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Difference between revisions of "2016-08-11 Patient Care FHIR Call"

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|colspan="2"| InterSystems
 
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| X || Tony Little
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|colspan="2"| Optum 360
 
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| || Jay Lyle
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| || Iona Thraen
 
|colspan="2"| Dept of Veterans Affairs
 
|colspan="2"| Dept of Veterans Affairs
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'''Agenda Topics''' <br/>
 
'''Agenda Topics''' <br/>
 
<!-- ***** Delete instructions and fill in agenda items ON NEXT LINES  ****-->
 
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#Agenda review
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# Agenda review
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#Approve previous meeting minutes [[2016-08-04_Patient_Care_FHIR_Call]]
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# Approve previous meeting minutes [[2016-08-04_Patient_Care_FHIR_Call]] '''Motion:''' Elaine/Stephen
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#*'''Motion:''' <moved>/<seconded> Abstain - <#>, Negative - <#>, Approve - <#>
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# CarePlan Listserv Question
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#Prior Action Item Follow-up   
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# STU3 Recap
 +
# Prior Action Item Follow-up   
 
# gForge change request
 
# gForge change request
  
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=================================================================--->
 
=================================================================--->
 
<!-- **** Delete instructions  and fill in minutes ON NEXT LINES  ******-->
 
<!-- **** Delete instructions  and fill in minutes ON NEXT LINES  ******-->
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=== CarePlan Listserv Topic ===
 +
http://lists.hl7.org/read/messages?id=299868 asked about how to link goals to referenced care plan activities.
 +
<br>
 +
Michelle Miller will respond as this was previously discussed as part of gForge http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9856
 +
 +
=== STU3 Recap ===
 +
Focus on key resources: allergy and intolerance, procedure, condition and care plan.  Lloyd focused on Questionnaire and Questionnaire Response. 
 +
<br>
 +
Melva Peters helped with changes and QA.
  
 
=== Prior Action Item Follow-up ===
 
=== Prior Action Item Follow-up ===
 +
N/A
  
 
=== gForge Change Requests ===
 
=== gForge Change Requests ===
 +
'''gForge 8872''':  http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8872
 +
<br>
 +
Update symptom definition in category value set:  "A physical or mental feature that might be mentioned in a review of systems or a history and physical, which could support or lead to a diagnosis."
 +
<br>
 +
Update boundaries as follows:
 +
<br>
 +
"This resource is not to be used to record information about subjective and objective information that might lead to the recording of a Condition. Such signs and symptoms that are typically captured using the Observation resource; although in some cases a persistent symptom, e.g. fever, headache may be captured as a condition before a definitive diagnosis can be discerned by a clinician.
 +
<br>
 +
Use Observation when a symptom is resolved without long term management, tracking, or when a symptom contributes to the establishment of a condition.
 +
<br>
 +
Use Condition when a symptom requires long term management, tracking, or is used as a proxy for a diagnosis or problem that is not yet determined."
 +
<br>
 +
Negated conditions are addressed as part of gForge 8749.
  
 
=== Adjourn ===
 
=== Adjourn ===
−
Adjourned at <hh:mm am/pm> <timezone>.
+
Adjourned at 6:36 PM Eastern.
  
 
==Meeting Outcomes==
 
==Meeting Outcomes==
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| width="100%" align="left" style="background:#f0f0f0;"|'''Actions''' ''
 
| width="100%" align="left" style="background:#f0f0f0;"|'''Actions''' ''
 
   
 
   
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*
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* Input from Viet, Russell, and Rob on Michelle's drafted [[ClinicalNote_FHIR_Resource_Proposal]]
 +
* Daniel Lanphear (submitter of [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8458| gForge 8458]) to draft new resource proposal for transfusion.
 +
* Rob to help fill in value sets for CareTeam status and type
 +
* Michelle Miller will respond to http://lists.hl7.org/read/messages?id=299868 as this was previously discussed as part of gForge http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9856
  
 
|-
 
|-

Latest revision as of 19:31, 15 August 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=9DMFKM&role=attend&pw=w9%7D6;Sc

Date: 2016-08-11
Time: 5-6:30pm ET
Facilitator Michelle M Miller Note taker(s) Michelle M Miller
Attendee Name Affiliation


X Elaine Ayres NIH/Department of Clinical Research Informatics
X Stephen Chu
Eric Haas Haas Consulting
X Rob Hausam Hausam Consulting LLC
Laura Heermann-Langford Intermountain Healthcare
Emma Jones Allscripts
Russ Leftwich InterSystems
X Tony Little Optum 360
Jay Lyle Ockham Information Services LLC, VA
Sarah Maulden VA
Jim McClay Univ of Nebraska Medical Center
Russell McDonell Telstra Health
Lloyd McKenzie Gevity (HL7 Canada)
Larry McKnight Cerner
X Michelle M Miller Cerner
Lisa Nelson Life Over Time Solutions
Viet Nguyen Lockheed Martin, Systems Made Simple
M'Lynda Owens Cognosante
Craig Parker Intermountain Healthcare
Scott Robertson Kaiser Permanente
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 2016-08-04_Patient_Care_FHIR_Call Motion: Elaine/Stephen
  3. CarePlan Listserv Question
  4. STU3 Recap
  5. Prior Action Item Follow-up
  6. gForge change request

Supporting Information

STU 3 Timeline

  • Wed, June 1
    • All resource and IG proposals for STU3 have been completed, reviewed by WG and submitted
    • Connectathon tracks for Sept have been proposed
    • Feedback on gForge submitted to FMG
  • Sun, July 17 - Substantive content freeze for ballot -- core resources
  • Sun, July 24 - Total content freeze, start of QA
  • Wed, Aug 10 (midnight) - All QA changes applied
  • Fri, Aug 12 - FHIR ballot opens
  • Fri, Sept 12 - FHIR ballot closes
  • Fri, Sept 16 - FHIR triage complete and ballot content loaded to gForge (or alternate)
  • Sept 17-23 - Baltimore WGM
  • Sun, Dec 11
    • Reconciliation complete/substantive changes applied
    • Just over 10 weeks
    • Will re-evaluate at Baltimore based on volume of ballot comments
  • Dec 31 - Publish

FHIR Maturity Levels

[1]

  • 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
    • Substantive changes (element names, sort order, vocabulary bindings, etc.) need to be applied by ballot freeze (Aug 10).
    • Unapplied QA checklist changes can be logged as ballot issues to be applied Sept-Dec. Substantive changes after ballot should be driven by ballot.
    • Non-substantive changes are fine
  • Level 2 requires artifact has been tested and successfully exchanged between at least three independently developed systems leveraging at least 80% of the core data elements using semi-realistic data and scenarios based on at least one of the declared scopes of the resource (e.g. at a connectathon). These interoperability results must have been reported to and accepted by the FMG.
Resource
Current FMM Level Goal FMM Level QA Status QA Reviewer Implementation Comments
AllergyIntolerance 1 3 Rob Argonaut
Condition 2 3 PCWG Argonaut
Procedure 1 3 Argonaut
CarePlan 1 3 Argonaut
Goal 1 3
QuestionnaireResponse 2 2 Lloyd Lloyd will QA to get to level 3
Questionnaire 0 2 Lloyd Lloyd will QA to get to level 3
CareTeam 0 2 NA NA Aggressive goal (e.g. whether we'll get the implementations needed)
FamilyMemberHistory 1 2 NA NA Aggressive goal (e.g. whether we'll get the implementations needed)
ClinicalImpression 0 1 NA NA
ReferralRequest 1 1 NA NA
ProcedureRequest 1 1 NA NA
Linkage 0 1 NA NA
Flag 1 1 NA NA
Communication 1 1 NA NA
CommunicationRequest 1 1 NA NA

Note: Bold denotes top 20 resource based on survey
Note: Contraindication and Risk Assessment are owned by CDS, not Patient Care

Minutes

CarePlan Listserv Topic

http://lists.hl7.org/read/messages?id=299868 asked about how to link goals to referenced care plan activities.
Michelle Miller will respond as this was previously discussed as part of gForge http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9856

STU3 Recap

Focus on key resources: allergy and intolerance, procedure, condition and care plan. Lloyd focused on Questionnaire and Questionnaire Response.
Melva Peters helped with changes and QA.

Prior Action Item Follow-up

N/A

gForge Change Requests

gForge 8872: http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8872
Update symptom definition in category value set: "A physical or mental feature that might be mentioned in a review of systems or a history and physical, which could support or lead to a diagnosis."
Update boundaries as follows:
"This resource is not to be used to record information about subjective and objective information that might lead to the recording of a Condition. Such signs and symptoms that are typically captured using the Observation resource; although in some cases a persistent symptom, e.g. fever, headache may be captured as a condition before a definitive diagnosis can be discerned by a clinician.
Use Observation when a symptom is resolved without long term management, tracking, or when a symptom contributes to the establishment of a condition.
Use Condition when a symptom requires long term management, tracking, or is used as a proxy for a diagnosis or problem that is not yet determined."
Negated conditions are addressed as part of gForge 8749.

Adjourn

Adjourned at 6:36 PM Eastern.

Meeting Outcomes

Actions
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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