View source for 2017-01-05 Patient Care FHIR Call





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==Meeting Information==
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| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''Patient Care FHIR Resources Conference Call''' <br/>
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'''Location: Conference Call''' <br/>
'''Phone Number: +1 770-657-9270'''<br/>
'''Participant Passcode: 943377'''<br/>
'''WebEx:'''  <nowiki>

https://cerner.webex.com/cerner/j.php?MTID=mfc8969c4f77244480beee61d31385e79</nowiki>
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| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''Date: 2017-01-05'''<br/> '''Time: 5-6:30pm ET'''
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| width="10%" colspan="1" align="right"|'''Facilitator'''
| width="35%" colspan="1" align="left"|Michelle M Miller
| width="25%" colspan="1" align="right"|'''Note taker(s)'''
| width="30%" colspan="1" align="left"|Michelle M Miller
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| border="1" cellpadding="2" colspan="1" align="left"|'''Attendee'''
| '''Name'''
|colspan="2"|'''Affiliation'''

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| || Elaine Ayres
|colspan="2"| NIH/Department of Clinical Research Informatics
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|  || Stephen Chu
|colspan="2"| 
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|  || Danielle Friend
|colspan="2"| Epic
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| || Eric Haas
|colspan="2"| Haas Consulting
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| || Rob Hausam
|colspan="2"| Hausam Consulting LLC
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| || Laura Heermann-Langford
|colspan="2"| Intermountain Healthcare
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| || Emma Jones
|colspan="2"| Allscripts
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| || Russ Leftwich
|colspan="2"| InterSystems
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|  || Tony Little
|colspan="2"| Optum 360
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| || Jay Lyle
|colspan="2"| Ockham Information Services LLC, VA
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| || Sarah Maulden
|colspan="2"| VA
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| || Hank Mayers
|colspan="2"| ReliaTech Consulting
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| || Jim McClay
|colspan="2"| Univ of Nebraska Medical Center
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| || Russell McDonell
|colspan="2"| Telstra Health
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| || Lloyd McKenzie
|colspan="2"| Gevity (HL7 Canada)
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| || Larry McKnight
|colspan="2"| Cerner
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|  || Michelle M Miller 
|colspan="2"| Cerner
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| || Lisa Nelson
|colspan="2"| Life Over Time Solutions
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| || Viet Nguyen
|colspan="2"| Lockheed Martin, Systems Made Simple 
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| || M'Lynda Owens
|colspan="2"| Cognosante
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| || Craig Parker
|colspan="2"| Intermountain Healthcare
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| || Scott Robertson
|colspan="2"| Kaiser Permanente
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| || Simon Sum
|colspan="2"| Academy of Nutrition and Dietetics
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| || Iona Thraen
|colspan="2"| Dept of Veterans Affairs
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|colspan="4" |'''Quorum Requirements Met: '''yes 
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==Agenda==
'''Agenda Topics''' <br/>
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#Agenda review
#Approve previous meeting minutes [[2016-12-15_Patient_Care_FHIR_Call]]
#*'''Motion:''' <moved>/<seconded> 
#Prior Action Item Follow-up  
# gForge change request

==Supporting Information==
====STU 3 Timeline====
From [[FHIR_Ballot_Prep]]
* Sun. Nov. 27 Ballot substantive resource freeze (prioritize resources that IGs will be based on) 
* Sun. Dec. 4 Ballot total freeze 
* Sun. Dec. 9 (or a day or two earlier) Freeze released - all changes allowed 
* Sun. Feb. 5 Ballot reconciliation deadline - All ballot comments must be reconciled, tracker issue report must be clean 
* Sun. Feb. 19 Publication substantive resource freeze 
* Sun. Feb 26 Publication total freeze 
* Mon. Feb 27 QA period opens 
* Tue. Feb 28 FMM QA spreadsheet updated for all WG resources 
* Sun. Mar. 13 QA period closes 
* Sun. Mar. 20 All QA applied 
The "following week" STU 3 is published!

====FHIR Maturity Levels====
[http://hl7-fhir.github.io/resource.html#maturity]
Level 3 requires the artifact has been verified by the work group as meeting the [[DSTU_2_QA_guidelines]] and has been subject to a round of formal balloting; has at least 10 implementer comments recorded in the tracker drawn from at least 3 organizations resulting in at least one substantive change

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| width="25%" colspan="1" align="left" style="background:#f0f0f0;"|'''Resource''' <br/>
| width="10%" colspan="1" align="left" style="background:#f0f0f0;"|'''Current FMM Level'''
| width="10%" colspan="1" align="left" style="background:#f0f0f0;"|'''Goal FMM Level'''
| width="10%" colspan="1" align="left" style="background:#f0f0f0;"|'''QA Status'''
| width="10%" colspan="1" align="left" style="background:#f0f0f0;"|'''QA Reviewer'''
| width="10%" colspan="1" align="left" style="background:#f0f0f0;"|'''Implementation'''
| width="25%" colspan="1" align="left" style="background:#f0f0f0;"|'''Comments'''<br/>
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|| '''AllergyIntolerance''' || 1 || 3 || || Michelle|| Argonaut || 
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|| '''Condition''' || 2 || 3 || || Michelle|| Argonaut || 
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|| '''Procedure''' || 1 || 3 || || Michelle|| Argonaut ||  
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|| '''CarePlan''' || 1 || 3 || || Michelle|| Argonaut || 
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|| Goal || 1 || 3 || || Michelle|| || 
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|| QuestionnaireResponse || 2 || 2 || || Lloyd || || Lloyd will QA to get to level 3 
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|| Questionnaire || 0 || 2 || || Lloyd || || Lloyd will QA to get to level 3  
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|| CareTeam || 0 || 2 || NA || Michelle || || Aggressive goal (e.g. whether we'll get the implementations needed)
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|| FamilyMemberHistory || 1 || 2 || NA || NA || || Aggressive goal (e.g. whether we'll get the implementations needed)
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|| ClinicalImpression || 0 || 1 || NA || NA || ||  
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|| ReferralRequest || 1 || 1 || NA || NA || ||   
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|| ProcedureRequest || 1 || 1 || NA || NA || ||  
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|| Linkage || 0 || 1 || NA || NA || ||   
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|| Flag || 1 || 1 || NA || NA || ||   
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|| Communication || 1 || 1 || NA || NA || ||   
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|| CommunicationRequest || 1 || 1 || NA || NA || ||  
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Note:  Bold denotes top 20 resource based on [https://docs.google.com/forms/d/12GVflt2GLprr8E3_8dppkxBZXqTg2n_zdaWzo6qtags/viewanalytics| survey ] <br>
Note:  Contraindication and Risk Assessment are owned by CDS, not Patient Care <br/>

==Minutes==
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=== Prior Action Item Follow-up ===

WGM agenda:  http://wiki.hl7.org/index.php?title=January_2017_WGM_San_Antonio,_Jan_14_to_Jan_20
* Tues Q4 is on the PC agenda as Negation (chaired by Jay)
* Thurs Q1 is on the PC agenda as a CarePlan (chaired by Laura)
* Wed Q1 is on the PC agenda as FHIR topics (chaired by me)

As a follow-up to our discussion on Dec 15 about finding a WGM quarter when Lloyd can join us to discuss pulling AdverseReaction back out into its own resource, he said:
 
“I'll be with you Thurs Q1 and Tue Q4. I might be able to pop by briefly at the start of Wed Q1”

=== gForge Change Requests ===
==== Questionnaire / QuestionnaireResponse Ownership ====
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12512 - Transfer ownership of Questionnaire to FHIR-I from PC (Grahame) - questionnaires are really an infrastructure thing that are cropping up all over the place, and the discussions around them are mostly driven by infrastructure concerns - types, metadata, processing requirements, form vs function, questionnaires vs profiles. Obviously PC will continue to have an interest in patient focused questionnaires, but I think that this is just one valid usage


====FHIR Publication / Backlog Status====
* 43 unresolved tracker items (34 ballot + 9 high maturity resource non-ballot comments) 
** 16 requested input from vocab (value set related ballot comments) -- 5 of which require input from Patient Care first
**  3 waiting for input
**  2 waiting to be scheduled (joint with OO)
** 14 ready for discussion during our weekly conference call
**  8 Block Vote 1

* 21 Resolved - Change Request tracker items
** 19 ballot or high maturity resource (+ 2 non-ballot, non-priority resource)
** 9 are substantive (+ 12 are non-substantive)
*** 4 related to new extensions/profiles
*** 1 workflow pattern
*** 3 ready to be applied
*** 1 new resources (AdverseEvent/Reaction)

==== Waiting for Input ====
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11346 suggest adding 'modified' element to indicate when the careTeam was last updated (Emma)
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=7185 ClinicalImpression is poorly thought out (ClemMcDonald@mail.nih.gov)
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10090 Condition Introduction (Michelle)

====In Person (Pending Schedule) ====
Joint with OO -- in the process of being scheduled
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11026 Relationship between Condition and Observation - 2016-09 core #45  (Jay Lyle) 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11119 Differentiate ProcedureRequest and DiagnosticRequest and align their elements - 2016-09 core #273  (Danielle Friend)

==== Discussed Today ====
TBD

==== Backlog - Ready to Discuss in Subsequent Calls ====
Resources with higher maturity - target FMM Level 3

Workflow
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10293 revisit workflow patterns; review gap analysis attached to the gForge 

CarePlan / Goal / CareTeam
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11116 Better define the careplan.activity.outcome field - on-going discussions taking place on Patient Care CarePlan conference calls
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12090 Rename goal attribute  
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11344 Allow CarePlan.activity.detail.performer to be CareTeam 

Care Team
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11342 - Add CareTeam.relatedTeam or other composition relationship - 2016-09 core #500 

Value Set topics:
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10620 - QA 7a:  CarePlan.activity.outcome needs a binding to a value set
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10623 - QA:  Goal CodeableConcept elements are missing a binding to a value set
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10725 - QA 4: CareTeam CodeableConcepts need a binding to a value set
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11334 - Constrain CareTeam participant role value set - 2016-09 core #492

AllergyIntolerance
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11155 Unclear how the negation value set will work - 2016-09 core #309  (Stephen Chu) 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12177 Review/expand the AllergyIntolerance.criticality valueset (Mohannad Hammadeh)

Condition
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10635 QA 5a: Resource references exist in both directions for Condition and ClinicalImpression (Michelle Miller) 

Procedure
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11162 Suggest include reference to remedial treatment(s) - 2016-09 core #316  (Stephen Chu)
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10626 - QA:  Procedure.usedCode needs a binding to a value set (Vocab/PC)

Questionnaire / QuestionnaireResponse
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10998 Questionnaire.concept -> Questionnaire.code and update definitions - 2016-09 sdc #64  (Stephen Chu)
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12186 Proposed Changes to Questionnaire / Questionnaire Response from Tuesday evening discussion (Grahame Grieve) 

ClinicalImpression
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11209 Feedback on ClinicalImpression - 2016-09 core #363

Communication/CommunicationRequest
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10391 - Communication.reason needs to be searchable (John Moehrke)
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10390 - CommunicationRequest query on reason (John Moehrke) 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10387 - CommunicationRequest needs ability to describe the location that the communication is about (John Moehrke)

====Block Vote 1 (scheduled for Jan 12) ====
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9044 - Need extension to track FHIR data type
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12400 - Add Goal search parameter for startDate
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12418 - add status search parameter to CarePlan
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12442 - QA:  Questionnaire.item.enableWhen.answer and Questionnaire.item.initial bindings missing 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12434 - Remove answerInstant from Questionnaire(Response)
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12517 - add diagnosticrequest to context of procedure-targetbodysite
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12511 - Questionnaire.item.type optional problem
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12430 Make clear that QuestionnaireResponse must align with corresponding Questionnaire

=== Adjourn ===
Adjourned at <hh:mm am/pm> <timezone>.

==Meeting Outcomes==
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|width="100%" |'''Next Meeting/Preliminary Agenda Items'''<br/>
#Agenda review
#Approve previous meeting minutes
#*'''Motion:''' <moved>/<seconded> Abstain - <#>, Negative - <#>, Approve - <#> 
# gForge change request
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