2016-01-21 Patient Care FHIR Call

Meeting Information

Patient Care FHIR Resources Conference Call Location: Conference Call Phone Number: +1 770-657-9270 Participant Passcode: 943377 Live Meeting: https://www147.livemeeting.com/cc/_XML/cerner/join?id=8FNF2S&role=attend&pw=m9Kd%7Cx9		Date: 2016-01-21 Time: 5-6:30pm ET
Facilitator	Michelle M Miller	Note taker(s)	Michelle M Miller
Attendee	Name	Affiliation
	Elaine Ayres	NIH/Department of Clinical Research Informatics
	Stephen Chu
X	Eric Haas	Haas Consulting
X	Rob Hausam	Hausam Consulting LLC
	Laura Heermann-Langford	Intermountain Healthcare
X	Emma Jones	Allscripts
	Russ Leftwich	InterSystems
	Jay Lyle	Ockham Information Services LLC, VA
	Sarah Maulden	VA
	Jim McClay	Univ of Nebraska Medical Center
X	Russell McDonell	Telstra Health
X	Lloyd McKenzie	Gevity (HL7 Canada)
X	Larry McKnight	Cerner
X	Michelle M Miller	Cerner
	Lisa Nelson	Life Over Time Solutions
	Viet Nguyen	Systems Made Simple
	Craig Parker	Intermountain Healthcare
	Scott Robertson	Kaiser Permanente
X	Simon Sum	Academy of Nutrition and Dietetics
	Iona Thraen	Dept of Veterans Affairs
Quorum Requirements Met: yes

Agenda

Agenda Topics

1. Agenda review
2. Approve previous meeting minutes 2016-01-07_Patient_Care_FHIR_Call
   • Motion: Rob/Lloyd Abstain - 2, Negative - 0, Approve - 2
3. Work Group Meeting recap
4. Prior Action Item Follow-up
5. gForge change request

Supporting Information

DSTU 2.1 Timeline
FHIR Resources owned by Patient Care

• AllergyIntolerance (1) -- frozen
• Procedure (1) -- frozen
• Questionnaire (1)-- potential normative candidate
• Questionnaire Answer (1)-- potential normative candidate

• Condition (1) -- possible normative only if it doesn't have substantive changes after working through health concern, negation, and alignment with OpenEHR
• CarePlan (1) -- probably not enough wide spread implementation to be considered normative, but Lloyd will check with community to see if there are any planned implementations coming up in the next 18 months
• Goal (1) -- probably not enough wide spread implementation to be considered normative
• Referral Request (1)-- probably not enough wide spread implementation to be considered normative
• FamilyMemberHistory (2) genomics / Jonathan Holt – Vanderbilt - interested in contributing to this resource -- possible normative, but may not have wide spread implementation to be considered normative

• Procedure Request (2)
• Flag (2)
• ClinicalImpression (3)
• Communication (3)
• CommunicationRequest (3)

Note: Contraindication and Risk Assessment are owned by CDS, not Patient Care
Note: Substantive changes to frozen resources in DSTU2.1 are prohibited unless FMG explicitly approves the substantive change

Minutes

Work Group Meeting Recap

Care Team: PA/PC joint discussion led to a proposal to pull out Care Team into its own resource, per gForge 9261. A new resource proposal is being drafted CareTeam_FHIR_Resource_Proposal

Transfusions: Daniel Lanphear (McKesson) wants to discuss transfusions with Patient Care. Note: he had previously logged gForge 8458, which has a resolution of "This will need to be a separate resource. Need to consider plasma, platlets, synthetic blood substitutes, etc. Will need to clearly define boundaries. Will also need to look at radio-therapy & photo-therapy as well. Consideration for DSTU 3"

Notes: No consensus on how to represent, per Wed Q3 meeting minutes. May need to document requirements and use cases and/or invite Grahame to a PC conference call. Argonaut discussion has been started as well. ListServ thread too. Related gForge items logged against various work groups:

• gForge 8780 -- A Home for Unstructured Clinical Content (FHIR Infrastructure)
• gForge 5979 -- Would prefer the name for this resource to be ClinicalNote (Patient Care)
• gForge 8523 -- DocumentReference.content (Argonaut)
• gForge 9304 -- New Resource - ClinicalCareNotes (Patient Care)

Negation: Motions to approve problem statement and create PSS collaborating with SD, OO, FHIR, CQI, CIMI, Vocab per Tues Q4 meeting minutes

DSTU timeline: Not doing 2.1 release in May. 3.0 will be in September cycle. Freeze on resources has been lifted. Need to determine target maturity levels to help prioritize

Prior Action Item Follow-up

Lloyd requested we log a gForge, so it shows up on MnM agenda

gForge Change Requests

ReferralRequest

• gForge 3893

Communication

• gForge 7754

CarePlan

• gForge 8255

CommunicationRequest

• gForge 8255

Adjourn

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

Meeting Outcomes

Actions Lloyd will talk to MnM about the possibility of renaming notes to annotation; Michelle will log gForge Rob/Jay will sync on whether to schedule dedicated call for negation

Next Meeting/Preliminary Agenda Items Agenda review Approve previous meeting minutes Motion: <moved>/<seconded> Abstain - <#>, Negative - <#>, Approve - <#> gForge change request

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