FHIR Agenda-Baltimore 201209 WGM

Saturday

Chesapeake B

• FHIR Connectathon - all day

Sunday

Q1

Anapolis: Joint w/ ARB

Chair/Minutes = ARB

• See FGB topics Friday Q3 below as discussion candidates
• Also FHIR SAIF IG?

Q2

Chesapeake A&B

• Tutorial: Introduction to HL7 FHIR

Q3

Executive Boardroom Joint w/ MnM

Chair/Minutes = MnM

• schedule timeslots & hot topics
• FHIR admin issues (co-chairs, minutes)

Q4

Chesapeake A&B

• Tutorial: Hands on with FHIR
  • Grahame/Ewout, Lloyd second portion

Constellation EF - HL7 Activities with other SDOs

• Lloyd 15-20 minute presentation

Monday

Q3

Convention Center Room 341

• Tutorial: Introduction to HL7 FHIR
  • Only do this if sufficient interest. Alternatively:
• Ballot reconcilliation

Q4

Convention Center Room 341 Host MnM

Chair=Lloyd Minutes=?

• Extensions?
• Mood code Moods in fhir
• Metadata FHIR editing and versions (old)
• FHIR_non-REST_Workflow

Q6

TSC co-chairs presentation

Tuesday

Q0

FHIR Connectathon presentation as part of TSC address - Grahame

Q1

Constellation C - Host ITS, SOA

Chair: ??? Minutes: ???

• ?REST and related issues?
• FHIR Search Parameters
  • What are the conformance expectations?
  • Where should new ones be defined – profile or conformance statement?
  • Should we support sorting? How?
• Tutorial: FHIR for Software Developers (Ewout)

Q2

Constellation C - Host Tooling, V3 pubs

Chair: ??? Minutes: ???

• FHIR tooling & publication issues
  • How to manage publication process, ballot cycle
  • Transition of FHIR tools to Tooling oversight
  • Others?
• FHIR microdata
• Tutorial: FHIR for Software Developers (Ewout)

Q3

Constellation C - Host Patient Administration

Chair: ??? Minutes: ???

• Patient Administration Resource development

Q4

Constellation C - Host InM, ITS

Chair: ??? Minutes: ???

• Message resource

Wednesday

Q1

Constellation C - Host ITS

Chair: ??? Minutes: ???

• XML/JSON/ATOM
• FHIR_Http_Page

Q2

Constellation C - Host Vocabulary

Chair: Lloyd Minutes: ???

• Binding methodology
• [set resource]

Q3

Constellation C - Host OO

Chair: ??? Minutes: ???

• Diagnostic data/reports
• OO-sponsored resources?

Q4

Baltimore - Joint Health Care Devices

Chair: Grahame Minutes: ???

• Device & data registries

Thursday

Q1

Constellation C - Host CGIT, Templates

Chair: ??? Minutes: ???

• Profile resource
• Template registries
• FHIR Conformance Levels Issue Page
• FHIR managing profile identification

Q2

Constellation C - Host Patient Care, Templates

Chair: ??? Minutes: ???

• Care resources
• Use of organizers/summary lists FHIR Workflow resources
• If PC and Templates don't come (as is likely, given they haven't got this listed as joint), we'll do ballot reconcilliation

Q3

Constellation C - Host Structured Documents

Chair: ??? Minutes: ???

• Expressing CDA/SDA in FHIR
  • Document Resources as "header" equivalent
  • selected Document Resource ballot comments (possible)
  • Do we need a "section" resources, or are resources sections?
• Using the FHIR Profile resource for representing CDA templates
• Narrative Status Flag FHIR_Xml_Page#Status Flag
• FHIR general issues (old)#How do we support human readability for resource references?

Q4

Constellation C - SAIF Architecture Program

Chair: ??? Minutes: ???

• FHIR-related SAIF issues

Friday

Q1

Constellation C - Host Pharmacy WG

Chair: ??? Minutes: ???

• Pharmacy resources & extensions

Q2

Constellation C - Host MnM

Chair: ??? Minutes: ???

• Datatypes
• Datatype Profiles FHIR Datatypes Page
• Narrative
• Identifier Type Codes FHIR general issues (old)#Fix identifier type codes

Q3

Constellation C - governance (& management?) groups

Chair: ??? Minutes: ???

• FHIR Principles
• FHIR Governance
• FHIR Business Case Issue Page
• FHIR Project planning
• FHIR Resource Considerations
• Security cookbook (when?) FHIR Security Issues Page
• The Resource With No Name

Q4

Constellation C - governance (& management?) groups

Chair: ??? Minutes: ???

• Agenda Item

Minutes

Mon Q3

 Lloyd Mackenzie       HL7 Canada
 Mead Walker           MWC
 Ewout Kramer          Furore
 Alean Kirnak          Software Partners
 Jeff Lewis            Interfaceware
 Nassimo Frozzi        Insiel Mercato
 Francesco Rossi       TBS Group
 Linda Bird            MOHH Singapore

• a repeat of the intro to FHIR tutorial

Mon Q4

 Lloyd McKenzie     HL7 Canada
 Woody Beeler       Beeler Consulting
 Tanya Achilles     HL7 Canada
 Bo Dagnall         HPES
 Isabelle Gibaud    HL7 France
 Ewout Kramer       Furore
 Cecil Lynch        Accenture
 Dave Shaver        Corepoint
 Adam Feng          HL7 China
 Jeff Lewis         Interfaceware
 Paul Whitmer       Intermountain Healthcare
 Alexander Henket   HL7 Netherlands
 David Hay          Orion Health
 Grahame Grieve     Health Intersections
 Rik Smithies       NProgram

• Voted on ballot reconciliation for CMETs, Release 3. The tally and votes is recorded in the reconciliation spreadsheet.
• discussion concerning licensing and the preparation process. Recommendation forwarded to the board.
• Discussion concerning extensions, and how they are managed
• Discussed and voted on Ballot reconciliation for Core Principles, Release 2. The tallies and votes are recorded in the reconciliation spreadsheet. remaining items will be taken up in conference calls.

Tues Q1

 Lloyd McKenzie        HL7 Canada
 Grahame Grieve        Health Intersections
 Chris White           Thrasys
 Gaby Jewell           Cerner
 Thomas Pole           General Dynamics
 Kevin Coonan          Deloitte Consulting
 Ewout Kramer          Furore
 Ann Wrightson         HL7 UK
 Andy Bond             NEHTA
 Mark Tucker           Regenstrief
 Helmut Koenig         Seimens
 Jackie Mulrooney      JP Systems
 Galen Mulrooney       JP Systems
 Sasha Bojicic         Canada Health Infoway
 Andrew Liu            Canada Health Infoway
 Anil Luthra           Anil Luthra 
 Ken Rubin             HP
 Michael Van Der Zel   HL7 NL
 Alean Kirnak          Software Partners
 Chengjian Che         Lantana
 Brian Pech            KP
 Paul Knapp            Knapp Consulting
 David Hay             Orion Health
 Stefano Lotti         HL7 Italy
 Gerald Beuchelt       Mitre
 Saclamu Takasaka      HL7 Japan
 Masaaki Hirai         HL7 Japan
 Don Jorgenson         Inpriva
 Dale Nelson           Lantana
 Jon Farmer            Thrasys

• Ballot reconciliation of connectathon issues - see spreadsheet

Tues Q2

 Grahame Grieve      Health Intersections
 Alexander Henket    Enovation
 Ewout Kramer        Furore
 Nat Wong            Total Care
 Sasha Bojire        Infoway Canada
 Andrew Liu          Infoway Canada
 Attila Farkas       CHI
 Helmut Koenig       Siemens
 David Hay           Orion Health
 Austin Kriesler     SAIC
 Don Lloyd           HL7 HQ
 Woody Beeler        Beeler Consulting
 Corey Spears        Aetna
 

• Discussion concerning publishing and tooling
• both publishing and FHIR project happy with current status
• note concerning the need for an HL7 hosted repository - tooling to adopt this as a future requirement

Tues Q3

 Lloyd McKenzie       HL7 Canada
 Grahame Grieve       Health Intersections
 Ewout Kramer         Furore
 Alexander Henket     Hl7 NL
 Chris White          Thrasys
 David Hay            HL7 Canada
 Tanya Achilles       HL7 Canada
 Christian Hay        GS1
 Alexander De Leon    KP
 Line A Saele         HL7 Norway
 Sackamu Takasaka     HL7 Japan
 Helen Dryfhout       HL7 NL
 Mark Bevivino        Iatric Systems
 Rik Smithies         NProgram
 Irma Jongeneel       HL7 NL
 Nat Wong             HL7 Australia
 Meya Achdiat         HL7 Australia

• presentation from Ewout Kramer concerning PA resource issues
• discussion around related issues:
  • do we have person and patient?
  • what is core?
  • What about related parties?
  • no decisions where made, but comments were added to the wiki
• the project statement was received

Tues Q4

 Ewout Kramer         Furore
 Grahame Grieve       Health Intersections
 Alexander Henket     HL7 NL
 Gaby Jewell          Cerner
 Tim McNeil           Sure Scripts
 Tony Julian          Mayo Clinic
 Rick Haddorff        Mayo Clinic
 Mark Tucker          Regenstreif
 Rusty Henry          Cerner
 Andrew Liu           Infoway Canada
 Dave Shaver          Corepoint
 Vin Sekar            NEHTA
 Mark Bevivino        IATRIC systems
 Brian Pech           KP
 Paul Knapp           Knapp Consulting
 Joan DuHaine         Lockheed Martin
 David Hay            Orion Health
 Dale Nelson          Lantana
 David Rowed          HL7 Australia
 Lloyd Mckenzie       HL7 Canada
 Grahame Grieve       Health Intersections

• tutorial concerning messaging in FHIR
• robust discussion about the reliable messaging part
  • decision to allow one of 3 responses on repeat: original response, current response, or error
  • decision to note that message content to be checked, not just id
  • add this to conformance profile
• INM happy for FHIR to continue with the Messaging stuff, would like to be kept informed

Tues Q6 - tooling demos

 Lloyd McKenzie        HL7 Canada
 Tessa van Stijn       NICTIZ Netherlands
 Jogindra Madra        Modra Consulting
 Jean Duteau           Duteau Design
 Nassimo Frozzi        Insiel Mercato
 Francesco Rossi       TBS Group
 Adel Ghlamallah       Infoway Canada  
 Andrew Liu            Infoway Canada
 David Hay             Orion Health
 Li, Baoluo            HL7 China
 Feng, Donglei         HL7 China
 Rob Hausam            Hausam Consulting
 Peter Hendler         KP
 Helen Dryfhout        HL7 NL
 Anil Luthra           Apis Consulting
 Wendy Huang           Infoway Canada
 John Roberts          TN DOH

Wed Q1

 Lloyd McKenzie        HL7 Canada
 Ewout Kramer          Furore
 Gaby Jewell           Cerner
 Vin Sekar             NEHTA
 Brian Pech            KP
 Mark Tucker           Regenstrief
 David Hay             Orion Health
 Tim McNeil            SureScripts
 Grahame Grieve        Health Intersections Pty Ltd
 Paul Knapp            Knapp Consulting
 Dale Nelson           Lantana

• ballot reconciliation with regard to Json and Xml issues
• decisions recorded in spreadsheet

Wed Q2

 Lloyd McKenzie     HL7 Canada
 Ewout Kramer       Furore
 Gaby Jewell        Cerner
 Alexander Henket   HL7 NL
 Jos Baptist        Nictiz
 Rik Smithies       NProgram
 Woody Beeler       Beeler Consulting
 Carmela Couderc    Siemens
 Heather Grain      EHS Australia
 Rob Hausam         ??
 Julie James        Bluewave Informatics
 Sadam Tabasaka     ??
 Massaki Hirai      Mifty
 David Hay          Orion Health
 Wendy Huang        Canada Health Infoway
 Ted Klein          Klein Consulting
 Sandy Stuart       KP
 Walter Grant       VA
 Grahame Grieve     Health Intersections
 Rita Scichione     AHIMA
 Bo Dagnall         HP

• review of vocabulary resources and methodology in FHIR with the vocab committee.
• open issues for FHIR team to work on
  • version - document extension
  • single URLs- work by duplication?
  • URI preference order for identifying code systems? (per Solbrig)
  • Formal publishing of value sets known from profile resources
  • conflation of governance & registry?
  • SHALL be registered in HL7 OID registry or an affiliate designated registry
  • attribute vs concept domain definition

Wed Q3

 Lloyd McKenzie       HL7 Canada
 Dale Nelson          Lantana
 Patrick Loyd         Icode
 Lorraine Constable   Constable Consulting
 Debbie Bogart        Infoway Canada
 Ken McCaslin         Quest Diagnostics
 Francois Macary      ASIP Sante
 Ed Heierman          Abbott
 Nat Wong             HL7 Australia
 Massimo Frossi       Inseil Mercato
 Francesco Rossi      TBS Group
 Masaaki Himi         HL7 Japan
 Freida Hall          Quest Diagnostics
 Rob Hausam           Hausam Consulting
 Carmela Couderc      Siemens
 Ewout Kramer         Furore
 Jane Curry           Health Info Strategies 
 Christina Knotts     First Databank
 Russell Leftwich     Tennessee
 Andy Bond            NEHTA
 David Hay            Orion Health
 Alexander Henket     HL7 NL
 Gunther Schadow      Pragmatc Data LLC

• discussion of the general nature of FHIR for O-O
• thorough review of the LabReport session
• agreement that O-O would work on diagnostic reports
• other things to follow later

Wed Q4

• FHIR met with devices - refer to device minutes
• a general discussion of FHIR, and an agreement to work on a resource for describing Device Capabilities
• possible resources discussed:
• Device (identifies - attribution)
  • carry unit
  • assigned to designated patient
  • photo
• DeviceDescription (describes the capabilities of the device)
  • network interaction capabilities
  • clinical capabilities
• DeviceCommand
  • asks a device to do something
• DeviceCommandResponse
  • report outcome of command
• DeviceReport
  • provide information from a device about clinical world
• device orientated views
  • clinical perspective
  • organisation/asset management
  • Device internal perspective

Thurs Q1

 Lloyd Mackenzie     HL7 Canada
 Irma Jongeneel      HL7 NL
 Alexander Henket    HL7 NL
 Nathan Bunker       AIRA
 Eric Larson         PHER
 Frank Oemig         HL7 Germany
 Wendy Huang         Canada Health Infoway
 David Hay           Orion Health 
 Grahame Grieve      Health Intersections 
 Kai Heitmann        HL7 Germany
 Andrew Lim          Canada Health Infoway

• Discussion about requiring conformance statements - decided to make them required to claim conformance
• decided to allow events to be defined in profiles (same info as in standard, along with reference to IG)
• map events to equivalent HL7 v2 event
• decided to toast the proposal for Conformance levels for now
• brief discussion about the running question of whether to include profile ids in the resource. Comparison to the situation with CDA with which we have considerable experience.
• demonstration of art-decor
  • agreement to consider whether we can express CDA templates in FHIR Profile resource instances. Kai to nominate a few good examples, Grahame to have a go.

Thurs Q2

 Lloyd McKenzie    HL7 Canada
 Gaby Jewell       Cerner
 Rik Smithies      NProgram
 Andrew Lim        Canada Health Infoway
 David Hay         Orion Health
 Hugh Leslie       Ocean Informatics
 Grahame Grieve    Health Intersections P/L
 Cecil Lynch       Accenture

Problem/Diagnosis - A concern with it's related observations

• Diagnosis : CodeableConcept
• Problem Type (examples:- diagnosis | problem | condition | finding | concern - dig around in snomed / cf with CCDA / ContSys)
• Status x 2 : code?? (CCDA - active, inactive. openEHR - provisional / working / final)
• Onset - Date | Age
• certainty : codeableConcept | %
• DateOfDiagnosis - Date
• resolution / remission - Boolean | Age | Date
• Severity - CodeableConcept
• Clinical Stage/Grade
  • summary - CodeableConcept (0..1)
  • assesssment - Resource(Any) (0..*)
• SupportingEvidence - codeableConcept | Resource(Any) (0..*) (Diagnostic criteria)
• AnatomicalLocation - codeableConcept | Resource(AnatomicalLocation)
• RelatedItem
  • Relationship = causedBy | follows
  • Target - Resource(Problem/Diagnosis|Procedure|Substance)

Thurs Q3

 Lloyd Mackenzie  Hl7 Canada
 Patrick Loyd   ICOPE
 Gaye Dolin    Lantana
 Bob Dolin   Lantana
 Bob Milius   NMDP
 Gaby Jewell  Cerner
 Jeff Brown    Kernodle Clinic
 Vin Sekar     NEHTA
 Sarah Gaunt   Lantana
 Frank Oemig   Agfa
 Ann Wrightson HL7 UK
 Cheng Jian Che  Lantana
 Rick Geimer    Lantana
 Kristi Eckerson  Emory University
 Amnon Shabo  IBM Research
 Anil Luthra  HL7 ?
 Peter Gilbert  Covisint
 Juggi Jugannathan MModal
 Ann Smith NCQA
 David Hay  Orion Health
 Peter Sergent   HL7 NZ
 Mark Shafarman Shafarman Consulting
 Adel Ghlamallah   Canada Health Infoway
 Zeshen Rajput   Accenture
 Jingdong Li    Lantana
 Vinayak Kulkarni  Siemens
 Austin Kreisler   SAIC
 Calvin Beebe      Mayo
 Grahame Grieve    Health Intersections P/L
 Dale Nelson       Lantana
 Tim McNeil        Surescripts
 Gordon Raup       Datuit
 Michael Massery   Dolbey Co
 Lisa R Nelson     Cox
 Mike Lamoureux    ?

• thorough review of FHIR clinical document model
  • need to align xhtml between proposed CDA R3 and FHIR
  • what happens with header narrative - must it be presented?
  • what is required for document conversion from CDA R2/R3
  • move discussion and analysis required

Thurs Q4

• Met with DICOM - planned to share FHIR ballot with DICOM