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• Fill out the Doodle poll for possible rehearsal dates and times for the DirectTrust Summit demo.
• The VA/DoD demo will be re-scheduled soon. It will likely be May 22 or June 5
• Review the IHE profile for transfers to SNF (currently at https://drive.google.com/file/d/1eJ1YYoPYNUpXDkBZ1etLNa_so1r-oEp3/view?usp=sharing)

Rehearsal for the May 5th demo. 

• Review of upcoming demos, next week's call will be used for a rehearsal.
• IHE Profile work updates, several participants offered help

Discussion on the uses of LOINC codes as the content type code in the Submission Set.

85187-3 Long term care facility Transfer summary note - for the case where it is an actual transfer from the hospital the SNF

85199-8 Long term care facility Referral note - for the case where it is a referral from an ambulatory setting to the SNF

We will try to get some feedback from CMS.

On the other hand, there are two transactions pushing documents from the hospital - one for the request, another when the actual transfer takes place. In that case the codes could be used like this:

• Hospital to SNF request: 85199-8
• Hospital to selected SNF at time of transfer: 85187-3
• Ambulatory setting to SNF request: 85199-8

Is the common code for request helpful or harmful?

Rehearsal for the demo

Update on demo opportunities:

• DirectTrust Clinicians Steering Workgroup - Noon Eastern April 14 meeting. They plan to also invite the Physician EHR Coalition (PEHRC). DirectTrust can also provide the EMDI questionnaire to attendants.
• LeadingAge State Technology Initiatives - May 5th is a possible date. Epic to confirm participation.
• The Annual DirectTrust Summit in June - there is a 360X demo already planned, not the same as the HIMSS demo.
• HIMSS LTPAC committee - very interested, they will get back to us with possible dates.
• The VA - They are looking at May dates, they will invite Cerner, and they want to invite the DoD.
• The CMS EMDI Initiative (which is sponsoring the first production 360X pilot) are working on a June date.
• NCQA is interested in a presentation (not demo).

Assuming that the April 14 demo will go ahead, we plan to use next week's call on Friday, April 10 (10:30 - 12:30 Eastern) and Monday, April 13 (3-4 pm Eastern) for rehearsal.

Vassil to send e-mail when this is reflected in the minutes.

The outreach for venues for the HIMSS demo has produced several opportunities:

• LeadingAge State Technology Initiatives - they were looking for a demo on April 1, which was a too short of a notice. Looking to re-schedule.

• DirectTrust Clinicians Steering Workgroup - Noon Eastern April 14 meeting. They plan to also invite the Physician EHR Coalition (PEHRC). They can also provide the EMDI questionnaire to attendants.

• The Annual DirectTrust Summit in June - there is a 360X demo already planned, not the same as the HIMSS demo.
• HIMSS LTPAC committee - Dr, Miller has a call with them next week.
• The VA - They are interested to see the demo, and they want to invite the DoD. Dr. Miller has a call with them on April 2.
• The DoD - separately or with VA, no suggested timeframe
• The CMS EMDI Initiative (which is sponsoring the first production 360X pilot) would like to see the demo. They are working on a June date.
• NCQA is interested in a presentation (not demo).

The work on the 360 XL IHE profile will continue with volume 2. Volunteers for editors are welcome. Mid-April Vassil can provide guidance on the process and available tasks.

Short call. Still no communications from HIMSS regarding online demo opportunities. Several volunteers will look at various opportunities to demo to interested groups (starting with VIP tour list).

Work on IHE profile for 360XL (L is for Long-term care). One thing we hadn't noted before is the LOINC code to use for submission set content type (and in the HL7 v2 message, and in Document Entry document class). Appropriate codes seem to be LOINC 85199-8 and LOINC 85187-3. An older code, 34140-4, seems to be discontinued.

No communications from HIMSS. Everyone is encouraged to submit our scenario as the preferred event to be presented online.

Several people offered to look for opportunities to present the demo, we will continue to discuss this via e-mail.

HIMSS is cancelled, but it is going online (HIMSS Digital).

Reviewed options to move the demo along:

• Making a recording
• Wait for HIMSS for guidance
• Looking for other opportunities to show the demo

At this point it seems that waiting for HIMSS to organize the Interop Showcase online is the best way forward, as they have asked us explicitly to refrain from recording.

We will still have another rehearsal on Monday and Tuesday next week.

Call slot was used for HIMSS demo testing.

No call - testing for HIMSS demo

Preparations for HIMSS demo, confirm testing/rehearsal dates (no call next week), discuss VIP tour.

Answer for the question from last week:

For the purposes of the demo, when the patient is admitted in the SNF and a notification is sent to the PCP, ORC-1 should be set to OK and ORC-5 should be set to CM.

Not that this is not (yet) part of the current specification. It might be added at a later point.

IHE meeting is next week, 360XL (L for Long Term Care) is going to be presented.

Short call, Review testing plans, and white paper.

Open question (Vassil not present to answer):

When the notification is sent from SNF to PCP, what are the expected values for ORC-1 and ORC-5?

IHE Connectathon Report:

• Continued growth
  2018 - 3 participants
  2019 - 5 participants
  2020 - 7 participants
• Organizers eager to optimize tests, and after three years of testing, it makes sense to ask for a supportive testing option

Switching focus to HIMSS demo, and testing schedule:

• Testing slots:

  • 2/21 – 10 - 5 Eastern (will cancel call)
    2/25 – 10 - 5 Eastern
    2/27 – 9 - noon Eastern

• Rehearsal slots:

  • 2/27 – noon - 5 Eastern
    3/2 – use meeting time/Rehearsal afternoon
    3/4 – final  rehearsal - 10 Eastern