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Difference between revisions of "2016-07-14 Patient Care FHIR Call"

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=== Prior Action Item Follow-up ===
=== Prior Action Item Follow-up ===
Block Vote GFORGE Requests:
Block Vote GFORGE Requests:

Latest revision as of 00:02, 15 July 2016

Meeting Information

Patient Care FHIR Resources Conference Call

Location: Conference Call
Phone Number: +1 770-657-9270
Participant Passcode: 943377
WEBEX: Meeting number: 198 139 396

Date: 2016-07-14
Time: 5-6:30pm ET
Facilitator Rob Hausam Note taker(s) Rob Hausam
Attendee Name Affiliation

Elaine Ayres NIH/Department of Clinical Research Informatics
X Stephen Chu
X Eric Haas Haas Consulting
X Rob Hausam Hausam Consulting LLC
Laura Heermann-Langford Intermountain Healthcare
Emma Jones Allscripts
X Russ Leftwich InterSystems
Jay Lyle Ockham Information Services LLC, VA
Sarah Maulden VA
Jim McClay Univ of Nebraska Medical Center
Russell McDonell Telstra Health
X Lloyd McKenzie Gevity (HL7 Canada)
Larry McKnight Cerner
Michelle M Miller Cerner
X Lisa Nelson Life Over Time Solutions
Viet Nguyen Lockheed Martin, Systems Made Simple
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 Paul Knapp Knapp Consulting
X Vivek Menon EZDI
X Herman Singh
Quorum Requirements Met: yes


Agenda Topics

  1. Agenda review
  2. Approve previous meeting minutes 2016-07-07_Patient_Care_FHIR_Call
    • Motion to approve: Stephen Chu/Lloyd McKenzie
  3. Prior Action Item Follow-up
  4. Block vote on GFORGE change requests
  5. gForge change requests requiring discussion

Supporting Information

STU 3 Timeline

  • Wed, June 1
    • All resource and IG proposals for STU3 have been completed, reviewed by WG and submitted
    • Connectathon tracks for Sept have been proposed
    • Feedback on gForge submitted to FMG
  • Sun, July 17 - Substantive content freeze for ballot -- core resources
  • Sun, July 24 - Total content freeze, start of QA
  • Wed, Aug 10 (midnight) - All QA changes applied
  • Fri, Aug 12 - FHIR ballot opens
  • Fri, Sept 12 - FHIR ballot closes
  • Fri, Sept 16 - FHIR triage complete and ballot content loaded to gForge (or alternate)
  • Sept 17-23 - Baltimore WGM
  • Sun, Dec 11
    • Reconciliation complete/substantive changes applied
    • Just over 10 weeks
    • Will re-evaluate at Baltimore based on volume of ballot comments
  • Dec 31 - Publish

FHIR Maturity Levels


  • Level 3 requires the artifact has been verified by the work group as meeting the DSTU_2_QA_guidelines and has been subject to a round of formal balloting; has at least 10 implementer comments recorded in the tracker drawn from at least 3 organizations resulting in at least one substantive change
    • Substantive changes (element names, sort order, vocabulary bindings, etc.) need to be applied by ballot freeze (Aug 10).
    • Unapplied QA checklist changes can be logged as ballot issues to be applied Sept-Dec. Substantive changes after ballot should be driven by ballot.
    • Non-substantive changes are fine
  • Level 2 requires artifact has been tested and successfully exchanged between at least three independently developed systems leveraging at least 80% of the core data elements using semi-realistic data and scenarios based on at least one of the declared scopes of the resource (e.g. at a connectathon). These interoperability results must have been reported to and accepted by the FMG.
Current FMM Level Goal FMM Level QA Status QA Reviewer Implementation Comments
AllergyIntolerance 1 3 Rob Argonaut
Condition 2 3 PCWG Argonaut
Procedure 1 3 Argonaut
CarePlan 1 3 Argonaut
Goal 1 3
QuestionnaireResponse 2 2 Lloyd Lloyd will QA to get to level 3
Questionnaire 0 2 Lloyd Lloyd will QA to get to level 3
CareTeam 0 2 NA NA Aggressive goal (e.g. whether we'll get the implementations needed)
FamilyMemberHistory 1 2 NA NA Aggressive goal (e.g. whether we'll get the implementations needed)
ClinicalImpression 0 1 NA NA
ReferralRequest 1 1 NA NA
ProcedureRequest 1 1 NA NA
Linkage 0 1 NA NA
Flag 1 1 NA NA
Communication 1 1 NA NA
CommunicationRequest 1 1 NA NA

Note: Bold denotes top 20 resource based on survey
Note: Contraindication and Risk Assessment are owned by CDS, not Patient Care


Prior Action Item Follow-up

  • None.

Block Vote GFORGE Requests:

As most of the participants on the call hadn't had a chance to review the block vote items, each items was presented and discussed prior to the block vote.
10262 and 10090 were pulled from the block vote as originally proposed.
  • Motion to approve the block vote as above.
Stephen Chu/Lisa Nelson Against: 0 Abstain: 0 In favor: 7

gForge Change Requests

The discussion and vote on this item was deferred to next week, as any changes involved should be considered as non-substantive, allowing us to discuss it next week prior to the final freeze on July 24.
This was discussed, but the vote was deferred to next week. The primary sense of the discussion is that this is likely non-persuasive, as all allergies are to substances. Rob feels that adding a specific "substance" category would have to include hierarchy (as it would be the parent of the other categories) and it would not really add value. The existing categories of either "environmental" or "other" should be adequate for covering this. It is OK to defer the vote on this one to next week, as if non-persuasive no change is required, and even if persuasive adding a code to the value set should be non-substantive.

Additional agenda items brought forward by Paul Knapp from FM

  1. Discussion and proposal to make changes to the Communication resource to support wider use.
    • Motion: We already have agreed to change Communication.encounter' to a reference to 'Episode of care' and 'Encounter'. Add a 'topic' element with cardinality 0..* which is a reference to ANY resource. Lloyd McKenzie/Paul Knapp Against: 0 Abstain: 0 In Favor: 7
  2. Paul brought forward an additional item from FM for discussion. We need to find a consistent way in resources for WGs to specify business identifiers as an alternate to references where that is appropriate. Will propose to include discussion of this on the relevant WG agenda(s) in Baltimore. The suggestion is that this would be an item for MnM/FHIR-I, but it also should be discussed with the relevant domain WGs.


Adjourned at 6:55 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
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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