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2016-01-28 Patient Care FHIR Call
Contents
Meeting Information
| Patient Care FHIR Resources Conference Call Location: Conference Call |
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 | |||
| X | 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 | ||
| X | Margaret Dittloff | ||
| Quorum Requirements Met: yes | |||
Agenda
Agenda Topics
- Agenda review
- Approve previous meeting minutes: 2016-01-21_Patient_Care_FHIR_Call
- Motion: Rob/LLoyd Abstain - 0, Negative - 0, Approve - 5
- FHIR Maturity Model Level
- Block Vote
- Prior Action Item Follow-up
- annotation/note element name
- new note resource
- new care team resource
- negation next steps
- gForge change requests
Supporting Information
FHIR Resources owned by Patient Care
Maturity Levels
- Questionnaire (2) -- Lloyd will QA to get to 3
- Questionnaire Response (2) -- Lloyd will QA to get to 3
- Condition (2)
- AllergyIntolerance (1) -- Rob
- Procedure (1)
Connectathon candidates
- CarePlan (1)
- Goal (1)
- Referral Request (1)
- FamilyMemberHistory (1)
Lower priority resources
- Procedure Request (1)
- Flag (1)
- ClinicalImpression (0) -- goal to move to level 1 by next release
- 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
- 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
- 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
- 8931 Need a way to capture ruled out diagnoses (Lloyd McKenzie) Persuasive
- 8940 Goals also needs CodeableConcept as description (Jesper Haffgaard) Persuasive with Mod
Motion to approve block vote: Lloyd/Russell, abstain-1, negative-0, approval-5
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: Grahame joined Patient Care FHIR conference call to continue listserv discussion related to 9304, which was a request for a new clinical note resource
- Composition -- package related to workflow -- set of sections with supporting data/content
- Clinical Impression (formally known as Clinical Assessment) -- note that only contains text (could be wrapped into composition) -- scope and usage says "Some clinical assessments simply result in an impression recorded as a single text note in the patient 'record' (e.g. "Progress satisfactory, continue with treatment")..."
- IF PatientCare proceeds with a new resource for Clinical Note, then there needs to be a clear boundary between ClinicalImpression, Observation, and the new ClinicalNote 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
- Purpose of Group is underspecified -- some think the data elements look similar, so reuse/profile it -- Lloyd expects Group is useful for research and public health where we want to treat a collection of people/animals (herd, cage, pond) -- actions are taken on the Group, but Groups don't do things, nor do they have legal responsibilities
- CareTeam (as a whole) is not expected to be an actor. Rather, the individuals within the care team are the actors.
- CareTeam is more about relationships -- not something to be acted upon
- More FMG discussion next week
gForge Change Requests
Adjourn
Adjourned at 6:30 pm Eastern.
Meeting Outcomes
Actions
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Next Meeting/Preliminary Agenda Items
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