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2016-05-05 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:

Date: 2016-05-05
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
Eric Haas Haas Consulting
Rob Hausam Hausam Consulting LLC
Laura Heermann-Langford Intermountain Healthcare
X Emma Jones Allscripts
X Russ Leftwich InterSystems
X 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 Cognosante
Craig Parker Intermountain Healthcare
Scott Robertson Kaiser Permanente
Simon Sum Academy of Nutrition and Dietetics
Iona Thraen Dept of Veterans Affairs
X Amit Popat Epic
Quorum Requirements Met: yes


Agenda Topics

  1. Agenda review
  2. Approve previous meeting minutes 2016-04-28_Patient_Care_FHIR_Call
    • Motion: Lloyd/Russell Abstain - 0, Negative - 0, Approve - 5
  3. Prior Action Item Follow-up
  4. PSS for Registry Domain Analysis Model
  5. gForge change request
  6. QA Guidelines

Supporting Information

FHIR Resources owned by Patient Care
Maturity levels [1]

  • 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


Prior Action Item Follow-up

PSS for Registry Domain Analysis Model

PSS for Registry Domain Analysis Model from CIC with PCWG as co-sponsor Motion for PC to co-sponsor PSS: Russ/Jay Abstain - 0, Negative - 0, Approve - 6

gForge Change Requests


QA Guidelines

Patient Care is discussing which of the following resources are candidates for FHIR maturity level 3 in the next release. In order to meet level 3, we are soliciting volunteers who are willing to evaluate any of the following resources against the DSTU_2_QA_guidelines. The QA spreadsheet tracks each QA checklist item (row) against each resource (column).

  • Condition
  • Procedure
  • CarePlan
  • CareTeam -- needs to be formally balloted and implemented before we can increase FMM level
  • Goal
  • FamilyMemberHistory
  • Referral Request -- might be best to wait until after workflow changes get applied

FYI….these resources already have volunteers identified for QA review.

  • Questionnaire -- Lloyd
  • Questionnaire Response -- Lloyd
  • AllergyIntolerance -- Rob

For resources without a volunteer assigned, dedicate time during our Thursday conference calls to do QA together as a work group. Would like to see the results of the FHIR survey (asking the community for input on the desired FMM levels per resource) to further prioritize the list.

Attendees (e.g. M'Lynda, Amit) were willing to volunteer to QA a resource on their own once we worked through QA together as a group to see what needs to be done.


Adjourned at 6:00 pm Eastern

Meeting Outcomes

  • Input from Viet, Russell, and Rob on Michelle's drafted ClinicalNote_FHIR_Resource_Proposal
  • Daniel Lanphear (submitter of gForge 8458) to draft new resource proposal for transfusion.
  • Rob to help fill in value sets for CareTeam status and type
  • Rob will share FHIR AllergyIntolerance resource negation proposal from Terminfo via Listserv

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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