MnM Minutes CC 20150319

M&M Conference Call 1:00PM Eastern Time (Date above)

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Agenda

• Approve Minutes Prior Meeting on 03/12

Attendees

• Lloyd McKenzie (chair)
• Austin Kreisler
• Gordon Raup
• Chad Armstrong
• Daniel Lanphear
• Mark Kramer

Minutes

Approved minutes of 03/12

Austin/Daniel 5-0-0

Block votes

• FHIR Core block vote:

5866: Split $meta-change into $add-meta and $delete-meta

5818: DataElement should use ElementDefinition

3903: Conformance searchParam are not 'additional'

3889: errors in standard extensionDefinitions

3858: Need to define behavior around ignoring updates

3830: Clarify effect of deletion on resource history

3821: Add code system manifest to ValueSet expansion

3761: Clarification of how to implement search on boolean fields (e.g. Patient.active)

3744: Create operation - should the effects of idempotence be described?

3740: The list of FHIR datatypes should be explicit about "element" and derived types

3694: ConceptMap.name should be 0..1

3692: Remove type idref

3664: Profile definition for "Any"

3591: Versionless updates should be permitted

3522: Extensibility page has incorrect example for modifier, and has xml-specific language

3516: Document what the 'lock' icon means in the xml comments

3504: Can extensions have values and sub-extensions?

3468: Tool extensions should be moved to resource-specific profiles

3235: Example name guidance

3342: contained resources overrepresented in examples

3807: Should add rationale to Invariant

3802: Specify what it means for a search parameter to matches a complex datatype

3773: Other needs to be renamed

3650: Clarify format of Profile.extensionDefn.context

3381: Objective-C Reference Implementation from Download page is broken

3835: Rename keyword "metadata" to "_metadata" (Propose to reject this)

3859: add clarifying text for Profile.x.element.type.profile (Propose to reject this - something similar in intent but different in details done as part of StructureDefinition change)

3860: REST Search syntax clarification

3873: Explicitly specify resource/element types throughout? (Note: this one won't be applied to later, it's a massive change, but it's definitely needed to be done)

3880: extension content model example change request

3890: consistent use of 'any' for extensionDefinitions

3901: ;in should be :not?

3906: Broken Links

3910: Separate the updateCreate Resource property into an updat and create values

3924: Add clarification on case sensitivity in search vs validation

3928: Make parameter types hyperlinks

3933: Parameter resource does not support parts that are resources

5219: Fix cardinality of Narrative structure

5236: fix typo in example

5242: Jan 2015 Ballot Comment #119 (refer to extension registry)

5289: Jan 2015 Ballot Comment #168 - improve documentation about group and list

5311: Jan 2015 Ballot Comment #190 (move narrative about profiles)

5513: Ambiguous operation $validate

5601: Add an explicit specification of the resource identifier

5605: Unclear how to know what filters a given system supports for a given code system

5780: FHIR id definition is inconsistent

5796: Prohibit versionId and lastUpdated for contained resources

5816: Update documentation about extensions in compartments

5837: Additional issue types for warnings

5851: "Binding can only be present for coded elements" needs to be updated on DataElement

3730 Conformance behavior for operations is unclear

3889 errors in standard extensionDefinitions

• MnM Block vote:

5871 Time/DateTime DataType RegExes Don't Match Descriptions

5819 Rename ElementDefinition.synonym to alias or otherName

5812 Rename ElementDefinition.binding.reference[x] to codes[x]

5533 Should Given and Family name fields of HumanName be strings, not IEnumerable<string>?

5500 Jan 2015 Ballot Comment #437 (remove erroneous narrative range flag)

5499 Jan 2015 Ballot Comment #436 (effect of no content in attachment not persuasive)

5239 Jan 2015 Ballot Comment #116 (map data absent reasons to nullFlavors)

3691 Context conduction in contained is dangerous (clarification of text)

• Publishing

5898 Validation tooling isn't checking value set alignment of profiles

5874 In hierarchy view, show Extension type, not Extension

5805 OperationOutput should be removed from ValueSet based Validate operation

5792 generate expansions with code system version populated in the build tool

5664 Identifier use cardinality should be 1..1

5513 Ambiguous operation $validate

5449 Jan 2015 Ballot Comment #355 - better structure for profile lists

5373 Jan 2015 Ballot Comment #260 - make consent obvious

5218 Jan 2015 Ballot Comment #95 - make TOC more obvious

5182 Jan 2015 Ballot Comment #56 - resource list structure (**not persuasive**)

3964 No section numbers within profiles

3872 Need a way to profile a profile

3831 Add reminders for nesting levels in table views

3810 Resource package/profile list should link directly to profile if only one is defined for unique id

3791 create examples tab for extensions

3534 Need a formal support mechanism for i18n and l10n of schemas and schematrons

3512 in the documents section point to the example

• Excluded the following

3856: Please document the preferred methods for extending operations for local use by a specific implementation

2840 Address can't differentiate physical and postal

3966 Summary view in profiles is inappropriate

3868 Enhance the snapshot view

Motion: Approve the FHIR Core, MnM, Publishing & Additional FHIR Core with exclusions emailed by Lloyd

Austin/Gordy 5-0-0

5353 Add "type" to Identifier

Will add "code" to the Identifier type as 0..1 CodeableConcept. Binding as "extensible" (must use one of the approved codes if one applies - for interoperability, can supplement with local translations or with additional codes if none of the HL7 codes applies). Will add usage notes that the code is not a substitute for "system" and that codes should not be defined that are 1..1 with system. Will add the above guidance on what codes will be accepted into the HL7-maintained value set as part of the definition.

Austin/Gordy 5-0-0

5654 Integers for negative numbers

Will retain integer and define unsignedInteger and positiveInteger constraints and will update existing resources to reference constrained types as appropriate, consulting with WGs when the appropriate constraint is unclear.

Austin/Gordy 5-0-0

Timing proposals

• 3841 Revise Timing Structure
• 5347 Add range for frequency
• 5673 With Meals

Will change "repeat" to contain the following properties:

bounds : Period 0..1 - outer bounds for start and end of the timing schedule

count : integer 0..1 - a number of times to do this within the bounds

duration : decimal 0..1 - how long this thing happens for when it happens

durationUnits : code 0..1 - UCUM units for duration

frequency : integer 0..1 - number of times to repeat the action within the specified period or period range

frequencyMax : integer 0..1 - if present, indicates that the frequency is a range - so repeat between [frequency] and [frequencyMax] times within the period or period range

period : decimal 0..1 - Indicates the duration of time over which repetitions are to occur. E.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period

periodMax : decimal 0..1 - If present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days

periodUnits : code 0..1 - UCUM units for period + periodMax

when : code 0..1 - a real world event that the occurrence of the event should be tied to.

Will retain "event" as a repeating dateTime (rather than Period - can get the duration from Repeat), but indicate that it is distinct from "repeat" and that both can be present. The "event" represents the explicit scheduling of the information in repeat. At least one of repeat or event should be present (warning - allows for extensions).

Will add a number of examples - starting with the ones Gordy provided

2015/03/19 MnM FHIR call Gordy/Daniel 5-0-0

Tracker item 5664

2015/03/19 FHIR MnM call Austin/Daniel 5-0-0

Adjournment

2:05pm