2015-10-15 Patient Care FHIR Call
Contents
Meeting Information
| Patient Care FHIR Resources Conference Call Location: Conference Call |
Date: 2015-10-15 Time: 5-6:30pm ET | ||
| Facilitator | Michelle M Miller | Note taker(s) | Michelle M Miller |
| Attendee | Name | Affiliation
| |
| X | Michelle M Miller | Cerner | |
| X | Elaine Ayres | NIH/Department of Clinical Research Informatics | |
| X | Stephen Chu | Queensland Health | |
| X | Rob Hausam | Hausam Consulting LLC | |
| . | Laura Heermann-Langford | Intermountain Healthcare | |
| X | Craig Parker | Intermountain Healthcare | |
| X | Emma Jones | Allscripts | |
| X | Russ Leftwich | InterSystems | |
| X | Russell McDonell | Telstra Health | |
| X | Viet Nguyen | Systems Made Simple | |
| X | Larry McKnight | Cerner | |
| X | Lisa Nelson | Life Over Time Solutions | |
| X | Lloyd McKenzie | ||
| X | Iona Thraen | ||
| X | Eric Haas | ||
| Quorum Requirements Met: yes | |||
Agenda
Agenda Topics
- Agenda review
- Approve previous meeting minutes Patient Care FHIR Minutes 2015-9-10
- Motion: Elaine/Emma Abstain - 3, Negative - 0, Approve - 7
- Review DSTU 2.1 timeline and frozen resources
- Recap Clinicians on FHIR
- Negation
- Adverse Events - new resource?
- Protocol - new resource?
- gForge change request
Supporting Information
DSTU 2.1 Timeline
FHIR Resources owned by Patient Care
- AllergyIntolerance (1) -- frozen
- Condition (1)
- Procedure (1) -- frozen
- CarePlan (1)
- Goal (1)
- Referral Request (1)
- Questionnaire (1)
- Questionnaire Answer (1)
- FamilyMemberHistory (2) genomics / Jonathan Holt – Vanderbilt - interested in contributing to this resource.
- Procedure Request (2)
- Flag (2)
- ClinicalImpression (3)
- Communication (3)
- CommunicationRequest (3)
Note: Contraindication and Risk Assessment are owned by CDS, not Patient Care
Note: Substantive changes to frozen resources in DSTU2.1 are prohibited unless FMG explicitly approves the substantive change
Minutes
Review DSTU 2.1 timeline and frozen resources
AllergyIntolerance and Procedure are frozen
Condition is not frozen (need to resolve what was formally known as negation)
Recap Clinicians on FHIR
Viet/Stephen's table was focused on family medical history. Good level of consistency. Created patient in advance. Didn't test extension for condition or parent/child. Stephen said that the negative family history wasn't well tested.
Russ's table tested MedicationOrder resource, which can contain a Medication resource, but didn't get to AllergyIntolerance. Found and reported glitches in the tool around timing. Went well. The Medication value set had substances, but not products. If a medication was ordered for a problem on the problem list (e.g. cough), but then the condition changes to something else (e.g. anxiety). Need to reference a "static" version of the condition that was relevant at the time of order.
Emma's table tested Procedure and CarePlan. A few tooling issues (saving to local cache instead of a server). Discussion about how FHIR handles protocols or standing orders.
Lessons Learned:
- Participants from multiple working groups (genomics, pharmacy, patient care) helped go deeper and answer questions. Having other working group participants was worthwhile.
- Prep to build underlying resources (e.g. Patient)
- Helpful to have a technical person at the table to navigate resources.
Negation
Adverse Events - new resource?
Protocol - new resource?
gForge Change Requests
Adjourn
Adjourned at <hh:mm am/pm> <timezone>.
Meeting Outcomes
Actions
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Next Meeting/Preliminary Agenda Items
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