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Difference between revisions of "2017-03-09 Patient Care FHIR Call"

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=== STU3 Outstanding Actions ===
 
=== STU3 Outstanding Actions ===
 +
* Vote to promote CareTeam to FMM=1
 
* Update [https://docs.google.com/a/lmckenzie.com/spreadsheets/d/18HfXF7mUCUV7jACCG0oejFp6D-ibtvbmcgywNhn76lw QA checklist] for resources that we want to be FMM = 3
 
* Update [https://docs.google.com/a/lmckenzie.com/spreadsheets/d/18HfXF7mUCUV7jACCG0oejFp6D-ibtvbmcgywNhn76lw QA checklist] for resources that we want to be FMM = 3
 
* QA Topics
 
* QA Topics

Revision as of 22:44, 8 March 2017



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=macd64a688fdc3410ab4178adab5820fb

Date: 2017-03-09
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
Pushpalatha Bhat
Stephen Chu The Australian Digital Health Agency (ADHA)
Evelyn Gallego EMI Advisors LLC
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
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
Joe Quinn Optum
Simon Sum Academy of Nutrition and Dietetics
Iona Thraen Dept of Veterans Affairs
Serafina Versaggi Dept of Veterans Affairs
Quorum Requirements Met: yes

Agenda

Agenda Topics

  1. Agenda review
  2. Approve previous meeting minutes
    • Motion: <moved>/<seconded>
  3. STU3 Action Items
  4. gForge change request

Supporting Information

STU 3 Timeline

From FHIR_Ballot_Prep

  • 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

Maturity Levels 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

Target FMM levels for STU3 publication

  • AllergyIntolerance = 3
  • Condition = 3
  • Procedure = 3
  • CarePlan = 1
  • Goal = 1
  • CareTeam = 1
  • FamilyMemberHistory = 1
  • ReferralRequest = 1
  • Flag = 1
  • Communication = 1
  • CommunicationRequest =1
  • ClinicalImpression = 0
  • Linkage = 0

STU3 Action Items

Minutes

STU3 Outstanding Actions

  • Vote to promote CareTeam to FMM=1
  • Update QA checklist for resources that we want to be FMM = 3
  • QA Topics
    • extension-procedure-causedby -- review beefed up description - "This procedure is because of the related item"
    • extension-condition-criticality -- no value set binding
    • flag -- questionable QA feedback
      • As “flag” has numerous usages in FHIR, this particular use should somehow be distinguished. Might it be a “clinical flag?”
      • A flag is typically presented as a label in a prominent location in "the a paper chart or visual rendering of an electronic" record to notify the clinician of the potential issues
      • given the volume of information frequently found in patients' records and the potentially serious consequences of losing sight of some facts, this redundancy is deemed appropriate -- Deemed by whom? HL7? We don’t make this kind of policy. Suggest “deemed important by the users of an information system.”
      • Patient has large dog at home -- This doesn’t seem like a credible example of the semantics for a flag, even under the “other” category.
      • The Flag resource is sometimes known as "patient notes" -- This is definitely beyond the scope of QA but there seems to be a serious conflict here between the notion of flags as a highly concise representation of information preselected for its urgency or relevance to workflow and a more general topic of patient notes, which could be wide ranging, couldn’t they?
    • goal - HgbA1c level =<5.6% -- Is this a clinically credible example? Yes

Pending FMG Approval

  • GF#12942 Change AllergyIntolerance.category data type to code
  • GF#12943 Condition.stage cardinality
  • GF#12973 QA Warnings for Condition.onset search parameters

gForge Change Requests

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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