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D S SIG Welcome!

Pediatric Data Standards

SIG MeetingQ1 Working Webcast: Pediatric Specialty Profile

May 5, 2008Dial In: (866) 365-4406 code: 1436215

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Q1: Pediatric Specialty Profile9:00-10:30 AM Central Introductions Ground Rules Agenda and Objectives Approval of January 2008 Minutes Child Health-FP Update Derived Profiles Overview Proposed Project: Pediatric Specialty

Profile

Agenda

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1. Use mute feature on phone2. Avoid “hold”; Hang up if

necessary3. Introduce self when speaking4. Stay on schedule5. Stay on topic; Use parking lot 6. Expect to contribute7. Silence is agreement8. Be constructive

Ground Rules

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D S SIG Meeting Objectives

Q1: Pediatric Specialty Profile Approve January 2008 minutes Agree upon general direction regarding profile

development Obtain enough feedback to write draft of

project scope statement, if applicable

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D S SIGJanuary 2008 Minutes

Approval

Please see handout of meeting minutes

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Balloting theChild Health

Functional Profile for EHR Systems

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D S SIG Balloting the Child Health-FP

Complete intent to ballot form by October 15 Inform EHR TC (and Patient Care) of intention and seek approval Submit documentation to EHR TC and publications workgroup to

create ballot documents Publicize ballot opportunity Ballot – November/December 2007 Recruit reconciliation volunteers January Work Group reconciliation session EHR TC accepts reconciliation document; N/A Second ballot period April 2008 May Work Group reconciliation session Negative voters and EHR TC accept disposition report - July 2008 Ballot – August/September 2008 *Opportunity to become HL7 ANSI standard Sept 2008

*May happen as soon as negative votes are retracted/withdrawn

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D S SIGBalloting the Child Health-FP

Normative Process

December Committee Ballot: Reviewa. EHR TC and PeDSSIG votedb. Required 60% return from ballot poolc. Required 2/3 affirmative votesd. 22 in ballot pool; 11 affirmative, 9 abstain, 2 no

votee. 90.91% approvalf. If substantive changes, ballot pool will review

major changes before moving to membership ballot

g. No substantive changes; Moves to membership ballot

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D S SIGBalloting the Child Health-FP

Normative Process

April Membership Ballot: Reviewa. Open to HL7 membership for votingb. Required 60% return from ballot poolc. Requires 90% affirmative votesd. 101 in ballot pool; 48 affirmative, 19 negative, 7

abstain, 7 no votee. Needed 51 affirmatives for 90% approval; Had

48f. Perform reconciliation work

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Exploring aChild Health

Specialty Derived Functional Profile for

EHR Systems

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Our Criteria Conformance for Derived Profile

Quoted from Child Health Functional Profile for EHR Systems The Child Health-FP workgroup recognizes that developers, users, and

other members of the pediatric community may wish to develop their own profiles. The workgroup contends that the Child Health-FP includes all the general functions that might be reasonably expected to be available in an EHR system used to care for children in the United States. However, we also recognize the value in the development of derived profiles applicable to certain subsets of EHR systems used to care of children. In fact, the workgroup strongly feels that the development of derived profiles will likely be essential to support the evaluation of systems designed to support subsets of child healthcare functions. For example, derived profiles for pediatric specialties, such as neonatology, could be developed to support certification in those niches.

In order for a derived profile to claim conformance with the Child Health-FP, the profile SHALL include all of the Child Health-FP functions. The workgroup solicits feedback regarding functions encountered in the development of a derived profile not encountered in the Child Health-FP.

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Manage Immunization Administration

Statement: Capture and maintain discrete data concerning immunizations given to a patient including date administered, type, manufacturer, lot number, and any allergic or adverse reactions. Facilitate the interaction with an immunization registry to allow maintenance of a patient’s immunization history.

Description: During an encounter, recommendations based on accepted immunization schedules are presented to the provider. Allergen and adverse reaction histories are checked prior to giving the immunization. If an immunization is administered, discrete data elements associated with the immunization including date, type, manufacturer and lot number are recorded. Any new adverse or allergic reactions are noted. If required, a report is made to the public health immunization registry.

1. The system SHALL provide the ability to recommend required immunizations, and when they are due, during an encounter based on widely accepted immunization schedules.

2. The system SHALL provide the ability to recommend required immunizations based on patient risk factors.

3. The system SHALL perform checking for potential adverse or allergic reactions for all immunizations when they are about to be given.

4. The system SHALL provide the ability to capture immunization administration details, including date, type, lot number and manufacturer.

5. The system SHALL provide the ability to capture other clinical data pertinent to the immunization administration (e.g. vital signs, adverse reactions).

6. The system SHALL record as discrete data elements data associated with any immunization.

7. The system SHOULD provide the ability to associate standard codes with discrete data elements associated with an immunization.

8. The system SHALL provide the ability to update the immunization schedule.

“Manage Immunization

Administration”

“Capture and maintain discrete data concerning

immunizations…” PeDSSIG edits in

RED for CH Profile

Function requested by PeDSSIG for

original model now standard

Example Edits and Additions to EHR

FM

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Sample Project Scope Decisions

(see draft scope statement)1. Name

Child Health Specialties Functional Derived Profile for EHR Systems Child Health Specialties - FDP

2. Purpose3. Scope, e.g.

United States Inpatient and Outpatient Age range (0-18) Receiving care in which settings Etc.

4. Major Categories of Functions Addressed Cancer, Transplant, AIDS, Paralysis, Neonatology Intensive Care,

Cardiac Intensive Care, Opthamology, Pregnancy Under Age 18, etc.

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D S SIG Possible Publishing Timeline

Working Toward Jan 09 Ballot Cyclea. May 18: Define project scopeb. May 18-Sept. 16: Project work

Recruit volunteers Education session for volunteers Volunteers write first draft

c. Sept 16: Review first draft of content at WGMd. Sept. 28: Revised project scope duee. Oct. 26: Intent to ballot duef. Nov. 23: Content due to HL7 for ballot

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Next Meeting: Tuesday, September 16,

2008Vancouver, BC, Canada

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Monthly Calls2008

Second Week of Each Month: Rotating Tues/Thurs(866) 365-4406 code: 1436215 Thursday, May 8, 1-2 PM Central Tuesday, June 10, 9-10 AM Central Thursday, July 10, 1-2 PM Central Tuesday, August 12, 9-10 AM Central Thursday, September 11, 1-2 PM Central Tuesday, October 14, 9-10 AM Central Thursday, November 13, 1-2 PM Central Tuesday, December 9, 9-10 AM Central

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D S SIG May 8 Call Agenda

Updates Immunization Project…………………………Rob

Savage Quality Reporting Project……………………Pele Yu Terminology Project…………………………..Gerry

Wade Profiles: Quality, Vital Stats, PHR……….Andy

Spooner Highlights from May 5 Meeting…………..Andy

Spooner

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Thank You!

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D S SIG Welcome!

Pediatric Data Standards

SIG MeetingQ2 Working Webcast: Ballot Reconciliation

May 5, 2008Dial In: (866) 365-4406 code: 1436215

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Q2: Ballot Reconciliation Session11:00 AM – 12:30 PM Central Introductions Ground Rules Agenda and Objectives Child Health-FP Ballot Review Discussion and Reconciliation Voting

Q3 and Q4: Canceled

Agenda

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D S SIG

1. Use mute feature on phone2. Avoid “hold”; Hang up if

necessary3. Introduce self when speaking4. Stay on schedule5. Stay on topic; Use parking lot 6. Expect to contribute7. Silence is agreement8. Be constructive

Ground Rules

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D S SIG Meeting Objectives

Q2: Ballot Reconciliation Complete ballot disposition report Consensus decision making if possible

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1.Address 100% of comments2.Assign disposition to each comment

Comment Responsible person Vote results (if necessary) Change applied Substantive change?

3.Vote to approve disposition recommendations

Expectations

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Applicable to All Comments1. Persuasive2. Persuasive with modification3. Not persuasive 4. Not related5. Referred and tracked6. Pending input from submitter7. Pending decision from other committee

Applicable only to Affirmative Comments

1. Considered for future use2. Considered – question answered3. Considered – no action required

Disposition Options

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Materially affect intent or

content of standard as balloted.

Substantive Changes

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Thank You!