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|colspan="2"| | |colspan="2"| | ||
|- | |- | ||
| − | | || Eric Haas | + | |X || Eric Haas |
|colspan="2"| Haas Consulting | |colspan="2"| Haas Consulting | ||
|- | |- | ||
| Line 152: | Line 152: | ||
==Supporting Information== | ==Supporting Information== | ||
'''FHIR Resources owned by Patient Care'''<br/> | '''FHIR Resources owned by Patient Care'''<br/> | ||
| − | [http://hl7-fhir.github.io/resource.html#maturity | + | Maturity levels [http://hl7-fhir.github.io/resource.html#maturity] |
| − | * AllergyIntolerance (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) | * Procedure (1) | ||
| − | + | Connectathon candidates | |
| − | + | * CarePlan (1) | |
| − | + | * Goal (1) | |
| − | + | * Referral Request (1) | |
| − | * CarePlan (1) | + | * FamilyMemberHistory (1) |
| − | * Goal (1) | + | Lower priority resources |
| − | * Referral Request (1) | ||
| − | * FamilyMemberHistory (1) | ||
| − | |||
* Procedure Request (1) | * Procedure Request (1) | ||
* Flag (1) | * Flag (1) | ||
| − | * ClinicalImpression (0) | + | * ClinicalImpression (0) -- goal to move to level 1 by next release |
* Communication (1) | * Communication (1) | ||
* CommunicationRequest (1) | * CommunicationRequest (1) | ||
| − | + | <br> | |
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 201: | 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=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=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 | ||
| Line 211: | Line 210: | ||
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''': | + | '''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 | |
| − | + | * 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 | + | Adjourned at 6:30 pm Eastern. |
==Meeting Outcomes== | ==Meeting Outcomes== | ||
| Line 242: | Line 251: | ||
* 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 | * 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
Contents
Meeting Information
| Patient Care FHIR Resources Conference Call Location: Conference Call |
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
- Agenda review
- Approve previous meeting minutes: 2016-01-21_Patient_Care_FHIR_Call
- Motion: Rob/LLoyd Abstain - 0, Negative - 0, Approve - 5
- FHIR Maturity Model Level
- Block Vote
- Prior Action Item Follow-up
- annotation/note element name
- new note resource
- new care team resource
- negation next steps
- 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
Adjourn
Adjourned at 6:30 pm Eastern.
Meeting Outcomes
Actions
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Next Meeting/Preliminary Agenda Items
|
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