Difference between revisions of "2016-10-13 Patient Care FHIR Call"
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=== Prior Action Item Follow-up === | === Prior Action Item Follow-up === | ||
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10662 Clarify how medical history should be handled - PC voted to recommend to SD that Past Medical History be included in the scope/usage of Composition - see comments in gForge | * http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10662 Clarify how medical history should be handled - PC voted to recommend to SD that Past Medical History be included in the scope/usage of Composition - see comments in gForge | ||
− | * http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11116 Better define the careplan.activity.outcome field - | + | * http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11116 Better define the careplan.activity.outcome field - comments in gForge, discussion will be continued during Patient Care CarePlan (Wed) conference call. |
*http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10642 QA 5c: Default value needed for AllergyIntolerance.status since minOccurs=0 and is-modifier element - sent email to workflow listserv (http://lists.hl7.org/read/messages?id=302719) to highlight why PC doesn't believe the status recommendation applies to Condition (and AllergyIntolerance) | *http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10642 QA 5c: Default value needed for AllergyIntolerance.status since minOccurs=0 and is-modifier element - sent email to workflow listserv (http://lists.hl7.org/read/messages?id=302719) to highlight why PC doesn't believe the status recommendation applies to Condition (and AllergyIntolerance) | ||
Latest revision as of 22:45, 13 October 2016
Contents
Meeting Information
Patient Care FHIR Resources Conference Call Location: Conference Call |
Date: 2016-10-13 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 | |
X | Laura Heermann-Langford | Intermountain Healthcare | |
X | Emma Jones | Allscripts | |
Russ Leftwich | InterSystems | ||
X | Tony Little | Optum 360 | |
Jay Lyle | Ockham Information Services LLC, VA | ||
Sarah Maulden | VA | ||
Hank Mayers | ReliaTech Consulting | ||
Jim McClay | Univ of Nebraska Medical Center | ||
Russell McDonell | Telstra Health | ||
Lloyd McKenzie | Gevity (HL7 Canada) | ||
Larry McKnight | Cerner | ||
X | Michelle M Miller | Cerner | |
X | Lisa Nelson | Life Over Time Solutions | |
Viet Nguyen | Lockheed Martin, 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 | ||
X | L-Uwe Meyer | ||
Quorum Requirements Met: yes |
Agenda
Agenda Topics
- Agenda review
- Approve previous meeting minutes 2016-10-06_Patient_Care_FHIR_Call
- Motion: Elaine/Rob
- Prior Action Item Follow-up
- gForge change request
Supporting Information
STU 3 Timeline
From FHIR_Ballot_Prep
- Sun Oct. 9
- Last date for change requests (subsequent change requests are auto-punted to release 4)
- Sun Oct. 30
- NIBs due for any IGs balloting in the Jan. cycle
- Sun Nov. 20
- All ballot reconciliation complete
- Sun Nov. 27
- All substantive changes applied to Core
- Sun Dec. 4
- Content freeze for ballot & connectathon & publication QA review
- Sun Dec. 24
- QA review complete, Qa changes begin being applied
- Dec 29 - Jan 3ish
- Publish
FHIR Maturity Levels
[1] 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
Resource |
Current FMM Level | Goal FMM Level | QA Status | QA Reviewer | Implementation | Comments |
AllergyIntolerance | 1 | 3 | Michelle | Argonaut | ||
Condition | 2 | 3 | Michelle | Argonaut | ||
Procedure | 1 | 3 | Michelle | Argonaut | ||
CarePlan | 1 | 3 | Michelle | Argonaut | ||
Goal | 1 | 3 | Michelle | |||
QuestionnaireResponse | 2 | 2 | Lloyd | Lloyd will QA to get to level 3 | ||
Questionnaire | 0 | 2 | Lloyd | Lloyd will QA to get to level 3 | ||
CareTeam | 0 | 2 | NA | Michelle | Aggressive goal (e.g. whether we'll get the implementations needed) | |
FamilyMemberHistory | 1 | 2 | NA | NA | Aggressive goal (e.g. whether we'll get the implementations needed) | |
ClinicalImpression | 0 | 1 | NA | NA | ||
ReferralRequest | 1 | 1 | NA | NA | ||
ProcedureRequest | 1 | 1 | NA | NA | ||
Linkage | 0 | 1 | NA | NA | ||
Flag | 1 | 1 | NA | NA | ||
Communication | 1 | 1 | NA | NA | ||
CommunicationRequest | 1 | 1 | NA | NA |
Note: Bold denotes top 20 resource based on survey
Note: Contraindication and Risk Assessment are owned by CDS, not Patient Care
FHIR Ballot Reconciliation Summary
Category |
Ballot Count | Non-Ballot Count | Total | Comments |
Discuss | 28 | 12 | 40 | |
Block Vote 1 | 26 | 26 | ||
Block Vote 2 | 20 | 9 | 29 | |
Waiting for Input | 14 | 8 | 22 | |
Block Vote 3 | 10 | 10 | ||
Value Set - Missing or Problematic | 8 | 1 | 9 | Group F |
Value Set - Use SNOMED instead | 5 | 5 | Group I | |
Teleconference | 4 | 4 | Either joint with OO or balloter requested in person | |
AllergyIntolerance - category | 3 | 3 | Group B | |
AllergyIntolerance - certainty | 3 | 3 | Group A | |
Value Set - Other | 2 | 2 | Group E | |
AllergyInrolerance - status | 2 | 2 | Group C | |
Total | 125 | 30 | 155 |
Minutes
gForge Change Requests
Block Vote 1
Block Vote 1 was planned for October 13, but attendees haven't reviewed yet, so the vote is deferred until Oct 20.
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10310 ClinicalImpression.investigations should be singular(Lloyd McKenzie) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10601 QA1: Update CarePlan scope and usage(Michelle Miller) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10602 QA 1d: Add entered in error to valueset-care-plan-status(Michelle Miller) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10604 QA 1d: Add entered in error to valueset-goal-status.html(Michelle Miller) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10606 QA1: Update Goal scope and usage(Michelle Miller) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10608 QA 2c: CarePlan examples with extensions should use example prefix(Michelle Miller) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10628 QA 5e & 6b: AllergyIntolerance.onset should be mapped to w5 when.init and appear before attestedDate(Michelle Miller) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10629 QA 5e & 6b: Add Procedure w5 mappings and fix order of elements(Michelle Miller) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10630 QA 5e & 6b: Add CarePlan w5 mappings and fix order of elements(Michelle Miller) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10631 QA 5e & 6b: Add Goal w5 mappings and fix order of elements(Michelle Miller) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10698 CarePlan note is no longer applicable as CareTeam is now its own resource(Michelle Miller) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11118 Goal.description should stay textual. - 2016-09 core #272 (Danielle Friend) Not Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11154 AllergyIntolerance.onset and reaction.onset are duplicates - 2016-09 core #308 (Stephen Chu) Persuasive with Mod
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11161 Include Person in the Procedure.subject reference list - 2016-09 core #315 (Stephen Chu) Not Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11172 CarePlan.status needs suspended - 2016-09 core #326 (Stephen Chu) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11174 Will accept the implementation of Goal.milestone as extension - 2016-09 core #328 (Stephen Chu) Not Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11175 Allow other resources to point to Goal - 2016-09 core #329 (Stephen Chu) Not Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11178 ReferralRequest.status missing resume - 2016-09 core #332 (Stephen Chu) Not Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11180 ProducedureRequest.status missing resume - 2016-09 core #334 (Stephen Chu) Not Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11206 entered-in-error is not "inactive" align with Condition - 2016-09 core #360 (Stephen Chu) Persuasive with Mod
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11207 entered-in-error does not implay inactive - 2016-09 core #361 (Stephen Chu) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11231 Expansion for the QuestionaireResponse.status - is there a need for entered-in-error as a status? - 2016-09 core #385 (Riki Merrick) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11333 Clarify what context means - 2016-09 core #491 (David Tao) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11336 Fix care team example - 2016-09 core #494 (David Tao) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11338 Clarify goal outcome - 2016-09 core #496 (David Tao) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11349 Card is 1..1. (required). Suggest making 0..1 - 2016-09 core #507 (Emma Jones) Persuasive
Block Vote 2
Block Vote 2 was planned for October 13, but attendees haven't reviewed yet, so the vote is deferred until Oct 20.
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11171 Clarify CarePlan.context and CarePlan.duration - 2016-09 core #325 (Stephen Chu) Not Persuasive with Mod
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11177 Change CareTeam definition - 2016-09 core #331 (Stephen Chu) Not Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11337 Clarify order set - 2016-09 core #495 (David Tao) Persuasive with Mod
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11345 Add CarePlan.activity.detail.prohibited.reason - 2016-09 core #503 (Emma Jones) Not Persuasive with Mod
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=7045 2015May core #110 - Allow the protocol data element to be multi-typed as either text or uri. (Andy Bond) Not Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10403 add condition.onsetDateTime (Marten Smits) Not Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10429 QuestionnaireResponse.questionnaire should be URI (Lloyd McKenzie) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10634 QA 5a: Resource references exist in both directions for CarePlan and ReferralRequest (Michelle Miller) Not Persuasive with Mod
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10723 Add a search parameter for status for the ProcedureRequest resource (Emmanuel Helm) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10755 Questionnaire item required when enabled (Sean McIlvenna) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11001 enableWhen.hasAnswer -> enableWhen.answerEnabled - 2016-09 sdc #67 (Stephen Chu) Not Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11002 item.maxLength -> item.answerMaxLength - 2016-09 sdc #68 (Stephen Chu) Not Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11003 item.initial -> item.prePopInfo - 2016-09 sdc #69 (Stephen Chu) Not Persuasive with Mod
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11004 What's the difference between Questionnaire.subjectType and QuestionnaireResponse.subject? - 2016-09 sdc #70 (Stephen Chu) Persuasive with Mod
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11005 Questionnaire.useContext sounds too much like QuestionnaireResponse.context - 2016-09 sdc #71 (Stephen Chu) Not Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11165 Reword short description for ClinicalImpression.code - 2016-09 core #319 (Stephen Chu) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11166 The goal to use as short as possible concept name should not be at the expense of semantic accuracy - 2016-09 core #320 (Stephen Chu) Not Persuasive with Mod
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11167 ClinicalImpression shouldn't include plan - 2016-09 core #321 (Stephen Chu) Persuasive with Mod
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11202 Flag information should support machine processing and human readability - 2016-09 core #356 (Stephen Chu) Persuasive with Mod
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11203 Add invariant to ensure Flag.duration and Flag.encounter align - 2016-09 core #357 (Stephen Chu) Not Persuasive with Mod
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11204 Suggest rename to "Alert and Warming" - 2016-09 core #358 (Stephen Chu) Not Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11380 Communication basedOn(any) seems too broad - shouldn't it be limited to CommunicationRequest? - 2016-09 core #538 (Paul Knapp) Not Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11923 Required value set is missing "entered-in-error" concept - 2016-09 daf #7 (Calvin Beebe) Not Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12071 Need to differentiate when to use each nesting approach for item (Lloyd McKenzie) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12168 Future observations need to be included in goals (Floyd Eisenberg) Not Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12169 Expand the scope of the entryFormat Questionnaire extension (Michele Mottini) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12171 careplan.activity.detail.prohibited description "Do NOT do" is misleading and confusing (Emma Jones) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12172 The spec use Questionnaire in many places where they should use QuestionnaireResponse (Michele Mottini) Persuasive
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12188 Add search parameters to ProcedureRequest (Elliot Silver) Persuasive
In Person
In Person Requests:
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11354 Substance identified in both AllergyIntolerance.code and reaction.substance is problematic - 2016-09 core #512 - Robert McClure - Oct 20
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12136 Searching on optional attribute is dangerous (e.g., allergyintolerance.category)- Mark Kramer - TBD
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11281 Overall Condition.clinicalStatus and Condition.verificationStatus Condition body site - 2016-09 core #435 - Clem McDonald - TBD
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11290 clinical impression and condition - 2016-09 core #444 - Clem McDonald - TBD
Prior Action Item Follow-up
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10662 Clarify how medical history should be handled - PC voted to recommend to SD that Past Medical History be included in the scope/usage of Composition - see comments in gForge
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11116 Better define the careplan.activity.outcome field - comments in gForge, discussion will be continued during Patient Care CarePlan (Wed) conference call.
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10642 QA 5c: Default value needed for AllergyIntolerance.status since minOccurs=0 and is-modifier element - sent email to workflow listserv (http://lists.hl7.org/read/messages?id=302719) to highlight why PC doesn't believe the status recommendation applies to Condition (and AllergyIntolerance)
Adjourn
Adjourned at 6:41PM Eastern.
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