2016-04-14 Patient Care FHIR Call

Meeting Information

Patient Care FHIR Resources Conference Call Location: Conference Call Phone Number: +1 770-657-9270 Participant Passcode: 943377 Live Meeting: https://www147.livemeeting.com/cc/_XML/cerner/join?id=8FNF2S&role=attend&pw=m9Kd%7Cx9		Date: 2016-04-14 Time: 5-6:30pm ET
Facilitator	Michelle M Miller	Note taker(s)	Michelle M Miller
Attendee	Name	Affiliation
X	Elaine Ayres	NIH/Department of Clinical Research Informatics
X	Stephen Chu
	Eric Haas	Haas Consulting
X	Rob Hausam	Hausam Consulting LLC
	Laura Heermann-Langford	Intermountain Healthcare
X	Emma Jones	Allscripts
X	Russ Leftwich	InterSystems
X	Jay Lyle	Ockham Information Services LLC, VA
	Sarah Maulden	VA
	Jim McClay	Univ of Nebraska Medical Center
	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
	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 2016-04-07_Patient_Care_FHIR_Call
   • Motion: Elaine/Emma Abstain - 0, Negative - 0, Approve - 4
3. Prior Action Item Follow-up
4. Work Group Meeting Agenda
5. Negation update
6. 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

• Michelle updated CareTeam scope to clarify "CareTeam can be acted upon (e.g. CommunicationRequest), but the CareTeam isn't an actor".
• AdverseEvent - RCRIM meeting coming up. Elaine has a dedicated group formed. Does Patient Care want to preview straw man resource before WGM (Tues Q3)? Elaine will check with the group and then get back to Michelle with a proposed date (if any). AdverseEvent_FHIR_Resource_Proposal exists, and she will start a wiki page under RCRIM to compile past discussions. ONC may also be working on AdverseEvent, too.

WGM Agenda

• Emma and Stephen are compiling the agenda

Negation Update

Rob provided an update on TermInfo, which is focused on a recommendation for AllergyIntolerance. How much consistency across resources? Will aim for broad applicability, with exceptions where warranted. TermInfo discussed name of "exclusion" vs "negation". OpenEHR uses "exclusion". Next step is to seek additional input to define "negation" vs "exclusion". Regarding AllergyIntolerance:

• one code (renamed from substance) using terminology to differentiate
• two code elements
  • value + modifier
  • positive statement + negated statement
  • different resources

Jay leading the Negation requirements call.

Adjourn

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

Meeting Outcomes

Actions Input from Viet, Russell, and Rob on Michelle's drafted ClinicalNote_FHIR_Resource_Proposal Daniel Lanphear (submitter of gForge 8458) to draft new resource proposal for transfusion. Rob to help fill in value sets for CareTeam status and type

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

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