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2017-07-21 Learning Health Systems Call

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Facilitator John Roberts Note taker(s) Emma Jones
Attendee Name Affiliation

Russell Leftwich InterSystems
X John Roberts Tennessee Department of Health
X Stephen Chu Individual
Evelyn Gallego ONC
Kathy Walsh LabCorp
Asim Muhammad Philips Research Europe
X Laura Heermann-Langford Intermountain Healthcare
X Emma Jones Allscripts
Jeff Brown Cancerlinq
Lisa Nelson Individual
Dave Carlson VA
Chris Melo Phillips Healthcare
Michelle Miller Cerner
Benjamin Kummer Columbia University
Matt Rhan
Michael Padula
Serafina Versaggi VA
x Julia Skapik ONC
x Joseph Quinn
x Robert Hausaum ITHSDO
x Bob Thompson


  • Chair: John Roberts
  • Scribe: Emma Jones
  • Motion to approve previous call minutes, July 14: Stephen/Emma

SNOMED Role Mapping

  • Spreadsheet review
  • Action: Emma will email out. Question to Rob - what to do with ones that does not have SNOMED maps
  • Julia wants us to please let her know if we are ready to distribute the proposed value set (s) and send a copy to me indicating that it is approved for distribution

John Roberts gap analysis for FHIR CareTeam

  • When public health providers furnish information by assisting individual providers in treating individual patients
  • When an individual provider practicing population health treats an individual patient - e.g. patient with TB
  • When pop health interventions treat a "population" - mass interventions - to improve the health of individuals

Synopsis: CareTeam roles fulfilled by organized groups

  • One team covers for another team -
    • Signing on to a hospital list group to get coverage when away
    • On-Call coverage - sign up to cover for another group
    • Rural areas where a hospital supports cross-coverage

Care Team Members that are backed-up by a group

  • Organized group of individuals in a care team role
  • Care Team as a group
  • Target of care as a group - e.g. provision of health education to a group; primary prevention initiatives e.g. SME on opiods abuse provides information to a community as a form of intervention. John will write up these three as a use case.
  • Point made that initially we limited care team definitions to the patient as the subject of the care provided by the team, not group. IHE DCTM profile currently limits the subject in the CareTeam Resource to patient.