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2015-11-12 Patient Care FHIR Call

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Meeting Information

Patient Care FHIR Resources Conference Call

Location: Conference Call
Phone Number: +1 770-657-9270
Participant Passcode: 943377
Live Meeting:

Date: 2015-11-12
Time: 5-6:30pm ET
Facilitator Michelle M Miller Note taker(s) Michelle M Miller
Attendee Name Affiliation

Elaine Ayres NIH/Department of Clinical Research Informatics
X Stephen Chu
Eric Haas Haas Consulting
X Rob Hausam Hausam Consulting LLC
Laura Heermann-Langford Intermountain Healthcare
Emma Jones Allscripts
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)
Larry McKnight Cerner
X Michelle M Miller Cerner
Lisa Nelson Life Over Time Solutions
X Viet Nguyen Systems Made Simple
Craig Parker Intermountain Healthcare
X Simon Sum Academy of Nutrition and Dietetics
Iona Thraen Dept of Veterans Affairs
Scott Robertson Kaiser Permanente
X Sarah Maulden VA
Quorum Requirements Met: yes


Agenda Topics

  1. Agenda review
  2. Approve previous meeting minutes: 2015-11-05_Patient_Care_FHIR_Call
    • Motion: Rob/Jay Abstain - 3, Negative - 0, Approve - 4
  3. Prior Action Follow-up
  4. 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


Prior Action Item Follow-up

Elaine said that RCRIM did not meet as scheduled this week, so she was unable to review the Adverse Event FHIR resource proposal with them. She will try again for their next meeting.

MnM did not meet last week.


The PCWG FHIR DSS has a tentative end date of May 2015, but a motion was approved to extend it through end of 2017.
Jay/Russell: Abstain - 0, Negative - 0, Approve - 7

gForge Change Requests

Questionnaire Change Requests

gForge 8986

  • group implies no answer, but MUST have child items/questions (invariant)
  • display implies no answer, and NO child items (invariant)
  • question implies there could be an answer, and could have child items

gForge 8849

  • no longer applicable (see prior change request 8986)

gForge 8762

  • common extension

gForge 8798

  • example questionnaire that fills out family history profile instance -- automatically move data + profile that the questionnaire should be validated against post-extraction; as well as ongoing alignment testing (update profile, do questionnaire need any changes made?)

gForge 8800

  • example: managing capturing of data, using form based user interface (e.g. encounter's reason for visit, but condition doesn't exist yet)
  • parent questionnaire could open a second (child) questionnaire to create resource that didn't initially exist (e.g. to fill out and submit a new condition)
  • extension to support cascading questionnaires

gForge 8906

  • extension for category, but change cardinality to allow repeating

gForge 9044

  • Lloyd will talk with Grahame about this change request (no vote yet)


Adjourned at 6:33pm Eastern

Meeting Outcomes

  • Jay will look into extending the PCWG FHIR PSS to end of 2017
  • Elaine will ask RCRIM to own Adverse Event
  • Lloyd will solicit feedback from implementer community on which resources should be prioritized and who has plans to implement care plan
  • Lloyd will talk to MnM about the possibility of renaming notes to annotation
  • Everyone is invited to contribute examples to the Representing_Negation
Next Meeting/Preliminary Agenda Items
  1. Agenda review
  2. Approve previous meeting minutes
    • Motion: <moved>/<seconded> Abstain - <#>, Negative - <#>, Approve - <#>
  3. gForge change request

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