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2015-10-22 Patient Care FHIR Call

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Meeting Information

Patient Care FHIR Resources Conference Call

Location: Conference Call
Phone Number: +1 770-657-9270
Participant Passcode: 943377
Live Meeting: https://www147.livemeeting.com/cc/_XML/cerner/join?id=8FNF2S&role=attend&pw=m9Kd%7Cx9

Date: 2015-10-22
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
X Stephen Chu Queensland Health
Eric Haas Haas Consulting
X Rob Hausam Hausam Consulting LLC
Laura Heermann-Langford Intermountain Healthcare
Emma Jones Allscripts
X Russ Leftwich InterSystems
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
X Iona Thraen Dept of Veterans Affairs
X Jay Lyle VA
X Simon Sum Academy of Nutrition and Dietetics
Quorum Requirements Met: yes

Agenda

Agenda Topics

  1. Agenda review
  2. Approve previous meeting minutes 2015-10-15_Patient_Care_FHIR_Call
    • Motion: Russ/Lloyd Abstain - 1, Negative - 0, Approve - 8
  3. Follow-up on Prior Action Items
    • Lloyd is logging a change request for condition/observation boundary clarification
    • Collaborate on definitions of note, annotation, and comment to provide feedback to MnM
  4. Negation
  5. OpenEHR collaboration
  6. DSTU 2.1 prioritization
  7. gForge change request

Supporting Information

DSTU 2.1 Timeline
FHIR Resources owned by Patient Care

  • AllergyIntolerance (1) -- frozen
  • Condition (1)
  • Procedure (1) -- frozen
  • CarePlan (1)
  • Goal (1)
  • Referral Request (1)
  • Questionnaire (1)
  • Questionnaire Answer (1)
  • FamilyMemberHistory (2) genomics / Jonathan Holt – Vanderbilt - interested in contributing to this resource.
  • Procedure Request (2)
  • Flag (2)
  • ClinicalImpression (3)
  • Communication (3)
  • CommunicationRequest (3)

Note: Contraindication and Risk Assessment are owned by CDS, not Patient Care
Note: Substantive changes to frozen resources in DSTU2.1 are prohibited unless FMG explicitly approves the substantive change

Minutes

Prior Action Items

Condition/observation boundary

Lloyd logged a change request for condition/observation boundary clarification
http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8872

MnM feedback on notes/annotation/comments

2015-10-15_Patient_Care_FHIR_Call#Definitions

  • Notes are....
    • also known as clinical note or document; could be unstructured or structured; could require review and authentication; likely has a subject or type of note assigned to enable retrieval of note; could follow the SOAP format
  • Comments are....
    • unstructured, free form text that applies to the entire entity (e.g. condition, allergy, medication order, etc.). A comment is typically comprised of an author, date/time, and text only. Typically, comments don't have a status or title. Comments don't standalone, so there is typically no title of the comment or need for additional workflow to review or authenticate the comment independent from the overall entity's status.
    • comments could be independent
  • Annotations are....
    • unstructured, free form text that is context specific with a given entity (e.g. annotated condition code display or annotation within a flowsheet or wave form for a specific point in time or time frame)
    • could be a comment, but distinguished from comments by being "attached" to document or image
    • annotate a point of interest in document or wave form, or "topic of interest" (e.g. medication dose/frequency/brand matters)
    • an annotation is a comment on something else
    • annotation is "part of" something else

Both comments and annotations are impacting something else versus a note is standalone

Lloyd said that there is no note resource today (and even if a clinical note was added, it would be named clinical note) Lloyd said that there is no expectation that data types and element names match, ContactPoint / telecom is an example

Negation

OpenEHR collaboration

DSTU 2.1 Prioritization

  1. Normative candidates
  2. For resources that are frozen, doing non-substantive changes to get them ready for quality criteria and moving up maturity levels.
  3. For draft or new resources, then be informed by what implementers are saying they need/want. Ping implementer community for feedback to help us prioritize

gForge Change Requests

Adjourn

Adjourned at <hh:mm am/pm> <timezone>.

Meeting Outcomes

Actions
  • Elaine looking at the equivalent ISO 27953 standard for Adverse Event inspiration
Next Meeting/Preliminary Agenda Items
  1. Agenda review
  2. Approve previous meeting minutes
    • Motion: <moved>/<seconded> Abstain - <#>, Negative - <#>, Approve - <#>
  3. gForge change request

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