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Difference between revisions of "2017-02-09 Patient Care FHIR Call"

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| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''Date: 2016-02-09'''<br/> '''Time: 5-6:30pm ET'''
+
| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''Date: 2017-02-09'''<br/> '''Time: 5-6:30pm ET'''
 
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|colspan="2"| NIH/Department of Clinical Research Informatics
 
|colspan="2"| NIH/Department of Clinical Research Informatics
 
|-
 
|-
−
| || Stephen Chu
+
| X || Stephen Chu
 
|colspan="2"| The Australian Digital Health Agency (ADHA)
 
|colspan="2"| The Australian Digital Health Agency (ADHA)
 
|-
 
|-
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|colspan="2"| Haas Consulting
 
|colspan="2"| Haas Consulting
 
|-
 
|-
−
| || Rob Hausam
+
|X || Rob Hausam
 
|colspan="2"| Hausam Consulting LLC
 
|colspan="2"| Hausam Consulting LLC
 
|-
 
|-
Line 71: Line 71:
 
|colspan="2"| Intermountain Healthcare
 
|colspan="2"| Intermountain Healthcare
 
|-
 
|-
−
| || Emma Jones
+
| X|| Emma Jones
 
|colspan="2"| Allscripts
 
|colspan="2"| Allscripts
 
|-
 
|-
−
| || Russ Leftwich
+
| X || Russ Leftwich
 
|colspan="2"| InterSystems
 
|colspan="2"| InterSystems
 
|-
 
|-
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|colspan="2"| Cerner
 
|colspan="2"| Cerner
 
|-
 
|-
−
| || Michelle M Miller  
+
| X || Michelle M Miller  
 
|colspan="2"| Cerner
 
|colspan="2"| Cerner
 
|-
 
|-
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|colspan="2"| Intermountain Healthcare
 
|colspan="2"| Intermountain Healthcare
 
|-
 
|-
−
| || Joe Quinn
+
|X || Joe Quinn
 
|colspan="2"| Optum
 
|colspan="2"| Optum
 
|-
 
|-
Line 118: Line 118:
 
| || Serafina Versaggi
 
| || Serafina Versaggi
 
|colspan="2"| Dept of Veterans Affairs
 
|colspan="2"| Dept of Veterans Affairs
 +
|-
 +
| X || Pushpalatha Bhat
 +
|colspan="2"|
 
|-
 
|-
 
|colspan="4" style="background:#f0f0f0;"|
 
|colspan="4" style="background:#f0f0f0;"|
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#Agenda review
 
#Agenda review
 
#Approve previous meeting minutes [[2017-02-02_Patient_Care_FHIR_Call]]
 
#Approve previous meeting minutes [[2017-02-02_Patient_Care_FHIR_Call]]
−
#*'''Motion:''' <moved>/<seconded>
+
#*'''Motion:''' Russ/Stephen
 
#Prior Action Item Follow-up   
 
#Prior Action Item Follow-up   
 
# gForge change request
 
# gForge change request
Line 149: Line 152:
 
====STU 3 Timeline====
 
====STU 3 Timeline====
 
From [[FHIR_Ballot_Prep]]
 
From [[FHIR_Ballot_Prep]]
−
* 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. 19 Publication substantive resource freeze  
 
* Sun. Feb 26 Publication total freeze  
 
* Sun. Feb 26 Publication total freeze  
Line 159: Line 161:
  
 
====FHIR Maturity Levels====
 
====FHIR Maturity Levels====
−
[http://hl7-fhir.github.io/resource.html#maturity]
+
[http://build.fhir.org/resource.html#maturity Maturity Levels]
 
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
 
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
  
−
{|border="1" cellpadding="2" cellspacing="0"
+
Target FMM levels for STU3 publication
−
| width="25%" colspan="1" align="left" style="background:#f0f0f0;"|'''Resource''' <br/>
+
* AllergyIntolerance = 3
−
| width="10%" colspan="1" align="left" style="background:#f0f0f0;"|'''Current FMM Level'''
+
* Condition = 3
−
| width="10%" colspan="1" align="left" style="background:#f0f0f0;"|'''Goal FMM Level'''
+
* Procedure = 3
−
| width="10%" colspan="1" align="left" style="background:#f0f0f0;"|'''QA Status'''
+
* CarePlan = 1
−
| width="10%" colspan="1" align="left" style="background:#f0f0f0;"|'''QA Reviewer'''
+
* Goal = 1
−
| width="10%" colspan="1" align="left" style="background:#f0f0f0;"|'''Implementation'''
+
* CareTeam = 1
−
| width="25%" colspan="1" align="left" style="background:#f0f0f0;"|'''Comments'''<br/>
+
* FamilyMemberHistory = 1
−
|-
+
* ReferralRequest = 1
−
|| '''AllergyIntolerance''' || 1 || 3 || || Michelle|| Argonaut ||
+
* Flag = 1
−
|-
+
* Communication = 1
−
|| '''Condition''' || 2 || 3 || || Michelle|| Argonaut ||
+
* CommunicationRequest =1
−
|-
+
* ClinicalImpression = 0
−
|| '''Procedure''' || 1 || 3 || || Michelle|| Argonaut || 
+
* Linkage = 0
−
|-
 
−
|| '''CarePlan''' || 1 || 3 || || Michelle|| Argonaut ||
 
−
|-
 
−
|| Goal || 1 || 3 || || Michelle|| ||
 
−
|-
 
−
|| 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 || Michelle || || 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 [https://docs.google.com/forms/d/12GVflt2GLprr8E3_8dppkxBZXqTg2n_zdaWzo6qtags/viewanalytics| survey ] <br>
+
=== STU3 Action Items ===
−
Note:  Contraindication and Risk Assessment are owned by CDS, not Patient Care <br/>
+
* Review Tracker Issues - https://docs.google.com/a/lmckenzie.com/uc?id=0B285oCHDUr09Mzh3b09rMFhEV1E
 +
* Resolve [http://build.fhir.org/qa.html QA Warnings] to have resource FMM > 0
 +
* Resolve [http://build.fhir.org/qa.html QA Information] messages to achieve FMM = 3
 +
* Update [https://docs.google.com/a/lmckenzie.com/spreadsheets/d/18HfXF7mUCUV7jACCG0oejFp6D-ibtvbmcgywNhn76lw QA checklist] for resources that we want to be FMM = 3
 +
* Apply changes (all "substantive" changes have been applied, except care team invariant and workflow patterns)
  
 
==Minutes==
 
==Minutes==
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<!-- **** Delete instructions  and fill in minutes ON NEXT LINES  ******-->
 
<!-- **** Delete instructions  and fill in minutes ON NEXT LINES  ******-->
  
−
=== Prior Action Item Follow-up ===
+
=== gForge Change Requests ===
  
−
=== gForge Change Requests ===
+
[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12776 GF12776] Goal.subject should be 1..1 -- Deferred
 +
 
 +
 
 +
=== Event Workflow Pattern ===
 +
 
 +
Review workflow patterns [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10293 GF#10293]
 +
 
 +
FamilyMemberHistory - Ask FHIR-I to exempt FMH from workflow
 +
* make identifier a summary element
 +
* add definition element Reference(Questionnaire | PlanDefinition) -- search parameter / example
 +
* don't add basedOn element
 +
* don't add partOf element
 +
* don't bind status to http://hl7.org/fhir/ValueSet/event-status
 +
* add notDone element
 +
* add notDoneReason element (example binding; similar to FHIR value set to http://build.fhir.org/valueset-list-empty-reason.html)
 +
** Patient does not know subject
 +
** Patient refused to provide information about subject
 +
** Unable to obtain
 +
** Deferred (e.g. don't know why family member died)
 +
* don't add code element
 +
* don't rename patient element to subject -- keep the Reference(Patient)
 +
* don't add context element -- Reference(Encounter|EpisodeOfCare)
 +
* exempt from occurrence pattern (i.e. don't rename date, keep dateTime data type)
 +
* don't add performer structure (i.e. role, actor, onBehalfOf)
 +
* add reasonCodeableConcept (example value set binding to http://build.fhir.org/valueset-clinical-findings.html)
 +
* add reasonReference element  Reference (Condition | Observation | AllergyIntolerance |QuestionnaireResponse)
 +
 
 +
Communication
 +
* exempt from occurrence pattern (i.e. keep sent/received dateTime)
 +
* exempt performer structure (i.e. role, actor, onBehalfOf) and keep sender/recipient elements as is
 +
* add reasonCodeableConcept (example value set binding to http://build.fhir.org/valueset-clinical-findings.html)
 +
* add reasonReference element Reference(Observation | Condition)
 +
 
 +
=== Request Workflow Pattern ===
 +
CommunicationRequest
 +
* add supportingInfo as extension (GF#10293)
 +
* add relevantHistory as extension (GF#10293)
 +
* add definition as extension Reference(ActivityDefinition|PlanDefinition)
 +
* add basedOn element -- Reference(CommunicationRequest + all other request)
 +
* add replaces element -- Reference(CommunicationRequest)
 +
* add groupIdentifier element -- search parameter / example
 +
* don't add intent element (order doesn't apply)
 +
* change priority from CodeableConcept to code (and add w5 mapping to grade)
 +
* exempt from having code element added
 +
* exempt from making subject 1..1 -- keep 0..1
 +
* rename scheduled element to occurrence and don't add choice of Timing
 +
* rename requestedOn element to authoredOn, add w5 mapping to when.recorded, add aliases (createdOn, signedOn) -- update search param
 +
* align requester element with the agent and onBehalfOf elements (allowing agent to also be Organization|Device)
 +
* exempt from performerType/performer pattern;  prefer to keep sender/recipient instead
 +
* rename reason element to be reasonCode
 +
* add reasonReference element - Reference(Condition | Observation)
 +
* add note element
 +
 
 +
=== Next Week ===
 +
 
 +
ReferralRequest
 +
* add definition element -- search parameter / example
 +
* add replaces element -- search parameter / example
 +
* add aliases (grouperId and requisition) to groupIdentifier element
 +
* bind status element to http://hl7.org/fhir/ValueSet/request-status (effectively adding suspended and unknown)
 +
* rename category element to intent and bind to http://hl7.org/fhir/ValueSet/request-intent (pre-applied)
 +
* change priority from CodeableConcept to code
 +
* exempt from having code element added OR rename serviceRequested element to code?  (request pattern has 0..1 cardinality, but keep 0..*)
 +
* rename patient element to be subject Reference(Patient|Group) and change to be required 1..1
 +
* rename fulfillmentTime element to be occurrence with choice of dateTime|Period|Timing?
 +
* align requester element with the agent and onBehalfOf elements (allowing agent to also be RelatedPerson|Device)
 +
* exempt from performerType/performer pattern;  prefer to keep recipient 0..* instead
 +
* rename reason element to be reasonCode, and increase cardinality 0..*
 +
* add reasonReference element
 +
* add relevantHistory element
 +
 
 +
ClinicalImpression
 +
* add definition element -- search parameter / example
 +
* add basedOn as extension (GF#10293) -- search parameter? / example
 +
* add partOf as extension (GF#10293) -- search parameter? / example
 +
* bind status to http://hl7.org/fhir/ValueSet/event-status
 +
* add notDone element
 +
* add notDoneReason element (need to determine value set binding)
 +
* add alias (of patient) to subject element
 +
* exempt from occurrence pattern (i.e. don't rename effective, don't add Timing)
 +
* align assessor with the performer structure (i.e. role, actor, onBehalfOf) - can actor Reference(Practitioner|Organization|Patient|Device|RelatedPerson)? or just Practitioner?
 +
* add reasonCodeableConcept (need to determine value set binding)
 +
* add reasonReference element
 +
 
 +
=== Resource QA Summary ===
 +
TOP Priority
 +
* <span style="color:#008000"> AllergyIntolerance </span> is clean on the QA report!
 +
* <span style="color:#008000"> Condition </span> is clean on the QA report!
 +
* <span style="color:#008000"> Procedure </span> is clean on the QA report!
 +
 
 +
HIGH Priority
 +
* <span style="color:#008000">CareTeam</span> - no QA warnings!
 +
* <span style="color:#008000"> CarePlan </span> - no QA warnings!
 +
** MnM approved exemptions requested for element names should be singular (addresses and replaces)
 +
* <span style="color:#008000"> Goal </span> - no QA warnings!
 +
** MnM approved exemption requested for element names should be singular (addresses)
 +
** MnM approved exemption requested for Goal.target.detail because target detail is a choice of data types (i.e. Quantity and CodeableConcept could have different value sets) - Observation.value[x] does not show this same QA warning.
 +
 
 +
MEDIUM Priority
 +
* <span style="color:#008000"> Flag </span> -- no QA warnings!
 +
* <span style="color:#008000"> FamilyMemberHistory </span> -- no QA warnings!
 +
** Stephen Chu's recommendation is to use LOINC 75272-5 Age at onset for the FamilyMemberHistory.condition.onset
 +
** Motion: Stephen/Elaine:  11-0-1
 +
* <span style="color:#008000"> Communication </span> -- no QA warnings!
 +
* <span style="color:#008000"> CommunicationRequest </span> -- no QA warnings!
 +
* <span style="color:#008000"> ReferralRequest </span> -- no QA warnings!
 +
LOW Priority
 +
* ClinicalImpression -- keep as FMM = 0
 +
** Stephen Chu will work on examples to cover all elements
 +
*** ClinicalImpression.action Search Parameter 'ClinicalImpression.action' had no found values in any example. Consider reviewing the expression (ClinicalImpression.action)
 +
*** ClinicalImpression.previous Search Parameter 'ClinicalImpression.previous' had no found values in any example. Consider reviewing the expression (ClinicalImpression.previous)
 +
** PCWG:  ClinicalImpression.code Need to provide a binding
 +
 
 +
* Linkage -- keep as FMM = 0
 +
** PCWG: Linkage A resource must have an 'entered in error' status
 +
** PCWG: Linkage All resources should have an identifier
 +
** PCWG: Linkage.item Element has a todo associated with it (Make this 2..*.)
  
 
=== Adjourn ===
 
=== Adjourn ===
−
Adjourned at <hh:mm am/pm> <timezone>.
+
Adjourned at 6:36pm 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''' ''
 
   
 
   
−
*
+
* Michelle to ask FHIR-I/workflow to exempt FamilyMemberHistory from workflow event pattern
  
 
|-
 
|-

Latest revision as of 15:43, 10 February 2017



Meeting Information

Patient Care FHIR Resources Conference Call

Location: Conference Call
Phone Number: +1 770-657-9270
Participant Passcode: 943377
WebEx: https://cerner.webex.com/cerner/j.php?MTID=macd64a688fdc3410ab4178adab5820fb

Date: 2017-02-09
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
X Stephen Chu The Australian Digital Health Agency (ADHA)
Evelyn Gallego EMI Advisors LLC
Eric Haas Haas Consulting
X Rob Hausam Hausam Consulting LLC
Laura Heermann-Langford Intermountain Healthcare
X Emma Jones Allscripts
X Russ Leftwich InterSystems
Tony Little Optum 360
Jay Lyle Ockham Information Services LLC, VA
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
X Joe Quinn Optum
Simon Sum Academy of Nutrition and Dietetics
Iona Thraen Dept of Veterans Affairs
Serafina Versaggi Dept of Veterans Affairs
X Pushpalatha Bhat
Quorum Requirements Met: yes

Agenda

Agenda Topics

  1. Agenda review
  2. Approve previous meeting minutes 2017-02-02_Patient_Care_FHIR_Call
    • Motion: Russ/Stephen
  3. Prior Action Item Follow-up
  4. gForge change request

Supporting Information

STU 3 Timeline

From FHIR_Ballot_Prep

  • 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

Maturity Levels 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

Target FMM levels for STU3 publication

  • AllergyIntolerance = 3
  • Condition = 3
  • Procedure = 3
  • CarePlan = 1
  • Goal = 1
  • CareTeam = 1
  • FamilyMemberHistory = 1
  • ReferralRequest = 1
  • Flag = 1
  • Communication = 1
  • CommunicationRequest =1
  • ClinicalImpression = 0
  • Linkage = 0

STU3 Action Items

Minutes

gForge Change Requests

GF12776 Goal.subject should be 1..1 -- Deferred


Event Workflow Pattern

Review workflow patterns GF#10293

FamilyMemberHistory - Ask FHIR-I to exempt FMH from workflow

  • make identifier a summary element
  • add definition element Reference(Questionnaire | PlanDefinition) -- search parameter / example
  • don't add basedOn element
  • don't add partOf element
  • don't bind status to http://hl7.org/fhir/ValueSet/event-status
  • add notDone element
  • add notDoneReason element (example binding; similar to FHIR value set to http://build.fhir.org/valueset-list-empty-reason.html)
    • Patient does not know subject
    • Patient refused to provide information about subject
    • Unable to obtain
    • Deferred (e.g. don't know why family member died)
  • don't add code element
  • don't rename patient element to subject -- keep the Reference(Patient)
  • don't add context element -- Reference(Encounter|EpisodeOfCare)
  • exempt from occurrence pattern (i.e. don't rename date, keep dateTime data type)
  • don't add performer structure (i.e. role, actor, onBehalfOf)
  • add reasonCodeableConcept (example value set binding to http://build.fhir.org/valueset-clinical-findings.html)
  • add reasonReference element Reference (Condition | Observation | AllergyIntolerance |QuestionnaireResponse)

Communication

  • exempt from occurrence pattern (i.e. keep sent/received dateTime)
  • exempt performer structure (i.e. role, actor, onBehalfOf) and keep sender/recipient elements as is
  • add reasonCodeableConcept (example value set binding to http://build.fhir.org/valueset-clinical-findings.html)
  • add reasonReference element Reference(Observation | Condition)

Request Workflow Pattern

CommunicationRequest

  • add supportingInfo as extension (GF#10293)
  • add relevantHistory as extension (GF#10293)
  • add definition as extension Reference(ActivityDefinition|PlanDefinition)
  • add basedOn element -- Reference(CommunicationRequest + all other request)
  • add replaces element -- Reference(CommunicationRequest)
  • add groupIdentifier element -- search parameter / example
  • don't add intent element (order doesn't apply)
  • change priority from CodeableConcept to code (and add w5 mapping to grade)
  • exempt from having code element added
  • exempt from making subject 1..1 -- keep 0..1
  • rename scheduled element to occurrence and don't add choice of Timing
  • rename requestedOn element to authoredOn, add w5 mapping to when.recorded, add aliases (createdOn, signedOn) -- update search param
  • align requester element with the agent and onBehalfOf elements (allowing agent to also be Organization|Device)
  • exempt from performerType/performer pattern; prefer to keep sender/recipient instead
  • rename reason element to be reasonCode
  • add reasonReference element - Reference(Condition | Observation)
  • add note element

Next Week

ReferralRequest

  • add definition element -- search parameter / example
  • add replaces element -- search parameter / example
  • add aliases (grouperId and requisition) to groupIdentifier element
  • bind status element to http://hl7.org/fhir/ValueSet/request-status (effectively adding suspended and unknown)
  • rename category element to intent and bind to http://hl7.org/fhir/ValueSet/request-intent (pre-applied)
  • change priority from CodeableConcept to code
  • exempt from having code element added OR rename serviceRequested element to code? (request pattern has 0..1 cardinality, but keep 0..*)
  • rename patient element to be subject Reference(Patient|Group) and change to be required 1..1
  • rename fulfillmentTime element to be occurrence with choice of dateTime|Period|Timing?
  • align requester element with the agent and onBehalfOf elements (allowing agent to also be RelatedPerson|Device)
  • exempt from performerType/performer pattern; prefer to keep recipient 0..* instead
  • rename reason element to be reasonCode, and increase cardinality 0..*
  • add reasonReference element
  • add relevantHistory element

ClinicalImpression

  • add definition element -- search parameter / example
  • add basedOn as extension (GF#10293) -- search parameter? / example
  • add partOf as extension (GF#10293) -- search parameter? / example
  • bind status to http://hl7.org/fhir/ValueSet/event-status
  • add notDone element
  • add notDoneReason element (need to determine value set binding)
  • add alias (of patient) to subject element
  • exempt from occurrence pattern (i.e. don't rename effective, don't add Timing)
  • align assessor with the performer structure (i.e. role, actor, onBehalfOf) - can actor Reference(Practitioner|Organization|Patient|Device|RelatedPerson)? or just Practitioner?
  • add reasonCodeableConcept (need to determine value set binding)
  • add reasonReference element

Resource QA Summary

TOP Priority

  • AllergyIntolerance is clean on the QA report!
  • Condition is clean on the QA report!
  • Procedure is clean on the QA report!

HIGH Priority

  • CareTeam - no QA warnings!
  • CarePlan - no QA warnings!
    • MnM approved exemptions requested for element names should be singular (addresses and replaces)
  • Goal - no QA warnings!
    • MnM approved exemption requested for element names should be singular (addresses)
    • MnM approved exemption requested for Goal.target.detail because target detail is a choice of data types (i.e. Quantity and CodeableConcept could have different value sets) - Observation.value[x] does not show this same QA warning.

MEDIUM Priority

  • Flag -- no QA warnings!
  • FamilyMemberHistory -- no QA warnings!
    • Stephen Chu's recommendation is to use LOINC 75272-5 Age at onset for the FamilyMemberHistory.condition.onset
    • Motion: Stephen/Elaine: 11-0-1
  • Communication -- no QA warnings!
  • CommunicationRequest -- no QA warnings!
  • ReferralRequest -- no QA warnings!

LOW Priority

  • ClinicalImpression -- keep as FMM = 0
    • Stephen Chu will work on examples to cover all elements
      • ClinicalImpression.action Search Parameter 'ClinicalImpression.action' had no found values in any example. Consider reviewing the expression (ClinicalImpression.action)
      • ClinicalImpression.previous Search Parameter 'ClinicalImpression.previous' had no found values in any example. Consider reviewing the expression (ClinicalImpression.previous)
    • PCWG: ClinicalImpression.code Need to provide a binding
  • Linkage -- keep as FMM = 0
    • PCWG: Linkage A resource must have an 'entered in error' status
    • PCWG: Linkage All resources should have an identifier
    • PCWG: Linkage.item Element has a todo associated with it (Make this 2..*.)

Adjourn

Adjourned at 6:36pm Eastern.

Meeting Outcomes

Actions
  • Michelle to ask FHIR-I/workflow to exempt FamilyMemberHistory from workflow event pattern
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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