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20160519 OO FHIR conCall

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HL7 OO on FHIR (for Orders and Observations)

Call in details:
Phone: +1 770-657-9270, Passcode: 398652

Join the meeting at:
https://join.me/vernetzt.us

Date: 2016/05/19
2015 - 02:00 PM (Eastern Time, GMT -04 DST)
Quorum = chair + 4 no


Co chairs Chair Notetaker
Riki Merrick
Rob Hausam
Lorraine Constable
Patrick Lloyd
Ken McKaslin
Hans Buitendijk


Attendees
X Eric Haas
Riki M
X Hans Buitendijk
Jose Costa-Teixicara
Dan R
X Jonathan Harber
Kamalini
X Lloyd McKenzie
X Rob Hausam
X Andrew Quinn

  • Update on SDC on FHIR (Lloyd)
    • 2 parallel guide
      1. Questionnaire/QuestionnaireAnswer
      2. Maintaining and Curating DEs
    • Mechanism for prepopulation of QuestionnaireAnswer using the DataElement resource. But to date there has not been a lot of uptake. Concern about information loss going through DE. Recent updates to QuestionnaireAnswer now allow direct mappings in the resource bypassing DataElement.
    • Data element curation: In research would like a lot consistency even when the data is coming from a wide variety of sources ( e.g. case reporting, registries). Thus the need for data element curation. ***Not that many that actually do this '5-10' in USA.
    • Master files and DE (note this not main use case for SDC but is for the Resource)
      • Still a WIP.
      • Other stuff going onin FHIR that is competing with using DataElement for Master Files -"logical model" (resource that not intended to be sent over the wire) discussion about using structuredefintion and notion of DE getting subsumed by this is a continuing conversation. Difficult to resolve the notion of using a StructureDefintion for a data element.
  • Next Steps:
    • OO - lab master files: **direct relationship between observation and DataElement through
      • In Scope : lab
      • Out of Scope: procs, meds, locations


  • Discussion of creating lab master in FHIR baed on looking at the v2 EDOS IG data elements as a presumptive model
 Execution/performance piece = New Resource (answers the how do submit and prerequisites)
   possibly could be used for precedures too
   links to
   - specimen piece = DE
   - cost= piece
   - linkto DateElement  = Type of data and  description, normal range, terminolog (stuff that would normally reside in a database field or questionnaire question.)
    
    profiling piece- how profile libraries fit in - context of filler and placer 
 
 
 Data Element means different things to different people ( e.g. a code  vs a field in a V2 message )
 LOINC is a mini data element and commonality and overlap with a field in V2.
 
 
  • Reviewed outstanding Trackers for DataElement ( hopefully Lloyd and possibly Clem can join)


  • 6095 styleSensitive isn't clear enough (Lloyd McKenzie) PUNT TO FHIRI
  • 7248 2015May core #308 - Various opinions on data element (Clem McDonald) None In Person CREATE a logical model in FHIR to flesh out and see if that answer his questions
  • 6316 Dataelement is insufficient for Master Files (Eric Haas) CREATE a logical model in FHIR to flesh out
  • 8884 Need extension for min valueSet for DataElement.element.mapping.language (Lloyd McKenzie) PUNT TO VOCAB

Minutes

Next Steps

Actions (Include Owner, Action Item, and due date)
Next Meeting/Preliminary Agenda Items

2015mmdd_OO_FHIR_concall


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