2012-12-03 PA Call Minutes

Patient Administration Call

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Meeting Information

FHIR Work Meeting Minutes		Date: Monday December 03, 2012 Time: 12:00 PM (US Pacific Time, GMT -7)
Facilitator	Line Saele	Note taker	Alex de Leon
Attendee	Name	Affiliation
X	Brad Fonseca	Canada Health Infoway
X	Line Saele	HL7 Norway
X	Irma Jongeneel	HL7 Netherlands|-		X	Nat Wong	HL7 Australia

Agenda

Agenda Topics

1. Rename “Patient” to “Subject of Care”
   
2. Review Organization and Person Resources for FHIR
   

Supporting Documents

• FHIR Person Resource Page

Minutes

Minutes/Conclusions Reached:

The WG began by addressing the added text that Ewout put on the FHIR wiki page for PA resource to read:

“Note: while the content of the current Patient resource is not yet under ballot, the Patient Administration workgroup would like to draw your opinions about the intended rename of "Patient" to "SubjectOfCare". This input will be taken into account when preparing the May 2013 ballot, which will contain Patient/SubjectOfCare.”

Graham Grieve responded to this email advisement saying that a reason or justification for the rename of this resource should be included in the note.

The WG then discussed the reason for renaming this resource and recalled that the decision to rename came from last working group meeting. The WG reviewed the decision made last September WGM, 2012. The group remembered that SubjectOfCare would be a better term than Patient to cover examples of care that are not specific to curative conditions that might come into the realm of PA. Line noted that mothers-to-be do not consider pregnancies as illnesses or something that needs to be “cured”.

ISO standard also does use the terminology of Subject of care, so the WG feels that this would also be in synch with this to be more agnostic to the specific care being given.

Alex will update the wiki with a statement to address the above. The group feels that this is a follow through of the motion that was made and voted on in the September WGM.

For administrative gender, there is a subject having to do with Coding vs. CodeableConcept.

Alexander Henket wanted to bring forth a subject: We are not sure if the PA FHIR Resources PSS to the Technical Steering Committee. What is needed when putting FHIR material to ballot in this case is:

1. PSS for FHIR resources to the TSC
   
2. FHIR Resource Form to the FHIR Management Group/Board
   

Alexander Henket gave an update on the current ballot materials.

Scheduling is off the ballot as well as the identity document.

CMETs have been updated, but there was a question as to whether this needs a Project Scope Statement or not. Don seems to think we do, while Irma thinks this is an extension of existing Patient/Person Project Scope Statement.

Motion: Alexander Henket made a motion (seconded by Alex) to not publish the current CMETs for Person and Patient (Living Subject and Non-Person Living Subject, etc.) in January but put them forward in the May 2013 Ballot.
Discussion: This will include the DMIM for HL7 Canada
Vote: 5/0/0
Adjourned: 12:57 PM PST

Meeting Outcomes

Next Meeting/Preliminary Agenda Items Next telecom meeting Monday, December 17, 2012

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