2018-04-04 Learning Health Systems Call

Facilitator	Russell Leftwich	Note taker(s)	Emma Jones
Attendee	Name	Affiliation
X	Russell Leftwich	InterSystems
	John Roberts	Tennessee Department of Health
	Stephen Chu	Individual
	Evelyn Gallego	ONC
	Kathy Walsh	LabCorp
	Asim Muhammad	Philips Research Europe
	Laura Heermann-Langford	Intermountain Healthcare
X	Emma Jones	Allscripts
	Jeff Brown	Cancerlinq
	Lisa Nelson	Individual
	Dave Carlson	VA
	Chris Melo	Phillips Healthcare
	Michelle Miller	Cerner
	Benjamin Kummer	Columbia University
	Matt Rhan
	Michael Padula
X	Joseph Quinn
	Thomson Kuhn
	Rob Hausum
	Serafina Versaggi	VA
	Ann Whiz
	Kathleen Conner
	Bridget McCabe
	Lisa Gonzalez
	Bridget Burke
X	Claude Nanjo

Minutes

• Chair: Russell Leftwich
• Scribe: Emma Jones

• Motion to approve March 28 call minutes: Russ moved , Claude second
• Motion to approve March 21 call minutes: Emma moved , Claude second

Agenda

• CIMI Modeling
• Other business

CIMI Modeling - presented by Claude

• Reviewed requirements
  • For the expert system - mode of contact. Some CTM are
    • Face to face
    • Telehealth
    • Away from the patient - e.g. radiology reading studies - may never have a Face to face relationship with the patient but can be part of the care team. Other examples are care managers, wellness coaches, care coordinators from insurance companies.
• Condition-focused Care Team
  • CIMI seperates Actors and Roles
    • Role has an actor, a person can have multiple roles. If the role is specific for a particular patient - can assign a role or multiple roles to an actor. May want to decide if can scope a role

e.g. this role is only valid at this time or on this care team, the role is xx. If the role is scoped outside the care team will have to constrain it. If scoped inside the careteam may have to define it each time.

• • • how is it applied to the caregiver or family members? - can put it on the entity (discourage doing that). Could define it with FamilyMembership.
    • Have talked about one child is the care giver but a second child is not the caregiver. a role could be one entity with two roles. Or could have a care giver and then have a caregiver attribute that is the relationship.
    • Is there a need to represent people on the care team that does not have a role? Family members that have negative impacts on the paitent.
    • Patient preference related to the care team.Provider recommendations.
    • Who is part of the team - inclutionary aspect not exclutionary but exclutionary members are communicated about.
    • If doing care planning will define for the patient condition what the need is.
    • Care team definition Vs Care team instance
• Next steps is to take the requirements and structure them in the requirements tool.
• Go thru the use case and extract the core set of requirements then start disecting the FHIR resources and see where gaps may exist.
• Need to prioritize the requirements - CIMI requirements management process.
• Need more use cases to capture the requirements. Add the use case extension or exceptions by next week - Russ will work on it.
• See Questions about Requirements