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2017-02-02 Patient Care FHIR Call
Revision as of 00:01, 3 February 2017 by Michelle Miller1 (talk | contribs) (→HIGH Priority -- CareTeam, CarePlan, and Goal -- QA Warnings (desire FMM > 0 means we address all warnings))
Contents
- 1 Meeting Information
- 2 Agenda
- 3 Supporting Information
- 4 Minutes
- 4.1 STU3 Action Items
- 4.2 Block Vote (Thurs, Feb 2)
- 4.3 TOP Priority -- AllergyIntolerance, Condition, and Procedure -- QA Warnings/Information (desire FMM = 3)
- 4.4 HIGH Priority -- CareTeam, CarePlan, and Goal -- QA Warnings (desire FMM > 0 means we address all warnings)
- 4.5 MEDIUM Priority -- All other resources (except Linkage and ClinicalImpression) -- QA Warnings (desire FMM > 0 means we address all warnings)
- 4.6 LOW Priority -- CareTeam, CarePlan, and Goal -- QA Information (desire FMM = 3 means we address all information)
- 4.7 Draft Resources with FMM = 0 -- ClinicalImpression and Linkage
- 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
| |
| X | Elaine Ayres | NIH/Department of Clinical Research Informatics | |
| X | Stephen Chu | The Australian Digital Health Agency (ADHA) | |
| Evelyn Gallego | EMI Advisors LLC | ||
| X | Eric Haas | Haas Consulting | |
| X | Rob Hausam | Hausam Consulting LLC | |
| X | Laura Heermann-Langford | Intermountain Healthcare | |
| X | Emma Jones | Allscripts | |
| X | Russ Leftwich | InterSystems | |
| Tony Little | Optum 360 | ||
| X | Jay Lyle | Ockham Information Services LLC, VA | |
| Russell McDonell | Telstra Health | ||
| Lloyd McKenzie | Gevity (HL7 Canada) | ||
| Larry McKnight | Cerner | ||
| X | Michelle M Miller | Cerner | |
| X | 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 | ||
| X | Tracey Coleman | Allscripts | |
| X | Hank Mayers | ||
| X | Pushpalatha Bhat | ||
| Quorum Requirements Met: yes | |||
Agenda
Agenda Topics
- Agenda review
- Approve previous meeting minutes 2017-01-31_Patient_Care_FHIR_Call
- Motion: Laura/Emma
- 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)
Block Vote (Thurs, Feb 2)
Non-ballot comments (all have been pre-applied) Motion: Stephen/Russ: 9-0-0
- 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
TOP Priority -- AllergyIntolerance, Condition, and Procedure -- QA Warnings/Information (desire FMM = 3)
- AllergyIntolerance
- RIM mappings (clinicalStatus and verificationStatus) -- use the same RIM mappings as Condition statuses
- The ACT.statusCode is a workflow status element and cannot be used to represent clinical status. This will have to be mapped to an Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code=""clinicalStatus"", moodCode=EVN].value
- The ACT.statusCode is a generic workflow status element and may not be adequate for representing clinical verification status. This will have to be mapped to an Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code=""verificationStatus"", moodCode=EVN].value
- GF#12768 Motion: Rob/Eric: 12-0-0 -- Bind AllergyIntolerance.reaction.manifestation to http://build.fhir.org/valueset-clinical-findings.html (to remove the duplicate value sets)
- 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
- pc:ValueSetComparison Duplicate Valueset Names: manifestation-codes (SNOMED CT Clinical Findings) & adverse-event-type (SNOMED CT Clinical Findings) (name: [cts, findings, snomeds, clinicals] / [cts, findings, snomeds, clinicals]))
- pc:ValueSetComparison Duplicate Valueset descriptions: manifestation-codes (SNOMED CT Clinical Findings) & adverse-event-type (SNOMED CT Clinical Findings) (description: [cts, findings, snomeds, alls, clinicals] / [cts, findings, snomeds, alls, clinicals]))
- RIM mappings (clinicalStatus and verificationStatus) -- use the same RIM mappings as Condition statuses
- Condition is clean on the QA report!
- Procedure is clean on the QA report!
HIGH Priority -- CareTeam, CarePlan, and Goal -- QA Warnings (desire FMM > 0 means we address all warnings)
- CareTeam - no QA warnings!
- CarePlan - no QA warnings!
- MnM approved exemptions requested for element names should be singular (addresses and replaces)
- Goal
- MnM approved exemption requested for element names should be singular (addresses)
- GF#10623
- MnM approved exemption requested for Goal.target.detail 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.
- Update Goal.description's definition to read: Human-readable and/or coded description of a specific desired objective of care, such as "control blood pressure" or "negotiate an obstacle course" or "dance with child at wedding"
- Bind Goal.description to http://build.fhir.org/valueset-clinical-findings.html
MEDIUM Priority -- All other resources (except Linkage and ClinicalImpression) -- QA Warnings (desire FMM > 0 means we address all warnings)
- Flag -- no QA warnings!
- FamilyMemberHistory -- no QA warnings!
- Stephen Chu's recommendation is to use LOINC 75272-5 Age at onset for the FamilyMemberHistory.condition.onset
- Motion: Stephen/Elaine: 11-0-1
- Communication & CommunicationRequest
- Category Need to provide a binding - GF#8564
- Rob Hausam will check to see if v3 has existing codes. If so, use v3. If not, then add v3 codes: alert, notification, reminder, instruction
- Discuss : Examples
- Communication.definition Search Parameter 'Communication.definition' had no found values in any example. Consider reviewing the expression (Communication.definition) -- hyperkalemia protocol
- Communication.part-of Search Parameter 'Communication.part-of' had no found values in any example. Consider reviewing the expression (Communication.partOf) -- part of observation measuring serum potassium
- Discuss : bindings
- Communication.notDoneReason An element of type CodeableConcept or Coding must have a binding GF#12766
- Category Need to provide a binding - GF#8564
- ReferralRequest
- Discuss : Bindings/Value Sets
- pc:ValueSetComparison Duplicate Valueset Names: v2-0284 (v2 Referral Category) & referralcategory (ReferralCategory) (name: [referrals, categories] / [referrals, categories])) -- align with workflow, rename element to intent and use http://build.fhir.org/valueset-request-intent.html
- pc:ValueSetComparison Duplicate Valueset Names: v2-0283 (v2 Referral Status) & referralstatus (ReferralStatus) (name: [referrals, statuses] / [referrals, statuses])) -- rename value set to Referral Request Status
- Discuss : ReferralRequest.description Element has a todo associated with it (This would be a good candidate for a 'markdown' data type.) -- delete TO DO
- Discuss : Bindings/Value Sets
LOW Priority -- CareTeam, CarePlan, and Goal -- QA Information (desire FMM = 3 means we address all information)
- CareTeam
- RIM Mapping
- Example: CareTeam/note Path had no found values in any example. Consider reviewing the path
- 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/title Path had no found values in any example. Consider reviewing the path
- 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)
Draft Resources with FMM = 0 -- ClinicalImpression and Linkage
- ClinicalImpression -- keep as FMM = 0
- 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
- Linkage -- keep as FMM = 0
- 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..*.)
Adjourn
Adjourned at 6:45pm Eastern.
Meeting Outcomes
| Actions
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Next Meeting/Preliminary Agenda Items
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