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2016-09-15 Patient Care FHIR Call
Contents
Meeting Information
| Patient Care FHIR Resources Conference Call Location: Conference Call |
Date: 2016-09-15 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 | |||
| 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 | ||
| Sarah Maulden | VA | ||
| Hank Mayers | ReliaTech Consulting | ||
| Jim McClay | Univ of Nebraska Medical Center | ||
| 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 | ||
| Scott Robertson | Kaiser Permanente | ||
| Simon Sum | Academy of Nutrition and Dietetics | ||
| Iona Thraen | Dept of Veterans Affairs | ||
| Quorum Requirements Met: yes | |||
Agenda
Agenda Topics
- Agenda review
- Approve previous meeting minutes 2016-09-08_Patient_Care_FHIR_Call
- Motion: <moved>/<seconded>
- Prior Action Item Follow-up
- WGM Agenda
- FHIR Ballot Feedback Summary
- gForge change request
Supporting Information
STU 3 Timeline
- Wed, June 1
- All resource and IG proposals for STU3 have been completed, reviewed by WG and submitted
- Connectathon tracks for Sept have been proposed
- Feedback on gForge submitted to FMG
- Sun, July 17 - Substantive content freeze for ballot -- core resources
- Sun, July 24 - Total content freeze, start of QA
- Wed, Aug 10 (midnight) - All QA changes applied
- Fri, Aug 12 - FHIR ballot opens
- Mon, Sept 12 - FHIR ballot closes
- Fri, Sept 16 - FHIR triage complete and ballot content loaded to gForge (or alternate)
- Sept 17-23 - Baltimore WGM
- Sun, Dec 11
- Reconciliation complete/substantive changes applied
- Just over 10 weeks
- Will re-evaluate at Baltimore based on volume of ballot comments
- Dec 31 - Publish
FHIR Maturity Levels
- Level 3 requires the artifact has been verified by the work group as meeting the DSTU_2_QA_guidelines and has been subject to a round of formal balloting; has at least 10 implementer comments recorded in the tracker drawn from at least 3 organizations resulting in at least one substantive change
- Substantive changes (element names, sort order, vocabulary bindings, etc.) need to be applied by ballot freeze (Aug 10).
- Unapplied QA checklist changes can be logged as ballot issues to be applied Sept-Dec. Substantive changes after ballot should be driven by ballot.
- Non-substantive changes are fine
- Level 2 requires artifact has been tested and successfully exchanged between at least three independently developed systems leveraging at least 80% of the core data elements using semi-realistic data and scenarios based on at least one of the declared scopes of the resource (e.g. at a connectathon). These interoperability results must have been reported to and accepted by the FMG.
| Resource |
Current FMM Level | Goal FMM Level | QA Status | QA Reviewer | Implementation | Comments |
| AllergyIntolerance | 1 | 3 | Rob | Argonaut | ||
| Condition | 2 | 3 | PCWG | Argonaut | ||
| Procedure | 1 | 3 | Argonaut | |||
| CarePlan | 1 | 3 | Argonaut | |||
| Goal | 1 | 3 | ||||
| QuestionnaireResponse | 2 | 2 | Lloyd | Lloyd will QA to get to level 3 | ||
| Questionnaire | 0 | 2 | Lloyd | Lloyd will QA to get to level 3 | ||
| CareTeam | 0 | 2 | NA | NA | Aggressive goal (e.g. whether we'll get the implementations needed) | |
| FamilyMemberHistory | 1 | 2 | NA | NA | Aggressive goal (e.g. whether we'll get the implementations needed) | |
| ClinicalImpression | 0 | 1 | NA | NA | ||
| ReferralRequest | 1 | 1 | NA | NA | ||
| ProcedureRequest | 1 | 1 | NA | NA | ||
| Linkage | 0 | 1 | NA | NA | ||
| Flag | 1 | 1 | NA | NA | ||
| Communication | 1 | 1 | NA | NA | ||
| CommunicationRequest | 1 | 1 | NA | NA |
Note: Bold denotes top 20 resource based on survey
Note: Contraindication and Risk Assessment are owned by CDS, not Patient Care
Minutes
Prior Action Item Follow-up
WGM Agenda
PC Agenda: http://wiki.hl7.org/index.php?title=September_2016_WGM_Baltimore:_Sep_18_to_Sep_23
FHIR Agenda: http://wiki.hl7.org/index.php?title=FHIR_Agenda_201609_WGM
| Quarter | PC Agenda | FHIR Agenda | Comments |
| Mon Q3 | FHIR Workflow | Workflow (FHIR-I, CDS, FM, II, MnM, OO, PC - LM, GG, EK) -- and -- FHIR-I, PC - JM |
|
| Mon Q4 | FHIR Workflow | Workflow (FHIR-I, CDS, FM, II, MnM, OO, PC - LM, GG) | OK |
| Tues Q1 | FHIR/PCWG/ECWG and CIMI | ||
| Tues Q2 | condition/concern/linkage | PC, EC, FHIR-I - JM | |
| Tues Q3 | CQI and CDS - Condition Status, Allergy Intolerance and Care Plan QDM RCRIM - Adverse event | RCRIM - LM? | OK |
| Tues Q4 | negation * GF#9335 (http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9335) Orders to not do things - to gather implementer feedback since we haven't heard anything via https://chat.fhir.org/#narrow/stream/implementers/topic/Orders.20NOT.20to.20do.20something yet |
PC, CIMI, EC, Vocab, FHIR-I, OO, Pharm - LM | OK |
| Wed Q2 | PA/PC * GF#10544 (http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10544) Add condition extension(s) to represent a role in context of Condition.encounter (e.g. Primary/Sequence Admit Discharge etc.) * Care Team |
TO DO: update FHIR agenda wiki | |
| Wed Q3 | FHIR/PCWG Joint meeting (PCWG Hosting FHIR reps) Family CDS-CQI-RCRIM-OO-FHIR - * Order sets/Plan Definition |
PC, OO, RCRIM, FHIR-I- LM | OK |
| Wed Q4 | PCWG-FHIR clinical resources ballot reconciliation | PC - FHIR clinical resources ballot reconciliation | OK |
| Thurs Q3 | PCWG - Ballot reconciliation * Assessment scale *FHIR - AllergyIntolerance resource |
TO DO: Add to FHIR agenda |
FHIR Ballot Summary
gForge Change Requests
CarePlan
- 10601 (http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10601) Update CarePlan scope and usage
- 10602 (http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10602) QA: Add entered in error to valueset-care-plan-status
Goal
- 10604 (http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10604) QA: Add entered in error to valueset-goal-status.html
Adjourn
Adjourned at <hh:mm am/pm> <timezone>.
Meeting Outcomes
| Actions
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Next Meeting/Preliminary Agenda Items
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