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Difference between revisions of "2017-02-09 Patient Care FHIR Call"

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=== gForge Change Requests ===
 
=== gForge Change Requests ===
  
−
=== TOP Priority -- AllergyIntolerance, Condition, and Procedure -- QA Warnings/Information (desire FMM = 3) ===
+
=== Resource QA Summary ===
 +
TOP Priority
 
* <span style="color:#008000"> AllergyIntolerance </span> is clean on the QA report!
 
* <span style="color:#008000"> AllergyIntolerance </span> is clean on the QA report!
 
* <span style="color:#008000"> Condition </span> is clean on the QA report!
 
* <span style="color:#008000"> Condition </span> is clean on the QA report!
 
* <span style="color:#008000"> Procedure </span> is clean on the QA report!
 
* <span style="color:#008000"> Procedure </span> is clean on the QA report!
  
−
=== HIGH Priority -- CareTeam, CarePlan, and Goal -- QA Warnings (FMM > 0 means we address all warnings) ===
+
HIGH Priority
−
 
 
 
* <span style="color:#008000">CareTeam</span> - no QA warnings!
 
* <span style="color:#008000">CareTeam</span> - no QA warnings!
−
 
 
* <span style="color:#008000"> CarePlan </span> - no QA warnings!
 
* <span style="color:#008000"> CarePlan </span> - no QA warnings!
 
** MnM approved exemptions requested for element names should be singular (addresses and replaces)
 
** MnM approved exemptions requested for element names should be singular (addresses and replaces)
−
 
 
* <span style="color:#008000"> Goal </span> - no QA warnings!
 
* <span style="color:#008000"> Goal </span> - no QA warnings!
 
** MnM approved exemption requested for element names should be singular (addresses)
 
** MnM approved exemption requested for element names should be singular (addresses)
 
** MnM approved exemption requested for Goal.target.detail because target detail is a choice of data types (i.e. Quantity and CodeableConcept could have different value sets) - Observation.value[x] does not show this same QA warning.
 
** MnM approved exemption requested for Goal.target.detail because target detail is a choice of data types (i.e. Quantity and CodeableConcept could have different value sets) - Observation.value[x] does not show this same QA warning.
  
−
=== MEDIUM Priority -- All other resources (except Linkage and ClinicalImpression) -- QA Warnings (FMM > 0 means we address all warnings) ===
+
MEDIUM Priority
−
 
 
 
* <span style="color:#008000"> Flag </span> -- no QA warnings!
 
* <span style="color:#008000"> Flag </span> -- no QA warnings!
−
 
 
* <span style="color:#008000"> FamilyMemberHistory </span> -- no QA warnings!
 
* <span style="color:#008000"> FamilyMemberHistory </span> -- no QA warnings!
 
** Stephen Chu's recommendation is to use LOINC 75272-5 Age at onset for the FamilyMemberHistory.condition.onset
 
** Stephen Chu's recommendation is to use LOINC 75272-5 Age at onset for the FamilyMemberHistory.condition.onset
 
** Motion: Stephen/Elaine:  11-0-1
 
** Motion: Stephen/Elaine:  11-0-1
−
 
 
* <span style="color:#008000"> Communication </span> -- no QA warnings!
 
* <span style="color:#008000"> Communication </span> -- no QA warnings!
 
* <span style="color:#008000"> CommunicationRequest </span> -- no QA warnings!  
 
* <span style="color:#008000"> CommunicationRequest </span> -- no QA warnings!  
 
* <span style="color:#008000"> ReferralRequest </span> -- no QA warnings!  
 
* <span style="color:#008000"> ReferralRequest </span> -- no QA warnings!  
−
 
+
LOW Priority
−
=== LOW Priority -- CareTeam, CarePlan, and Goal -- QA Information ===
 
−
* CareTeam
 
−
** RIM Mapping
 
−
** Example:  CareTeam/note Path had no found values in any example. Consider reviewing the path
 
−
 
 
−
* Goal
 
−
** RIM Mapping
 
−
** QA Checklist: [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10622 GF#10622] QA 4a: Consider whether Goal.category should be bound to codes from an external code system -- Deferred
 
−
 
 
−
* CarePlan
 
−
** RIM Mapping
 
−
** Examples
 
−
*** CarePlan/title Path had no found values in any example. Consider reviewing the path
 
−
*** CarePlan/activity/detail/definition Path had no found values in any example. Consider reviewing the path
 
−
*** CarePlan/activity/detail/quantity Path had no found values in any example. Consider reviewing the path
 
−
*** CarePlan/activity/detail/reasonCode Path had no found values in any example. Consider reviewing the path
 
−
*** CarePlan/activity/detail/reasonReference Path had no found values in any example. Consider reviewing the path
 
−
*** CarePlan/supportingInfo Path had no found values in any example. Consider reviewing the path
 
−
** QA Checklist: [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10621 GF#10621] QA 4a: Consider whether CarePlan.activity.detail.category should be bound to an external code system -- Deferred
 
−
 
 
−
=== Draft Resources with FMM = 0 -- ClinicalImpression and Linkage ===
 
 
* ClinicalImpression -- keep as FMM = 0
 
* ClinicalImpression -- keep as FMM = 0
 
** Stephen Chu will work on examples to cover all elements
 
** Stephen Chu will work on examples to cover all elements

Revision as of 15:50, 9 February 2017



Meeting Information

Patient Care FHIR Resources Conference Call

Location: Conference Call
Phone Number: +1 770-657-9270
Participant Passcode: 943377
WebEx: https://cerner.webex.com/cerner/j.php?MTID=macd64a688fdc3410ab4178adab5820fb

Date: 2016-02-09
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
Stephen Chu The Australian Digital Health Agency (ADHA)
Evelyn Gallego EMI Advisors LLC
Eric Haas Haas Consulting
Rob Hausam Hausam Consulting LLC
Laura Heermann-Langford Intermountain Healthcare
Emma Jones Allscripts
Russ Leftwich InterSystems
Tony Little Optum 360
Jay Lyle Ockham Information Services LLC, VA
Russell McDonell Telstra Health
Lloyd McKenzie Gevity (HL7 Canada)
Larry McKnight Cerner
Michelle M Miller Cerner
Lisa Nelson Life Over Time Solutions
Viet Nguyen Lockheed Martin, Systems Made Simple
M'Lynda Owens Cognosante
Craig Parker Intermountain Healthcare
Joe Quinn Optum
Simon Sum Academy of Nutrition and Dietetics
Iona Thraen Dept of Veterans Affairs
Serafina Versaggi Dept of Veterans Affairs
Quorum Requirements Met: yes

Agenda

Agenda Topics

  1. Agenda review
  2. Approve previous meeting minutes 2017-02-02_Patient_Care_FHIR_Call
    • Motion: <moved>/<seconded>
  3. Prior Action Item Follow-up
  4. gForge change request

Supporting Information

STU 3 Timeline

From FHIR_Ballot_Prep

  • 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

Maturity Levels 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

Target FMM levels for STU3 publication

  • AllergyIntolerance = 3
  • Condition = 3
  • Procedure = 3
  • CarePlan = 1
  • Goal = 1
  • CareTeam = 1
  • FamilyMemberHistory = 1
  • ReferralRequest = 1
  • Flag = 1
  • Communication = 1
  • CommunicationRequest =1
  • ClinicalImpression = 0
  • Linkage = 0

STU3 Action Items

Minutes

gForge Change Requests

Resource QA Summary

TOP Priority

  • AllergyIntolerance is clean on the QA report!
  • Condition is clean on the QA report!
  • Procedure is clean on the QA report!

HIGH Priority

  • CareTeam - no QA warnings!
  • CarePlan - no QA warnings!
    • MnM approved exemptions requested for element names should be singular (addresses and replaces)
  • Goal - no QA warnings!
    • MnM approved exemption requested for element names should be singular (addresses)
    • MnM approved exemption requested for Goal.target.detail because target detail is a choice of data types (i.e. Quantity and CodeableConcept could have different value sets) - Observation.value[x] does not show this same QA warning.

MEDIUM Priority

  • Flag -- no QA warnings!
  • FamilyMemberHistory -- no QA warnings!
    • Stephen Chu's recommendation is to use LOINC 75272-5 Age at onset for the FamilyMemberHistory.condition.onset
    • Motion: Stephen/Elaine: 11-0-1
  • Communication -- no QA warnings!
  • CommunicationRequest -- no QA warnings!
  • ReferralRequest -- no QA warnings!

LOW Priority

  • ClinicalImpression -- keep as FMM = 0
    • Stephen Chu will work on examples to cover all elements
      • ClinicalImpression.action Search Parameter 'ClinicalImpression.action' had no found values in any example. Consider reviewing the expression (ClinicalImpression.action)
      • ClinicalImpression.previous Search Parameter 'ClinicalImpression.previous' had no found values in any example. Consider reviewing the expression (ClinicalImpression.previous)
    • PCWG: ClinicalImpression.code Need to provide a binding
  • Linkage -- keep as FMM = 0
    • PCWG: Linkage A resource must have an 'entered in error' status
    • PCWG: Linkage All resources should have an identifier
    • PCWG: Linkage.item Element has a todo associated with it (Make this 2..*.)

Adjourn

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

Meeting Outcomes

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

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