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2016-11-17 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

Date: 2016-MM-DD
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
Danielle Friend Epic
X Eric Haas Haas Consulting
Rob Hausam Hausam Consulting LLC
Laura Heermann-Langford Intermountain Healthcare
Emma Jones Allscripts
X Russ Leftwich InterSystems
Tony Little Optum 360
Jay Lyle Ockham Information Services LLC, VA
Sarah Maulden VA
Hank Mayers ReliaTech Consulting
Jim McClay Univ of Nebraska Medical Center
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 Lockheed Martin, 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
X Clem McDonald National Library of Medicine
X Joe Quinn Optum
X Ian Bull Optum
Quorum Requirements Met: yes


Agenda Topics

  1. Agenda review
  2. Approve previous meeting minutes 2016-11-10_Patient_Care_FHIR_Call
    • Motion: Stephen/Joe
  3. gForge change request
    • Updated timelines and backlog review
    • Discuss/vote on pre-applied changes (including a few proposed revised resolutions)
    • Discuss Clem's in person tracker items
    • Decide whether to spend remaining time on allergy or care plan (both will be used by IGs balloting in the January ballot, so today is the *last* day to resolve changes for the Jan ballot)

Supporting Information

STU 3 Timeline

From FHIR_Ballot_Prep

  • Sun. Nov. 27 Ballot substantive resource freeze (prioritize resources that IGs will be based on)
  • Sun. Dec. 4 Ballot total freeze
  • Sun. Dec. 9 (or a day or two earlier) Freeze released - all changes allowed
  • Sun. Feb. 5 Ballot reconciliation deadline - All ballot comments must be reconciled, tracker issue report must be clean
  • Sun. Feb. 19 Publication substantive resource freeze
  • Sun. Feb 26 Publication total freeze
  • Mon. Feb 27 QA period opens
  • Tue. Feb 28 FMM QA spreadsheet updated for all WG resources
  • Sun. Mar. 13 QA period closes
  • Sun. Mar. 20 All QA applied

The "following week" STU 3 is published!

FHIR Maturity Levels

[1] Level 3 requires the artifact has been verified by the work group as meeting the DSTU_2_QA_guidelines and has been subject to a round of formal balloting; has at least 10 implementer comments recorded in the tracker drawn from at least 3 organizations resulting in at least one substantive change

Current FMM Level Goal FMM Level QA Status QA Reviewer Implementation Comments
AllergyIntolerance 1 3 Michelle Argonaut
Condition 2 3 Michelle Argonaut
Procedure 1 3 Michelle Argonaut
CarePlan 1 3 Michelle Argonaut
Goal 1 3 Michelle
QuestionnaireResponse 2 2 Lloyd Lloyd will QA to get to level 3
Questionnaire 0 2 Lloyd Lloyd will QA to get to level 3
CareTeam 0 2 NA Michelle Aggressive goal (e.g. whether we'll get the implementations needed)
FamilyMemberHistory 1 2 NA NA Aggressive goal (e.g. whether we'll get the implementations needed)
ClinicalImpression 0 1 NA NA
ReferralRequest 1 1 NA NA
ProcedureRequest 1 1 NA NA
Linkage 0 1 NA NA
Flag 1 1 NA NA
Communication 1 1 NA NA
CommunicationRequest 1 1 NA NA

Note: Bold denotes top 20 resource based on survey
Note: Contraindication and Risk Assessment are owned by CDS, not Patient Care


Prior Action Item Follow-up

gForge Change Requests

FHIR Publication / Backlog Status

  • 44 unresolved tracker items (39 ballot + 5 high maturity resource non-ballot comments)
    • 18 requested input from vocab (value set related ballot comments)
    • 7 waiting for input
    • 5 waiting to be scheduled (joint with OO or in person requests)
    • 14 ready for discussion during our weekly conference call
  • 24 Resolved - Change Request tracker items
    • 20 ballot or high maturity resource (+ 4 non-ballot, non-priority resource)
    • 9 are substantive (+ 15 are non-substantive)
      • 5 related to new extensions/profiles
      • 2 workflow patterns
      • 1 is pre-applied pending revised resolution
      • 1 populate structure

In Person (Pending Schedule)

In Person Requests -- in the process of being scheduled

Joint with OO -- in the process of being scheduled

Feedback on prior resolutions - may need to revisit when Rob McClure can attend.





Clem McDonald In Person


Backlog - Ready to Discuss in Subsequent Calls

Resources with higher maturity - target FMM Level 3


CarePlan / Goal



Questionnaire / QuestionnaireResponse

Care Team


FamilyMemberHistory List


Adjourned at 6:45pm Eastern.

Meeting Outcomes

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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