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Difference between revisions of "20160421 OO FHIR conCall"

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(Undo revision 119035 by Ehaas (talk))
 
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: 2016/04/28 '''<br/> '''2015 - 02:00 PM (Eastern Time, GMT -04 DST)'''
+
| 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 '''no'''
+
|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
* Review outstanding Trackers for WGM
+
# [http://hl7-fhir.github.io/supplyrequest.html SupplyRequest] and [http://hl7-fhir.github.io/device.html/supply delivery SupplyDelivery]
  
Topic:
 
'''Workflow'''  Mon Q 3-4 is Workflow discussion.  Will await outcome of Workflow Group before addressing these items:
 
  
 +
'''Look at boundaries between SupplyRequest, [http://hl7-fhir.github.io/deviceuserequest.html  DeviceUseRequest], and [http://hl7-fhir.github.io/visionprescription.html VisionPrescription] Resources'''
  
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=5304 5304] Jan 2015 Ballot Comment #183 (David Tao) Considered for Future Use
 
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=5468 5468] Jan 2015 Ballot Comment #404 (Riki Merrick) Considered for Future Use
 
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=7756 7756] 2015May core #1077 - Document Order Request/Response pattern (Keith Boone) Considered for Future Use
 
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8445 8445] Allow Order source to be a Patient (David Hay) Considered for Future Use
 
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8478 8478] replace element names .source and .target with .Placer and .Filler (Clem McDonald) Considered for Future Use
 
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8755 8755] add an orderType to support workflow variations (Jose Costa) Considered for Future Use
 
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8756 8756] Create an extension for a dynamically calculated workflow status (Jose Costa) Considered for Future Use
 
  
'''DiagnosticOrder'''
 
  
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9187 9187] flatten out Diagnostic Order, move specimen collection to ProxcedureRequest (Eric Haas) None
+
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=9852 9852] Add timing atttributes to DiagnosticOrder (Hans Buitendijk) Persuasive with Mod
+
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
  
 +
|-
 +
|
  
'''DiagnosticReport'''
 
  
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9038 9038] Culture (James Agnew) None
+
|
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9671 9671] DiagnosticReport - add support for linking reports together (Michelle Miller) None
 
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9859 9859] combine DiagnostReport.conclusion and DiagnostReport.codeDiagnosis (Eric Haas) None
 
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9206 9206] DiagnosticReport element to include textual narrative of the diagnostic assessment (Sean Moore) Not Persuasive
 
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9433 9433] Observation.issued and DiagnosticReport.issued (Hans Buitendijk) Not Persuasive
 
  
  
'''Observation'''
+
|
 +
category
  
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9375 9375] Remove invariant from Observation.component.code (Michelle Miller) None
+
|
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9774 9774] Create required core profile for Vital Sign (Eric Haas) None '''In Person'''
+
!S
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9857 9857] change Observation.category from Example to Extensible (Eric Haas) None
 
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9880 9880] element for indicated who or what changes the status (Hans Buitendijk) None
 
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9433 9433] Observation.issued and DiagnosticReport.issued (Hans Buitendijk) Not Persuasive
 
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9543 9543] Multieple Observation Categories (Hans Buitendijk) Not Persuasive
 
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9676 9676] Add Observation.component.interpretation (Michelle Miller) Persuasive with Mod
 
  
 +
|
 +
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
 +
 +
 +
 +
 +
 +
 +
 +
 +
 +
 +
 +
 +
 +
 +
 +
 +
 +
 +
 +
 +
|}
  
'''DataElement''' -  To be covered on May 19th OO on FHIR call
 
  
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=6095 6095] styleSensitive isn't clear enough (Lloyd McKenzie) None
 
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=7248 7248] 2015May core #308 - Various opinions on data element (Clem McDonald) None '''In Person'''
 
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=6316 6316] Dataelement is insufficient for Master Files (Eric Haas) Not Persuasive
 
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8884 8884] Need extension for min valueSet for DataElement.element.mapping.language (Lloyd McKenzie) Persuasive
 
  
'''BodySite'''
 
  
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=7250 7250] 2015May core #310 - Body site should be a code, not a type or resource (Clem McDonald) Not Persuasive '''In Person'''
 
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=7342 7342] 2015May core #532 - There should be at least 2 types of body sites indicated. targetBodySite and approachBody site (Corey Spears) Not Persuasive
 
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=7475 7475] 2015May core #770 - Complext structure or data type needed for BodySite (not resource) (Tom Oniki) Not Persuasive
 
*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=7577 7577] 2015May core #868 - Recommend changing this to a "common structure" that could be used for Condition.site, etc. (Ioana Singureanu) Not Persuasive
 
  
  
* Connectathon review
+
#* Jose C-T proposals
#* [http://wiki.hl7.org/index.php?title=201605_Data_Access_Framework_(DAF) DAF LabResults] - not covered
+
# 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:
Phone: +1 770-657-9270, Passcode: 398652

Join the meeting at:
https://join.me/vernetzt.us

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


    • Review Device QA criteria for FMM proposal - not done
  1. 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


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? | ??)

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
  1. Review outstanding Trackers
  2. Connectathon review

Minutes

Next Steps

Actions (Include Owner, Action Item, and due date)
Next Meeting/Preliminary Agenda Items

2015mmdd_OO_FHIR_concall


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