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2017-02-02 Patient Care FHIR Call
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Contents
- 1 Meeting Information
- 2 Agenda
- 3 Supporting Information
- 4 Minutes
- 4.1 STU3 Action Items
- 4.2 16 Deferred Ballot Comments
- 4.3 TOP Priority -- AllergyIntolerance, Condition, and Procedure -- QA Warnings/Information (desire FMM = 3)
- 4.4 MEDIUM Priority -- CareTeam, CarePlan, and Goal -- QA Warnings (desire FMM > 0 means we address all warnings)
- 4.5 MEDIUM Priority -- CareTeam, CarePlan, and Goal -- QA Information (desire FMM = 3 means we address all information)
- 4.6 LOW Priority -- All other resources -- QA Warnings (desire FMM > 0 means we address all warnings)
- 4.7 Block Vote (Thurs, Feb 2)
- 4.8 Adjourn
- 5 Meeting Outcomes
Meeting Information
| Patient Care FHIR Resources Conference Call Location: Conference Call |
Date: 2017-02-02 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 | ||
| Tracey Coleman | Allscripts | ||
| Amit Popat | Epic | ||
| Quorum Requirements Met: yes | |||
Agenda
Agenda Topics
- Agenda review
- Approve previous meeting minutes 2017-01-26_Patient_Care_FHIR_Call
- Motion:
- Prior Action Item Follow-up
- gForge change request
Supporting Information
STU 3 Timeline
From FHIR_Ballot_Prep
- 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!
Minutes
STU3 Action Items
- Review Tracker Issues - https://docs.google.com/a/lmckenzie.com/uc?id=0B285oCHDUr09Mzh3b09rMFhEV1E
- Resolve QA Warnings to have resource FMM > 0
- Resolve QA Information messages to achieve FMM = 3
- Update QA checklist for resources that we want to be FMM = 3
- Review workflow gap analysis per GF#10293
- Block Vote (see below) scheduled for Feb 2, 2017 for low hanging fruit, i.e. non-ballot comments
- Apply changes (all "substantive" changes have been applied, except allergy, care team invariant, and workflow patterns)
16 Deferred Ballot Comments
- GF#7185 2015May core #244 - ClinicalImpression is poorly thought out (Clem McDonald) Waiting for Input
- GF#10387 CommunicationRequest needs ability to describe the location that the communication is about (John Moehrke)
- GF#10621 QA 4a: Consider whether CarePlan.activity.detail.category should be bound to an external code system (Michelle Miller)
- GF#10622 QA 4a: Consider whether Goal.category should be bound to codes from an external code system (Michelle Miller)
- GF#10635 QA 5a: Resource references exist in both directions for Condition and ClinicalImpression (Michelle Miller) -- deferred, but asking for MnM exemption
- GF#11026 Relationship between Condition and Observation - 2016-09 core #45 (Jay Lyle)
- GF#11209 Feedback on ClinicalImpression - 2016-09 core #363 (Riki Merrick)
- GF#11355 CarePlan category value set is out of date or wrong - 2016-09 core #513 (Robert McClure)
- GF#11357 Re-use the procedure value set instead of wrapping it - 2016-09 core #515 (Robert McClure)
- GF#11358 Should not make a new value set ehre - use the Problem value set that also includes Events and SWEC concepts. - 2016-09 core #516 (Robert McClure)
- GF#11359 Why only one medication in an activity? And the value set is problematic (but example) - 2016-09 core #517 (Robert McClure)
- GF#11354 Substance identified in both AllergyIntolerance.code and reaction.substance is problematic - 2016-09 core #512 (Robert McClure)
- GF#11021 Increase cardinality of substance and make certainty relation to substance not reaction - 2016-09 core #40 (Jay Lyle)
- GF#11023 Why isn't AllergyIntolerance.reaction an Observation? - 2016-09 core #42 (Jay Lyle)
- GF#11173 CarePlan needs support for reviews - 2016-09 core #327 (Stephen Chu)
- GF#11332 Acknowledge Advance Directives as type of Care Plan - 2016-09 core #490 (David Tao)
TOP Priority -- AllergyIntolerance, Condition, and Procedure -- QA Warnings/Information (desire FMM = 3)
- AllergyIntolerance
- Rob Hausam is helping with RIM mappings (clinicalStatus and verificationStatus)
- Rob Hausam is using data Elaine sent to see if we can curate the SNOMED CT Clinical Findings to a smaller subset. If not, then we'll update the binding for AllergyIntolerance.reaction.manifestation to use the same valueset-clinical-findings
- Duplicate Valueset Names: manifestation-codes (SNOMED CT Clinical Findings) & clinical-findings (SNOMED CT Clinical Findings)
- AllergyIntolerance.reaction.manifestation -- http://build.fhir.org/valueset-manifestation-codes.html
- DiagnosticReport.codedDiagnosis (and profiles) -- http://build.fhir.org/valueset-clinical-findings.html
- Condition is clean on the QA report!
- QA Checklist: GF#10635 QA 5a: Resource references exist in both directions for Condition and ClinicalImpression (Michelle Miller) -- deferred and asking for MnM exemption
- Procedure is clean on the QA report!
MEDIUM Priority -- CareTeam, CarePlan, and Goal -- QA Warnings (desire FMM > 0 means we address all warnings)
- CarePlan
- MnM exemptions requested for element names should be singular (addresses and replaces)
- Goal
- MnM exemption requested for element names should be singular (addresses)
- PCWG needs to address GF#10623
- Goal.description - example binding to a new value set
- Goal.target.detail - ask MnM for exemption 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 -- CareTeam, CarePlan, and Goal -- QA Information (desire FMM = 3 means we address all information)
- CareTeam
- RIM Mapping
- Goal
- RIM Mapping
- QA Checklist: GF#10622 QA 4a: Consider whether Goal.category should be bound to codes from an external code system (Michelle Miller)
- CarePlan
- RIM Mapping
- Examples
- 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: GF#10621 QA 4a: Consider whether CarePlan.activity.detail.category should be bound to an external code system (Michelle Miller)
LOW Priority -- All other resources -- QA Warnings (desire FMM > 0 means we address all warnings)
- ClinicalImpression
- 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
- Stephen Chu will work on examples to cover all elements
- Communication & CommunicationRequest
- PCWG: category Need to provide a binding
- PCWG: workflow could resolve GF#10293
- A resource must have an 'entered in error' status
- CommunicationRequest.subject Elements with name 'subject' cannot be a reference to just a patient
- FamilyMemberHistory
- PCWG: FamilyMemberHistory.condition.onset[x] Element has a todo associated with it (Define/find appropriate observation code.)
- ReferralRequest
- PCWG: Bindings/Value Sets
- ReferralRequest.type Need to provide a binding
- ReferralRequest.reason Need to provide a binding
- pc:ValueSetComparison Duplicate Valueset Names: v2-0284 (v2 Referral Category) & referralcategory (ReferralCategory) (name: [referrals, categories] / [referrals, categories]))
- pc:ValueSetComparison Duplicate Valueset Names: v2-0283 (v2 Referral Status) & referralstatus (ReferralStatus) (name: [referrals, statuses] / [referrals, statuses]))
- PCWG: ReferralRequest.description Element has a todo associated with it (This would be a good candidate for a 'markdown' data type.)
- Examples
- ReferralRequest.context Search Parameter 'ReferralRequest.context' had no found values in any example. Consider reviewing the expression (ReferralRequest.context)
- ReferralRequest.group-identifier Search Parameter 'ReferralRequest.group-identifier' had no found values in any example. Consider reviewing the expression (ReferralRequest.groupIdentifier)
- PCWG: Bindings/Value Sets
- Linkage
- 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..*.)
Block Vote (Thurs, Feb 2)
Non-ballot comments
- GF#12585 Add Goal.target.measure invariant (Michelle Miller) Persuasive
- GF#12645 CarePlan.activity.reference includes ProcessRequest (Dave Carlson) Persuasive
- GF#12646 Add "careplan-title" extension (Dave Carlson) Persuasive with Mod
- GF#12668 ClinFHIR: extension-condition-partof - add support for referencing Condition (Michelle Miller) Persuasive
- GF#12669 Please add note element to careTeam (Emma Jones) Persuasive
Adjourn
Adjourned at .
Meeting Outcomes
| Actions
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Next Meeting/Preliminary Agenda Items
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