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Difference between revisions of "2016-01-28 Patient Care FHIR Call"

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|colspan="2"|  
 
|colspan="2"|  
 
|-
 
|-
−
| || Eric Haas
+
|X || Eric Haas
 
|colspan="2"| Haas Consulting
 
|colspan="2"| Haas Consulting
 
|-
 
|-
−
| || Rob Hausam
+
|X || Rob Hausam
 
|colspan="2"| Hausam Consulting LLC
 
|colspan="2"| Hausam Consulting LLC
 
|-
 
|-
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|colspan="2"| Intermountain Healthcare
 
|colspan="2"| Intermountain Healthcare
 
|-
 
|-
−
| || Emma Jones
+
| X|| Emma Jones
 
|colspan="2"| Allscripts
 
|colspan="2"| Allscripts
 
|-
 
|-
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| || Iona Thraen
 
| || Iona Thraen
 
|colspan="2"| Dept of Veterans Affairs
 
|colspan="2"| Dept of Veterans Affairs
 +
|-
 +
| X || Margaret Dittloff
 +
|colspan="2"|
 
|-
 
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|colspan="4" style="background:#f0f0f0;"|
 
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#Agenda review
 
#Agenda review
 
#Approve previous meeting minutes:  [[2016-01-21_Patient_Care_FHIR_Call]]
 
#Approve previous meeting minutes:  [[2016-01-21_Patient_Care_FHIR_Call]]
−
#*'''Motion:''' <moved>/<seconded> Abstain - <#>, Negative - <#>, Approve - <#>
+
#*'''Motion:''' Rob/LLoyd Abstain - 0, Negative - 0, Approve - 5
 +
#FHIR Maturity Model Level
 
#Block Vote
 
#Block Vote
 
#Prior Action Item Follow-up
 
#Prior Action Item Follow-up
Line 148: Line 152:
 
==Supporting Information==
 
==Supporting Information==
 
'''FHIR Resources owned by Patient Care'''<br/>
 
'''FHIR Resources owned by Patient Care'''<br/>
−
* AllergyIntolerance (1)
+
Maturity levels [http://hl7-fhir.github.io/resource.html#maturity]
 +
 
 +
* Questionnaire (2) -- Lloyd will QA to get to 3
 +
* Questionnaire Response (2) -- Lloyd will QA to get to 3
 +
* Condition (2)
 +
* AllergyIntolerance (1) -- Rob
 
* Procedure (1)
 
* Procedure (1)
−
* Questionnaire (1)-- potential normative candidate
+
Connectathon candidates
−
* Questionnaire Answer (1)-- potential normative candidate
+
* CarePlan (1)  
−
 
+
* Goal (1)  
−
* Condition (1) -- possible normative only if it doesn't have substantive changes after working through health concern, negation, and alignment with OpenEHR
+
* Referral Request (1)
−
* 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
+
* FamilyMemberHistory (1)
−
* Goal (1) -- probably not enough wide spread implementation to be considered normative
+
Lower priority resources
−
* Referral Request (1)-- probably not enough wide spread implementation to be considered normative
+
* Procedure Request (1)
−
* 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
+
* Flag (1)
−
 
+
* ClinicalImpression (0) -- goal to move to level 1 by next release
−
* Procedure Request (2)
+
* Communication (1)
−
* Flag (2)
+
* CommunicationRequest (1)
−
* ClinicalImpression (3)
+
<br>
−
* Communication (3)
 
−
* CommunicationRequest (3)
 
−
 
 
 
Note:  Contraindication and Risk Assessment are owned by CDS, not Patient Care <br/>
 
Note:  Contraindication and Risk Assessment are owned by CDS, not Patient Care <br/>
  
Line 196: Line 202:
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8646|gForge 8646] Change allergy criticality codes to FHIR-defined (Lloyd McKenzie) Persuasive
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8646|gForge 8646] Change allergy criticality codes to FHIR-defined (Lloyd McKenzie) Persuasive
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8791|gForge 8791] AllergyIntolerance note cardinality (Michelle Miller) Persuasive
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8791|gForge 8791] AllergyIntolerance note cardinality (Michelle Miller) Persuasive
−
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8931|gForge 8931] Need a way to capture ruled out diagnoses (Lloyd McKenzie) Persuasive
 
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8984|gForge 8984] Add category to search criteria for Procedure (Elliot Silver) Persuasive
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8984|gForge 8984] Add category to search criteria for Procedure (Elliot Silver) Persuasive
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9192|gForge 9192] Questionnaire item type resource with a profile? (Eric van der Zwan) Persuasive
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9192|gForge 9192] Questionnaire item type resource with a profile? (Eric van der Zwan) Persuasive
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8604|gForge 8604] FamilyMemberHistory needs explanation of how to record Patient's own history (Russell McDonell) Persuasive with Mod
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8604|gForge 8604] FamilyMemberHistory needs explanation of how to record Patient's own history (Russell McDonell) Persuasive with Mod
−
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8940|gForge 8940] Goals also needs CodeableConcept as description (Jesper Haffgaard) Persuasive with Mod
 
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8962|gForge 8962] update the definition for FamilyMemberHistory.status (Riki Merrick) Persuasive with Mod
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8962|gForge 8962] update the definition for FamilyMemberHistory.status (Riki Merrick) Persuasive with Mod
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8963|gForge 8963] add description how to capture statement about How many siblings, how many male siblings with condition X? (Riki Merrick) Persuasive with Mod
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8963|gForge 8963] add description how to capture statement about How many siblings, how many male siblings with condition X? (Riki Merrick) Persuasive with Mod
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Pulled from block vote
 
Pulled from block vote
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9207|gForge 9207] FamilyMedicalHistory does not sufficiently meet adoptive relations (Sean Moore) Not Persuasive
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9207|gForge 9207] FamilyMedicalHistory does not sufficiently meet adoptive relations (Sean Moore) Not Persuasive
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8931|gForge 8931] Need a way to capture ruled out diagnoses (Lloyd McKenzie) Persuasive
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8940|gForge 8940] Goals also needs CodeableConcept as description (Jesper Haffgaard) Persuasive with Mod
 +
 +
Motion to approve block vote:  Lloyd/Russell, abstain-1, negative-0, approval-5
  
 
=== Prior Action Item Follow-up ===
 
=== Prior Action Item Follow-up ===
 
'''Annotation/Note element name''':  Michelle logged [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9384| gForge 9384] for MnM to update build tool validation by renaming note element to annotation to avoid confusion with other standalone clinical notes
 
'''Annotation/Note element name''':  Michelle logged [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9384| gForge 9384] for MnM to update build tool validation by renaming note element to annotation to avoid confusion with other standalone clinical notes
  
−
'''New Clinical Note Resource''':  Confirm when Grahame is available to join Patient Care FHIR conference call to continue [http://lists.hl7.org/read/messages?id=287158| listserv discussion] related to [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9304|gForge 9304], which was a request for a new clinical note resource
+
'''New Clinical Note Resource''':  Grahame joined Patient Care FHIR conference call to continue [http://lists.hl7.org/read/messages?id=287158| listserv discussion] related to [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9304|gForge 9304], which was a request for a new clinical note resource
 +
* Composition -- package related to workflow -- set of sections with supporting data/content
 +
* Clinical Impression (formally known as Clinical Assessment) -- note that only contains text (could be wrapped into composition) -- scope and usage says "Some clinical assessments simply result in an impression recorded as a single text note in the patient 'record' (e.g. "Progress satisfactory, continue with treatment")..."
 +
* IF PatientCare proceeds with a new resource for Clinical Note, then there needs to be a clear boundary between ClinicalImpression, Observation, and the new ClinicalNote resource
  
 
'''New CareTeam Resource''':  PA/PC joint discussion led to a proposal to pull out Care Team into its own resource, per [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_id=677&tracker_item_id=9261| gForge 9261].  A new resource proposal is drafted [[CareTeam_FHIR_Resource_Proposal]], but some [http://lists.hl7.org/read/messages?id=286894| listserv discussion] about whether to use Group instead
 
'''New CareTeam Resource''':  PA/PC joint discussion led to a proposal to pull out Care Team into its own resource, per [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_id=677&tracker_item_id=9261| gForge 9261].  A new resource proposal is drafted [[CareTeam_FHIR_Resource_Proposal]], but some [http://lists.hl7.org/read/messages?id=286894| listserv discussion] about whether to use Group instead
−
 
+
* Purpose of Group is underspecified -- some think the data elements look similar, so reuse/profile it -- Lloyd expects Group is useful for research and public health where we want to treat a collection of people/animals (herd, cage, pond) -- actions are taken on the Group, but Groups don't do things, nor do they have legal responsibilities
−
'''Negation''': Update from Rob/Jay on whether to schedule dedicated call for negation
+
* CareTeam (as a whole) is not expected to be an actor. Rather, the individuals within the care team are the actors.
 +
* CareTeam is more about relationships -- not something to be acted upon
 +
* More FMG discussion next week
  
 
=== gForge Change Requests ===
 
=== gForge Change Requests ===
 +
[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8931| gForge 8931]
  
 
=== Adjourn ===
 
=== Adjourn ===
−
Adjourned at <hh:mm am/pm> <timezone>.
+
Adjourned at 6:30 pm Eastern.
  
 
==Meeting Outcomes==
 
==Meeting Outcomes==
Line 236: Line 250:
 
| width="100%" align="left" style="background:#f0f0f0;"|'''Actions''' ''
 
| width="100%" align="left" style="background:#f0f0f0;"|'''Actions''' ''
  
−
* .
+
* Michelle will solicit input from Argonaut to see which vendors have implemented resources (and tested, but not necessarily in prod):  Allergy, Procedure, Family History, CarePlan, and Goal most likely
 +
* Lloyd will check with genomics about testing FamilyMemberHistory at Connectathon
 +
* Lloyd will check with Keith about testing a workflow scenario with CarePlan, Referral, and Goal
 +
* Michelle will send QA spreadsheet and Wiki to listserv with list of resources that are candidates for maturity level 3
 +
* Michelle will update block vote gForge items
 +
* Update from Rob/Jay on whether to schedule dedicated call for negation
 +
* Define boundaries between ClinicalImpression, Observation, and a new ClinicalNote resource
 
|-
 
|-
 
<!---=======================================================================
 
<!---=======================================================================

Latest revision as of 17:22, 29 January 2016



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: 2016-01-28
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)
Larry McKnight Cerner
X Michelle M Miller Cerner
Lisa Nelson Life Over Time Solutions
Viet Nguyen Systems Made Simple
X M'Lynda Owens
Craig Parker Intermountain Healthcare
Scott Robertson Kaiser Permanente
X Simon Sum Academy of Nutrition and Dietetics
Iona Thraen Dept of Veterans Affairs
X Margaret Dittloff
Quorum Requirements Met: yes

Agenda

Agenda Topics

  1. Agenda review
  2. Approve previous meeting minutes: 2016-01-21_Patient_Care_FHIR_Call
    • Motion: Rob/LLoyd Abstain - 0, Negative - 0, Approve - 5
  3. FHIR Maturity Model Level
  4. Block Vote
  5. Prior Action Item Follow-up
    • annotation/note element name
    • new note resource
    • new care team resource
    • negation next steps
  6. gForge change requests

Supporting Information

FHIR Resources owned by Patient Care
Maturity levels [1]

  • Questionnaire (2) -- Lloyd will QA to get to 3
  • Questionnaire Response (2) -- Lloyd will QA to get to 3
  • Condition (2)
  • AllergyIntolerance (1) -- Rob
  • Procedure (1)

Connectathon candidates

  • CarePlan (1)
  • Goal (1)
  • Referral Request (1)
  • FamilyMemberHistory (1)

Lower priority resources

  • Procedure Request (1)
  • Flag (1)
  • ClinicalImpression (0) -- goal to move to level 1 by next release
  • Communication (1)
  • CommunicationRequest (1)


Note: Contraindication and Risk Assessment are owned by CDS, not Patient Care

Minutes

Block Vote

Balloters

  • Elliot Silver
  • Eric van der Zwan
  • Jesper Haffgaard
  • Lloyd McKenzie
  • Michele Mottini
  • Michelle Miller
  • Riki Merrick
  • Russell McDonell
  • Sean Moore

Line Items

  • 9174 QuestionnaireResponse 'subject' search parameter reference types (Michele Mottini) Considered - Question Answered
  • 9210 Include Dental Procedures in Procedure.Category (Sean Moore) Not Persuasive
  • 8646 Change allergy criticality codes to FHIR-defined (Lloyd McKenzie) Persuasive
  • 8791 AllergyIntolerance note cardinality (Michelle Miller) Persuasive
  • 8984 Add category to search criteria for Procedure (Elliot Silver) Persuasive
  • 9192 Questionnaire item type resource with a profile? (Eric van der Zwan) Persuasive
  • 8604 FamilyMemberHistory needs explanation of how to record Patient's own history (Russell McDonell) Persuasive with Mod
  • 8962 update the definition for FamilyMemberHistory.status (Riki Merrick) Persuasive with Mod
  • 8963 add description how to capture statement about How many siblings, how many male siblings with condition X? (Riki Merrick) Persuasive with Mod

Pulled from block vote

  • 9207 FamilyMedicalHistory does not sufficiently meet adoptive relations (Sean Moore) Not Persuasive
  • 8931 Need a way to capture ruled out diagnoses (Lloyd McKenzie) Persuasive
  • 8940 Goals also needs CodeableConcept as description (Jesper Haffgaard) Persuasive with Mod

Motion to approve block vote: Lloyd/Russell, abstain-1, negative-0, approval-5

Prior Action Item Follow-up

Annotation/Note element name: Michelle logged gForge 9384 for MnM to update build tool validation by renaming note element to annotation to avoid confusion with other standalone clinical notes

New Clinical Note Resource: Grahame joined Patient Care FHIR conference call to continue listserv discussion related to 9304, which was a request for a new clinical note resource

  • Composition -- package related to workflow -- set of sections with supporting data/content
  • Clinical Impression (formally known as Clinical Assessment) -- note that only contains text (could be wrapped into composition) -- scope and usage says "Some clinical assessments simply result in an impression recorded as a single text note in the patient 'record' (e.g. "Progress satisfactory, continue with treatment")..."
  • IF PatientCare proceeds with a new resource for Clinical Note, then there needs to be a clear boundary between ClinicalImpression, Observation, and the new ClinicalNote resource

New CareTeam Resource: 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 drafted CareTeam_FHIR_Resource_Proposal, but some listserv discussion about whether to use Group instead

  • Purpose of Group is underspecified -- some think the data elements look similar, so reuse/profile it -- Lloyd expects Group is useful for research and public health where we want to treat a collection of people/animals (herd, cage, pond) -- actions are taken on the Group, but Groups don't do things, nor do they have legal responsibilities
  • CareTeam (as a whole) is not expected to be an actor. Rather, the individuals within the care team are the actors.
  • CareTeam is more about relationships -- not something to be acted upon
  • More FMG discussion next week

gForge Change Requests

gForge 8931

Adjourn

Adjourned at 6:30 pm Eastern.

Meeting Outcomes

Actions
  • Michelle will solicit input from Argonaut to see which vendors have implemented resources (and tested, but not necessarily in prod): Allergy, Procedure, Family History, CarePlan, and Goal most likely
  • Lloyd will check with genomics about testing FamilyMemberHistory at Connectathon
  • Lloyd will check with Keith about testing a workflow scenario with CarePlan, Referral, and Goal
  • Michelle will send QA spreadsheet and Wiki to listserv with list of resources that are candidates for maturity level 3
  • Michelle will update block vote gForge items
  • Update from Rob/Jay on whether to schedule dedicated call for negation
  • Define boundaries between ClinicalImpression, Observation, and a new ClinicalNote resource
Next Meeting/Preliminary Agenda Items
  1. Agenda review
  2. Approve previous meeting minutes
    • Motion: <moved>/<seconded> Abstain - <#>, Negative - <#>, Approve - <#>
  3. gForge change request

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