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2016-02-25 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: 2016-02-25
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
X Eric Haas Haas Consulting
X Rob Hausam Hausam Consulting LLC
Laura Heermann-Langford Intermountain Healthcare
X Emma Jones Allscripts
X Russ Leftwich InterSystems
X Jay Lyle Ockham Information Services LLC, VA
Sarah Maulden 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
Scott Robertson Kaiser Permanente
Simon Sum Academy of Nutrition and Dietetics
Iona Thraen Dept of Veterans Affairs
Quorum Requirements Met: yes


Agenda Topics

  1. Agenda review
  2. Approve previous meeting minutes: 2016-02-18_Patient_Care_FHIR_Call
    • Motion: Jay/Russ Abstain - 2, Negative - 0, Approve - 6
  3. Prior Action Item Follow-up
  4. RCRIM - Adverse Event resource update
  5. gForge change request

Supporting Information

FHIR Resources owned by Patient Care
Maturity levels [1]

  • Questionnaire (2) -- Lloyd will QA to get to 3
  • Questionnaire Response (2) -- Lloyd will QA to get to 3
  • Condition (2)
  • AllergyIntolerance (1) -- Rob
  • Procedure (1)

Connectathon candidates

  • CarePlan (1)
  • Goal (1)
  • Referral Request (1)
  • FamilyMemberHistory (1)

Lower priority resources

  • Procedure Request (1)
  • Flag (1)
  • ClinicalImpression (0) -- goal to move to level 1 by next release
  • Communication (1)
  • CommunicationRequest (1)

Note: Contraindication and Risk Assessment are owned by CDS, not Patient Care


Prior Action Item Follow-up

ClinicalNote_FHIR_Resource_Proposal is started, but not ready for discussion/review just yet.

CareTeam_FHIR_Resource_Proposal -- approved by FMG

  • we could make the Care Team participant have a choice of Organization, which represents a group/team of reusable practitioners

Adverse Event

FMG asked for more input on the relationships between existing resources and the new resource proposal (adverse event) ICFR - used by FDA for all adverse event reporting; FDA resources are leaving and wouldn't be continuing their work. Next RCRIM meeting next Tuesday. RCRIM hasn't done any FHIR work to date, so this is new to them. Do we want to continue the development of this resource (using current v3 standard) without FDA involvement?

Lloyd is aware of a couple implementers who have asked for it, but not sure on the urgency. Lloyd recommends waiting on FDA to see if they can identify alternative resources to help move this forward.

gForge Change Requests

gForge 9428
gForge 9429 - Questionnaire
gForge 8490 - Goal


Adjourned at 6:46PM Eastern

Meeting Outcomes

  • Michelle to contact Daniel (submitter of gForge 8458) for his input on new resource proposal
  • Michelle to draft new Care Team resource
  • Michelle to include link to new resource request proposals with meeting minutes (so others can contribute/review the Clinical Note proposal)
Next Meeting/Preliminary Agenda Items
  1. Agenda review
  2. Approve previous meeting minutes
    • Motion: <moved>/<seconded> Abstain - <#>, Negative - <#>, Approve - <#>
  3. gForge change request

Note: March 17 - HL7 FHIR Structured Data Capture Initiative will share their progress, accomplishments, and plan

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