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2016-04-21 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: 2016-04-21
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
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
X Lisa Nelson Life Over Time Solutions
X Viet Nguyen Systems Made Simple
X M'Lynda Owens Cognosante
Craig Parker Intermountain Healthcare
Scott Robertson Kaiser Permanente
X Simon Sum Academy of Nutrition and Dietetics
Iona Thraen Dept of Veterans Affairs
X Anita Walden Duke
X Brian Peck Epic
Dr Ed Hammond, Ph.D. Duke
Helton, Edward (NIH/NCI)
Jose Costa Teixeira
Julie James
Mead Walker
Minaei, Behnaz (FDA/CDRH)
Reeves, Dianne (NIH/NCI)
X Rik Smithies
X Rocca, Mitra (FDA/CDER)
Terrillion, Susan (AHRQ/CQuIPS)
X Raquel Bartz Duke
X Rashedul Hasan
Quorum Requirements Met: yes


Agenda Topics

  1. Agenda review
  2. FHIR Adverse Event discussion with RCRIM
  3. Profiling Care Plan
  4. Prior Action Item Follow-up
  5. gForge change request
  6. QA Guidelines

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


FHIR Adverse Event discussion with RCRIM

Elaine shared AdverseEvent_FHIR_Resource_Proposal

FHIR resource must meet FDA requirements for regulatory reporting

V3 ICSR supports both regulatory adverse event reports as well as other types of occurrence reporting based on input of patient safety interests.

FDA noted that the V3 ICSR is an ISO standard.

CBER (FDA), EMA and Japan all using V3 ICSR by 2017 for drugs and biologics.

FDA would like to create a MedWatch form using FHIR. The form would be mapped to FHIR.

In addition the CADSR is mapped to ICSR.

The Structured Data Capture Adverse Event creates population forms using ICSR concepts. These forms were tested in the last IHE Connectathon.

Lisa Nelson shared HL7 v3 DAM (Adverse Reaction) - When AdverseReactionObservation is specific to medication/substance administration, we would need the ability to link a medication administration to an adverse event (how to do so will be determined later)

Will this be a "simple" resource or a more "complex" resource (like CarePlan) that references a lot of other resources? Likely more complex; an aggregation or wrapper of other information/resources; will require additional analysis.

The group will meet next in Montreal, Tuesday Q3.

Profiling Care Plan

Background: IHE profiling care plan; dynamic care plan is a longitudinal care plan that may reference other care plans
CDA has relationships between HealthConcerns, Goals, Interventions

Reviewed search parameters, which included a few at the activity level. Discussed that supports "Add additional operations or search parameters not in the base specification (using the OperationDefinition resource or the SearchParameter Resource"

Prior Action Item Follow-up

Michelle flipped a couple gForge statuses back to Triaged where input was provided (specifically, those listed below under gForge Change Requests).

gForge Change Requests

Will discuss next week, ran out of time to discuss on April 21

QA Guidelines

Will discuss next week, ran out of time to discuss on April 21


Adjourned at 6:29PM Eastern

Meeting Outcomes

  • Input from Viet, Russell, and Rob on Michelle's drafted ClinicalNote_FHIR_Resource_Proposal
  • Daniel Lanphear (submitter of gForge 8458) to draft new resource proposal for transfusion.
  • 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 for both April 21 and April 14
    • Motion: <moved>/<seconded> Abstain - <#>, Negative - <#>, Approve - <#>
  3. gForge change request

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