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Difference between revisions of "Patient Care FHIR Call Template"

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<!-- ********  CHANGE conf call details or meeting room ON NEXT LINE*****-->
 
<!-- ********  CHANGE conf call details or meeting room ON NEXT LINE*****-->
 
'''Location: Conference Call''' <br/>
 
'''Location: Conference Call''' <br/>
−
'''Phone Number: +1 770-657-9270'''<br/>
+
'''Phone Number: +1 563-999-2090'''<br/>
−
'''Participant Passcode: 943377'''<br/>
+
'''Participant Passcode: 792564'''<br/>
−
'''Live Meeting:'''  <nowiki>
+
'''WebEx:'''  <nowiki>
−
https://www147.livemeeting.com/cc/_XML/cerner/join?id=9DMFKM&role=attend&pw=w9%7D6;Sc</nowiki>
+
 
 +
https://join.freeconferencecall.com/patientcare</nowiki>
 
<!-- ********  CHANGE Date and Time  ON NEXT LINE  **********************-->
 
<!-- ********  CHANGE Date and Time  ON NEXT LINE  **********************-->
−
| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''Date: 2016-MM-DD'''<br/> '''Time: 5-6:30pm ET'''
+
| width="50%" colspan="2" align="left" style="background:#f0f0f0;"|'''Date: 2018-MM-DD'''<br/> '''Time: 5-6:30pm ET'''
 
|-
 
|-
 
<!-- ********  CHANGE chair and scribe ON NEXT LINES  *******************-->
 
<!-- ********  CHANGE chair and scribe ON NEXT LINES  *******************-->
Line 54: Line 55:
 
| || Elaine Ayres
 
| || Elaine Ayres
 
|colspan="2"| NIH/Department of Clinical Research Informatics
 
|colspan="2"| NIH/Department of Clinical Research Informatics
 +
|-
 +
| || Dave Carlson
 +
|colspan="2"| VA
 
|-
 
|-
 
|  || Stephen Chu
 
|  || Stephen Chu
−
|colspan="2"|  
+
|colspan="2"| The Australian Digital Health Agency (ADHA)
 +
|-
 +
| || Evelyn Gallego
 +
|colspan="2"| EMI Advisors LLC
 
|-
 
|-
 
| || Eric Haas
 
| || Eric Haas
−
|colspan="2"| Haas Consulting
+
|colspan="2"| Health eData Inc
 
|-
 
|-
 
| || Rob Hausam
 
| || Rob Hausam
Line 72: Line 79:
 
| || Russ Leftwich
 
| || Russ Leftwich
 
|colspan="2"| InterSystems
 
|colspan="2"| InterSystems
 +
|-
 +
|  || Tony Little
 +
|colspan="2"| Optum 360
 
|-
 
|-
 
| || Jay Lyle
 
| || Jay Lyle
 
|colspan="2"| Ockham Information Services LLC, VA
 
|colspan="2"| Ockham Information Services LLC, VA
−
|-
 
−
| || Sarah Maulden
 
−
|colspan="2"| VA
 
−
|-
 
−
| || Jim McClay
 
−
|colspan="2"| Univ of Nebraska Medical Center
 
 
|-
 
|-
 
| || Russell McDonell
 
| || Russell McDonell
Line 102: Line 106:
 
| || M'Lynda Owens
 
| || M'Lynda Owens
 
|colspan="2"| Cognosante
 
|colspan="2"| Cognosante
 +
|-
 +
| || Mike Padula
 +
|colspan="2"|  The Children's Hospital of Philadelphia
 
|-
 
|-
 
| || Craig Parker
 
| || Craig Parker
 
|colspan="2"| Intermountain Healthcare
 
|colspan="2"| Intermountain Healthcare
 
|-
 
|-
−
| || Scott Robertson
+
| || Joe Quinn
−
|colspan="2"| Kaiser Permanente
+
|colspan="2"| Optum
 
|-
 
|-
−
| || Simon Sum
+
| || Katie Wheatley
−
|colspan="2"| Academy of Nutrition and Dietetics
+
|colspan="2"| UK NHS Digital
−
|-
 
−
| || Iona Thraen
 
−
|colspan="2"| Dept of Veterans Affairs
 
 
|-
 
|-
 
|colspan="4" style="background:#f0f0f0;"|
 
|colspan="4" style="background:#f0f0f0;"|
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<!-- ***** Delete instructions and fill in agenda items ON NEXT LINES  ****-->
 
<!-- ***** Delete instructions and fill in agenda items ON NEXT LINES  ****-->
 
#Agenda review
 
#Agenda review
−
#Approve previous meeting minutes
+
#Approve previous meeting minutes  
−
#*'''Motion:''' <moved>/<seconded> Abstain - <#>, Negative - <#>, Approve - <#>
+
#*'''Motion:''' <moved>/<seconded>  
−
#Prior Action Item Follow-up 
 
 
# gForge change request
 
# gForge change request
  
 
==Supporting Information==
 
==Supporting Information==
−
====STU 3 Timeline====
+
* [[FHIR_Ballot_Prep]]
−
* Wed, June 1
+
* [[FHIR_Conformance_QA_Criteria]] - remember to check updated workflow patterns, too
−
** All resource and IG proposals for STU3 have been completed, reviewed by WG and submitted
+
* [https://docs.google.com/spreadsheets/d/1COTmtlXgGWuFpoSr1ZQQK30S7ReCpVsk_NZI6xIeSHI FHIR QA Conformance Tracker]
−
**  Connectathon tracks for Sept have been proposed
+
* Tracker Issues - https://docs.google.com/a/lmckenzie.com/uc?id=0B285oCHDUr09Mzh3b09rMFhEV1E
−
**  Feedback on gForge submitted to FMG
+
* Resolve [http://build.fhir.org/qa.html QA Warnings] to have resource FMM > 0  
−
* Sun, July 17 - Substantive content freeze for ballot -- core resources
+
* Resolve [http://build.fhir.org/qa.html QA Information] messages to achieve FMM = 3
−
* 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====
 
−
[http://hl7-fhir.github.io/resource.html#maturity]
 
−
* 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.
 
−
 
 
−
{|border="1" cellpadding="2" cellspacing="0"
 
−
| width="25%" colspan="1" align="left" style="background:#f0f0f0;"|'''Resource''' <br/>
 
−
| width="10%" colspan="1" align="left" style="background:#f0f0f0;"|'''Current FMM Level'''
 
−
| width="10%" colspan="1" align="left" style="background:#f0f0f0;"|'''Goal FMM Level'''
 
−
| width="10%" colspan="1" align="left" style="background:#f0f0f0;"|'''QA Status'''
 
−
| width="10%" colspan="1" align="left" style="background:#f0f0f0;"|'''QA Reviewer'''
 
−
| width="10%" colspan="1" align="left" style="background:#f0f0f0;"|'''Implementation'''
 
−
| width="25%" colspan="1" align="left" style="background:#f0f0f0;"|'''Comments'''<br/>
 
−
|-
 
−
|| '''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 [https://docs.google.com/forms/d/12GVflt2GLprr8E3_8dppkxBZXqTg2n_zdaWzo6qtags/viewanalytics| survey ] <br>
 
−
Note:  Contraindication and Risk Assessment are owned by CDS, not Patient Care <br/>
 
  
 
==Minutes==
 
==Minutes==
Line 229: Line 167:
 
=== Prior Action Item Follow-up ===
 
=== Prior Action Item Follow-up ===
  
−
=== gForge Change Requests ===
+
=== gForge Change Requests (Backlog) ===
 +
 
 +
Workflow
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14446 GF#14446] PatientCare resources do not have a clean Workflow report
 +
 
 +
AdverseEvent
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14759 GF#14759] Why can adverse events omit subject  have group? - 2018-Jan Core #98 <font color="red">Gay Dolin-InPerson</font>
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13698 GF#13698] AdverseEvent.suspectedEntity.instance should allow CodeableConcept
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13302 GF#13302] Vocabulary issues with AdverseEvent
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11021 GF#11021] Increase cardinality of substance and make certainty relation to substance  not reaction - 2016-09 core #40
 +
 
 +
CarePlan
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14483 GF#14483] Use of reference for planDefinition in carePlan need to be added back.
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13903 GF#13903] CarePlan should allow tracking of past activities (i.e. past interventions)
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13140 GF#13140] logical definition of care-plan-category value set may require realignment with SCT changes
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11173 GF#11173] CarePlan needs support for reviews - 2016-09 core #327
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10028 GF#10028] Careplan: Provide ability to specify patient and/or provider preferences
 +
 
 +
CareTeam
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14819 GF#14819] No submission - 2018-Jan Core #159
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14760 GF#14760] Why can care teams omit subject  have group? - 2018-Jan Core #99
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14334 GF#14334] allow careteam.participant member to reference a Practitioner role
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12509 GF#12509] CareTeam participant
 +
 
 +
SD / SOAP Notes
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12676 GF#12676] Guidance request for GP SOAP in FHIR
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14720 GF#14720] Add Guidance for Exchanging Notes - 2018-Jan Core #42
 +
 
 +
 
 +
CommunicationRequest
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14959 GF#14959] Clarify difference between Requester and Sender in CommunicationRequest
 +
 
 +
Condition
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14874 GF#14874] Condition.clinicalStatus should not be a limited to a code from the condition-code value set - 2018-Jan Core #215
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14872 GF#14872] Not sufficient support for Concern - 2018-Jan Core #213
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14871 GF#14871] Condition needs an "absent" status distinct from "refuted." - 2018-Jan Core #212
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14853 GF#14853] Add medication history to condition-category - 2018-Jan Core #193
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14849 GF#14849] Note that if dates are captured as string  search won't find them - 2018-Jan Core #189
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14821 GF#14821] Since we have clinical and verification status as mandatory parameter we can change the card to 1..1. - 2018-Jan Core #161
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14732 GF#14732] How are dependent relationships represented? - 2018-Jan Core #54
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14643 GF#14643] Asserted Date on Conditon and on Condition Definition page have inconsistent definitions
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14500 GF#14500] Condition.abatement.as(Age) should not repeat twice
 +
 
 +
ClinicalImpression
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10635 GF#10635] QA 5a: Resource references exist in both directions for Condition and ClinicalImpression
 +
 
 +
OO / Procedure
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13047 GF#13047] Add DosageInstructions to Procedure
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12993 GF#12993] Please Create a NonMedicationAdministration object or an Administration object
 +
 
 +
clinicalsummary-module
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14950 GF#14950] Need to improve the sentence
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14948 GF#14948] Problem List
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14947 GF#14947] Clinical Module might be better than Clinical Summary Module
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=14946 GF#14946] Identical to the content of the section 10.0.3
  
 
=== Adjourn ===
 
=== Adjourn ===

Latest revision as of 21:05, 1 February 2018



Meeting Information

Patient Care FHIR Resources Conference Call

Location: Conference Call
Phone Number: +1 563-999-2090
Participant Passcode: 792564
WebEx: https://join.freeconferencecall.com/patientcare

Date: 2018-MM-DD
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
Dave Carlson VA
Stephen Chu The Australian Digital Health Agency (ADHA)
Evelyn Gallego EMI Advisors LLC
Eric Haas Health eData Inc
Rob Hausam Hausam Consulting LLC
Laura Heermann-Langford Intermountain Healthcare
Emma Jones Allscripts
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
Michelle M Miller Cerner
Lisa Nelson Life Over Time Solutions
Viet Nguyen Lockheed Martin, Systems Made Simple
M'Lynda Owens Cognosante
Mike Padula The Children's Hospital of Philadelphia
Craig Parker Intermountain Healthcare
Joe Quinn Optum
Katie Wheatley UK NHS Digital
Quorum Requirements Met: yes

Agenda

Agenda Topics

  1. Agenda review
  2. Approve previous meeting minutes
    • Motion: <moved>/<seconded>
  3. gForge change request

Supporting Information

Minutes

Prior Action Item Follow-up

gForge Change Requests (Backlog)

Workflow

  • GF#14446 PatientCare resources do not have a clean Workflow report

AdverseEvent

  • GF#14759 Why can adverse events omit subject have group? - 2018-Jan Core #98 Gay Dolin-InPerson
  • GF#13698 AdverseEvent.suspectedEntity.instance should allow CodeableConcept
  • GF#13302 Vocabulary issues with AdverseEvent
  • GF#11021 Increase cardinality of substance and make certainty relation to substance not reaction - 2016-09 core #40

CarePlan

  • GF#14483 Use of reference for planDefinition in carePlan need to be added back.
  • GF#13903 CarePlan should allow tracking of past activities (i.e. past interventions)
  • GF#13140 logical definition of care-plan-category value set may require realignment with SCT changes
  • GF#11173 CarePlan needs support for reviews - 2016-09 core #327
  • GF#10028 Careplan: Provide ability to specify patient and/or provider preferences

CareTeam

  • GF#14819 No submission - 2018-Jan Core #159
  • GF#14760 Why can care teams omit subject have group? - 2018-Jan Core #99
  • GF#14334 allow careteam.participant member to reference a Practitioner role
  • GF#12509 CareTeam participant

SD / SOAP Notes

  • GF#12676 Guidance request for GP SOAP in FHIR
  • GF#14720 Add Guidance for Exchanging Notes - 2018-Jan Core #42


CommunicationRequest

  • GF#14959 Clarify difference between Requester and Sender in CommunicationRequest

Condition

  • GF#14874 Condition.clinicalStatus should not be a limited to a code from the condition-code value set - 2018-Jan Core #215
  • GF#14872 Not sufficient support for Concern - 2018-Jan Core #213
  • GF#14871 Condition needs an "absent" status distinct from "refuted." - 2018-Jan Core #212
  • GF#14853 Add medication history to condition-category - 2018-Jan Core #193
  • GF#14849 Note that if dates are captured as string search won't find them - 2018-Jan Core #189
  • GF#14821 Since we have clinical and verification status as mandatory parameter we can change the card to 1..1. - 2018-Jan Core #161
  • GF#14732 How are dependent relationships represented? - 2018-Jan Core #54
  • GF#14643 Asserted Date on Conditon and on Condition Definition page have inconsistent definitions
  • GF#14500 Condition.abatement.as(Age) should not repeat twice

ClinicalImpression

  • GF#10635 QA 5a: Resource references exist in both directions for Condition and ClinicalImpression

OO / Procedure

  • GF#13047 Add DosageInstructions to Procedure
  • GF#12993 Please Create a NonMedicationAdministration object or an Administration object

clinicalsummary-module

  • GF#14950 Need to improve the sentence
  • GF#14948 Problem List
  • GF#14947 Clinical Module might be better than Clinical Summary Module
  • GF#14946 Identical to the content of the section 10.0.3

Adjourn

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

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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