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2017-05-04 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: 2017-05-04
Time: 5-6:30pm ET
Facilitator Michelle M Miller Note taker(s) Michelle M Miller
Attendee Name Affiliation

Elaine Ayres NIH/Department of Clinical Research Informatics
Pushpalatha Bhat
X Stephen Chu The Australian Digital Health Agency (ADHA)
Evelyn Gallego EMI Advisors LLC
Eric Haas Haas Consulting
X Rob Hausam Hausam Consulting LLC
Laura Heermann-Langford Intermountain Healthcare
X Emma Jones Allscripts
Russ Leftwich InterSystems
X Tony Little Optum 360
Jay Lyle Ockham Information Services LLC, VA
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
Mike Padula The Children's Hospital of Philadelphia
Craig Parker Intermountain Healthcare
Joe Quinn Optum
Simon Sum Academy of Nutrition and Dietetics
Iona Thraen Dept of Veterans Affairs
Serafina Versaggi Dept of Veterans Affairs
Quorum Requirements Met: yes


Agenda Topics

  1. Agenda review
  2. Approve previous meeting minutes 2017-04-20_Patient_Care_FHIR_Call
    • Motion: Stephen/Emma
  3. WGM agenda
  4. gForge change request

Supporting Information


WGM agenda

PC WGM Agenda has quarters dedicated to FHIR trackers as follows:

  • Mon Q3 -- Emma?
  • Mon Q4
  • Tues Q2
  • Tues Q3
  • Wed Q1 -- Emma?
  • Thurs Q3 -- Emma?

Schedule groups of trackers into quarters based on interested party availability


  • GF#11021 Increase cardinality of substance and make certainty relation to substance not reaction - 2016-09 core #40 (Jay Lyle)
  • GF#11023 Why isn't AllergyIntolerance.reaction an Observation? - 2016-09 core #42 (Jay Lyle)
  • GF#11354 Substance identified in both AllergyIntolerance.code and reaction.substance is problematic - 2016-09 core #512 (Robert McClure) In Person!

CarePlan / Goal

  • GF#12428 Task reference in CarePlan (Ravi Kuchi)
  • GF#11332 Acknowledge Advance Directives as type of Care Plan - 2016-09 core #490 (David Tao)
  • GF#11173 CarePlan needs support for reviews - 2016-09 core #327 (Stephen Chu)
  • GF#10621 QA 4a: Consider whether CarePlan.activity.detail.category should be bound to an external code system (Michelle Miller)
  • GF#11355 CarePlan category value set is out of date or wrong - 2016-09 core #513 (Robert McClure)
  • GF#11359 Why only one medication in an activity? And the value set is problematic (but example) - 2016-09 core #517 (Robert McClure)
  • GF#13140 logical definition of care-plan-category value set may require realignment with SCT changes (Matthew Cordell)
  • GF#12623 valueset-care-plan-activity-status needs a code for abandoned (or quit) (Michelle Miller)


  • GF#10622 QA 4a: Consider whether Goal.category should be bound to codes from an external code system (Michelle Miller)


  • GF#12509 CareTeam participant (Michelle Miller)
  • GF#13233 add careteam to endpoint (Eric Haas)


  • GF#5979 Would prefer the name for this resource to be ClinicalNote (Brian Postlethwate)
  • GF#10635 QA 5a: Resource references exist in both directions for Condition and ClinicalImpression (Michelle Miller)
  • GF#11209 Feedback on ClinicalImpression - 2016-09 core #363 (Riki Merrick)
  • GF#12676 Guidance request for GP SOAP in FHIR (Alexander Henket)

Communication/Communication Request

  • GF#10387 CommunicationRequest needs ability to describe the location that the communication is about (John Moehrke)
  • GF#12163 Update payload URL to lead to a real file (Guillaume Rossignol)
  • GF#12599 Consider adding Communication.priority to match CommunicationRequest.priority (Grahame Grieve)
  • GF#13113 CommunicationRequest extensions need review (Elliot Silver)
  • GF#13130 Clarify use of Communiation for failed communications (Elliot Silver)
  • GF#13167 Should be able to refer to earlier Communications (Elliot Silver)
  • GF#13306 Communication Extension: reasonNotPerformed is redundant (Eric Haas)
  • GF#10352 CHange Encounter or annd element to remove referencial limitation to on Encounters (Paul Knapp) - In Person!


  • GF#13201 Condition Xpath constraint con-4 is not correct (Ardon Toonstra)


  • GF#8647 Missing codes from Flag.category valueset (Jason Mathews)
  • GF#12798 Flag resource should allow for a Condition reference as subject (Ardon Toonstra)


  • GF#8782 NoKnown[X] for FamilyMemberHistory (Danielle Friend)
  • GF#10508 FamilyMemberHistory ignores events (Richard Townley-O'Neill)
  • GF#9028 Use SCT values rather than V3 for family history relationship (Jay Lyle)


  • GF#8784 Proposed History Resource (Danielle Friend)

Procedure / ReferralRequest / OO interest

  • GF#12633 Split Procedure into Procedure and ProcedureStatement (Lloyd McKenzie)
  • GF#13246 Adding a datatype to Procedure resource (Pranitha Sruthi)
  • GF#10028 Careplan: Provide ability to specify patient and/or provider preferences (Emma Jones)
  • GF#12752 ReferralRequest.type and reason alignment with v2 (Michele Mottini)
  • GF#13268 ReferealRequest.type is same as .specialty (Eric Haas)
  • GF#13269 .description should be rolled into .reason (Eric Haas)
  • GF#11026 Relationship between Condition and Observation - 2016-09 core #45 (Jay Lyle)
  • GF#13047 Add DosageInstructions to Procedure (Jamie Hignite)
  • GF#13196 Clarify the boundary between ProcedureRequest and ReferralRequest or merge them (Eric Haas)

gForge Change Requests

  • GF#12943 Condition.stage.type -- revisit because we need to apply RIM mapping and example updates at the same time
    • Stephen will get back to Michelle with suggestions
  • GF#13270 add workflow mapping to ReferralRequest (Eric Haas) -- resolved!
  • 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 (Robert McClure) -- resolved!


Adjourned at 6:09pm 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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