Difference between revisions of "20160421 OO FHIR conCall"
Line 3: | Line 3: | ||
'''Call in details: <br>Phone: +1 770-657-9270, Passcode: 398652 '''<br/> | '''Call in details: <br>Phone: +1 770-657-9270, Passcode: 398652 '''<br/> | ||
'''Join the meeting at: <br>https://join.me/vernetzt.us''' <br/> | '''Join the meeting at: <br>https://join.me/vernetzt.us''' <br/> | ||
− | | width="0%" colspan="1" align="left" style="background:#f0f0f0;"|'''Date: 2016/04/ | + | | width="0%" colspan="1" align="left" style="background:#f0f0f0;"|'''Date: 2016/04/21 '''<br/> '''2015 - 02:00 PM (Eastern Time, GMT -04 DST)''' |
|- | |- | ||
− | |colspan="3" align="center" style="background:#f0f0f0;"| Quorum = chair + 4 ''' | + | |colspan="3" align="center" style="background:#f0f0f0;"| Quorum = chair + 4 '''yes''' |
|} | |} | ||
Line 35: | Line 35: | ||
|||Riki M | |||Riki M | ||
|- | |- | ||
− | | ||Hans Buitendijk | + | |X ||Hans Buitendijk |
|- | |- | ||
− | |||Jose Costa-Teixicara | + | |X||Jose Costa-Teixicara |
|- | |- | ||
| ||Dan R | | ||Dan R | ||
Line 60: | Line 60: | ||
− | * Review Device QA criteria for FMM proposal - not done | + | #* Review Device QA criteria for FMM proposal - not done |
− | + | # [http://hl7-fhir.github.io/supplyrequest.html SupplyRequest] and [http://hl7-fhir.github.io/device.html/supply delivery SupplyDelivery] | |
− | |||
− | |||
+ | '''Look at boundaries between SupplyRequest, [http://hl7-fhir.github.io/deviceuserequest.html DeviceUseRequest], and [http://hl7-fhir.github.io/visionprescription.html 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. | |
− | *[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id= | + | 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. |
+ | {| class="wikitable" | ||
+ | |- | ||
+ | | | ||
+ | |||
+ | 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 [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9861 #9861] | ||
+ | |||
+ | |||
+ | Likely need a special request comment/annotation on the resource as well. [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9862 #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 [http://hl7-fhir.github.io/device.html/supply delivery SupplyDelivery] and [http://hl7-fhir.github.io/device.html/medication 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 [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9863 #9863] | ||
+ | |||
+ | *From location missing in SupplyDelivery[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9863 #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=== | ||
+ | |||
+ | {| class="wikitable" | ||
+ | |- | ||
+ | | | ||
+ | '''RequestResource''' | ||
+ | |||
+ | | | ||
+ | '''RequestResource''' | ||
+ | |||
+ | | colspan="6" | | ||
+ | '''Template''' | ||
+ | |||
+ | |- | ||
+ | | | ||
+ | '''SupplyRequest''' Inventory | ||
+ | |||
+ | | | ||
+ | '''DeviceUseRequest'''Clinical 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? | ??) | ||
+ | |||
+ | | | ||
+ | <nowiki>who.fo</nowiki>cus | ||
+ | |||
+ | | | ||
+ | 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 | ||
+ | |||
+ | |- | ||
+ | | | ||
+ | <nowiki>when.co</nowiki>de | ||
+ | |||
+ | when.schedule | ||
+ | |||
+ | |||
+ | |||
+ | | | ||
+ | Priority, | ||
+ | |||
+ | |||
+ | |||
+ | timingTiming, | ||
+ | |||
+ | |||
+ | |||
+ | timingDateTime, | ||
+ | |||
+ | |||
+ | |||
+ | timingPeriod | ||
+ | |||
+ | | | ||
+ | <nowiki>occurrence[x]</nowiki> | ||
+ | |||
+ | | | ||
+ | S | ||
+ | |||
+ | | | ||
+ | 0..1 | ||
+ | |||
+ | | | ||
+ | dateTime| Period| Schedule? | ||
+ | |||
+ | | | ||
+ | <nowiki>when.pl</nowiki>anned | ||
+ | |||
+ | | | ||
+ | When service should occur | ||
+ | |||
+ | |- | ||
+ | | | ||
+ | date | ||
+ | |||
+ | | | ||
+ | recordedOn | ||
+ | |||
+ | orderdedOn ( more of a Task thingy) | ||
+ | |||
+ | | | ||
+ | authored | ||
+ | |||
+ | | | ||
+ | S | ||
+ | |||
+ | | | ||
+ | 0..1 | ||
+ | |||
+ | | | ||
+ | dateTime | ||
+ | |||
+ | | | ||
+ | <nowiki>when.re</nowiki>corded | ||
+ | |||
+ | | | ||
+ | When the request transitioned to being actionable | ||
+ | |||
+ | |- | ||
+ | | | ||
+ | source | ||
+ | |||
+ | | | ||
+ | |||
+ | |||
+ | | | ||
+ | requester | ||
+ | |||
+ | | | ||
+ | S | ||
+ | |||
+ | | | ||
+ | 0..1 | ||
+ | |||
+ | | | ||
+ | Reference(Device | Patient | Practitioner | RelatedPerson | Organization?) | ||
+ | |||
+ | | | ||
+ | <nowiki>who.au</nowiki>thor | ||
+ | |||
+ | | | ||
+ | Who/what is requesting service | ||
+ | |||
+ | |- | ||
+ | | | ||
+ | |||
+ | |||
+ | | | ||
+ | |||
+ | |||
+ | | | ||
+ | performerType | ||
+ | |||
+ | | | ||
+ | S | ||
+ | |||
+ | | | ||
+ | 0..1 | ||
+ | |||
+ | | | ||
+ | CodeableConcept | ||
+ | |||
+ | | | ||
+ | <nowiki>who.pe</nowiki>rformer | ||
+ | |||
+ | | | ||
+ | Desired type of performer for service | ||
+ | |||
+ | |- | ||
+ | | | ||
+ | supplier | ||
+ | |||
+ | |||
+ | |||
+ | | | ||
+ | |||
+ | |||
+ | | | ||
+ | performer | ||
+ | |||
+ | | | ||
+ | S | ||
+ | |||
+ | | | ||
+ | 0..1 | ||
+ | |||
+ | | | ||
+ | Reference(Practitioner | Organization | Patient | Device | RelatedPerson) | ||
+ | |||
+ | | | ||
+ | <nowiki>who.pe</nowiki>rformer | ||
+ | |||
+ | | | ||
+ | Desired performer for service | ||
+ | |||
+ | |- | ||
+ | | | ||
+ | reasonCodeableConcept,reasonReference | ||
+ | |||
+ | |||
+ | |||
+ | | | ||
+ | Indication, PRNreason ( really more of a protocol thingy) | ||
+ | |||
+ | | | ||
+ | <nowiki>reason[x]</nowiki> | ||
+ | |||
+ | | | ||
+ | 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 | ||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |||
+ | |} | ||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | |||
− | * Connectathon review | + | #* Jose C-T proposals |
− | #* [http://wiki.hl7.org/index.php?title=201605_Data_Access_Framework_(DAF) DAF LabResults] | + | # Review outstanding Trackers |
+ | # Connectathon review | ||
+ | #* [http://wiki.hl7.org/index.php?title=201605_Data_Access_Framework_(DAF) DAF LabResults] | ||
==Minutes== | ==Minutes== |
Latest revision as of 21:50, 28 April 2016
HL7 OO on FHIR (for Orders and Observations) Call in details: |
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
- Agenda*
- Review Device QA criteria for FMM proposal - not done
- 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
| |
---|---|---|---|---|---|---|---|
|
|
category |
S |
1..1 |
CodeableConcept |
class
| |
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
|
- Jose C-T proposals
- Review outstanding Trackers
- Connectathon review
Minutes
Next Steps
Actions (Include Owner, Action Item, and due date) | |||
Next Meeting/Preliminary Agenda Items |
Back to OO_on_FHIR