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PC Sept 2017 WGM
- Back to Patient Care
- Back to 2017 PCWG WGM Agenda and Minutes
San Diego, CA, WGM - Sept 2017 Patient Care WG Meeting Draft/Approved agenda:
Agenda
| Day | Time | Qtr | Room | # | Event | Host | Joining | Chair | Scribe |
|---|---|---|---|---|---|---|---|---|---|
| Sunday Sept 10 |
AM | Q1 | |||||||
| Q2 | |||||||||
| PM | Q3 | ||||||||
| Q4 | |||||||||
| Q5 | Care Plan DAM harmonization discussion Emma, Laura, Stephen Others welcome ... |
FHIR | |||||||
| Day | Time | Room | # | Event | Host | Joining | Chair | Scribe | |
| Monday Sept 11 |
AM | Q1 | Aventine ABCG | Plenary | |||||
| Q2 | Aventine ABCG | Plenary | |||||||
| PM | Q3 | Vicino Ballroom | Mega Report Out | EHR | Accepted: PC | Attendees: Emma, Laura, Stephen, Elaine | |||
| Q4a | Aventine D | Joint Session with FHIR & OO on FHIR workflow | FHIR-I | Accepted: Patient Care | Stephen | ||||
| Q4b | Palatine B | 20 | Admin (i.e. approve past WGM minutes; review schedule; 3 year plan) FYI - Mission and Charter are done; Decision Making Process - Wayne said general update is pending |
Patient Care | N/A | Michelle | Michelle | ||
| Day | Time | Room | # | Event | Host | Joining | Chair | Scribe | |
| Tuesday Sept 12 |
AM | Q1 | Barcino | 40 | 60 min - FHIR/PCWG - CIMI - Skin Care model meeting 30 min - Special needs children care plan |
Patient Care | Accepted: CIMI, EC | Laura | Emma |
| Q2 | Palatine A | 20 | FHIR Change requests
Nutrition Care Plan IG PSS |
Patient Care | Declined: FHIR-I | Michelle | Michelle | ||
| PM | lunch | ? |
|||||||
| Q3a | Portofino A | 20 | FHIR Admin, Planning, Issues, and Change requests
|
Patient Care | Accepted: FHIR-I | Michelle | Michelle | ||
| Q3b | Aventine E | SD Hosted Joint Quarter: CDA Product Family -This meeting is to provide an update to all interested work groups regarding the formation of a CDA Product Family. There will be many work groups invited to participate, so send representatives only | SD | N/A | Stephen | ||||
| Q4 | Aventine F | 40 | Negation + other vocab topics
Problem status value set (SNOMED doesn't share the same hierarchy of codes as valueset-condition-clinical) |
Patient Care | Invited: Clin Genomics Accepted: Vocab, CIMI, EC, SD, OO, FHIR-I |
Jay / Rob | Emma | ||
| Day | Time | Room | # | Event | Host | Joining | Chair | Scribe | |
| Wednesday Sept 13 |
AM | Q1 | Portofino A / Studio Suite 310 | 20 | FHIR Change requests - Joint with OO to discuss adding instructions to ProcedureRequest | Patient Care | Accepted: FHIR-I | Emma | Emma |
| Q2 | Guest Room 311 | N/A | PA hosted joint meeting -- Episode of Care; Care Team | PA | Accepted: PC | N/A | Michelle / Stephen | ||
| PM | lunch | Palatine B |
15 | Clinician-On-FHIR Preperation meeting | Patient Care | Russ | Emma | ||
| Q3 | Vicino Ballroom | 40 | 55 minutes - Boundaries between ProcedureRequest/Procedure vs MedicationRequest/MedicationAdministration for blood transfusions and radiation (i.e. anything with a dose, but isn't a medication) Do we need a new resource for BiologicallyDerivedProduct? Boundaries between Specimen / Device / Medication boundaries Related Zulip discussions:
Related trackers:
20 minutes -- HL7 approach to Appropriate Use Criteria [1] |
Patient Care | Accepted: CQI, CDS, Pharmacy, OO, FHIR-I | Michelle | Mike / Stephen | ||
| Q4 | Rhodes | 20 | Allergy/Intolerance topic meeting. Drug list approach & Issues. Allergy resource maturity | Patient Care | Accepted: Pharmacy, Vocab | Elaine / Jay | Emma | ||
| Day | Time | Room | # | Event | Host | Joining | Chair | Scribe | |
| Thursday Sept 14 |
AM | Q1a | Syros | 25 | Care Plan -invite FHIR, Structured Docs, Pharmacy
|
Patient Care | Accepted: LHS, Pharmacy, SD | Laura | Emma |
| Q1b | Delphi A | Joint meeting with OO, CDS, PC, Templates | OO | Accepted: Patient Care | Stephen | ||||
| Q2 | Barcino - Gallery 1 | 25 | Joint meeting with SD and Templates
|
Patient Care | Invited: Templates Accepted: SD |
Stephen | Emma | ||
| PM | lunch | Barcino Gallery 1 |
10 | Co-Chair Admin Meeting | Patient Care | Michelle | Michelle | ||
| Q3a | Syros | 20 | FHIR Change Requests - Joint with BR&R to discuss AdverseEvent / AdverseReaction | Patient Care | Accepted: BRR, FHIR-I | Michelle | Michelle | ||
| Q3b | Andros | Joint meeting with CS, OO, and PC. Per Hans, typically this one is very short (as it is in maintenance mode). Rest of the quarter is strictly OO. OO doesn't want to lose it from the radar, but no problem if PC declines, or puts down one representative who can check whether anything worthwhile comes up |
CS | Accepted: Patient Care | Stephen | ||||
| Q4 | Palatine A | LHS - CareTeam DAM | LHS | Accepted: Patient Care | Stephen, Emma, Laura? | ||||
| Day | Time | Room | Event | Host | Joining | Chair | Scribe | ||
| Friday Sept 15 |
AM | Q1 | ClinFHIR | ||||||
| Q2 | ClinFHIR | ||||||||
| PM | Q3 | ClinFHIR | |||||||
| Q4 | No meeting |
San Diego, WGM - Sept 2017. Patient Care WG Meeting Meeting Minutes
Sunday, Sept 10
- International Council Meeting
- PCWG Care Plan
- Q5
- Discussion re: CP DAM 2.0
- - Attendance:
- - Emma Jones
- - Laura Heernman
- - Stephen Chu
- - Notes:
- Discuss Care Plan DAM 2.0: What to include/what does 2.0 look like:
- • Orders (pull it up more visible). Figure 6 in the DAM. We need to improve the figure to represent activities and orders into other (higher level diagrams Level 0, or 0.5? Unpack the order set concepts. (what has been done in the FHIR Connectathons – how the library of activity definition fits into the activity box itself to form into Order Sets.
- • Address Order Sets – how are they derived? How do they fit into the Care Plan? Address protocols… Evidence based guidelines.
- • Advance Directives – is there stuff we need to do there? Write to it? How do they fit together?- Are these the same as Patient Orders? A Patient Specified Protocol?
- • Health Concern – bring in the latest and greatest from the work that has been done there.
- • Reconciliation – being in the latest and greatest from the work that has been done there.
- • Care Team – bring in the latest and greatest from the work that is being done there.
- • Allergies - bring in the latest and greatest from the work that is being done there.
- - Make any changes to the diagram as learned from the FHIR harmonization.
- - Write a paragraph – or section regarding FHIR and the harmonization work.
CCDA? Write a paragraph/section to that?
Patient Care WGM, Monday, Sept 11, 2017
- Back to Patient Care
- Back to 2017 PCWG WGM Agenda and Minutes
Patient Care Monday Q1
Minutes
General Plenary session No meeting from Patient Care
Patient Care Monday Q2
General Plenary session No meeting from Patient Care
Patient Care Monday Q3
Chair: EHR
Scribe:
Attendees
Minutes
Patient Care Monday Q4
Q4B
Chair: Michelle Miller
Scribe: Michelle Miller
Attendees
Minutes
- Approve May_2017_WGM_Madrid,_Spain:_May_6_to_May_12 -- not enough attendees who were at the Madrid meeting to approve minutes
- Ask Emma to add WGM meeting minute approval to upcoming PC general (bi-weekly) call
- Review schedule
- Eyecare PSS - motion to approve: Mike/Jay - abstain (0), against (0), for (4)
- Follow-up with OO to ask if any of the 3 implementers are server vs client (should have at least one each).
- Follow-up with OO to ask if retinal exam findings is within scope for all ages (including infants)
- 3 year plan -- notes are in attached Excel HL7PatientCareProduct_Matrix_2017Sep-v010
- Ask Emma to add 3 year plan to upcoming PC general (bi-weekly) call
Q4A - FHIR workflow with OO
FHIR Workflow Update
- Lloyd will post his slides here [[2]]
- Agenda
- Pattern changes
- Pattern Changes report
- WorkflowExample resource
- Change request
Standardizing workflow patterns
- workflow is about getting things done
- Need to get the request acted on by some other parties
- Variation of who own what
- Runs under FHIR infrastracture and participated in by a number of different WGs
- Conference calls 2Xweek
Event
- Logical models
- defintion - points back to the orderset this is based on
- change event.reasonNotDone to reasonNotDoneCode and move it beside reasonCode
- Can reflect something that is 'happening'
- Collapse event.performer to be reference with the same resource as event.performer.agent, getting rid of agent, onBehalOf ...
- Add care tean to event.performer
- performerFunction - what it is that they are doing - this can be an extension if it's not in the 80%
Request
- Collapse request.requester in the same wayas event.performer
- Add careTeam to Request.performer
- Add diagnosticeReport to request.reasonReference
- add healthcareService to request.performer
- add request.insurance as 0..* Reference (coverage|claimResponse)
Definition
- remove healthcareService from definition.performer
resource workflowExample - new resource
- not workflow definition
- identification and description of the actors involved
- gives the sequence
- gives description of what's being accomplished
- purpose is to create a story and present in a consisten style
- work thru a scenario where you pass back collections of resources
- Not for implementers to use but to be used to convey a sample of what is being done.
- Taking a collection of examples and explain how it's exchanged.
- Change name to exampleScenario
Change request -
- gForge 11217 - Thoughts on combining SupplyRequest, DeviceUseRequest and VisionPrescription - 2016-09 core #371
Patient Care Monday Q5: Placeholder for extra meeting if necessary
- No PCWG meeting
Present:
Minutes:
Patient Care WGM, Tuesday, Sept 12, 2017
- Back to Patient Care
- Back to 2017 PCWG WGM Agenda and Minutes
Patient Care Tuesday Q1
Chair: Laura
Scribe: Emma
[Please see here for attendance list]
Agenda
- Skin Progress report
- Spreadsheet for SME input; latest changes.
- SOLOR authoring in process. Demo of TermSpace, publication 10/30.
- Target January for full CIMI publication of skin and wound assessment domain with all bindings
- Update to LOINC panel; update to DAM
- Process/methodology discussion: CIMI @ CIC Wed Q2
- Special Needs Children Care Plan
Minutes
30 min - Essential Information for Children with Special Healthcare Needs - Care Plan
- Essential Information for Children with Special Healthcare Needs when transfer to new environments
- currently taking example use cases and seeing how they fit in existing standards
- Example form from American Academy of Pediatrics and American College of Emergency Physicians
- started with goal of a CDA template, but have broadened the scope to evaluate and develop FHIR artifacts as well
- Considered doing an informative ballot
- Has to do with a contingency plan - provides recommendation on how to proceed with treatment
- Provides directives and preferences
- Use cases in development on the Patient Care wiki: Essential Information for Children with Special Healthcare Needs
- Working on mapping
- Have considered whether to extend the scope to be for all children as well as adults with genetic health conditions. Use case to consider transition to adult care/care in college
- Suggest to continue with the mapping for and make available
- Topic is discussed during PC Care Plan call on every other Wednesday
- Suggestion to take a look at SAMSA Behavioral health[[3]]
60 min - FHIR/PCWG - CIMI - Skin Care model meeting Jay's Slides
- CIMI ballot postponed
- Jan target for full skin assessment
- Terminology authoring in progress
- CIMI is trying to get the concepts created by using SOLAR - SOLOR content is due to be published october
- New use cases - tissue app, podiatry
- Will eventually get loaded into VSAC
- Currently working with the modeling infrastructure
- First phase is the wound pressure injury
- Meeting with CIC about the process and methodology
- Discussion about data quality issue - equivalence depends on definition
- mapping of the SNOMED codes to the CIMI model
- Architect model approach is similar
- Review Model request process
- uses spreadsheet to request content. The spreadsheet is the initial input for the tooling.
- use of present/absent - use is to qualify clinical statement. this is the highest level of the abstract model, not expected as part of the implementation.
- Initial attempt is to have the information to get started
- Question is the assertion, answers are in the value set
- Podiatry use case
- Foot wound has additional attributes
- Identifying not only what the wound looks like but the etiology of the wound and additional attributes to understand options for treatment.
- Using the same attributes in the model but will have different value set
- Interest in looking at the evidentry source information - will CIMI capture the source of where the information came from? DOJ can not copy. Is it in scope that the foot wound source information was not copied from the PE 6 months ago
- CIMI has an extensive provenance infrastruture
- Implementation is not in the model
- Missing extra properties that may be needed. This is the first pass with the goal of getting the process in place. Next stage will be the analysis
- Have to start modeing based on the requirements you have. The model will evolve.
- Project meets friday morning weekly
- Interest from DEEDs on how to consume it. How do we reference it?
- This is related to the governance. Need to know who is using what so if changes will need to notify the user.
- Adverse event CIMI modeling - PC Thursday Q3
- Challenges - more thatn one way to represent information. In a given situation, what is the information I should collect?
- Need to differentiate the preferred way to collect the information is being dealt with the CIIC group.
- CIIC have broad represention from care providers of multiple discipline. Specialty societies is represented.
- Next meeting is DEC 5-6 in New Orleans as part of HL7 interoperability Conference
Patient Care Tuesday Q2
Chair: Michelle
Scribe: Emma
Nutrition PSS
- PSS
- Academy of Nutrition and Dietician have seventy thousand national and international members
- Majority work in clinical care
- HITECH ACT -2009 - got involved to get non-providers input included
- Goal is to get nutrition to go with the patient wherever they're going
- Nutrition Standards exists
- Contributes to key HL7 projects
- PSS - Nutrition in C-CDA Based Care documents
- PC as interested party or co-sponsor?
- Patient care wants to be co-sponsor due to ownership of care plan. Elaine will be PC liason
- Stephen moved, Jay Second - 0 abstain/0 against/18 for - motion pases
- PC request formal content review prior to ballot. PC will get monthly updates
- PC as interested party or co-sponsor?
- Nutrition centered use cases to support patient needs, provider needs, quality reporting and public health
- Great presentation
- PSS -
- Harmonization with CCDA and FHIR will be handled as part of the analysis
- Nutrition assessment correlates with clinical impression. Discussion
- Requirements for vendors (in progress)
- Modeling facilitator
- Suggestion for CBCC to be a co-sponsor
- Goal is a concise way to update the existing templates to support nutrition domain needs
- Disadvantages of making section in the CDA document required when data is not always present
- Who are the transaction partners - folks interested in implementing?
carePlan.addresses reference only condition discussion
- GF#13743 See here for notes
Minutes
Patient Care Tuesday Q3
Chair: Michelle Miller
Scribe: Michelle Miller
Attendees
Minutes
- FHIR Admin FHIR_Ballot_Prep
- QA guidelines have changed: FHIR_Conformance_QA_Criteria
- New QA guidelines for value sets, profiles, etc. FMG is talking about RIM mappings, but haven't dropped it yet. RIM mappings will now be needed for extension as well.
- Extensions will have their own FMM (can be different than core resource)
- QA Checklist will capture date, not just 'x'
- No PC resources are currently targeted for normative, but we can still evaluate
- Need an updated gap analysis against workflow patterns - report of gaps will need to be evaluated to see if the gap was intentional or not.
- What are target FMM levels for R4?
- AllergyIntolerance - questions about reaction/AdverseEvent - is this just writing down boundaries?
- Condition - questions about health concern/linking - need Connectathon planned around concern management, need use cases (from domain analysis) and scenarios to test and recruit implementers to participate
- Procedure - questions about splitting Procedure (performed) vs ProcedureStatement (history/ patient stated) - need to draft resources as a starting point
- GF#13705 Communication.topic and CommunicationRequest.topic underdefined and overlap with .reasonRequest
- GF#13389 Clarify Communication Scope and Usage
- GF#10352 Change Encounter or and element to remove referencial limitation to on Encounters
Patient Care Tuesday Q4
Chair: Jay
Scribe: Emma
Agenda
- Problem Status value set
- Negation Requirements
Minutes
Patient Care WGM, Wednesday, Sept 13, 2017
- Back to Patient Care
- Back to 2016 PCWG WGM Agenda and Minutes
Patient Care Wednesday Q1
Chair:
Scribe:
Attendees
Minutes
Patient Care Wednesday Q2
Chair: Brian P. (Patient Admin hosted quarter)
Scribe:
Minutes
Patient Care Wednesday Q3
Chair:
Scribe:
Attendees
Minutes
Patient Care Wednesday Q4
Chair: Jay
Scribe: Emma
Agenda
- Allergy Substance ballot comment overview
- Key negatives
- Allergy resource maturity
- Allergy terminology harmonization
Minutes
Patient Care WGM, Thursday, Sept 14, 2017
- Back to Patient Care
- Back to 2017 PCWG WGM Agenda and Minutes
Patient Care Thursday Q1
Chair:
Scribe:
Attendees
Minutes
Patient Care Thursday Q2
Chair:
Scribe:
Attendees
Minutes
Patient Care Thursday Lunch: Co-Chairs Meeting
Chair:
Scribe:
Attendees
Minutes
Patient Care Thursday Q3
Chair:
Scribe:
Attendees
Minutes
Patient Care Thursday Q4
Chair:
Scribe:
Attendees
Minutes
Patient Care WGM, Friday, Sept 15, 2017
Clinician-on-FHIR
- Back to Patient Care
- Back to 2017 PCWG WGM Agenda and Minutes
Patient Care Friday Q1
Chair:
Scribe:
Attendees
Minutes
Patient Care Friday Q2
Chair:
Scribe:
Attendees
Minutes
Patient Care Friday Q3
Chair:
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Attendees
Minutes
Patient Care Friday Q4
Chair:
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