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Difference between revisions of "2016-12-15 Patient Care FHIR Call"

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=== gForge Change Requests ===
 
=== gForge Change Requests ===
 +
====FHIR Publication / Backlog Status====
 +
* 39 unresolved tracker items (35 ballot + 4 high maturity resource non-ballot comments)
 +
** 16 requested input from vocab (value set related ballot comments)
 +
**  7 waiting for input
 +
**  4 waiting to be scheduled (joint with OO or in person requests)
 +
** 12 ready for discussion during our weekly conference call
 +
 +
* 19 Resolved - Change Request tracker items
 +
** 17 ballot or high maturity resource (+ 2 non-ballot, non-priority resource)
 +
** 7 are substantive (+ 12 are non-substantive)
 +
*** 4 related to new extensions/profiles
 +
*** 1 workflow pattern
 +
*** 2 ready to be applied
 +
 +
====In Person (Pending Schedule) ====
 +
In Person Requests -- in the process of being scheduled
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12090 Rename goal attribute
 +
 +
Joint with OO -- in the process of being scheduled
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11026 Relationship between Condition and Observation - 2016-09 core #45  (Jay Lyle)
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11119 Differentiate ProcedureRequest and DiagnosticRequest and align their elements - 2016-09 core #273  (Danielle Friend)
 +
 +
 +
==== Discuss Today ====
 +
AllergyIntolerance - Dec 15
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11354 - add extension for condition findings
 +
** Resolution is inconsistent -- a terminology service would still need to extract out the substance from the product codes
 +
** In some jurisdictions, like the UK, the use of the condition codes is very much in the 80% (closer to 100%)
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11352 - category cardinality
 +
** Do 80% of systems support multiple categories? 
 +
** Our resolution conflicts with the FHIR GA guidelines 4e that say when constraining to the "code" data type, “ensure all codes are mutually exclusive or are defined in a proper hierarchy where siblings are mutually exclusive” – since the value set binding is required and cardinality is 0..*, the value set is neither mutually exclusive, nor defined in a proper hierarchy
 +
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11021 Increase cardinality of substance and make certainty relation to substance  not reaction - 2016-09 core #40  (Jay Lyle) -- Deferred
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11155 Unclear how the negation value set will work - 2016-09 core #309  (Stephen Chu)
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12177 Review/expand the AllergyIntolerance.criticality valueset (Mohannad Hammadeh)
 +
 +
==== Backlog - Ready to Discuss in Subsequent Calls ====
 +
Resources with higher maturity - target FMM Level 3
 +
 +
Workflow
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10293 revisit workflow patterns; review gap analysis attached to the gForge
 +
 +
CarePlan / Goal
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11116 Better define the careplan.activity.outcome field - on-going discussions taking place on Patient Care CarePlan conference calls
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12090 Rename goal attribute (in person?)
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11344 Allow CarePlan.activity.detail.performer to be CareTeam - 2016-09 core #502  (Emma Jones) -- pulled from block vote
 +
 +
Condition
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10635 QA 5a: Resource references exist in both directions for Condition and ClinicalImpression (Michelle Miller)
 +
 +
Procedure
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11162 Suggest include reference to remedial treatment(s) - 2016-09 core #316  (Stephen Chu)
 +
 +
Questionnaire / QuestionnaireResponse
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10998 Questionnaire.concept -> Questionnaire.code and update definitions - 2016-09 sdc #64  (Stephen Chu)
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12186 Proposed Changes to Questionnaire / Questionnaire Response from Tuesday evening discussion (Grahame Grieve)
 +
 +
Care Team
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11342 - Add CareTeam.relatedTeam or other composition relationship - 2016-09 core #500
 +
* DAF - http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10715 Add entered in error to valueset-daf-careteam-status (Michelle Miller) - related to http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10725, which is part of the Vocab set to review
  
 
=== Adjourn ===
 
=== Adjourn ===

Revision as of 18:05, 15 December 2016



Meeting Information

Patient Care FHIR Resources Conference Call

Location: Conference Call
Phone Number: +1 770-657-9270
Participant Passcode: 943377
WebEx: https://cerner.webex.com/cerner/j.php?MTID=mfc8969c4f77244480beee61d31385e79

Date: 2016-12-15
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
Danielle Friend Epic
Eric Haas Haas Consulting
Rob Hausam Hausam Consulting LLC
Laura Heermann-Langford Intermountain Healthcare
Emma Jones Allscripts
Russ Leftwich InterSystems
Tony Little Optum 360
Jay Lyle Ockham Information Services LLC, VA
Sarah Maulden VA
Hank Mayers ReliaTech Consulting
Jim McClay Univ of Nebraska Medical Center
Russell McDonell Telstra Health
Lloyd McKenzie Gevity (HL7 Canada)
Larry McKnight Cerner
Michelle M Miller Cerner
Lisa Nelson Life Over Time Solutions
Viet Nguyen Lockheed Martin, Systems Made Simple
M'Lynda Owens Cognosante
Craig Parker Intermountain Healthcare
Scott Robertson Kaiser Permanente
Simon Sum Academy of Nutrition and Dietetics
Iona Thraen Dept of Veterans Affairs
Quorum Requirements Met: yes

Agenda

Agenda Topics

  1. Agenda review
  2. Approve previous meeting minutes 2016-12-01_Patient_Care_FHIR_Call
    • Motion: <moved>/<seconded>
  3. Prior Action Item Follow-up
  4. gForge change request

Supporting Information

STU 3 Timeline

From FHIR_Ballot_Prep

  • Sun. Nov. 27 Ballot substantive resource freeze (prioritize resources that IGs will be based on)
  • Sun. Dec. 4 Ballot total freeze
  • Sun. Dec. 9 (or a day or two earlier) Freeze released - all changes allowed
  • Sun. Feb. 5 Ballot reconciliation deadline - All ballot comments must be reconciled, tracker issue report must be clean
  • Sun. Feb. 19 Publication substantive resource freeze
  • Sun. Feb 26 Publication total freeze
  • Mon. Feb 27 QA period opens
  • Tue. Feb 28 FMM QA spreadsheet updated for all WG resources
  • Sun. Mar. 13 QA period closes
  • Sun. Mar. 20 All QA applied

The "following week" STU 3 is published!

FHIR Maturity Levels

[1] Level 3 requires the artifact has been verified by the work group as meeting the DSTU_2_QA_guidelines and has been subject to a round of formal balloting; has at least 10 implementer comments recorded in the tracker drawn from at least 3 organizations resulting in at least one substantive change

Resource
Current FMM Level Goal FMM Level QA Status QA Reviewer Implementation Comments
AllergyIntolerance 1 3 Michelle Argonaut
Condition 2 3 Michelle Argonaut
Procedure 1 3 Michelle Argonaut
CarePlan 1 3 Michelle Argonaut
Goal 1 3 Michelle
QuestionnaireResponse 2 2 Lloyd Lloyd will QA to get to level 3
Questionnaire 0 2 Lloyd Lloyd will QA to get to level 3
CareTeam 0 2 NA Michelle Aggressive goal (e.g. whether we'll get the implementations needed)
FamilyMemberHistory 1 2 NA NA Aggressive goal (e.g. whether we'll get the implementations needed)
ClinicalImpression 0 1 NA NA
ReferralRequest 1 1 NA NA
ProcedureRequest 1 1 NA NA
Linkage 0 1 NA NA
Flag 1 1 NA NA
Communication 1 1 NA NA
CommunicationRequest 1 1 NA NA

Note: Bold denotes top 20 resource based on survey
Note: Contraindication and Risk Assessment are owned by CDS, not Patient Care

Minutes

Prior Action Item Follow-up

gForge Change Requests

FHIR Publication / Backlog Status

  • 39 unresolved tracker items (35 ballot + 4 high maturity resource non-ballot comments)
    • 16 requested input from vocab (value set related ballot comments)
    • 7 waiting for input
    • 4 waiting to be scheduled (joint with OO or in person requests)
    • 12 ready for discussion during our weekly conference call
  • 19 Resolved - Change Request tracker items
    • 17 ballot or high maturity resource (+ 2 non-ballot, non-priority resource)
    • 7 are substantive (+ 12 are non-substantive)
      • 4 related to new extensions/profiles
      • 1 workflow pattern
      • 2 ready to be applied

In Person (Pending Schedule)

In Person Requests -- in the process of being scheduled

Joint with OO -- in the process of being scheduled


Discuss Today

AllergyIntolerance - Dec 15

Backlog - Ready to Discuss in Subsequent Calls

Resources with higher maturity - target FMM Level 3

Workflow

CarePlan / Goal

Condition

Procedure

Questionnaire / QuestionnaireResponse

Care Team

Adjourn

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

Meeting Outcomes

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

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