20160421 OO FHIR conCall

HL7 OO on FHIR (for Orders and Observations) Call in details: Phone: +1 770-657-9270, Passcode: 398652 Join the meeting at: https://join.me/vernetzt.us		Date: 2016/04/21 2015 - 02:00 PM (Eastern Time, GMT -04 DST)
Quorum = chair + 4 yes

Co chairs	Chair	Notetaker
Riki Merrick
Rob Hausam
Lorraine Constable
Patrick Lloyd
Ken McKaslin
Hans Buitendijk

Attendees
X	Eric Haas
	Riki M
X	Hans Buitendijk
X	Jose Costa-Teixicara
	Dan R
X	Jonathan Harber
	Kamalini
	Mark Jones
X	Rob Hausam
	Margaret D

• Roll Call
• Agenda Check
• Minutes from
  • put prior calls here
• Agenda*

1. • Review Device QA criteria for FMM proposal - not done
2. SupplyRequest and delivery SupplyDelivery

Look at boundaries between SupplyRequest, DeviceUseRequest, and VisionPrescription Resources

The boundary Supply-DeviceUseRequest would be the same as between Supplyand medicationOrder (and others): The latter is for the patient-specific order, specifying part of a treatment. If, to provide for that, any supply/resupply has to be done (e.g. bulk resupply of stock) then we use the SupplyRequest. Meaning that the Supply can be used to order a bunch of devices to refill stock, but not implying a treatment.

Patient-specific treatment-related	DeviceUse
Bulk supply, treatment-independent	Supply.

There is a gray zone where both resources wculd work. e.g. from an order, the clinic purchasing department decides to order that device for that patient from the manufacturer. It's a patient-specific order, but may not contain the details for the treatment (for example: the name may be conveyed for labeling purposes) this could be Supply.

This leads to question Whether SupplyRequest should reference Patient element or just use the reason resource generically #9861

Likely need a special request comment/annotation on the resource as well. #9862

VisionPrescription not needed the custom detail should be attribute of ordered item DeviceUseRequestdevice (i.e. Device) but this is a Device specialization (Profile) or Resource or separate resource is an open question for FMG.

especially for common stuff like , glasses, hearing aid, teeth, and prothetics.

As well as delivery SupplyDelivery and dispense Medication Dispense'

How is Delivery different from Dispense?

Workflow

 |	Requests: MedicationOrder, DeviceUseRequest, SupplyRequest
 |	Delivery: SupplyDelivery,
 |	Dispense:  MedDispense  (here is med - take this BID etc....),  '`no DeviceDispense``, SupplyDispense not needed?
 |  	Admin/Use:
 V 

NOTE: Inconsistent use of request resources between different WG. ( no DeviceDispense ) - Bring up at FMG

Wheelchair example : delivery = dispense? Delivery - act of sending not necessay of being received. vs Dispense Patient get it.

Other Notes

• From and to location missing in SupplyRequest #9863

• From location missing in SupplyDelivery#9863

• There should be separate instances of SupplyDelivery for each way point
  • .destinations where supply sent to, this is like a rreport of something sent to location A which is either an intermediate or final destination.
  • Issue brought on whether SupplyDelivery's.destination changes the resource statuses meaning
  • Suggest that Task indicates fulfilment of request not the SupplyDelivery

xxxRequest comparison

RequestResource	RequestResource	Template
SupplyRequest Inventory	DeviceUseRequestClinical Use	Name	Flags	Card.	Type	W5	Description & Constraints
identifier	identifier	identifier	S	0..*	Identifier	id	Business identifier for request/order
		basedOn	S	0..*	Reference()		Request fulfilled by this request
		parent	S	0..1	Identifier		Composite request this is part of
status	status	status		S	1..1	code	status draft | active | suspended
		category		S	1..1	CodeableConcept	class proposal | plan | orig. order | encoded +
orderedItem (reference to Medication|Substance|Device)	Device (reference)	code	S	0..1	CodeableConcept	what	What’s being requested/ordered
patient (Is this need for supply can use reason for this since not a patient specific resource)	Subject( should be Patient)	subject	S	1..1	Reference(Patient | Group? | ??)	who.focus	Individual the service is ordered for
(use cases? Billing?)	encounter	context	S	0..1	Reference(Encounter | EpisodeOfCare)	context	Encounter or Episode during which request was created
when.code when.schedule	Priority, timingTiming, timingDateTime, timingPeriod	occurrence[x]	S	0..1	dateTime| Period| Schedule?	when.planned	When service should occur
date	recordedOn orderdedOn ( more of a Task thingy)	authored	S	0..1	dateTime	when.recorded	When the request transitioned to being actionable
source		requester	S	0..1	Reference(Device | Patient | Practitioner | RelatedPerson | Organization?)	who.author	Who/what is requesting service
		performerType	S	0..1	CodeableConcept	who.performer	Desired type of performer for service
supplier		performer	S	0..1	Reference(Practitioner | Organization | Patient | Device | RelatedPerson)	who.performer	Desired performer for service
reasonCodeableConcept,reasonReference	Indication, PRNreason ( really more of a protocol thingy)	reason[x]	S	0..1	CodeableConcept | Reference(??)	why	Why is service necessary?
		supportingInfo		0..*	Reference(Any)		Additional information to be used in fulfilling request
	Notes	note		0..*	Annotation		Comments made about the service request
Kind (e.g. central stock, non-stock)
From and to location missing in SupplyRequest need for logistics

1. • Jose C-T proposals
2. Review outstanding Trackers
3. Connectathon review
   • DAF LabResults

Minutes

Next Steps

Actions (Include Owner, Action Item, and due date)

Next Meeting/Preliminary Agenda Items 2015mmdd_OO_FHIR_concall

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