave, Box 1997

Milwaukee, WI 53201

(414) 266-2000

Lesley Sedehi

Associate Director, Systems Development

NACHRI

401 Wythe St, Alexandria, VA 22304

703-797-6025

Harry Rhodes, MBA, RHIA, MPHHL7 Mentor:

Director, HIM Products and Services

AHIMA
233 N. Michigan Ave

Suite 2150

Chicago, IL 60601

HL7 Pediatric Data Standards Special Interest Group (SIG) Meeting Minutes

March 31, 2004 Conference Call Meeting