Difference between revisions of "2017-01-05 Patient Care FHIR Call"
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“I'll be with you Thurs Q1 and Tue Q4. I might be able to pop by briefly at the start of Wed Q1” | “I'll be with you Thurs Q1 and Tue Q4. I might be able to pop by briefly at the start of Wed Q1” | ||
+ | |||
+ | Check with Lloyd to see if he can attend Thurs, Jan 12 conference call | ||
=== gForge Change Requests === | === gForge Change Requests === |
Revision as of 22:17, 5 January 2017
Contents
Meeting Information
Patient Care FHIR Resources Conference Call Location: Conference Call |
Date: 2017-01-05 Time: 5-6:30pm ET | ||
Facilitator | Michelle M Miller | Note taker(s) | Michelle M Miller |
Attendee | Name | Affiliation
| |
Elaine Ayres | NIH/Department of Clinical Research Informatics | ||
X | Stephen Chu | ||
Danielle Friend | Epic | ||
X | Eric Haas | Haas Consulting | |
X | Rob Hausam | Hausam Consulting LLC | |
Laura Heermann-Langford | Intermountain Healthcare | ||
X | Emma Jones | Allscripts | |
X | Russ Leftwich | InterSystems | |
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 | ||
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 | Joe Quinn | Optum | |
X | Serafina Versaggi | Dept of Veterans Affairs | |
Quorum Requirements Met: yes |
Agenda
Agenda Topics
- Agenda review
- Approve previous meeting minutes 2016-12-15_Patient_Care_FHIR_Call
- Motion: Stephen/Rob
- Prior Action Item Follow-up
- gForge change request
Supporting Information
STU 3 Timeline
From FHIR_Ballot_Prep
- Sun. Nov. 27 Ballot substantive resource freeze (prioritize resources that IGs will be based on)
- Sun. Dec. 4 Ballot total freeze
- Sun. Dec. 9 (or a day or two earlier) Freeze released - all changes allowed
- Sun. Feb. 5 Ballot reconciliation deadline - All ballot comments must be reconciled, tracker issue report must be clean
- Sun. Feb. 19 Publication substantive resource freeze
- Sun. Feb 26 Publication total freeze
- Mon. Feb 27 QA period opens
- Tue. Feb 28 FMM QA spreadsheet updated for all WG resources
- Sun. Mar. 13 QA period closes
- Sun. Mar. 20 All QA applied
The "following week" STU 3 is published!
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
Minutes
Prior Action Item Follow-up
WGM agenda: http://wiki.hl7.org/index.php?title=January_2017_WGM_San_Antonio,_Jan_14_to_Jan_20
- Tues Q4 is on the PC agenda as Negation (chaired by Jay) - Russ wouldn't be able to join; Elaine, Rob H. can attend;
- Thurs Q1 is on the PC agenda as a CarePlan (chaired by Laura) -- Russ & Rob H. can attend
- Wed Q1 is on the PC agenda as FHIR topics (chaired by me) -- Rob H and Russ can't attend
As a follow-up to our discussion on Dec 15 about finding a WGM quarter when Lloyd can join us to discuss pulling AdverseReaction back out into its own resource (http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11021), Lloyd said:
“I'll be with you Thurs Q1 and Tue Q4. I might be able to pop by briefly at the start of Wed Q1”
Check with Lloyd to see if he can attend Thurs, Jan 12 conference call
gForge Change Requests
Questionnaire / QuestionnaireResponse Ownership
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12512 - Transfer ownership of Questionnaire to FHIR-I from PC (Grahame) - questionnaires are really an infrastructure thing that are cropping up all over the place, and the discussions around them are mostly driven by infrastructure concerns - types, metadata, processing requirements, form vs function, questionnaires vs profiles. Obviously PC will continue to have an interest in patient focused questionnaires, but I think that this is just one valid usage
FHIR Publication / Backlog Status
- 43 unresolved tracker items (34 ballot + 9 high maturity resource non-ballot comments)
- 16 requested input from vocab (value set related ballot comments) -- 5 of which require input from Patient Care first
- 3 waiting for input
- 2 waiting to be scheduled (joint with OO)
- 14 ready for discussion during our weekly conference call
- 8 Block Vote 1
- 21 Resolved - Change Request tracker items
- 19 ballot or high maturity resource (+ 2 non-ballot, non-priority resource)
- 9 are substantive (+ 12 are non-substantive)
- 4 related to new extensions/profiles
- 1 workflow pattern
- 3 ready to be applied
- 1 new resources (AdverseEvent/Reaction)
Waiting for Input
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11346 suggest adding 'modified' element to indicate when the careTeam was last updated (Emma)
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=7185 ClinicalImpression is poorly thought out (ClemMcDonald@mail.nih.gov)
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10090 Condition Introduction (Michelle)
In Person (Pending Schedule)
Joint with OO -- in the process of being scheduled
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11026 Relationship between Condition and Observation - 2016-09 core #45 (Jay Lyle)
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11119 Differentiate ProcedureRequest and DiagnosticRequest and align their elements - 2016-09 core #273 (Danielle Friend)
Discussed Today
TBD
Backlog - Ready to Discuss in Subsequent Calls
Resources with higher maturity - target FMM Level 3
Workflow
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10293 revisit workflow patterns; review gap analysis attached to the gForge
CarePlan / Goal / CareTeam
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11116 Better define the careplan.activity.outcome field - on-going discussions taking place on Patient Care CarePlan conference calls
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12090 Rename goal attribute
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11344 Allow CarePlan.activity.detail.performer to be CareTeam
Care Team
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11342 - Add CareTeam.relatedTeam or other composition relationship - 2016-09 core #500
Value Set topics:
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10620 - QA 7a: CarePlan.activity.outcome needs a binding to a value set
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10623 - QA: Goal CodeableConcept elements are missing a binding to a value set
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10725 - QA 4: CareTeam CodeableConcepts need a binding to a value set
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11334 - Constrain CareTeam participant role value set - 2016-09 core #492
AllergyIntolerance
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11155 Unclear how the negation value set will work - 2016-09 core #309 (Stephen Chu)
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12177 Review/expand the AllergyIntolerance.criticality valueset (Mohannad Hammadeh)
Condition
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10635 QA 5a: Resource references exist in both directions for Condition and ClinicalImpression (Michelle Miller)
Procedure
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11162 Suggest include reference to remedial treatment(s) - 2016-09 core #316 (Stephen Chu)
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10626 - QA: Procedure.usedCode needs a binding to a value set (Vocab/PC)
Questionnaire / QuestionnaireResponse
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10998 Questionnaire.concept -> Questionnaire.code and update definitions - 2016-09 sdc #64 (Stephen Chu)
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12186 Proposed Changes to Questionnaire / Questionnaire Response from Tuesday evening discussion (Grahame Grieve)
ClinicalImpression
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11209 Feedback on ClinicalImpression - 2016-09 core #363
Communication/CommunicationRequest
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10391 - Communication.reason needs to be searchable (John Moehrke)
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10390 - CommunicationRequest query on reason (John Moehrke)
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10387 - CommunicationRequest needs ability to describe the location that the communication is about (John Moehrke)
Block Vote 1 (scheduled for Jan 12)
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9044 - Need extension to track FHIR data type
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12400 - Add Goal search parameter for startDate
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12418 - add status search parameter to CarePlan
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12442 - QA: Questionnaire.item.enableWhen.answer and Questionnaire.item.initial bindings missing
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12434 - Remove answerInstant from Questionnaire(Response)
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12517 - add diagnosticrequest to context of procedure-targetbodysite
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12511 - Questionnaire.item.type optional problem
- http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12430 Make clear that QuestionnaireResponse must align with corresponding Questionnaire
Adjourn
Adjourned at <hh:mm am/pm> <timezone>.
Meeting Outcomes
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