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2016-03-17 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: 2016-03-17
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
Stephen Chu
X Eric Haas Haas Consulting
X Rob Hausam Hausam Consulting LLC
Laura Heermann-Langford Intermountain Healthcare
X Emma Jones Allscripts
Russ Leftwich InterSystems
Jay Lyle Ockham Information Services LLC, VA
Sarah Maulden VA
Jim McClay Univ of Nebraska Medical Center
X Russell McDonell Telstra Health
Lloyd McKenzie Gevity (HL7 Canada)
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
X Vijay Shah JBS International
X Brian Postlethwaite Health Connex
X Lauren Caruso
X Farrah Darbouze
X Amit Popat Epic
Quorum Requirements Met: yes


Agenda Topics

  1. Agenda review
  2. Approve previous meeting minutes: 2016-03-10_Patient_Care_FHIR_Call
    • Motion: Emma/Brian Abstain - 5, Negative - 0, Approve - 2
  3. Prior Action Item Follow-up
    • Care Team resource review
    • Condition vs Observation Boundaries
  4. 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

Care Team

Review new CareTeam [2] resource gForge 9261


  1. add status (code data type) to support active, suspended, inactive, and entered in error (0..1), required binding to value set
  2. change patient to subject, which supports either a Patient or Group (group therapy/treatments, marriage therapy) -- this is supported on the CarePlan
  3. keep participant 0..*
  4. add managingOrganization (reference to Organization) 0..1
  5. OK to keep scope that a care team can be encounter specific, but the encounter.participant is not the care team
  6. In the scope, include that CareTeam is a planning resource.
  7. CareTeam is a planning resource, so the Encounter should reference both the participant(s) as well as the CareTeam. The CareTeam doesn't need a reference to Encounter.
  8. In boundaries, include CareTeam is referenced by Encounter, EpisodeOfCare, and CarePlan
  9. Rename category to CareTeam.type -- Rob will help with the value set, example binding
  10. Search parameters should include identifier, status
  11. Update short description of name to include example "crisis assessment team"

Observation vs Condition Boundaries

Michelle solicited implementer feedback/capabilities [3] on 3/10 regarding Observation vs Condition gForge 8872

Questionnaire Extensions

Lloyd solicited implementer feedback [4] on 3/13 regarding Questionnaire extensions to move to core resource per gForge 9430

SDC Update

Farrah, Lauren, and Vijay from SDC provided an update. SDC Overview for Patient Care


Adjourned at 06:35 PM Eastern

Meeting Outcomes

  • Input from Viet, Russell, and Rob on Michelle's drafted ClinicalNote_FHIR_Resource_Proposal
  • Elaine will email FHIR listserv for volunteers/implementers available/interested in helping with AdverseEvent
  • Daniel Lanphear (submitter of gForge 8458) to draft new resource proposal for transfusion.
  • Michelle to contact Lisa Nelson for input on CareTeam
  • Rob to help fill in value sets for CareTeam status and type

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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