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FHIR Agenda-Baltimore 201209 WGM
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Contents
Saturday
Chesapeake B
- FHIR Connectathon - all day
Sunday
Q1
Anapolis: Joint w/ ARB
Chair/Minutes = ARB
- See FGB topics Friday Q3 below as discussion candidates
- Also FHIR SAIF IG?
Q2
Chesapeake A&B
- Tutorial: Introduction to HL7 FHIR
Q3
Executive Boardroom Joint w/ MnM
Chair/Minutes = MnM
- schedule timeslots & hot topics
- FHIR admin issues (co-chairs, minutes)
Q4
Chesapeake A&B
- Tutorial: Hands on with FHIR
- Grahame/Ewout, Lloyd second portion
Constellation EF - HL7 Activities with other SDOs
- Lloyd 15-20 minute presentation
Monday
Q3
Convention Center Room 341
- Tutorial: Introduction to HL7 FHIR
- Only do this if sufficient interest. Alternatively:
- Ballot reconcilliation
Q4
Convention Center Room 341 Host MnM
Chair=Lloyd Minutes=?
- Extensions?
- Mood code Moods in fhir
- Metadata FHIR editing and versions (old)
- FHIR_non-REST_Workflow
Q6
TSC co-chairs presentation
Tuesday
Q0
FHIR Connectathon presentation as part of TSC address - Grahame
Q1
Constellation C - Host ITS, SOA
Chair: ??? Minutes: ???
- ?REST and related issues?
- FHIR Search Parameters
- What are the conformance expectations?
- Where should new ones be defined – profile or conformance statement?
- Should we support sorting? How?
- Tutorial: FHIR for Software Developers (Ewout)
Q2
Constellation C - Host Tooling, V3 pubs
Chair: ??? Minutes: ???
- FHIR tooling & publication issues
- How to manage publication process, ballot cycle
- Transition of FHIR tools to Tooling oversight
- Others?
- FHIR microdata
- Tutorial: FHIR for Software Developers (Ewout)
Q3
Constellation C - Host Patient Administration
Chair: ??? Minutes: ???
Q4
Constellation C - Host InM, ITS
Chair: ??? Minutes: ???
- Message resource
Wednesday
Q1
Constellation C - Host ITS
Chair: ??? Minutes: ???
- XML/JSON/ATOM
- FHIR_Http_Page
Q2
Constellation C - Host Vocabulary
Chair: Lloyd Minutes: ???
- Binding methodology
- [set resource]
Q3
Constellation C - Host OO
Chair: ??? Minutes: ???
- Diagnostic data/reports
- OO-sponsored resources?
Q4
Baltimore - Joint Health Care Devices
Chair: Grahame Minutes: ???
- Device & data registries
Thursday
Q1
Constellation C - Host CGIT, Templates
Chair: ??? Minutes: ???
- Profile resource
- Template registries
- FHIR Conformance Levels Issue Page
- FHIR managing profile identification
Q2
Constellation C - Host Patient Care, Templates
Chair: ??? Minutes: ???
- Care resources
- Use of organizers/summary lists FHIR Workflow resources
- If PC and Templates don't come (as is likely, given they haven't got this listed as joint), we'll do ballot reconcilliation
Q3
Constellation C - Host Structured Documents
Chair: ??? Minutes: ???
- Expressing CDA/SDA in FHIR
- Document Resources as "header" equivalent
- selected Document Resource ballot comments (possible)
- Do we need a "section" resources, or are resources sections?
- Using the FHIR Profile resource for representing CDA templates
- Narrative Status Flag FHIR_Xml_Page#Status Flag
- FHIR general issues (old)#How do we support human readability for resource references?
Q4
Constellation C - SAIF Architecture Program
Chair: ??? Minutes: ???
- FHIR-related SAIF issues
Friday
Q1
Constellation C - Host Pharmacy WG
Chair: ??? Minutes: ???
- Pharmacy resources & extensions
Q2
Constellation C - Host MnM
Chair: ??? Minutes: ???
- Datatypes
- Datatype Profiles FHIR Datatypes Page
- Narrative
- Identifier Type Codes FHIR general issues (old)#Fix identifier type codes
Q3
Constellation C - governance (& management?) groups
Chair: ??? Minutes: ???
- FHIR Principles
- FHIR Governance
- FHIR Business Case Issue Page
- FHIR Project planning
- FHIR Resource Considerations
- Security cookbook (when?) FHIR Security Issues Page
- The Resource With No Name
Q4
Constellation C - governance (& management?) groups
Chair: ??? Minutes: ???
- Agenda Item
Minutes
Mon Q3
Lloyd Mackenzie HL7 Canada Mead Walker MWC Ewout Kramer Furore Alean Kirnak Software Partners Jeff Lewis Interfaceware Nassimo Frozzi Insiel Mercato Francesco Rossi TBS Group Linda Bird MOHH Singapore
- a repeat of the intro to FHIR tutorial
Mon Q4
Lloyd McKenzie HL7 Canada Woody Beeler Beeler Consulting Tanya Achilles HL7 Canada Bo Dagnall HPES Isabelle Gibaud HL7 France Ewout Kramer Furore Cecil Lynch Accenture Dave Shaver Corepoint Adam Feng HL7 China Jeff Lewis Interfaceware Paul Whitmer Intermountain Healthcare Alexander Henket HL7 Netherlands David Hay Orion Health Grahame Grieve Health Intersections Rik Smithies NProgram
- Voted on ballot reconciliation for CMETs, Release 3. The tally and votes is recorded in the reconciliation spreadsheet.
- discussion concerning licensing and the preparation process. Recommendation forwarded to the board.
- Discussion concerning extensions, and how they are managed
- Discussed and voted on Ballot reconciliation for Core Principles, Release 2. The tallies and votes are recorded in the reconciliation spreadsheet. remaining items will be taken up in conference calls.
Tues Q1
Lloyd McKenzie HL7 Canada Grahame Grieve Health Intersections Chris White Thrasys Gaby Jewell Cerner Thomas Pole General Dynamics Kevin Coonan Deloitte Consulting Ewout Kramer Furore Ann Wrightson HL7 UK Andy Bond NEHTA Mark Tucker Regenstrief Helmut Koenig Seimens Jackie Mulrooney JP Systems Galen Mulrooney JP Systems Sasha Bojicic Canada Health Infoway Andrew Liu Canada Health Infoway Anil Luthra Anil Luthra Ken Rubin HP Michael Van Der Zel HL7 NL Alean Kirnak Software Partners Chengjian Che Lantana Brian Pech KP Paul Knapp Knapp Consulting David Hay Orion Health Stefano Lotti HL7 Italy Gerald Beuchelt Mitre Saclamu Takasaka HL7 Japan Masaaki Hirai HL7 Japan Don Jorgenson Inpriva Dale Nelson Lantana Jon Farmer Thrasys
- Ballot reconciliation of connectathon issues - see spreadsheet
Tues Q2
Grahame Grieve Health Intersections Alexander Henket Enovation Ewout Kramer Furore Nat Wong Total Care Sasha Bojire Infoway Canada Andrew Liu Infoway Canada Attila Farkas CHI Helmut Koenig Siemens David Hay Orion Health Austin Kriesler SAIC Don Lloyd HL7 HQ Woody Beeler Beeler Consulting Corey Spears Aetna
- Discussion concerning publishing and tooling
- both publishing and FHIR project happy with current status
- note concerning the need for an HL7 hosted repository - tooling to adopt this as a future requirement
Tues Q3
Lloyd McKenzie HL7 Canada Grahame Grieve Health Intersections Ewout Kramer Furore Alexander Henket Hl7 NL Chris White Thrasys David Hay HL7 Canada Tanya Achilles HL7 Canada Christian Hay GS1 Alexander De Leon KP Line A Saele HL7 Norway Sackamu Takasaka HL7 Japan Helen Dryfhout HL7 NL Mark Bevivino Iatric Systems Rik Smithies NProgram Irma Jongeneel HL7 NL Nat Wong HL7 Australia Meya Achdiat HL7 Australia
- presentation from Ewout Kramer concerning PA resource issues
- discussion around related issues:
- do we have person and patient?
- what is core?
- What about related parties?
- no decisions where made, but comments were added to the wiki
- the project statement was received
Tues Q4
Ewout Kramer Furore Grahame Grieve Health Intersections Alexander Henket HL7 NL Gaby Jewell Cerner Tim McNeil Sure Scripts Tony Julian Mayo Clinic Rick Haddorff Mayo Clinic Mark Tucker Regenstreif Rusty Henry Cerner Andrew Liu Infoway Canada Dave Shaver Corepoint Vin Sekar NEHTA Mark Bevivino IATRIC systems Brian Pech KP Paul Knapp Knapp Consulting Joan DuHaine Lockheed Martin David Hay Orion Health Dale Nelson Lantana David Rowed HL7 Australia Lloyd Mckenzie HL7 Canada Grahame Grieve Health Intersections
- tutorial concerning messaging in FHIR
- robust discussion about the reliable messaging part
- decision to allow one of 3 responses on repeat: original response, current response, or error
- decision to note that message content to be checked, not just id
- add this to conformance profile
- INM happy for FHIR to continue with the Messaging stuff, would like to be kept informed
Tues Q6 - tooling demos
Lloyd McKenzie HL7 Canada Tessa van Stijn NICTIZ Netherlands Jogindra Madra Modra Consulting Jean Duteau Duteau Design Nassimo Frozzi Insiel Mercato Francesco Rossi TBS Group Adel Ghlamallah Infoway Canada Andrew Liu Infoway Canada David Hay Orion Health Li, Baoluo HL7 China Feng, Donglei HL7 China Rob Hausam Hausam Consulting Peter Hendler KP Helen Dryfhout HL7 NL Anil Luthra Apis Consulting Wendy Huang Infoway Canada John Roberts TN DOH
Wed Q1
Lloyd McKenzie HL7 Canada Ewout Kramer Furore Gaby Jewell Cerner Vin Sekar NEHTA Brian Pech KP Mark Tucker Regenstrief David Hay Orion Health Tim McNeil SureScripts Grahame Grieve Health Intersections Pty Ltd Paul Knapp Knapp Consulting Dale Nelson Lantana
- ballot reconciliation with regard to Json and Xml issues
- decisions recorded in spreadsheet
Wed Q2
Lloyd McKenzie HL7 Canada Ewout Kramer Furore Gaby Jewell Cerner Alexander Henket HL7 NL Jos Baptist Nictiz Rik Smithies NProgram Woody Beeler Beeler Consulting Carmela Couderc Siemens Heather Grain EHS Australia Rob Hausam ?? Julie James Bluewave Informatics Sadam Tabasaka ?? Massaki Hirai Mifty David Hay Orion Health Wendy Huang Canada Health Infoway Ted Klein Klein Consulting Sandy Stuart KP Walter Grant VA Grahame Grieve Health Intersections Rita Scichione AHIMA Bo Dagnall HP
- review of vocabulary resources and methodology in FHIR with the vocab committee.
- open issues for FHIR team to work on
- version - document extension
- single URLs- work by duplication?
- URI preference order for identifying code systems? (per Solbrig)
- Formal publishing of value sets known from profile resources
- conflation of governance & registry?
- SHALL be registered in HL7 OID registry or an affiliate designated registry
- attribute vs concept domain definition
Wed Q3
Lloyd McKenzie HL7 Canada Dale Nelson Lantana Patrick Loyd Icode Lorraine Constable Constable Consulting Debbie Bogart Infoway Canada Ken McCaslin Quest Diagnostics Francois Macary ASIP Sante Ed Heierman Abbott Nat Wong HL7 Australia Massimo Frossi Inseil Mercato Francesco Rossi TBS Group Masaaki Himi HL7 Japan Freida Hall Quest Diagnostics Rob Hausam Hausam Consulting Carmela Couderc Siemens Ewout Kramer Furore Jane Curry Health Info Strategies Christina Knotts First Databank Russell Leftwich Tennessee Andy Bond NEHTA David Hay Orion Health Alexander Henket HL7 NL Gunther Schadow Pragmatc Data LLC
- discussion of the general nature of FHIR for O-O
- thorough review of the LabReport session
- agreement that O-O would work on diagnostic reports
- other things to follow later
Wed Q4
- FHIR met with devices - refer to device minutes
- a general discussion of FHIR, and an agreement to work on a resource for describing Device Capabilities
- possible resources discussed:
- Device (identifies - attribution)
- carry unit
- assigned to designated patient
- photo
- DeviceDescription (describes the capabilities of the device)
- network interaction capabilities
- clinical capabilities
- DeviceCommand
- asks a device to do something
- DeviceCommandResponse
- report outcome of command
- DeviceReport
- provide information from a device about clinical world
- device orientated views
- clinical perspective
- organisation/asset management
- Device internal perspective
Thurs Q1
Lloyd Mackenzie HL7 Canada Irma Jongeneel HL7 NL Alexander Henket HL7 NL Nathan Bunker AIRA Eric Larson PHER Frank Oemig HL7 Germany Wendy Huang Canada Health Infoway David Hay Orion Health Grahame Grieve Health Intersections Kai Heitmann HL7 Germany Andrew Lim Canada Health Infoway
- Discussion about requiring conformance statements - decided to make them required to claim conformance
- decided to allow events to be defined in profiles (same info as in standard, along with reference to IG)
- map events to equivalent HL7 v2 event
- decided to toast the proposal for Conformance levels for now
- brief discussion about the running question of whether to include profile ids in the resource. Comparison to the situation with CDA with which we have considerable experience.
- demonstration of art-decor
- agreement to consider whether we can express CDA templates in FHIR Profile resource instances. Kai to nominate a few good examples, Grahame to have a go.
Thurs Q2
Lloyd McKenzie HL7 Canada Gaby Jewell Cerner Rik Smithies NProgram Andrew Lim Canada Health Infoway David Hay Orion Health Hugh Leslie Ocean Informatics Grahame Grieve Health Intersections P/L Cecil Lynch Accenture
Problem/Diagnosis - A concern with it's related observations
- Diagnosis : CodeableConcept
- Problem Type (examples:- diagnosis | problem | condition | finding | concern - dig around in snomed / cf with CCDA / ContSys)
- Status x 2 : code?? (CCDA - active, inactive. openEHR - provisional / working / final)
- Onset - Date | Age
- certainty : codeableConcept | %
- DateOfDiagnosis - Date
- resolution / remission - Boolean | Age | Date
- Severity - CodeableConcept
- Clinical Stage/Grade
- summary - CodeableConcept (0..1)
- assesssment - Resource(Any) (0..*)
- SupportingEvidence - codeableConcept | Resource(Any) (0..*) (Diagnostic criteria)
- AnatomicalLocation - codeableConcept | Resource(AnatomicalLocation)
- RelatedItem
- Relationship = causedBy | follows
- Target - Resource(Problem/Diagnosis|Procedure|Substance)
Thurs Q3
Lloyd Mackenzie Hl7 Canada Patrick Loyd ICOPE Gaye Dolin Lantana Bob Dolin Lantana Bob Milius NMDP Gaby Jewell Cerner Jeff Brown Kernodle Clinic Vin Sekar NEHTA Sarah Gaunt Lantana Frank Oemig Agfa Ann Wrightson HL7 UK Cheng Jian Che Lantana Rick Geimer Lantana Kristi Eckerson Emory University Amnon Shabo IBM Research Anil Luthra HL7 ? Peter Gilbert Covisint Juggi Jugannathan MModal Ann Smith NCQA David Hay Orion Health Peter Sergent HL7 NZ Mark Shafarman Shafarman Consulting Adel Ghlamallah Canada Health Infoway Zeshen Rajput Accenture Jingdong Li Lantana Vinayak Kulkarni Siemens Austin Kreisler SAIC Calvin Beebe Mayo Grahame Grieve Health Intersections P/L Dale Nelson Lantana Tim McNeil Surescripts Gordon Raup Datuit Michael Massery Dolbey Co Lisa R Nelson Cox Mike Lamoureux ?
- thorough review of FHIR clinical document model
- need to align xhtml between proposed CDA R3 and FHIR
- what happens with header narrative - must it be presented?
- what is required for document conversion from CDA R2/R3
- move discussion and analysis required
Thurs Q4
- Met with DICOM - planned to share FHIR ballot with DICOM
