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2017-02-09 Patient Care FHIR Call
Contents
- 1 Meeting Information
- 2 Agenda
- 3 Supporting Information
- 4 Minutes
- 4.1 gForge Change Requests
- 4.2 TOP Priority -- AllergyIntolerance, Condition, and Procedure -- QA Warnings/Information (desire FMM = 3)
- 4.3 HIGH Priority -- CareTeam, CarePlan, and Goal -- QA Warnings (FMM > 0 means we address all warnings)
- 4.4 MEDIUM Priority -- All other resources (except Linkage and ClinicalImpression) -- QA Warnings (FMM > 0 means we address all warnings)
- 4.5 LOW Priority -- CareTeam, CarePlan, and Goal -- QA Information
- 4.6 Draft Resources with FMM = 0 -- ClinicalImpression and Linkage
- 4.7 Adjourn
- 5 Meeting Outcomes
Meeting Information
| Patient Care FHIR Resources Conference Call Location: Conference Call |
Date: 2016-02-09 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 | The Australian Digital Health Agency (ADHA) | ||
| Evelyn Gallego | EMI Advisors LLC | ||
| 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 | ||
| 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 | ||
| Joe Quinn | Optum | ||
| Simon Sum | Academy of Nutrition and Dietetics | ||
| Iona Thraen | Dept of Veterans Affairs | ||
| Serafina Versaggi | Dept of Veterans Affairs | ||
| Quorum Requirements Met: yes | |||
Agenda
Agenda Topics
- Agenda review
- Approve previous meeting minutes 2017-02-02_Patient_Care_FHIR_Call
- Motion: <moved>/<seconded>
- Prior Action Item Follow-up
- gForge change request
Supporting Information
STU 3 Timeline
From FHIR_Ballot_Prep
- 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!
FHIR Maturity Levels
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
Target FMM levels for STU3 publication
- AllergyIntolerance = 3
- Condition = 3
- Procedure = 3
- CarePlan = 1
- Goal = 1
- CareTeam = 1
- FamilyMemberHistory = 1
- ReferralRequest = 1
- Flag = 1
- Communication = 1
- CommunicationRequest =1
- ClinicalImpression = 0
- Linkage = 0
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
- Apply changes (all "substantive" changes have been applied, except care team invariant and workflow patterns)
Minutes
gForge Change Requests
TOP Priority -- AllergyIntolerance, Condition, and Procedure -- QA Warnings/Information (desire FMM = 3)
- AllergyIntolerance is clean on the QA report!
- Condition is clean on the QA report!
- Procedure is clean on the QA report!
HIGH Priority -- CareTeam, CarePlan, and Goal -- QA Warnings (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 - no QA warnings!
- MnM approved exemption requested for element names should be singular (addresses)
- 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.
MEDIUM Priority -- All other resources (except Linkage and ClinicalImpression) -- QA Warnings (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 -- no QA warnings!
- CommunicationRequest -- no QA warnings!
- ReferralRequest -- no QA warnings!
LOW Priority -- CareTeam, CarePlan, and Goal -- QA 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 -- Deferred
- 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 -- Deferred
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 <hh:mm am/pm> <timezone>.
Meeting Outcomes
| Actions
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Next Meeting/Preliminary Agenda Items
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