Conference call minutes 2 February 2016

Health Concern Topic

Patient Care WG

February 2nd 2016

Attendees:

• Michael Tan – Chair
• Jay Lyle
• Dan Russell
• Hank Mayers
• David Tao
• Russell McDonell

Participation Information Phone Number: +1 770-657-9270 Participant Passcode: 943377

Web Meeting Info www.webex.com Meeting number 238 558 505

Minutes 26 January

• Motion to approve the minutes by David Tao, second by Hank Mayers.
• 1 abstention, 0 against, 4 approve.

NIB

• Michael has prepared the NIB of Health Concerns for the WGM of May
• Motion to approve and submit the NIB by Jay Lyle, second by David Tao
• 0 abstentions, 0 against, 5 in favor.
• Michael will submit the NIB. Action Michael

DAM

• Hank has submitted a table for chapter 4 of the DAM.
• This has to be integrated by David Pyke, but David is not on the call.
• In the previous call the group decided to gray out the allergy and problem list.
• The list would then have to be part of another scope of a DAM. There is no such DAM.
• FHIR does have a resource called "list".
• Discussion arises whether the list should be in the scope of the DAM.
• If the output lists need characteristics of health concerns that are required from the viewpoint of functionality, then we should consider of making it part of the DAM.
• Examples of such a functionality could be "list purpose" or "list kind".
• In older versions of the health concern model we had various kinds of lists.
• The allergy and problem list in the diagram of the September 2015 ballot were put there as the most important examples of output.
• Suggestion to make the lists more abstract and call it "concern lists".
• We have to think of the appropriate attributes of the concern lists.
• Examples of characteristics of the concern lists are "reconciled" or "unreconciled" lists.
• Jay will make a proposal. Action Jay

• There were many remarks about the health concern event. A health concern has relationship with all types of events. Readers find this too abstract.
• The older versions of the model had different classes such as observations, risks as related classes, but readers always found a class that was missing.
• Jay suggests to introduce a intermediate level according to the SOAP model to make it less abstract.
• This has also the risk that this leads to comments that certain elements will be missing.
• A suggestion is to split into 2 figures, where the health concern event is drawn in a separate picture with the different SOAP type of elements. Action Jay

Action items

• Propose text about priorities between health concerns: David
• Submit the NIB: Michael
• Change allergy and problem lists to concern lists: jay
• Proposal for alternative model diagram with SOAP elements related to the health concern: Jay.

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