2016-02-11 Patient Care FHIR Call
Contents
Meeting Information
| Patient Care FHIR Resources Conference Call Location: Conference Call |
Date: 2016-02-11 Time: 5-6:30pm ET | ||
| Facilitator | Michelle M Miller | Note taker(s) | Michelle M Miller |
| Attendee | Name | Affiliation
| |
| X | Elaine Ayres | NIH/Department of Clinical Research Informatics | |
| Stephen Chu | |||
| Eric Haas | Haas Consulting | ||
| X | Rob Hausam | Hausam Consulting LLC | |
| Laura Heermann-Langford | Intermountain Healthcare | ||
| Emma Jones | Allscripts | ||
| X | Russ Leftwich | InterSystems | |
| X | Jay Lyle | Ockham Information Services LLC, VA | |
| Sarah Maulden | VA | ||
| Jim McClay | Univ of Nebraska Medical Center | ||
| X | Russell McDonell | Telstra Health | |
| X | Lloyd McKenzie | Gevity (HL7 Canada) | |
| X | Larry McKnight | Cerner | |
| X | Michelle M Miller | Cerner | |
| Lisa Nelson | Life Over Time Solutions | ||
| Viet Nguyen | Systems Made Simple | ||
| Craig Parker | Intermountain Healthcare | ||
| Scott Robertson | Kaiser Permanente | ||
| X | Simon Sum | Academy of Nutrition and Dietetics | |
| Iona Thraen | Dept of Veterans Affairs | ||
| X | M'Lynda Owens | ||
| Quorum Requirements Met: yes | |||
Agenda
Agenda Topics
- Agenda review
- Approve previous meeting minutes: 2016-02-04_Patient_Care_FHIR_Call
- Motion: Russell/Jay Abstain - 0, Negative - 0, Approve - 4
- Prior Action Item Follow-up
- gForge change request
Supporting Information
FHIR Resources owned by Patient Care
Maturity levels [1]
- Questionnaire (2) -- Lloyd will QA to get to 3
- Questionnaire Response (2) -- Lloyd will QA to get to 3
- Condition (2)
- AllergyIntolerance (1) -- Rob
- Procedure (1)
Connectathon candidates
- CarePlan (1)
- Goal (1)
- Referral Request (1)
- FamilyMemberHistory (1)
Lower priority resources
- Procedure Request (1)
- Flag (1)
- ClinicalImpression (0) -- goal to move to level 1 by next release
- Communication (1)
- CommunicationRequest (1)
Note: Contraindication and Risk Assessment are owned by CDS, not Patient Care
Minutes
Prior Action Item Follow-up
Note vs ClinicalImpression Boundaries
A ‘Note’ is about a subject (typically a patient)
A ‘Note’ may have one or more ‘Clinical Impressions’ which are typically part of a section (named "Assessment/Plan") OR sometimes this is part of a dictation (where the entire document is stored as a PDF or single block of text)
Notes, on the other hand, may contain many things that are NOT clinical Impressions. Notes may contain many things that are NOT clinical impressions at all.
Can any content be included in the note (e.g. allergies, family history)? Anything is possible in a note.
If the H&P is signed, then an annotation could be added.
If capture allergy, diagnosis, procedure, family history, then one possibility in system to capture narrative only (still lives in same place, such that you could retrieve it with other structured allergies, etc). More common to capture raw text into a single bucket with a mixture of allergies, diagnoses, procedures, family history etc.
Different ways to capture data in FHIR:
- Domain resource (e.g. allergy, condition, procedure, etc) -- discrete form or narrative form or combination of both
- Questionnaire contains structured data
Are notes another way to capture data? Narrative, tied to subject, context/encounter, author, time
Introduce new resource for capturing raw form text
When we know what the content is, then use specific domain resource narrative
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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