Difference between revisions of "2016-04-07 Patient Care FHIR Call"
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=== Adjourn === | === Adjourn === | ||
− | Adjourned at | + | Adjourned at 06:28 PM Eastern. |
==Meeting Outcomes== | ==Meeting Outcomes== |
Latest revision as of 14:09, 8 April 2016
Contents
Meeting Information
Patient Care FHIR Resources Conference Call Location: Conference Call |
Date: 2016-04-07 Time: 5-6:30pm ET | ||
Facilitator | Rob Hausam | Note taker(s) | Elaine Ayres |
Attendee | Name | Affiliation
| |
X | Elaine Ayres | NIH/Department of Clinical Research Informatics | |
X | 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 | ||
Craig Parker | Intermountain Healthcare | ||
Scott Robertson | Kaiser Permanente | ||
Simon Sum | Academy of Nutrition and Dietetics | ||
Iona Thraen | Dept of Veterans Affairs | ||
X | M'Lynda Owens | Cognosante | |
Quorum Requirements Met: yes |
Agenda
Agenda Topics
- Agenda review
- Approve previous meeting minutes: 2016-03-31_Patient_Care_FHIR_Call
- Motion: Michelle/Elaine Abstain - 2, Negative - 0, Approve - 5
- Prior Action Item Follow-up
- gForge change request
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
Prior Action Item Follow-up
AdverseEvent
Elaine Ayres provided the group with an update on the RCRIM Adverse Event resource. An e-mail requested participation from RCRIM, FHIR and Patient Care was sent out on April 4th per [2]. Volunteers to participate on this project are contacting Elaine. Sub-group calls will be set up
Negation Update
Rob Hausam provided an update on both TermInfo and Negation calls held on 4/6/16. Rob presented several options:
1: Continue with current structure of resource using a coded concept data type (both for positive and negated statements) with current value set binding e.g. SNOMED-CT substances and negation codes. But the coded element should be renamed from AllergyIntolerance substance to AllergyIntolerance code
2: Alternative is a two element solution. Narrow the binding on the code element for positives. Represent negatives as a separate element. May use an exclusion code. Jay Lyle also proposed a code and value solution. This will start with the allergy and intolerance resource but also looking at broader applicability. An element called Negation code or negation claim – can use a SNOMED code e.g. no allergy to latex or if it is an exclusion code – just use substance (latex).
Current value set of “no known” will need to add latex. If using a list of substances the use of a defined value set has been proposed. The question of potential overlap is possible, and needs to be considered for this option.
gForge Change Requests
http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9778: CarePlan.category to search Move: Michelle/Lloyd 8/0/0
http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9194: Episode of Care linkage Is episode of care more broad or less broad than encounter? Episode of care is considered by group to be more broad. Passing back to PA.
http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9788: Author not defined consistently across resources. Recommend goal.source but extensive discussion about alternatives for who initiated the goal and who actually entered it into the care plan. The concept of negotiated was also discussed. The Care Plan DAM uses the term “expressed by” e.g. goal.expressedby Will enter a separate GFORGE on the negotiated concept. Also need to have the cardinality as a separate discussion. Move – rename goal. author to goal.expressedby. Michelle/Emma 8/0/0
Adjourn
Adjourned at 06:28 PM Eastern.
Meeting Outcomes
Actions
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Next Meeting/Preliminary Agenda Items
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