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PC Sept 2017 WGM

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San Diego, CA, WGM - Sept 2017 Patient Care WG Meeting Draft/Approved agenda:

Agenda

Day Time Qtr Room # Event Host Joining Chair Scribe
Sunday
Sept 10
AM Q1
Q2
PM Q3
Q4
Q5 Care Plan DAM harmonization discussion
Emma, Laura, Stephen
Others welcome ...
FHIR
Day Time   Room # Event Host Joining Chair Scribe
Monday
Sept 11
AM Q1 Aventine ABCG Plenary
Q2 Aventine ABCG Plenary
PM Q3 Vicino Ballroom Mega Report Out EHR Accepted: PC Attendees: Emma, Laura, Stephen, Elaine
Q4a Aventine D Joint Session with FHIR & OO on FHIR workflow FHIR-I Accepted: Patient Care Stephen
Q4b Palatine B 20 Admin (i.e. approve past WGM minutes; review schedule; 3 year plan)
FYI - Mission and Charter are done; Decision Making Process - Wayne said general update is pending
Patient Care N/A Michelle Michelle
Day Time   Room # Event Host Joining Chair Scribe
Tuesday
Sept 12
AM Q1 Barcino 40 60 min - FHIR/PCWG - CIMI - Skin Care model meeting
30 min - Special needs children care plan
Patient Care Accepted: CIMI, EC Laura Emma
Q2 Palatine A 20 FHIR Change requests
  • GF#13743 Add AllergyIntolerance, Observation, RiskAssessment, and List to CarePlan.addresses

Nutrition Care Plan IG PSS

Patient Care Declined: FHIR-I Michelle Michelle
PM lunch ?
Q3a Portofino A 20 FHIR Admin, Planning, Issues, and Change requests Patient Care Accepted: FHIR-I Michelle Michelle
Q3b Aventine E SD Hosted Joint Quarter: CDA Product Family -This meeting is to provide an update to all interested work groups regarding the formation of a CDA Product Family. There will be many work groups invited to participate, so send representatives only SD N/A Stephen
Q4 Aventine F 40 Negation + other vocab topics
Problem status value set (SNOMED doesn't share the same hierarchy of codes as valueset-condition-clinical)
Patient Care Invited: Clin Genomics
Accepted: Vocab, CIMI, EC, SD, OO, FHIR-I
Jay / Rob Emma
Day Time   Room # Event Host Joining Chair Scribe
Wednesday
Sept 13
AM Q1 Portofino A / Studio Suite 310 20 FHIR Change requests - Joint with OO to discuss adding instructions to ProcedureRequest Patient Care Accepted: FHIR-I Emma Emma
Q2 Guest Room 311 N/A PA hosted joint meeting -- Episode of Care; Care Team PA Accepted: PC N/A Michelle / Stephen
PM lunch Palatine B
15 Clinician-On-FHIR Preperation meeting Patient Care Russ Emma
Q3 Vicino Ballroom 40 55 minutes - Boundaries between ProcedureRequest/Procedure vs MedicationRequest/MedicationAdministration for blood transfusions and radiation (i.e. anything with a dose, but isn't a medication)

Do we need a new resource for BiologicallyDerivedProduct? Boundaries between Specimen / Device / Medication boundaries

Related Zulip discussions:

Related trackers:


20 minutes -- HL7 approach to Appropriate Use Criteria [1]

Patient Care Accepted: CQI, CDS, Pharmacy, OO, FHIR-I Michelle Mike / Stephen
Q4 Rhodes 20 Allergy/Intolerance topic meeting. Drug list approach & Issues. Allergy resource maturity Patient Care Accepted: Pharmacy, Vocab Elaine / Jay Emma
Day Time   Room # Event Host Joining Chair Scribe
Thursday
Sept 14
AM Q1a Syros 25 Care Plan -invite FHIR, Structured Docs, Pharmacy
  • HL7 C-CDA 2.1 Care Plan Document Template - Lisa Nelson
  • HL7 Care Plan Domain Analysis Model/FHIR Harmonization - Laura Heermann/EMma Jones
  • HL7 Care Coordination Services (CCS) functional model - LH/EJ
  • HL7 CDA R2 Personal Advanced Care Plan Document - Lisa Nelson
  • HL7 FHIR Care Plan Resource - LH/EJ
  • IHE PCC Dynamic Care Planning Profile- EJ
  • IHE QRPH Early Hearing Detection and Intervention (EHDI) Plan of Care- Lisa Nelson
  • HL7 Clinical Oncology Treatment Plan and Summary - Jeff Brown
  • NCPDP/HL7 Pharmacist Care Plan - Shelly Spiro
  • Care team members definition update (Laura/Emma)
  • Child special needs
  • GF#13743 Add AllergyIntolerance, Observation, RiskAssessment, and List to CarePlan.addresses
  • Naming convention for Care Plans?
  • Care Plan/Care Team Implementations
Check the minutes ....
Patient Care Invited: CH
Accepted: LHS, Pharmacy, SD
Laura Emma
Q1b Delphi A Joint meeting with OO, CDS, PC, Templates OO Accepted: Patient Care Stephen
Q2 Barcino - Gallery 1 25 Joint meeting with SD and Templates


Proposed agenda:
CDA Value Sets with Proposed Changes (Allergy/Intolerance and others ...)


Template update (Template co-chair/rep)
Template versioning;
Structured Doc/CDA update (SDWG co-chairs)
Patient Care update:
Allergy/Intolerance harmonization
Care plan harmonization; Health Concern*
C-CDA Care Plan templates
C-CDA and FHIR

Patient Care Invited: Templates
Accepted: SD
Stephen Emma
PM lunch Barcino Gallery 1
10 Co-Chair Admin Meeting Patient Care Michelle Michelle
Q3a Syros 20 FHIR Change Requests - Joint with BR&R to discuss AdverseEvent / AdverseReaction
  • GF#13302 Vocabulary issues with AdverseEvent
  • GF#13698 AdverseEvent.suspectedEntity.instance should allow CodeableConcept
  • GF#11021 Increase cardinality of substance and make certainty relation to substance, not reaction - 2016-09 core #40
Patient Care Accepted: BRR, FHIR-I Michelle Michelle
Q3b Andros Joint meeting with CS, OO, and PC.
Per Hans, typically this one is very short (as it is in maintenance mode). Rest of the quarter is strictly OO. OO doesn't want to lose it from the radar, but no problem if PC declines, or puts down one representative who can check whether anything worthwhile comes up
CS Accepted: Patient Care Stephen
Q4 Palatine A LHS - CareTeam DAM LHS Accepted: Patient Care Stephen, Emma, Laura?
Day Time   Room Event Host Joining Chair Scribe
Friday
Sept 15
AM Q1 ClinFHIR  
Q2   ClinFHIR        
PM Q3   ClinFHIR        
Q4   No meeting        





San Diego, WGM - Sept 2017. Patient Care WG Meeting Meeting Minutes

Sunday, Sept 10

International Council Meeting
Q5
Discussion re: CP DAM 2.0

What to include:

• Orders (pull it up more visible). Figure 6 in the DAM. We need to improve the figure to represent activities and orders into other (higher level diagrams Level 0, or 0.5? Unpack the order set concepts. (what has been done in the FHIR Connectathons – how the library of activity definition fits into the activity box itself to form into Order Sets. • Address Order Sets – how are they derived? How do they fit into the Care Plan? Address protocols… Evidence based guidelines. • Advance Directives – is there stuff we need to do there? Write to it? How do they fit together?- Are these the same as Patient Orders? A Patient Specified Protocol? • Health Concern – bring in the latest and greatest from the work that has been done there. • Reconciliation – being in the latest and greatest from the work that has been done there. • Care Team – bring in the latest and greatest from the work that is being done there. • Allergies - bring in the latest and greatest from the work that is being done there.


Make any changes to the diagram as learned from the FHIR harmonization.

Write a paragraph – or section regarding FHIR and the harmonization work. CCDA? Write a paragraph/section to that?



Patient Care WGM, Monday, Sept 11, 2017


Patient Care Monday Q1

Minutes

General Plenary session No meeting from Patient Care



Patient Care Monday Q2

General Plenary session No meeting from Patient Care


Patient Care Monday Q3

Chair: EHR
Scribe:


Attendees

Minutes


Patient Care Monday Q4

Q4B Chair: Michelle Miller
Scribe: Michelle Miller


Attendees

Minutes

  • Approve May_2017_WGM_Madrid,_Spain:_May_6_to_May_12 -- not enough attendees who were at the Madrid meeting to approve minutes
    • Ask Emma to add WGM meeting minute approval to upcoming PC general (bi-weekly) call
  • Review schedule
  • Eyecare PSS - motion to approve: Mike/Jay - abstain (0), against (0), for (4)
    • Follow-up with OO to ask if any of the 3 implementers are server vs client (should have at least one each).
    • Follow-up with OO to ask if retinal exam findings is within scope for all ages (including infants)
  • 3 year plan -- notes are in attached Excel HL7PatientCareProduct_Matrix_2017Sep-v010
    • Ask Emma to add 3 year plan to upcoming PC general (bi-weekly) call

Q4A - FHIR workflow with OO

FHIR Workflow Update

  • Lloyd will post his slides here [[2]]
  • Agenda
    • Pattern changes
    • Pattern Changes report
    • WorkflowExample resource
    • Change request

Standardizing workflow patterns

    • workflow is about getting things done
    • Need to get the request acted on by some other parties
    • Variation of who own what
  • Runs under FHIR infrastracture and participated in by a number of different WGs
  • Conference calls 2Xweek

Event

  • Logical models
  • defintion - points back to the orderset this is based on
  • change event.reasonNotDone to reasonNotDoneCode and move it beside reasonCode
  • Can reflect something that is 'happening'
  • Collapse event.performer to be reference with the same resource as event.performer.agent, getting rid of agent, onBehalOf ...
  • Add care tean to event.performer
  • performerFunction - what it is that they are doing - this can be an extension if it's not in the 80%

Request

  • Collapse request.requester in the same wayas event.performer
  • Add careTeam to Request.performer
  • Add diagnosticeReport to request.reasonReference
  • add healthcareService to request.performer
  • add request.insurance as 0..* Reference (coverage|claimResponse)

Definition

  • remove healthcareService from definition.performer

resource workflowExample - new resource

  • not workflow definition
  • identification and description of the actors involved
    • gives the sequence
    • gives description of what's being accomplished
    • purpose is to create a story and present in a consisten style
    • work thru a scenario where you pass back collections of resources
    • Not for implementers to use but to be used to convey a sample of what is being done.
    • Taking a collection of examples and explain how it's exchanged.
    • Change name to exampleScenario

Change request -

  • gForge 11217 - Thoughts on combining SupplyRequest, DeviceUseRequest and VisionPrescription - 2016-09 core #371



Patient Care Monday Q5: Placeholder for extra meeting if necessary

Present:



Minutes:



Patient Care WGM, Tuesday, Sept 12, 2017


Patient Care Tuesday Q1

Chair: Laura

Scribe: Emma


Agenda

  1. Skin Progress report
    1. Spreadsheet for SME input; latest changes.
    2. SOLOR authoring in process. Demo of TermSpace, publication 10/30.
    3. Target January for full CIMI publication of skin and wound assessment domain with all bindings
    4. Update to LOINC panel; update to DAM
  2. Process/methodology discussion: CIMI @ CIC Wed Q2
  3. Special Needs Children Care Plan

Minutes


Patient Care Tuesday Q2

Chair:
Scribe:


Attendees


Minutes

Patient Care Tuesday Q3

Chair:
Scribe:


Attendees


Minutes

Patient Care Tuesday Q4

Chair: Jay

Scribe: Emma

Agenda

  1. Problem Status value set
  2. Negation Requirements

Minutes


Patient Care WGM, Wednesday, Sept 13, 2017


Patient Care Wednesday Q1

Chair:
Scribe:


Attendees


Minutes


Patient Care Wednesday Q2

Chair: Brian P. (Patient Admin hosted quarter) Scribe:

Minutes


Patient Care Wednesday Q3

Chair:
Scribe:


Attendees



Minutes


Patient Care Wednesday Q4

Chair: Jay

Scribe: Emma


Agenda

  1. Allergy Substance ballot comment overview
    1. Key negatives
  2. Allergy resource maturity
  3. Allergy terminology harmonization

Minutes


Patient Care WGM, Thursday, Sept 14, 2017


Patient Care Thursday Q1

Chair:
Scribe:


Attendees



Minutes

Patient Care Thursday Q2

Chair:
Scribe:


Attendees



Minutes




Patient Care Thursday Lunch: Co-Chairs Meeting

Chair:
Scribe:


Attendees



Minutes





Patient Care Thursday Q3

Chair:
Scribe:


Attendees



Minutes


Patient Care Thursday Q4

Chair:
Scribe:


Attendees



Minutes





Patient Care WGM, Friday, Sept 15, 2017

Clinician-on-FHIR


Patient Care Friday Q1

Chair:
Scribe:


Attendees



Minutes




Patient Care Friday Q2

Chair:
Scribe:


Attendees



Minutes




Patient Care Friday Q3

Chair:
Scribe:


Attendees



Minutes




Patient Care Friday Q4

Chair:
Scribe:


Attendees



Minutes