2016-04-14 Patient Care FHIR Call
Contents
Meeting Information
| Patient Care FHIR Resources Conference Call Location: Conference Call |
Date: 2016-04-14 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 | |
| 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) | |
| Larry McKnight | Cerner | ||
| X | Michelle M Miller | Cerner | |
| Lisa Nelson | Life Over Time Solutions | ||
| X | Viet Nguyen | Systems Made Simple | |
| M'Lynda Owens | Cognosante | ||
| 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
Agenda Topics
- Agenda review
- Approve previous meeting minutes 2016-04-07_Patient_Care_FHIR_Call
- Motion: Elaine/Emma Abstain - 0, Negative - 0, Approve - 4
- Prior Action Item Follow-up
- Work Group Meeting Agenda
- Negation update
- 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
Minutes
Prior Action Item Follow-up
- Michelle updated CareTeam scope to clarify "CareTeam can be acted upon (e.g. CommunicationRequest), but the CareTeam isn't an actor".
- AdverseEvent - RCRIM meeting coming up. Elaine has a dedicated group formed. Does Patient Care want to preview straw man resource before WGM (Tues Q3)? Elaine will check with the group and then get back to Michelle with a proposed date (if any). AdverseEvent_FHIR_Resource_Proposal exists, and she will start a wiki page under RCRIM to compile past discussions. ONC may also be working on AdverseEvent, too.
WGM Agenda
- Emma and Stephen are compiling the agenda
Negation Update
Rob provided an update on TermInfo, which is focused on a recommendation for AllergyIntolerance. How much consistency across resources? Will aim for broad applicability, with exceptions where warranted. TermInfo discussed name of "exclusion" vs "negation". OpenEHR uses "exclusion". Next step is to seek additional input to define "negation" vs "exclusion". Regarding AllergyIntolerance:
- one code (renamed from substance) using terminology to differentiate
- two code elements
- value + modifier
- positive statement + negated statement
- different resources
Jay leading the negation requirements call. May need to look at metrics of how often transformation is needed for each option.
Risks and safety concerns apply to all options.
Freetext is what causes the most concern about how to differentiate between affirmative statements vs negated statements.
Don't focus on user interface. FHIR can't fix existing workflows.
Wed Q4 - allergy session - sync with Elaine to see if negation is on the agenda?
Tues Q4 - general negation topic planned
Mon Q4 - TermInfo/Vocab - may also discuss
gForge Change Requests
Create examples that are principally narrative http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9795
Procedure.used http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9821
Adjourn
Adjourned at 06:28 PM Eastern
Meeting Outcomes
Actions
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Next Meeting/Preliminary Agenda Items
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