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2016-01-28 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: 2016-01-28
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
X Rob Hausam Hausam Consulting LLC
Laura Heermann-Langford Intermountain Healthcare
X Emma Jones Allscripts
Russ Leftwich InterSystems
Jay Lyle Ockham Information Services LLC, VA
Sarah Maulden VA
Jim McClay Univ of Nebraska Medical Center
X Russell McDonell Telstra Health
X Lloyd McKenzie Gevity (HL7 Canada)
Larry McKnight Cerner
X Michelle M Miller Cerner
Lisa Nelson Life Over Time Solutions
Viet Nguyen Systems Made Simple
X M'Lynda Owens
Craig Parker Intermountain Healthcare
Scott Robertson Kaiser Permanente
X Simon Sum Academy of Nutrition and Dietetics
Iona Thraen Dept of Veterans Affairs
Quorum Requirements Met: yes

Agenda

Agenda Topics

  1. Agenda review
  2. Approve previous meeting minutes: 2016-01-21_Patient_Care_FHIR_Call
    • Motion: Rob/LLoyd Abstain - 0, Negative - 0, Approve - 5
  3. FHIR Maturity Model Level
  4. Block Vote
  5. Prior Action Item Follow-up
    • annotation/note element name
    • new note resource
    • new care team resource
    • negation next steps
  6. gForge change requests

Supporting Information

FHIR Resources owned by Patient Care
Maturity Levels

  • AllergyIntolerance (1)
  • Procedure (1)
  • Questionnaire (2)-- potential normative candidate
  • Questionnaire Answer (2)-- potential normative candidate
  • Condition (2) -- possible normative only if it doesn't have substantive changes after working through health concern, negation, and alignment with OpenEHR
  • CarePlan (1) -- probably not enough wide spread implementation to be considered normative, but Lloyd will check with community to see if there are any planned implementations coming up in the next 18 months
  • Goal (1) -- probably not enough wide spread implementation to be considered normative
  • Referral Request (1)-- probably not enough wide spread implementation to be considered normative
  • FamilyMemberHistory (1) genomics / Jonathan Holt – Vanderbilt - interested in contributing to this resource -- possible normative, but may not have wide spread implementation to be considered normative
  • Procedure Request (1)
  • Flag (1)
  • ClinicalImpression (0)
  • Communication (1)
  • CommunicationRequest (1)

Note: Contraindication and Risk Assessment are owned by CDS, not Patient Care

Minutes

Block Vote

Balloters

  • Elliot Silver
  • Eric van der Zwan
  • Jesper Haffgaard
  • Lloyd McKenzie
  • Michele Mottini
  • Michelle Miller
  • Riki Merrick
  • Russell McDonell
  • Sean Moore

Line Items

  • 9174 QuestionnaireResponse 'subject' search parameter reference types (Michele Mottini) Considered - Question Answered
  • 9210 Include Dental Procedures in Procedure.Category (Sean Moore) Not Persuasive
  • 8646 Change allergy criticality codes to FHIR-defined (Lloyd McKenzie) Persuasive
  • 8791 AllergyIntolerance note cardinality (Michelle Miller) Persuasive
  • 8931 Need a way to capture ruled out diagnoses (Lloyd McKenzie) Persuasive
  • 8984 Add category to search criteria for Procedure (Elliot Silver) Persuasive
  • 9192 Questionnaire item type resource with a profile? (Eric van der Zwan) Persuasive
  • 8604 FamilyMemberHistory needs explanation of how to record Patient's own history (Russell McDonell) Persuasive with Mod
  • 8940 Goals also needs CodeableConcept as description (Jesper Haffgaard) Persuasive with Mod
  • 8962 update the definition for FamilyMemberHistory.status (Riki Merrick) Persuasive with Mod
  • 8963 add description how to capture statement about How many siblings, how many male siblings with condition X? (Riki Merrick) Persuasive with Mod

Pulled from block vote

  • 9207 FamilyMedicalHistory does not sufficiently meet adoptive relations (Sean Moore) Not Persuasive

Prior Action Item Follow-up

Annotation/Note element name: Michelle logged gForge 9384 for MnM to update build tool validation by renaming note element to annotation to avoid confusion with other standalone clinical notes

New Clinical Note Resource: Confirm when Grahame is available to join Patient Care FHIR conference call to continue listserv discussion related to 9304, which was a request for a new clinical note resource

New CareTeam Resource: PA/PC joint discussion led to a proposal to pull out Care Team into its own resource, per gForge 9261. A new resource proposal is drafted CareTeam_FHIR_Resource_Proposal, but some listserv discussion about whether to use Group instead

Negation: Update from Rob/Jay on whether to schedule dedicated call for negation

gForge Change Requests

Adjourn

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

Meeting Outcomes

Actions
  • .
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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