FHIR Infrastructure Minutes CC 20190114WGMQ1

FHIR Infrastructure WGM Mo Quarter 1

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Agenda

• FHIR-I R4 plans
• Tracker items

Attendees

• Ewout Kramer (chair)
• Akhil Sharma Epic asharma@epic.com
• Andrew Gordon Wolters Kluwer Andrew.Gordon@WoltersKluwer.com
• Bertil Reppen Apertura bertil@apertura.no
• Brian Pech Kaiser brian.pech@kp.org
• Brian Wright Mayo Clinic wright.brian@mayo.edu
• Charles Ye Fast River Technolgies charles.ye@fastrivertech.com
• Danielle Friend Epic dfriend@epic.com
• Dave Shaver Corepoint Health dave.shaver@corepointhealth.com
• David Pyke Ready Computing david.pyke@readycomputing.com
• Dennis Patterson Cerner dennis.patterson@cerner.com
• Egger Oliver ahdis/HL7 Switzerland oliver.egger@ahdis.ch
• Elliot Silver Change Healthcare elliot.silver@changehealthcare.com
• Eric Haas Health eData ehaas@healthedatainc.com
• Irina Connelly Georgia Tech irina.connelly@gtri.gatech.edu
• James Agnew Smile CDR jamesagnew@gmail.com
• Jason Holmgren CPSI jason.holmgren@cpsi.com
• Joel Francis Canada Health Infoway jfrancis@infoway-inforoute.ca
• John Moehrke By Light johnMoehrke@gmail.com
• Johnathan Coleman
• Josh Mandel SMART Health IT joshua.mandel@childrens.harvard.edu
• Lloyd McKenzie Gevity lmckenzie@gevityinc.com
• Lynne VanArsdale Humans of HealthCare lynne@humansofhealthcare.org
• Mamata Thakkar Allscripts mamata.thakkar@allscripts.com
• Marcelo caldas Northrop Grumman Marcelo.caldas@ngc.com
• Matt Blackmon The Sequoia Project mblackmon@sequoiaproject.org
• May Terry MITRE mayT@mitre.org
• Michael Donnelly Epic michael.donnelly@epic.com
• Raj Muthukkannan Wolter Kluwer Health raj.muthukkannan@wotlerskluwer.com
• Reinhard Egelkraut HL7 Austria/CGM reinhard.egelkraut@cgm.com
• Richard Ettema AEGIS.net, Inc. richard.ettema@aegis.net
• Roeland Luykx HL7 Switzerland roeland.luykx@arpage.ch
• Ron Shapiro Qvera ron@qvera.com
• Sameer Malhotra Weill Cornell Medicine sam2032@med.cornell.edu
• Yunwei Wang IMO ywang@imo-online.com

FHIR-I R5 plans

Discussion on the desired FMM levels:

Basic - hope to go to 2, maybe 3 CompartmentDefinition - just turn this into narrative pages describing the compartments => extension on StructureDefinition? ExampleScenario - 1 or 2 GraphDefinition/GraphQL - explore its use, look at increased support and implementation, connectathon tracks? Group - move to PA List - 3 or 4 ImplementationGuide - LM: normative candidate, EH/EK: 3-4? NamingSystem - start producing them in the spec. 3/4 Questionnaire/QuestionnaireResponse - Normative? SearchParameter - normative? StructureMap - use is picking up. 3-4? Subscription - search-based subscription is being used, but more experience is needed for "event" based subscriptions. Maybe split in separate resources for the different paradigms, so we can move the search based one to a more mature level? TestScript - to 3? Used in testing systems (just a few) and also for reading tests provided with an IG. TestReport - not much use yet.

Subsystems and technologies we will work on _filter - HAPI will include this - FhirCast CDS Hooks - web messaging Bulk Data - will be integrated in the spec (FHIR-I/security) Compositions with GraphQL/GraphDefinition Async capabilities - ready to go, implemented and tested. FMM 3/4? Digital Signatures CapabilityStatement - split up into multiple? Subscription -> extend for "event" based, move to 5?

Tracker items

19745 - Persuasive with mod

FHIR Infrastructure WGM Mon Quarter 2

Agenda

• Tracker items

Attendees

• Ewout Kramer (chair)
• Andrew Gordon Wolters Kluwer Andrew.Gordon@WoltersKluwer.com
• Bertil Reppen Apertura bertil@apertura.no
• Charles Ye Fast River Technolgies charles.ye@fastrivertech.com
• Dave Shaver Corepoint Health dave.shaver@corepointhealth.com
• Dennis Patterson Cerner dennis.patterson@cerner.com
• Elliot Silver Change Healthcare elliot.silver@changehealthcare.com
• Ewout Kramer Firely ewout@fire.ly
• Irina Connelly Georgia Tech irina.connelly@gtri.gatech.edu
• James Agnew Smile CDR jamesagnew@gmail.com
• Josh Mandel SMART Health IT joshua.mandel@childrens.harvard.edu
• Mamata Thakkar Allscripts mamata.thakkar@allscripts.com
• Marco Visser Firely marco@fire.ly
• Matt Blackmon The Sequoia Project mblackmon@sequoiaproject.org
• May Terry MITRE mayT@mitre.org
• Michael Donnelly Epic michael.donnelly@epic.com
• Reinhard Egelkraut HL7 Austria/CGM reinhard.egelkraut@cgm.com
• Richard Ettema AEGIS.net, Inc. richard.ettema@aegis.net
• Roeland Luykx HL7 Switzerland roeland.luykx@arpage.ch
• Ron Shapiro Qvera ron@qvera.com
• Sameer Malhotra Weill Cornell Medicine sam2032@med.cornell.edu
• Yunwei Wang IMO ywang@imo-online.com

Tracker items

• 19692 - Persuasive
• 17742 - Persuasive

FHIR Infrastructure WGM Mon Quarter 3

Agenda

• Tracker items

Attendees

• Ewout Kramer (chair)
• Bertil Reppen Apertura bertil@apertura.no
• Dennis Patterson Cerner dennis.patterson@cerner.com
• Ewout Kramer Firely ewout@fire.ly
• Jeff Danford Allscripts jeffrey.danford@allscripts.com
• Josh Mandel SMART Health IT joshua.mandel@childrens.harvard.edu
• Lloyd McKenzie Gevity lmckenzie@gevityinc.com
• Marco Visser Firely marco@fire.ly
• Reinhard Egelkraut HL7 Austria/CGM reinhard.egelkraut@cgm.com
• Rick Geimer Lantana Consulting Group rick.geimer@lantanagroup.com
• Roeland Luykx HL7 Switzerland roeland.luykx@arpage.ch
• Ron Shapiro Qvera ron@qvera.com
• Vassil Peytchev Epic vassil@epic.com
• Yunwei Wang IMO ywang@imo-online.com

Tracker items

• 19645 - Persuasive
• 19653 - Persuasive
• 19686 - not persuasive

FHIR Infrastructure WGM Mon Quarter 4

Agenda

• Introductions
• Questions
• Alignment with workflow patterns
• Community interest in exercising workflow patterns
• Example Instances

Attendees

• Lloyd McKenzie (chair)
• Bertil Reppen Apertura bertil@apertura.no
• Brad Genereaux Agfa HealthCare brad.genereaux@agfa.com
• Brooke Rockwern American College of Physicians brockwern@acponline.org
• Chris Melo Philips Healthcare chris.melo@philips.com
• Dave Shaver Corepoint Health dave.shaver@corepointhealth.com
• David Burgess LabCorp burgesd@labcorp.com
• Dennis Patterson Cerner dennis.patterson@cerner.com
• Egger Oliver ahdis/HL7 Switzerland oliver.egger@ahdis.ch
• Elliot Silver Change Healthcare elliot.silver@changehealthcare.com
• Emma Jones Allscripts emma.jones@allscripts.com
• Eric Haas Health eData ehaas@healthedatainc.com
• Hans Buitendijk Cerner hans.buitendijk@cerner.com
• Jeff Danford Allscripts jeffrey.danford@allscripts.com
• Jonathan Whitby Vital / Canon jwhitby@vitalimages.com
• Josh Serchen American College of Physicians jserchen@acponline.org
• Ray Delano Cerner ray.delano@cerner.com
• Reinhard Egelkraut HL7 Austria/CGM reinhard.egelkraut@cgm.com
• Rik Smithies HL7 UK rik@nprogram.co.uk
• Ron Shapiro Qvera ron@qvera.com
• Stefan Lang HL7 Germany stefan.lang@lang-hitc.de
• Thomson Kuhn ACP tkuhn@acponline.org
• Vassil Peytchev Epic vassil@epic.com
• Matt Elrod American Physical Therapy Association mattelrod@apta.org
• Gay Dolin IMO gdolin@imo-online.com
• Karen Nocera CBORD kyn@cbord.com

Agenda Items

FHIR-I Monday Q4 Notes:

Questions and Issues

• Question about maturity/stability of workflow artifacts: "No maturity levels on artifacts since not directly implemented but they do influence/change resources." patterns right at about FMM level 4 in stability

• Brief history of workflow project ( Patterns, state machines, Guidance pages, Task Resource ) ...

• Question about MessageHeader valuesets: "Messaging is confined to small set of trading partners but no impetus for standarding yet..."

• Issue with ImagingStudy:
  • Dicom imaging study can be created over time and even several encounters and does not map the 'event' pattern. Is it close enough?
  • to be discussed in quarter with II.

• Question about Task workflow state machine: Task is in rejected state still can be cancelled. Can create a gforge request to clarify

• Workflow project scope includes how messaging occurs within a particular pattern.

Tasks for R5 cycle:

1. Review alignment with workflow patterns.
   1. Plan to incorporate new qa functionality into build tooling to generate warning/errors if not mapped correctly to patterns

1. Implement ExampleScenario Resource ( draft resource ) designed to provide set of example instance that follow a workflow pattern.
   1. seeking partner to implement in real world scenario/use case -( no interest expressed in room).
2. Task Resource owned by OO and goal is to make it FMM3-FMM4
   1. discuss Task issues on workflow calls - Monday 2PM Eastern (Orders and Observation make use call to dispose of trackers)
3. Creation of multiple example instances for each resources
4. Workflow Connectathon: Question of Interest and no current plan

Task is showing up in various implementation such as DaVinci CRD.

FHIR Infrastructure WGM Tue Quarter 4

Agenda

• IG Publishing/tooling

Attendees

•  ??? (chair)
• Becky Angeles Carradora Health becky.angeles@carradora.com
• Bertil Reppen Apertura bertil@apertura.no
• David deRoode Lantana Consulting Group david.deRoode@lantanagroup.com
• Dennis Patterson Cerner dennis.patterson@cerner.com
• Ewout Kramer Firely ewout@fire.ly
• Irina Connelly Georgia Tech irina.connelly@gtri.gatech.edu
• Josh Mandel SMART Health IT joshua.mandel@childrens.harvard.edu
• Lloyd McKenzie Gevity lmckenzie@gevityinc.com
• Rick Geimer Lantana Consulting Group rick.geimer@lantanagroup.com

FHIR Infrastructure WGM Wed Quarter 2

Agenda

• Tracker items

Attendees

• Ewout Kramer (chair)
• Dennis Patterson Cerner dennis.patterson@cerner.com
• Ewout Kramer Firely ewout@fire.ly
• Jeff Danford Allscripts jeffrey.danford@allscripts.com
• Michael Donnelly Epic michael.donnelly@epic.com
• Richard Ettema AEGIS.net, Inc. richard.ettema@aegis.net
• Roeland Luykx HL7 Switzerland roeland.luykx@arpage.ch
• Vassil Peytchev Epic vassil@epic.com
• Yunwei Wang IMO ywang@imo-online.com

Tracker items

16198 - Discussed, no resolution. Conclusion was to ask James Agnew about the reasons/usecases for adding it to HAPI.

FHIR Infrastructure WGM Thu Quarter 2

Agenda

• Tracker items

Attendees

• Ewout Kramer (chair)
• David deRoode Lantana Consulting Group david.deRoode@lantanagroup.com
• Ewout Kramer Firely ewout@fire.ly
• Jeff Danford Allscripts jeffrey.danford@allscripts.com
• Josh Mandel SMART Health IT joshua.mandel@childrens.harvard.edu
• Michael Donnelly Epic michael.donnelly@epic.com
• Richard Ettema AEGIS.net, Inc. richard.ettema@aegis.net
• Rick Geimer Lantana Consulting Group rick.geimer@lantanagroup.com
• Ron Shapiro Qvera ron@qvera.com
• Yunwei Wang IMO ywang@imo-online.com

Tracker items

• 13934 - Rick will start a Zulip thread about this - if there's interest we will look at converting to core
• 9197 - considered for future use
• 14712 - considered for future use
• 19523 - discussed, need conformation from Mike Henderson
• 19568 - Persuasive
• 19570 - persuasive
• 19567 - not persuasive
• 19620 - persuasive

FHIR Infrastructure WGM Thu Quarter 3

Agenda

• FHIRCast update
• Publishing?
• R5 planning

Attendees

• Ewout Kramer (chair)
• Egger Oliver ahdis/HL7 Switzerland oliver.egger@ahdis.ch
• Ewout Kramer Firely ewout@fire.ly
• Grahame Grieve Health Intersections grahame@hl7.org
• Isaac Vetter Epic isaac@epic.com
• Jeff Danford Allscripts jeffrey.danford@allscripts.com
• Richard Ettema AEGIS.net, Inc. richard.ettema@aegis.net
• Rick Geimer Lantana Consulting Group rick.geimer@lantanagroup.com
• Ron Shapiro Qvera ron@qvera.com
• Yunwei Wang IMO ywang@imo-online.com
• Adam Wong ONC adam.wong@hhs.gov

Fhircast update

Isaac gave a presentation on the current state of FHIRCast

R5 planning

Discussed our decisions made on monday with the FHIR product director.