# FHIR Infrastructure Minutes CC 20161121

# FHIR Infrastructure Conference Call 3:00PM Eastern Time (Date above)

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## Agenda

- Ballot items

## Attendees

- Josh Mandel
- Grahame Grieve
- Glenn Marshall
- Eric Haas
- Imran Hafeez
- Joe Lamy
- Joe Quinn
- Jonathon Harber
- Nagesh Bashyam
- Brett Marquard
- Angelique Cortez
- Rick Geimer
- Richard Ettema

## Ballot items

DAF Items:

## block vote

Line Items

11729 Punctuation - 2016-09 daf-r #21 (Douglas Andrew Harley) 11712 Change profile Ids to have prefix "daf-research" - 2016-09 daf-r #4 (Dave Carlson) Not Persuasive 11734 Consider adding UML diagrams - 2016-09 daf-r #26 (Douglas Andrew Harley) Not Persuasive 11745 Clarify scope of results options - 2016-09 daf-r #37 (Ed Larsen) Not Persuasive 11747 Clarification on whether conformance requirement on the Research Query Requester to actually be able to and actually query for the results, i.e., interoperate? Does the requester have to be able to "ingest" the result bundle as defined in the DAF Query Re (Ed Larsen) Not Persuasive 11748 Clarification on if there is there any conformance requirement on the Research Query Requester to actually be able to and actually query for the results, i.e., interoperate? Does the requester have to be able to "ingest" the result bundle as defined in th (Ed Larsen) Not Persuasive 11750 Clarification, should Research Query Composer be required to query for conformance and provenance? - 2016-09 daf-r #42 (Ed Larsen) Not Persuasive 11758 Task.Output should be optional and should contain summary of task output. - 2016-09 daf-r #50 (Rohan Pachhapurkar) Not Persuasive 11764 Review DAF research with protocol FHIR resource - 2016-09 daf-r #56 (Nell Lapres) Not Persuasive 11779 Review security and authorization aspects of the federated query - 2016-09 daf-r #71 (Mark Kramer) Not Persuasive 11782 Review if adding ODH is necessary - 2016-09 daf-r #74 (Genny Luensman) In Person Not Persuasive 10566 add links (Eric Haas) Persuasive 11722 Version needs to be set - 2016-09 daf-r #14 (Douglas Andrew Harley) Persuasive 11723 Multiple links/Invalid links - 2016-09 daf-r #15 (Douglas Andrew Harley) Persuasive 11724 Multiple links/Invalid links - 2016-09 daf-r #16 (Douglas Andrew Harley) Persuasive 11731 Update Google Doc links to "View only" - 2016-09 daf-r #23 (Douglas Andrew Harley) Persuasive 11732 Update Google Doc links to "View only" - 2016-09 daf-r #24 (Douglas Andrew Harley) Persuasive 11733 Grammar - 2016-09 daf-r #25 (Douglas Andrew Harley) Persuasive 11740 Redundancy - 2016-09 daf-r #32 (Ed Larsen) Persuasive 11741 Clarify end user - 2016-09 daf-r #33 (Ed Larsen) Persuasive 11744 Should query of DAF Provenance be called out specifically as Data Mart function? - 2016-09 daf-r #36 (Ed Larsen) Persuasive 11749 Missing line break - 2016-09 daf-r #41 (Ed Larsen) Persuasive 11751 Transformations from Bundle 2 are essential to the usability and longitudinal integrity of research data and generally consider within the responsibilities of the Data Source. However, no standard methods or policy guidance are yet available and are outsi (Ed Larsen) Persuasive 11752 Update the "Patient/$everything" link to the correct link, which does not return a 404 File Not Found error. - 2016-09 daf-r #44 (Elizabeth So) Persuasive 11754 Update the contents within the RESTful Operations Summary table to include the correct hyperlinks. - 2016-09 daf-r #46 (Elizabeth So) Persuasive 11761 LAB_RESULT_CM FHIR resource mapping - 2016-09 daf-r #53 (Rohan Pachhapurkar) Persuasive 11762 Typo-misspelling - 2016-09 daf-r #54 (Nell Lapres) Persuasive 11765 Update link - 2016-09 daf-r #57 (Nell Lapres) Persuasive 11766 Typo - Section heading - 2016-09 daf-r #58 (Mark Kramer) Persuasive 11771 Typo- Missing bullet - 2016-09 daf-r #63 (Mark Kramer) Persuasive 11772 Typo- Inconsistent capitalization review - 2016-09 daf-r #64 (Mark Kramer) Persuasive 11773 Review Task.input.valueReference - 2016-09 daf-r #65 (Mark Kramer) In Person Persuasive 11774 Review task patient vs bundled patients - 2016-09 daf-r #66 (Mark Kramer) In Person Persuasive 10567 correction (Eric Haas) Persuasive with Mod 11711 Add complete profile list for DAF-Research. - 2016-09 daf-r #3 (Dave Carlson) Persuasive with Mod 11713 Review DAF Core to DAF research - 2016-09 daf-r #5 (Hans Buitendijk) In Person Persuasive with Mod 11714 Review DAF research and how can point to FHIR resources without specific profiles - 2016-09 daf-r #6 (Hans Buitendijk) Persuasive with Mod 11715 review definition of Data Mart - 2016-09 daf-r #7 (Hans Buitendijk) Persuasive with Mod 11716 review name and definition of reseach query requester - 2016-09 daf-r #8 (Hans Buitendijk) Persuasive with Mod 11717 review name and definition of reseach query requester - 2016-09 daf-r #9 (Hans Buitendijk) Persuasive with Mod 11725 Confusing Diagrams - 2016-09 daf-r #17 (Douglas Andrew Harley) Persuasive with Mod 11726 RESTful Operations Summary links are not functional - 2016-09 daf-r #18 (Douglas Andrew Harley) Persuasive with Mod 11727 Incorrect operation URL - 2016-09 daf-r #19 (Douglas Andrew Harley) Persuasive with Mod 11728 Link the existing non-profiled resources (e.g. ValueSet) - 2016-09 daf-r #20 (Douglas Andrew Harley) Persuasive with Mod 11730 Require a POST operation to be used - 2016-09 daf-r #22 (Douglas Andrew Harley) Persuasive with Mod 11735 Implementation costs unclear - 2016-09 daf-r #27 (Daniella Meeker) Persuasive with Mod 11736 Add existing vendor APIs as extraction option - 2016-09 daf-r #28 (Daniella Meeker) Persuasive with Mod 11737 Recommendations for conformance auditing - 2016-09 daf-r #29 (Daniella Meeker) Persuasive with Mod 11738 Additional explanatory diagrams - 2016-09 daf-r #30 (Daniella Meeker) Persuasive with Mod 11739 Diagrams and explanation re: extraction tasks - 2016-09 daf-r #31 (Hugh Gordon) Persuasive with Mod 11742 Actual mapping only from OMOP to FHIR. No attempt to map bi-directionally. Expectation is there will be granularity issues to be resolved. Correct wording is used in C1:Step5 - 2016-09 daf-r #34 (Ed Larsen) Persuasive with Mod 11743 Actual mapping only from OMOP to FHIR. No attempt to map bi-directionally. Expectation is there will be granularity issues to be resolved. Correct wording is used in C1:Step5 - 2016-09 daf-r #35 (Ed Larsen) Persuasive with Mod 11746 Recommendation to provide example results showing options for presenting cross-tabs and stratifications available to the researcher - 2016-09 daf-r #38 (Ed Larsen) Persuasive with Mod 11753 Update the diagram of the PCORnet abstract model so that it is less confusing. - 2016-09 daf-r #45 (Elizabeth So) Persuasive with Mod 11755 If the query is being assigned to a QueryResponder, then it might be more appropriate for the Task.owner be assigned to a Device rather than an Organization. The Device would represent a software device which is the QueryResponder. This allows for a more (Bill Clarke) Persuasive with Mod 11756 Using the DAF-QueryResults Observation profile works well for a single result which equates to a single measurement, but the IG need to clarify how to use this mechanism for returning multiple stratified results using the DAF-QueryResults Observation prof (Bill Clarke) Persuasive with Mod 11757 Creation of task resource by scheduler should be allowed. - 2016-09 daf-r #49 (Rohan Pachhapurkar) Persuasive with Mod 11759 Data-standardization step is required - 2016-09 daf-r #51 (Rohan Pachhapurkar) Persuasive with Mod 11760 Avoid data integrity errors between data-Source and data-Mart using Task resource status - 2016-09 daf-r #52 (Rohan Pachhapurkar) Persuasive with Mod 11763 Typo color of arrows - 2016-09 daf-r #55 (Nell Lapres) Persuasive with Mod 11767 Review PCORI desription - 2016-09 daf-r #59 (Mark Kramer) Persuasive with Mod 11768 Review PCORI description - 2016-09 daf-r #60 (Mark Kramer) Persuasive with Mod 11769 Add definitions for C5 and C6 - 2016-09 daf-r #61 (Mark Kramer) Persuasive with Mod 11770 Review diagram and table PCORnet abstract model - 2016-09 daf-r #62 (Mark Kramer) Persuasive with Mod 11775 Review Task.input.valueReference- missing information - 2016-09 daf-r #67 (Mark Kramer) In Person Persuasive with Mod 11776 Cross review elements in PCOR CDM and definitive mapping to DAF profiles - 2016-09 daf-r #68 (Mark Kramer) In Person Persuasive with Mod 11777 Cross review elements in OMOP and definitive mapping to DAF profiles - 2016-09 daf-r #69 (Mark Kramer) In Person Persuasive with Mod 11778 Review expectations of deidentification of data - 2016-09 daf-r #70 (Mark Kramer) Persuasive with Mod 11780 Review approach- Native query agaiast CDM model, what is benefit of FHIR task resource - 2016-09 daf-r #72 (Mark Kramer) Persuasive with Mod 11781 Review approach- results set from the query into a FHIR observation resource - 2016-09 daf-r #73 (Mark Kramer) Persuasive with Mod 11783 Update Argonaut link - 2016-09 daf-r #75 (Mitra Rocca) Persuasive with Mod

Approved Brett Marquard / Josh Mandel. 10-0-0.

Action Brett/Dragon to update all the tasks

## Resource Approvals

FHIR-I declined to sponsor the ResearchStudy/ResearchSubject resources - they belong to RCRIM; if that is problematic, then the issue should be referred to FMG

Notes: - note comments on Zulip (drawn to DAF teams attention) - some discussion on scope - questions referred to the DAF team

## Anything else before ballot

Dec 4 is the deadline for IGs, and Nov 27th for any resources that IGs depend on - expect by agreement with IG authors

## FHIR-I tasks

- 12351 - Rework HumanName
- 12148 - Cross resource search
- 12162 - Bundle.identifier

toasted option: "Clarify that for document, Bundle.id is to be globally unique. For documents, create is not be used,and servers must allow putting to an existing id, and does not support overwriting with a different document. Update $document operation"

Meeting adjourned 4:30pm eastern