2016-01-28 Patient Care FHIR Call

Meeting Information

Patient Care FHIR Resources Conference Call Location: Conference Call Phone Number: +1 770-657-9270 Participant Passcode: 943377 Live Meeting: https://www147.livemeeting.com/cc/_XML/cerner/join?id=8FNF2S&role=attend&pw=m9Kd%7Cx9		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
	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

1. Agenda review
2. Approve previous meeting minutes: 2016-01-21_Patient_Care_FHIR_Call
   • Motion: Rob/LLoyd Abstain - 0, Negative - 0, Approve - 5
3. FHIR Maturity Model Level
4. Block Vote
5. Prior Action Item Follow-up
   • annotation/note element name
   • new note resource
   • new care team resource
   • negation next steps
6. gForge change requests

Supporting Information

FHIR Resources owned by Patient Care
Maturity Levels

• 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: Confirm when Grahame is available to join Patient Care FHIR conference call to continue listserv discussion related to 9304, which was a request for a new clinical note 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

Negation: Update from Rob/Jay on whether to schedule dedicated call for negation

Adjourn

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

Meeting Outcomes

Actions 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

Next Meeting/Preliminary Agenda Items Agenda review Approve previous meeting minutes Motion: <moved>/<seconded> Abstain - <#>, Negative - <#>, Approve - <#> gForge change request

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