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Difference between revisions of "20170425 OO FHIR conCall"

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(Created page with "{|border="1" cellpadding="2" cellspacing="0" | width="0%" colspan="2" align="left" style="background:#f0f0f0;"|'''HL7 OO on FHIR (for Orders and Observations)''' <br/> '''Cal...")
 
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'''Call in details: <br>Phone: +1 770-657-9270, Passcode: 398652 '''<br/>
 
'''Call in details: <br>Phone: +1 770-657-9270, Passcode: 398652 '''<br/>
 
'''Join the meeting at: <br>https://join.me/vernetzt.us''' <br/>
 
'''Join the meeting at: <br>https://join.me/vernetzt.us''' <br/>
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| width="0%" colspan="1" align="left" style="background:#f0f0f0;"|'''Date: 2017/04/06'''<br/> '''2015 - 02:00 PM (Eastern Time, GMT -04 DST)'''
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| width="0%" colspan="1" align="left" style="background:#f0f0f0;"|'''Date: 2017/25/06'''<br/> '''2015 - 02:00 PM (Eastern Time, GMT -04 DST)'''
 
|-
 
|-
 
|colspan="3" align="center" style="background:#f0f0f0;"| Quorum = chair + 4 '''no'''
 
|colspan="3" align="center" style="background:#f0f0f0;"| Quorum = chair + 4 '''no'''
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|||Lloyd McKenzie
 
|||Lloyd McKenzie
 
|-
 
|-
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|X||Rob Hausam
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|||Rob Hausam
 
|-
 
|-
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|||Andrea Pitkus
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|X||Andrea Pitkus
 
|-
 
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|||Francois Marcary
 
|||Francois Marcary
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|||Todd Cooper
 
|||Todd Cooper
 
|-
 
|-
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|||Cindy Johns
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|X||Elliot Silver
 
|-
 
|-
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|||Bob Miius
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|X||Brad Genereaux
 
|}
 
|}
 
== ==
 
== ==
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*Agenda
 
*Agenda
  
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# Trackers for DiagnosticReport.
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'''review of valueAttachement and Media resoources'''
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## [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9433 9433] Observation.issued and DiagnosticReport.issued  (deferred)
 
−
## [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12240 12240] update micro+susceptibilty examples
 
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## [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13169 13169] change performer role binding to v3 partiicpation type with strength of extensible
 
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# Review what missing from use cases and keeping this resource from progressing to FMM = 4
 
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  e.g.,  how to represent complex AP reporting using DR vs other options.
 
  
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=== Tracker 13169 ===
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The value of Media resource is the clinical context vs a naked Binary resource (has zero context).  Its Scope is audio, picture and movies and does not include documents which are handling by DocumentReference.  Also Attachment is datatype and can be used in Observation.valueAttachment.
  
−
Since only RH and I present, decided to focus on vocab related tracker
+
The Boundaries are not clear when to use:
  
−
From original GForge that triggered the performer type identified:
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*Pictures
−
 
+
** Obs.valueAttachment vs Media vs Binary
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# responsible
 
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# author
 
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# verifier
 
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# etc.
 
−
 
 
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From V3 participation type code system have
 
−
 
 
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* RESP responsible party
 
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* AUT author (originator)
 
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* VRF verifier
 
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Propose create as a starter  valueset as extensible
 
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Rob to start chat on Zulip to clarify the FHIR-wide guidelines for using V3 codes vs creating friendlier FHIR codes.
 
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See [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13169 notes] in tracker.
 
−
 
 
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=== Looking at categoy codes in ProcedureRequest vs DiagnosticReport vs Observation ===
 
−
 
 
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Issue raised by Grahame re the ProcedureRequest.category codes and suggested that they should be more like Observation.category.
 
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[[file:compare-cat.png|Compare categories]]
 
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See comparison chart excel here: [[media:compare-cats.xlsx]]
 
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DR and Obs should be the same - existing tracker [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11963&start=0 #11963]
 
−
 
 
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Looking at procedure categories on Google led to ICD-10PCS and CPT which were not helpful.
 
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Need to establish the use case for why the procedure category would change operational behavior? It was introduced as part of merging DiagnosticOrder and ProcedureRequest to enable backwards compatability and if there was a need to differentiate the orders.  It is also useful for searching.
 
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=== AP Reporting ===
 
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See example report
 
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Options:
 
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# DR.presentedForm as pdf etc
 
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#* simplest
 
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#* unstructured
 
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# Sections in Composition ( ie a static document )
 
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# Create and reference Observations in DR.results
 
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#* Possibly narrative-only or .valueString
 
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#* LOINCs...
 
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# New elements in DR
 
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#* Draft mappings to see gaps in DR and what is needed
 
  
 +
*Pdfs
 +
** Obs.valueAttachment vs DocRef vs Binary
  
  
 +
'''Next step''': Profiling Media as Observation to review in follow-up
  
  
 +
Help decide whether Media is Imaging or OO owned resource
  
  

Revision as of 19:10, 25 May 2017

HL7 OO on FHIR (for Orders and Observations)

Call in details:
Phone: +1 770-657-9270, Passcode: 398652
Join the meeting at:
https://join.me/vernetzt.us

Date: 2017/25/06
2015 - 02:00 PM (Eastern Time, GMT -04 DST)
Quorum = chair + 4 no


Co chairs Chair Notetaker
Riki Merrick
Rob Hausam X
Lorraine Constable
Patrick Lloyd
Ken McKaslin
Hans Buitendijk


Attendees
X Eric Haas
Riki Merrick
Hans Buitendijk
Jose Costa-Teixicara
Dan Rusk
Jonathan Harber
David Burgess
Lloyd McKenzie
Rob Hausam
X Andrea Pitkus
Francois Marcary
Robert Dieterle
Marti V
Ron Shapiro
Kathy Walsh
Todd Cooper
X Elliot Silver
X Brad Genereaux

  • Roll Call
  • Agenda

review of valueAttachement and Media resoources

The value of Media resource is the clinical context vs a naked Binary resource (has zero context). Its Scope is audio, picture and movies and does not include documents which are handling by DocumentReference. Also Attachment is datatype and can be used in Observation.valueAttachment.

The Boundaries are not clear when to use:

  • Pictures
    • Obs.valueAttachment vs Media vs Binary
  • Pdfs
    • Obs.valueAttachment vs DocRef vs Binary


Next step: Profiling Media as Observation to review in follow-up


Help decide whether Media is Imaging or OO owned resource



Back to OO_on_FHIR

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