Difference between revisions of "2016-04-07 Patient Care FHIR Call"
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=== Prior Action Item Follow-up === | === Prior Action Item Follow-up === | ||
− | Elaine | + | |
+ | ==== 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 [http://lists.hl7.org/read/messages?id=292360]. 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: <br> | ||
+ | 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 <br> | ||
+ | 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 === | === gForge Change Requests === |
Revision as of 14:06, 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
Adjourn
Adjourned at <hh:mm am/pm> <timezone>.
Meeting Outcomes
Actions
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Next Meeting/Preliminary Agenda Items
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