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20170608 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:

Date: 2017/6/08
2015 - 02:00 PM (Eastern Time, GMT -04 DST)
Quorum = chair + 4 yes

scope="col" Co chairs Chair Notetaker
Riki Merrick
Rob Hausam X
Lorraine Constable
Patrick Lloyd
KD Nolan X
Hans Buitendijk X

X Eric Haas
Riki Merrick
X Hans Buitendijk
X Jose Costa-Teixeira
Dan Rusk
Jonathan Harber
David Burgess
Lloyd McKenzie
X Rob Hausam
Andrea Pitkus
Francois Marcary
Robert Dieterle
Marti V
Ron Shapiro
X KD Nolan
X Alan Patin
X Elliot Silver
X Paul Knapp

  • Roll Call
  • Agenda


Continuation of Discussion from OO WG Call

See powerpoint Slide on GForge

Motion to change as proposed – will add powerpoint to gforge as record: JD/EH For: 4 Against: 0 Abstain: 1

Review of valueAttachement and Media resoource'

The value of Media resource is the clinical context vs a naked Binary resource (has zero context). Its Scope is audio, picture and movies and does not include documents which are handling by DocumentReference.

Also Attachment is datatype and can be used in Observation.valueAttachment.

The Boundaries are not clear when to use which

    • Profiled Media as Observation to review in follow-up

Goal to help understand and define the boundaries better and whether Media is mmore Imaging or OO owned resource ( less a FHIR-I resource )

Media to Observation Mapping

Screen Shot 2017-06-08 at 3.38.56 PM.png

screens shots: =

Observation Media Profile Snapshot

Screen Shot 2017-06-06 at 6.50.57 PM.png

Media Attachment Profile snapshot

Screen Shot 2017-06-08 at 3.49.58 PM.png


GG comments

Screen Shot 2017-06-06 at 6.50.57 PM.png

General consensus that the context is better captured by Observation and that media in the context of Observation something that is more datatype like.

Potential options:

  1. Keep as is
  2. Remove Media and create new Media datatype + valueMedia
  3. Remove Media and bulk up Attachment datatype
  4. Keep Media as DSTU2 (infrastructural resource) and add element to reference Media Observation

Need to Determine the need for Media to be a resource vs a datatype vs building up Attachment datatype

Next Steps:

  1. Hans to diagram what context in wihich media is used. Overlap and what does image bring to the table.
  2. Schedule call with FHIR-I/ MNM to discuss

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