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Deadlines

• Review of the catalog related resource proposals with FMG: June 12th FMG call
• Substantive content freeze :
• Final Content freeze:
• Ballot opens:
• Ballot closes:

To Do post May 2019 Montreal connectathon

• CatalogEntry - add estimatedDuration 0..1 Duration Estimated duration of orderable item -> tracker 21244)
• SpecimenDefinition - add singleUse 0..1 boolean as sub-element of SpecimenDefinition.typeTested -> tracker 21251
• SpecimenDefinition - Add testingDestination 0..* CodeableConcept where the specimen will be tested: lab, sector, device or any combination of these. -> tracker 21287
• SpecimenDefinition - conformance to the Definition pattern -> tracker 22644 DONE (François, Rob)
• ObservationDefinition - conformance to the Definition pattern + add more properties from Observation. -> tracker 22643 DONE (François, Rob)

To Do for May 2019 connectathon in Montreal

• ActivityDefinition:
  • Allow an activity to reference sub-activities -> RT 20406 pushed back by CDS in April 2019. Tracker withdrawned. An ActivityDefinition represents an atomic activity.
  • Allow specimen requirements to combine multiple specimens with logical AND (all present in the list), as well as with logical XOR (only one in the list) -> RT 20553 to be approved by CDS (Claude to follow-up)
• SpecimenDefinition
  • Define operation $apply to generate instance of Specimen conforming to the content of SpecimenDefinition -> RT 20554 and SpecimenDefinition spreadsheet format updated. To be approved by the group and by OO

To Do post September Connectathon

• ObservationDefinition:
  • Change datatype of the last 4 elements (validCodedValueSet, normalCodedValueSet, ...) from uri to Reference(ValueSet) -> RT 18995 DONE
  • Clarify definition of qualifiedInterval ("Qualified range for continuous and ordinal observation results") -> RT 17429 DONE (changed mapping from OM-2 to OM2-6)
• CatalogEntry
  • Complement V2 mappings to the MFE segment -> RT 18996
  • Update the whole content per the decisions made during the December 12 catalog call -> RT 19783 DONE (thanks to Rob for the build)
• SpecimenDefinition: --> All items below DONE (thanks to Rob for the build)
  • change patientPreparation from string 0..1 to CodeableConcept 0..*. An example value set is: < 703763000 |Precondition value (qualifier value)| from SNOMED CT. Multiple pre-conditions or preparations can be specified, hence the cardinalities 0..*. In case there is no coded concept, the text element of CodeableConcept can be used. --> RT 19419
  • Correct value set of container.type to: < 706041008 |Device for body fluid and tissue collection/transfer/processing (physical object)| SNOMED CT --> RT 19422
  • Provide value set for container.material (glass, plastic, metal ... see Specimen DAM) --> RT 19425
  • Provide value set for collection (binding strength Example) --> RT 19426
  • Sometimes, the minimum volume may appear as a textual instruction. Therefore change minimumVolume from SimpleQuantity to a choice {SimpleQuantity, string} --> RT 19423
  • Challenge the usefulness of isDerived boolean element. In V2 OM4-2 “Derived specimen” uses table 0170 to specify whether the specimen is parent (e.g. blood culture) or child (e.g. pure colony isolate). Do we really need this element in SpecimenDefinition?
• Coverage on examples: François provided for SpecimenDefinition and ObservationDefinition. Needed for other kinds of catalogs (medications, devices)
• we should discuss Human Services use cases - look at our example use cases --> NEED TO ASSIGN TO SOMEONE
• Profile on ActivityDefinition (NEED TO ASSIGN TO SOMEONE AFTER SEPT) --> François

To Do for September Connectathon

• rename EntryDefinition to CatalogEntry --> DONE by Claude
• Add scope and boundary text to resource -- DONE by Claude
• Relationships from Activity Definition to SpecimenDefinition and ObservationDefinition --> DONE by Bryn
• Tracker items from ballot - François prepared proposed resolutions for block vote. --> DONE
• review value set bindings and definitions (François to do) --> DONE, review the proposals in the Post September Connectathon section above.
• review relationship types in Catalog Entry (François to do): remove has-input, has-output and uses from the list --> DONE
• ObservationDefinition cleanup:
  • Replace Coding by CodeableConcept on category and code --> DONE
  • Add element identifier (discovered as useful for Quest, and probably to most labs for internal identifier) --> DONE
  • I think element permittedDatatype should be of type code, with fhir value-set {quantity, time, string, CodeableConcept, ...etc) (Waiting to get core value set reference from Lorraine) --> DONE
  • Correct value set binding of qualifiedInterval.category: This is not a category of observation. An example value set would be: {"reference", "critical", "absolute"} --> DONE
  • Fix definitions for qualifiedInterval.category and qualifiedInterval.type (Actually, review all definitions for clarity and completeness) (FRANCOIS) --> DONE, see left over in section "Post September Connectathon" above.
  • qualifiedInterval.range: Correct the description from "Low bound of reference range, if relevant" to "range of the interval", also changed long description --> DONE
• SpecimenDefinition: Apply resolutions of trackers listed here --> DONE
• Connectathon proposal
  • François to flesh out use cases with Quest --> DONE
• Claude to re-set up to add to build --> DONE

Done Items (June)

• EntryDefinition: Rename purpose (1..1, CodeableConcept) to orderable (1..1, boolean) ---> Done!
• EntryDefinition.status: Change datatype from CodeableConcept to code, change cardinality to 1..1, and assign FHIR value set PublicationStatus(required), (values: draft | active | retired | unknown). ---> Done!
• EntryDefinition.relatedEntry.relationType: Change datatype from CodeableConcept to code, and define FHIR value set (required) with these values:
  • has-input: the related entry represents an item to be provided as input to the current item
  • has-output: the related entry represents an item produced as out put of the current item
  • uses: the related entry represents an item (product or material or substance) used by the current item
  • triggers: the related entry represents an activity that may be triggered by the current item
  • is-replaced-by: the related entry represents an item that replaces the current retired item

---> Done! Thanks Jose!

To Do Items for June

• ObservationDefinition: various corrections
  • Correct datatype of elements category and code: from Coding to CodeableConcept
  • bind category to value set http://hl7.org/fhir/ValueSet/observation-category (preferred)
  • Correct datatype of element permittedDataType from Coding to code, with the binding to the FHIR value set {Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period} (required)
  • Correct the definition of ObservationDefinition.qualifiedInterval from "Reference range for ordinal and continuous observations." to "Reference range for ordinal and quantity measurement observations."

EntryDefinition.type: Assign value set. The content of type represents the type of resource referenced by referencedItem (Medication, Device, Observation, ActivityDefinition, ...) How can we enforce that? [NOTE: WE DECIDED TO DEFER THIS UNTIL WE HAVE A CONCRETE USE CASE THAT WARRANT ITS USE.]

• ActivityDefinition timingTiming (Timing) - confirm ability to carry a performance schedule as in eDos ---> Done!
  • an example of a performance schedule is "every Monday & Wednesday"
  • Yes, this is confirmed. The datatype Timing supports quite complex performance schedules, if needed.

Other to dos

• Review all value sets and value set bindings
  • Add Knowledge Artifact and Order Set to the value set for type
  • review relationshipType value set - also look at similar one from Task
• Review element definitions
• Add search parameters to each resource - see connectathon report for suggestions for EntryDefinition
• Prepare design summary in preparation for meeting with Lloyd
• Add examples from connectathon to build
• Review and prepare dispositions for comments from January ballot

Items for Future Cycles

Define Implementation Guide resource and content to contain the appropriate StructureDefinitions and Resources