2015-11-05 Patient Care FHIR Call
Contents
Meeting Information
| Patient Care FHIR Resources Conference Call Location: Conference Call |
Date: 2015-11-05 Time: 5-6:30pm ET | ||
| Facilitator | Michelle M Miller | Note taker(s) | Michelle M Miller |
| Attendee | Name | Affiliation
| |
| X | Elaine Ayres | NIH/Department of Clinical Research Informatics | |
| X | Stephen Chu | ||
| Eric Haas | Haas Consulting | ||
| X | Rob Hausam | Hausam Consulting LLC | |
| X | Laura Heermann-Langford | Intermountain Healthcare | |
| X | Emma Jones | Allscripts | |
| X | Russ Leftwich | InterSystems | |
| X | Jay Lyle | Ockham Information Services LLC, VA | |
| Jim McClay | Univ of Nebraska Medical Center | ||
| X | Russell McDonell | Telstra Health | |
| X | Lloyd McKenzie | Gevity (HL7 Canada) | |
| X | Larry McKnight | Cerner | |
| X | Michelle M Miller | Cerner | |
| Lisa Nelson | Life Over Time Solutions | ||
| Viet Nguyen | Systems Made Simple | ||
| Craig Parker | Intermountain Healthcare | ||
| X | Simon Sum | Academy of Nutrition and Dietetics | |
| Iona Thraen | Dept of Veterans Affairs | ||
| X | Farrah Darbouze | Office of the National Coordinator for Health IT | |
| X | Perri Smith | ||
| X | Vijay Shah | JBS International | |
| X | Jenny Brush | ||
| X | Lauren Caruso | ||
| Quorum Requirements Met: yes | |||
Agenda
Agenda Topics
- Agenda review
- Approve previous meeting minutes: 2015-10-29_Patient_Care_FHIR_Call
- Motion: Stephen/Elaine Abstain - 5, Negative - 0, Approve - 9
- SDC
- Prior Action Item Follow-Up
- gForge change request
Supporting Information
DSTU 2.1 Timeline
FHIR Resources owned by Patient Care
- AllergyIntolerance (1) -- frozen
- Procedure (1) -- frozen
- Questionnaire (1)-- potential normative candidate
- Questionnaire Answer (1)-- potential normative candidate
- Condition (1) -- possible normative only if it doesn't have substantive changes after working through health concern, negation, and alignment with OpenEHR
- CarePlan (1) -- probably not enough wide spread implementation to be considered normative, but Lloyd will check with community to see if there are any planned implementations coming up in the next 18 months
- Goal (1) -- probably not enough wide spread implementation to be considered normative
- Referral Request (1)-- probably not enough wide spread implementation to be considered normative
- FamilyMemberHistory (2) genomics / Jonathan Holt – Vanderbilt - interested in contributing to this resource -- possible normative, but may not have wide spread implementation to be considered normative
- Procedure Request (2)
- Flag (2)
- ClinicalImpression (3)
- Communication (3)
- CommunicationRequest (3)
Note: Contraindication and Risk Assessment are owned by CDS, not Patient Care
Note: Substantive changes to frozen resources in DSTU2.1 are prohibited unless FMG explicitly approves the substantive change
Minutes
SDC
SDC is socializing the SDC FHIR profile to raise visibility prior to upcoming (January) connectathon.
It is possible to query for all questionnaires.
There is a DataElement resource in FHIR, so data element registry could be (and is within SDC profile) a FHIR server that allows both maintenance of data elements as well as ability to query them. When form designer is authoring forms, load data elements that exist and reference in forms.
DataElement is currently defined to allow complex data elements (data elements with multiple components), so you can talk about multiple data elements tied together in context of a larger data element. For simple data types there will only be one repetition of DataElement.element. For complex data types, multiple repetitions of DataElement.element will be present defining a nested structure using the "path" element. Patient Care asked for some examples.
Some data elements, such as laterality (left), don't stand alone.
When XML is passed, then responsibility on EHR to render and display properly. Some vendors might prefer getting HTML file. Add to profile.
Questionnaire references value set, which can have extensions for the context specific display
Prior Action Item Follow-Up
Adverse Event
Elaine has a draft resource proposal for AdverseEvent inspired by the ISO 27953 standard for Adverse Event
Elaine asked whether Patient Care should be the owner. Other interested work groups: RCRIM, Pharmacy, CDS, Public Health, Emergency Health
AdverseEvent is broader than just regulatory, but the focus is administrative reporting function more so than a clinical care process. Breadth will span governmental/regulatory, clinical trials reporting, and internal safety management processes. Patient Care already has a lot of content, so Lloyd's FMG leaning is to bring in additional work groups to help with content -- and it is fairly well defined.
Elaine can forward to RCRIM, but they might need some guidance given their experience with FHIR. RCRIM developed v3 resource.
Jay/Elaine moved to ask RCRIM to own AdverseEvent: Abstain-0, Negative-0, Approved-11
Stephen suggested referencing the WGM meeting minutes and presentation, which RCRIM attended
Is there a current PSS for Patient Care to do FHIR work? Stephen did one for Referrals. Elaine/Jay thought there was a broader one, but didn't know terminal point.
Based on existing v3 standard.
Individual Case Safety Report (ICSR): limited scope (administration or use of one or more products or substances)
Individual Occurrence Report (IOR): Elaine's name for broader scope (falling out of bed, slipping on a wet floor, inappropriate use of restraints)
CDC is another content source.
Negation
Stephen and Rob will build out the Representing_Negation, but need to consider a better name than negation. Suggested alternative name is exclusion instead of negation
Next step: contribute examples to Representing_Negation
gForge Change Requests
http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8986 -- Problem statement: currently, group will either ONLY contains groups or questions; many questionnaires have both questions and groups; can't repeat an element that has a choice of data types; instead, need to have nesting structure that is either a question or group; need a way to support pictures/images; where is the title and code for questionnaire (inside first group);
Adjourn
Adjourned at 6:52 pm Eastern Time
Meeting Outcomes
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