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2017-01-12 Patient Care FHIR Call
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Meeting Information
| Patient Care FHIR Resources Conference Call Location: Conference Call |
Date: 2017-01-12 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 | ||
| Eric Haas | Haas Consulting | ||
| X | Rob Hausam | Hausam Consulting LLC | |
| X | Laura Heermann-Langford | Intermountain Healthcare | |
| X | 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 | ||
| X | 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 | Evelyn Gallego | ||
| Quorum Requirements Met: yes | |||
Agenda
Agenda Topics
- Agenda review
- Approve previous meeting minutes 2017-01-05_Patient_Care_FHIR_Call
- Motion: Stephen/Emma
- WGM agenda review
- gForge change request
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
| Resource |
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
Minutes
WGM agenda
Quarters dedicated to FHIR ballot reconciliation
- Mon Q3 - CarePlan, CareTeam, and Goal
- GF#11116 - Better define the careplan.activity.outcome field. - 2016-09 core #270
- GF#11342 - Add CareTeam.relatedTeam or other composition relationship - 2016-09 core #500
- GF#11344 - Allow CarePlan.activity.detail.performer to be CareTeam - 2016-09 core #502
- GF#10620 - QA 7a: CarePlan.activity.outcome needs a binding to a value set
- GF#10623 - QA: Goal CodeableConcept elements are missing a binding to a value set
- GF#10613 - QA 4e: Clean up valueset-goal-status
- GF#10615 - QA 4: Clean up valueset-goal-status-reason
- Tues Q2 - Condition/Concern
- GF#10090 - Condition Introduction (taking into account concerns)
- Tues Q3 - CareTeam value set discussion
- Wed Q1 - FHIR ballot reconciliation
- GF#11162 - Suggest include reference to remedial treatment(s) - 2016-09 core #316
- GF#10626 - QA: Procedure.usedCode needs a binding to a value set
- GF#10627 - QA 4a: Consider binding Procedure.focalDevice.action (CodeableConcept) to codes from an external coding system - vocab
- GF#10393 revisit workflow patterns; review gap analysis attached to the gForge
- Thurs Q3 - FHIR ballot reconciliation - joint with OO for second half
- GF#10635 - QA 5a: Resource references exist in both directions for Condition and ClinicalImpression
- GF#11209 - Feedback on ClinicalImpression - 2016-09 core #363
- GF#10387 - CommunicationRequest needs ability to describe the location that the communication is about (John Moehrke)
- GF#11026 – Relationship between Condition and Observation (Jay Lyle)
- GF#11119 – Differentiate ProcedureRequest and DiagnosticRequest and align their elements (Danielle Friend) - related Zulip Chat
gForge Change Requests
FHIR Publication / Backlog Status
After today's meeting....
- 27 unresolved tracker items (all ballot comments)
- 8 requested input from vocab (value set related ballot comments)
- 1 waiting for input
- 18 ready for discussion at WGM (including 2 that are joint with OO) or conference calls
- 29 Resolved - Change Request tracker items
- 27 ballot or high maturity resource (+ 2 non-ballot, non-priority resource)
- 14 are substantive (+ 15 are non-substantive)
- 4 related to new extensions/profiles
- 1 workflow pattern
- 1 new resources (AdverseEvent/Reaction)
- 8 ready to be applied
Waiting for Input
- GF#7185 ClinicalImpression is poorly thought out (ClemMcDonald@mail.nih.gov)
Block Vote 1 (scheduled for Jan 12)
Emma/Rob H - 5-0-3
- GF#9044 - Need extension to track FHIR data type
- GF#12400 - Add Goal search parameter for startDate
- GF#12418 - add status search parameter to CarePlan
- GF#12442 - QA: Questionnaire.item.enableWhen.answer and Questionnaire.item.initial bindings missing
- GF#12434 - Remove answerInstant from Questionnaire(Response)
- GF#12517 - add diagnosticrequest to context of procedure-targetbodysite
- GF#12511 - Questionnaire.item.type optional problem
- GF#12430 - Make clear that QuestionnaireResponse must align with corresponding Questionnaire
Ready for Discussion
Continue discussion on...
- GF#11346 - suggest adding 'modified' element to indicate when the careTeam was last updated. - 2016-09 core #504 -- resolved!
Questionnaire
- GF#12186 - Proposed Changes to Questionnaire / Questionnaire Response from Tuesday evening discussion -- resolved!
Communication/CommunicationRequest
- GF#10391 - Communication.reason needs to be searchable (John Moehrke) -- resolved!
- GF#10390 - CommunicationRequest query on reason (John Moehrke) -- resolved!
- GF#10387 - CommunicationRequest needs ability to describe the location that the communication is about (John Moehrke) -- to be continued at WGM....
AllergyIntolerance/AdverseReaction (last 30 minutes)
- GF#11021 - AllergyIntolerance.reaction should be removed and replaced with a choice of references to either a CodeableConcept OR a new AdverseReaction resource -- to be continued at WGM...
Vocab Assistance
- GF#10621 - QA 4a: Consider whether CarePlan.activity.detail.category should be bound to an external code system
- GF#10622 - QA 4a: Consider whether Goal.category should be bound to codes from an external code system
- GF#10624 - QA 4a: Consider whether Goal.priority (CodeableConcept) should be bound to an external code system such as SNOMED
- GF#11351 - AllergyIntoleranceCategory should be SNOMED - 2016-09 core #509
- GF#11355 - CarePlan category value set is out of date or wrong - 2016-09 core #513
- GF#11357 - Re-use the procedure value set instead of wrapping it - 2016-09 core #515
- GF#11358 - Should not make a new value set ehre - use the Problem value set that also includes Events and SWEC concepts. - 2016-09 core #516
- GF#11359 - Why only one medication in an activity? And the value set is problematic (but example) - 2016-09 core #517
Adjourn
Adjourned at 6:45PM Eastern.
Meeting Outcomes
| Actions
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Next Meeting/Preliminary Agenda Items
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