2018-04-18 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
X	Stephen Chu	Individual
X	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
X	Chris Melo	Phillips Healthcare
	Michelle Miller	Cerner
	Benjamin Kummer	Columbia University
	Matt Rhan
	Michael Padula
	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 the following meeting minutes
  • April 4 call minutes: Emma moved , Claude second:
  • April 11 call minutes: Emma moved , Chris second:

Agenda Other business CIMI Modeling

Next Steps

• plan for bollot after the WGM
• Look at the Care Team members in FHIR resources and identify gaps for modeling purposes.
  • Suggestion to do this after a few ballot rounds - anticipate push back from FHIR-I team.
  • This is part of the requirements gathering phase. Comparing FHIR to the requirements to determine how well FHIR represented the requirements. Agreement with this approach
  • Before approaching FHIR look at the logical model that address the requirements
  • 80/20 - the 80% should include systems that are not "EHR". Would be interested in systems that are not EHRs would have in those systems - representation of care team members.
    • Medicaid systems - have care team members listed somehow to be able to coordinate across organizations.
  • Also need to look at what systems may not be doing that they should be doing. The problem will be having access to people who have access to these systems.
  • Resource allocation and staffing should be part of the care team DAM
• Gaps in FHIR Care Team
  • Communication and consent to support back-up coverage. Back-up is a concept in the eLTSS use case

CIMI Modeling

• Requirement Discussion
  • Communication requirements
• See Questions about Requirements
• Suggestion not to consider machines as care team member (i.e. AI)
• Requirement to consider - Coverage protocol - when transfer from one physician to another. Does the transfer cause an impact to the care team resource itself.