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Difference between revisions of "2016-10-27 Patient Care FHIR Call"

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|-
 
|-
 
<!-- ********add attendee information here *********-->
 
<!-- ********add attendee information here *********-->
−
| || Elaine Ayres
+
|X || Elaine Ayres
 
|colspan="2"| NIH/Department of Clinical Research Informatics
 
|colspan="2"| NIH/Department of Clinical Research Informatics
 
|-
 
|-
−
| || Stephen Chu
+
| X || Stephen Chu
−
|colspan="2"|  
+
|colspan="2"| Australian Digital Health Agency
 +
|-
 +
| X || Tracey Coleman
 +
|colspan="2"| Allscripts
 
|-
 
|-
 
| || Eric Haas
 
| || Eric Haas
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|colspan="2"| Intermountain Healthcare
 
|colspan="2"| Intermountain Healthcare
 
|-
 
|-
−
| || Emma Jones
+
| X|| Emma Jones
 
|colspan="2"| Allscripts
 
|colspan="2"| Allscripts
 
|-
 
|-
−
| || Russ Leftwich
+
|X || Russ Leftwich
 
|colspan="2"| InterSystems
 
|colspan="2"| InterSystems
 
|-
 
|-
Line 88: Line 91:
 
| || Jim McClay
 
| || Jim McClay
 
|colspan="2"| Univ of Nebraska Medical Center
 
|colspan="2"| Univ of Nebraska Medical Center
 +
|-
 +
| X|| Rob McClure
 +
|colspan="2"| MD Partners
 
|-
 
|-
 
| || Russell McDonell
 
| || Russell McDonell
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|colspan="2"| Cerner
 
|colspan="2"| Cerner
 
|-
 
|-
−
| || Michelle M Miller  
+
| X || Michelle M Miller  
 
|colspan="2"| Cerner
 
|colspan="2"| Cerner
 
|-
 
|-
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#Agenda review
 
#Agenda review
 
#Approve previous meeting minutes [[2016-10-20_Patient_Care_FHIR_Call]]
 
#Approve previous meeting minutes [[2016-10-20_Patient_Care_FHIR_Call]]
−
#*'''Motion:''' <moved>/<seconded>
+
#*'''Motion:''' Stephen/Russ
 
#Prior Action Item Follow-up   
 
#Prior Action Item Follow-up   
 
# gForge change request
 
# gForge change request
Line 234: Line 240:
 
** 17 have been applied already (http://hl7-fhir.github.io/)
 
** 17 have been applied already (http://hl7-fhir.github.io/)
 
** 2 (non-substantive) have not yet been applied
 
** 2 (non-substantive) have not yet been applied
−
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11020 - Need use-case for reaction.certainty - Michelle to solicit feedback from other implementers
+
* Michelle Miller sent email to workflow listserv (http://lists.hl7.org/read/messages?id=302719) to highlight why PC doesn't believe the status recommendation applies to Condition (and AllergyIntolerance);  Lloyd responded that workflow should discuss the exceptions, but he didn't think there is any issue with these two.  It makes no sense for them to follow the usual "event" statuses;  Michelle has added the group of related gForges to the next Block Vote #3.
 +
** http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10642 - QA 5c: Default value needed for AllergyIntolerance.status since minOccurs=0 and is-modifier element
 +
** http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11151 - Separate clinical status from clinical workflow status & align w/ Condition.status - 2016-09 core #305
 +
** http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11920 - Required value set is missing "proposed" concept - 2016-09 daf #4
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11020 - Need use-case for reaction.certainty - Based on feedback received from other implementers, this has been added to the next block vote #3
 
** Zulip chat: https://chat.fhir.org/#narrow/stream/implementers/topic/AllergyIntolerance.2Ereaction.2Ecertainty.20feedback  
 
** Zulip chat: https://chat.fhir.org/#narrow/stream/implementers/topic/AllergyIntolerance.2Ereaction.2Ecertainty.20feedback  
 
** Grahame wasn't aware of any system supporting it, http://www.healthintersections.com.au/?p=2267
 
** Grahame wasn't aware of any system supporting it, http://www.healthintersections.com.au/?p=2267
 
** Neither Cerner nor Epic support a reaction.certainty
 
** Neither Cerner nor Epic support a reaction.certainty
 
** Some usage of the field reported from Australia and Netherlands
 
** Some usage of the field reported from Australia and Netherlands
−
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11116 Better define the careplan.activity.outcome field - discussion will be continued during Patient Care CarePlan (Wed, Oct 26) conference call
 
  
 
=== gForge Change Requests ===
 
=== gForge Change Requests ===
 +
====FHIR Publication / Backlog Status====
 +
* 119 unresolved tracker items (99 ballot + 19 high maturity resource non-ballot comments + 1 quick win) to resolve by Nov 20
 +
** 29 scheduled in Block Vote 2
 +
** 37 scheduled in Block Vote 3
 +
** 18 requested input from vocab (value set related ballot comments)
 +
** 13 waiting for input
 +
** 5 waiting to be scheduled (joint with OO or in person requests)
 +
** 17 ready for discussion during our weekly conference call
  
−
====Block Vote 2====
+
====Vote on Block Vote 2====
−
Scheduled for Oct 27.   
+
Scheduled for Oct 27.
 +
Vote:  Russ/Elaine:  4-0-2  
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11171 Clarify CarePlan.context and CarePlan.duration - 2016-09 core #325 (Stephen Chu) Not Persuasive with Mod
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11171 Clarify CarePlan.context and CarePlan.duration - 2016-09 core #325 (Stephen Chu) Not Persuasive with Mod
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11177 Change CareTeam definition - 2016-09 core #331 (Stephen Chu) Not Persuasive
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11177 Change CareTeam definition - 2016-09 core #331 (Stephen Chu) Not Persuasive
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* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12188 Add search parameters to ProcedureRequest (Elliot Silver) Persuasive
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12188 Add search parameters to ProcedureRequest (Elliot Silver) Persuasive
  
−
====Block Vote 3====
+
====Block Vote 3 Preview====
−
Scheduled for TBD
+
Schedule for Nov 3
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8048 2015May core #1373  - Add communicaton-request as a code to the MessageEvents (Tim McNeil) Persuasive
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=8048 2015May core #1373  - Add communicaton-request as a code to the MessageEvents (Tim McNeil) Persuasive
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10468 New populate structures are broken (Lloyd McKenzie) Persuasive
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10468 New populate structures are broken (Lloyd McKenzie) Persuasive
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10607 QA 2a:  Add more goal examples to cover all contexts and elements (Michelle Miller) Persuasive
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10607 QA 2a:  Add more goal examples to cover all contexts and elements (Michelle Miller) Persuasive
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10617 QA 4e: consider adding unknown and other to CarePlan code element value sets (Michelle Miller) Persuasive
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10625 QA 4e: consider adding unknown to Procedure.status value set since minOccurs =1 (Michelle Miller) Persuasive
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10642 QA 5c: Default value needed for AllergyIntolerance.status since minOccurs=0 and is-modifier element (Michelle Miller) Persuasive
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10643 QA 5c: Default value needed for CarePlan.activity.detail.status since minOccurs=0 and is-modifier element (Michelle Miller) Persuasive
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10999 Questionnaire.item.concept -> questionItemCode - 2016-09 sdc #65  (Stephen Chu) Persuasive with Mod
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11020 Need use-case for reaction.certainty - 2016-09 core #39  (Jay Lyle) Persuasive with Mod
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11022 How is unknown different from absence of judgement? - 2016-09 core #41  (Jay Lyle) Persuasive with Mod
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11023 Why isn't AllergyIntolerance.reaction an Observation? - 2016-09 core #42  (Jay Lyle) Not Persuasive with Mod
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11027 Scope of negation is unclear - 2016-09 core #46  (Jay Lyle) Persuasive
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11051 Explain or remove Questionnaire datatype allowed for CarePlan.activity.detail.definition - 2016-09 core #70  (Dave Carlson) Not Persuasive with Mod
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11051 Explain or remove Questionnaire datatype allowed for CarePlan.activity.detail.definition - 2016-09 core #70  (Dave Carlson) Not Persuasive with Mod
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11077 How does one assert that the subject does NOT have a condition? - 2016-09 core #96  (Galen Mulrooney) Persuasive with Mod
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11089 Inconsistencies between AllergyIntolerance and Condition - 2016-09 core #170  (Chris Moesel) Persuasive with Mod
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11090 Make performer consistent across Procedure & ProcedureRequest - 2016-09 core #171  (Chris Moesel) Not Persuasive
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11134 Clarify linkId - 2016-09 core #288  (Daniel Rutz) Persuasive with Mod
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11151 Separate clinical status from clinical workflow status & align w/ Condition.status - 2016-09 core #305  (Stephen Chu) Persuasive
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11153 lastOccurrence should be on reaction - 2016-09 core #307  (Stephen Chu) Not Persuasive
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11154 AllergyIntolerance.onset and reaction.onset are duplicates - 2016-09 core #308  (Stephen Chu) Persuasive with Mod
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11154 AllergyIntolerance.onset and reaction.onset are duplicates - 2016-09 core #308  (Stephen Chu) Persuasive with Mod
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11163 Logically  age is estimated property should be a child of age - 2016-09 core #317  (Stephen Chu) Not Persuasive
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11163 Logically  age is estimated property should be a child of age - 2016-09 core #317  (Stephen Chu) Not Persuasive
−
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11181 Will accept inclusion of "supporting clinical information" as extension to ProcedureRequest - 2016-09 core #335  (Stephen Chu) Persuasive
+
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11168 Clarify ClinicalImpression.action - 2016-09 core #322  (Stephen Chu) Persuasive with Mod
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11170 Include "risk" as an element in the CarePlan structure Will accept this as suggested to be implemented as extension - 2016-09 core #324  (Stephen Chu) Not Persuasive with Mod
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11173 CarePlan needs support for reviews - 2016-09 core #327  (Stephen Chu) Not Persuasive
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11176 Differentiate CareTeam.type and name - 2016-09 core #330  (Stephen Chu) Persuasive
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11181 Will accept inclusion of "supporting clinical information" as extension to ProcedureRequest - 2016-09 core #335  (Stephen Chu) Persuasive with Mod
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11229 Why are SNOMED codes being used for Questionnaire.item.concept in example? - 2016-09 core #383  (Riki Merrick) Not Persuasive
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11332 Acknowledge Advance Directives as type of Care Plan - 2016-09 core #490  (David Tao) Considered for Future Use
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11335 Allow multiple organizations for care plan - 2016-09 core #493  (David Tao) Persuasive
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11335 Allow multiple organizations for care plan - 2016-09 core #493  (David Tao) Persuasive
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11343 Add CarePlan.definition - 2016-09 core #501  (Emma Jones) Persuasive
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11343 Add CarePlan.definition - 2016-09 core #501  (Emma Jones) Persuasive
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11344 Allow CarePlan.activity.detail.performer to be CareTeam - 2016-09 core #502  (Emma Jones) Not Persuasive
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11344 Allow CarePlan.activity.detail.performer to be CareTeam - 2016-09 core #502  (Emma Jones) Not Persuasive
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11347 CareTeam.type -> CareTeam.category - 2016-09 core #505  (Emma Jones) Persuasive
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11347 CareTeam.type -> CareTeam.category - 2016-09 core #505  (Emma Jones) Persuasive
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11379 Make Communication.topic choice of Reference and Identifier - 2016-09 core #537  (Paul Knapp) Not Persuasive
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11381 Expand CommunicationRequest.encounter to topic - 2016-09 core #539  (Paul Knapp) Persuasive with Mod
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11473 Add more use-cases with List - 2016-09 core #637  (Lloyd McKenzie) Persuasive
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11920 Required value set is missing "proposed" concept - 2016-09 daf #4  (Calvin Beebe) Persuasive with Mod
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12291 QA: Fix badly chosen RxNorm code (Grahame Grieve) Persuasive
  
−
====In Person====
+
====In Person (Pending Schedule) ====
 
In Person Requests -- in the process of being scheduled
 
In Person Requests -- in the process of being scheduled
−
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12136 Searching on optional attribute is dangerous (e.g., allergyintolerance.category)- Mark Kramer - TBD
+
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12136 Searching on optional attribute is dangerous (e.g., allergyintolerance.category)- Mark Kramer - Nov 3
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11281 Overall Condition.clinicalStatus and Condition.verificationStatus Condition body site - 2016-09 core #435 - Clem McDonald - TBD
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11281 Overall Condition.clinicalStatus and Condition.verificationStatus Condition body site - 2016-09 core #435 - Clem McDonald - TBD
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11290 clinical impression and condition - 2016-09 core #444 - Clem McDonald - TBD
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11290 clinical impression and condition - 2016-09 core #444 - Clem McDonald - TBD
  
−
====Discussion====
+
Joint with OO -- in the process of being scheduled
−
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11354 Substance identified in both AllergyIntolerance.code and reaction.substance is problematic - 2016-09 core #512 - Robert McClure
+
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11026 Relationship between Condition and Observation - 2016-09 core #45  (Jay Lyle)
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11119 Differentiate ProcedureRequest and DiagnosticRequest and align their elements - 2016-09 core #273  (Danielle Friend)
 +
 
 +
==== Discussion ====
 +
AllergyIntolerance
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11354 Substance identified in both AllergyIntolerance.code and reaction.substance is problematic - 2016-09 core #512 (Robert McClure - in person request) - resolved
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11352 Some items may have multiple categories - 2016-09 core #510  (Robert McClure) - resolved
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10760 Revisit AllergyIntolerance.category: remove biological  add substance and other (Marten Smits) - resolved
 +
 
 +
==== Backlog - Ready to Discuss Next Week ====
 +
Resources with higher maturity - target FMM Level 3
 +
 
 +
AllergyIntolerance
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11021 Increase cardinality of substance and make certainty relation to substance  not reaction - 2016-09 core #40  (Jay Lyle)
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11025 Need to explicitly assert presence vs. absence of a risk - 2016-09 core #44  (Jay Lyle)
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11155 Unclear how the negation value set will work - 2016-09 core #309  (Stephen Chu)
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12177 Review/expand the AllergyIntolerance.criticality valueset (Mohannad Hammadeh)
 +
 
 +
 
 +
CarePlan / Goal
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11116 Better define the careplan.activity.outcome field - discussion occurred during the CarePlan (Wed, Oct 26) conference call.  PCWG agreed that outcome is needed on both the activity and goal.  For example, a goal of losing 20 pounds might include activities to 1) reduce caloric intake via diet and 2)exercise 30 minutes per day.  The outcome associated with the weight loss goal might be an observation with the updated body weight whereas the outcome on the activity side might be the number of calories burned via exercise or calories consumed via diet.  Next steps:
 +
** expand/clarify the outcome definitions on both the activity and goal.
 +
** harmonize the outcome structure to allow the activity to reference an observation (like the goal outcome allows)
 +
** bind the outcome codeableconcepts to value sets
 +
 
 +
Condition
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12064 Abatement needs to be simplified (David Pyke)
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10635 QA 5a: Resource references exist in both directions for Condition and ClinicalImpression (Michelle Miller)
 +
 
 +
Procedure
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11162 Suggest include reference to remedial treatment(s) - 2016-09 core #316  (Stephen Chu)
 +
 
 +
Questionnaire / QuestionnaireResponse
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10998 Questionnaire.concept -> Questionnaire.code and update definitions - 2016-09 sdc #64  (Stephen Chu)
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12170 Clarification on Questionnaire item.repeats (Michele Mottini)
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12173 New Questionnaire extension to specify exclusive multiple-choice item (Michele Mottini)
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10481 QuestionnaireResponse should have only one recursion point for nested "item"s (Josh Mandel)
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12186 Proposed Changes to Questionnaire / Questionnaire Response from Tuesday evening discussion (Grahame Grieve)
 +
 
 +
Care Team
 +
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10715 Add entered in error to valueset-daf-careteam-status (Michelle Miller) - related to http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10725
  
 
=== Adjourn ===
 
=== Adjourn ===
−
Adjourned at <hh:mm am/pm> <timezone>.
+
Adjourned at 6:35pm Eastern
  
 
==Meeting Outcomes==
 
==Meeting Outcomes==
Line 318: Line 402:
 
   
 
   
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10662 Clarify how medical history should be handled - schedule joint discussion with SD  
 
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10662 Clarify how medical history should be handled - schedule joint discussion with SD  
−
* http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10642 - sent email to workflow listserv (http://lists.hl7.org/read/messages?id=302719) to highlight why PC doesn't believe the status recommendation applies to Condition (and AllergyIntolerance)
 
 
* Daniel Lanphear (submitter of gForge 8458) to draft new resource proposal for transfusion.   
 
* Daniel Lanphear (submitter of gForge 8458) to draft new resource proposal for transfusion.   
  

Latest revision as of 13:33, 31 October 2016



Meeting Information

Patient Care FHIR Resources Conference Call

Location: Conference Call
Phone Number: +1 770-657-9270
Participant Passcode: 943377
WebEx: https://cerner.webex.com/cerner/j.php?MTID=mfc8969c4f77244480beee61d31385e79

Date: 2016-10-27
Time: 5-6:30pm ET
Facilitator Michelle M Miller Note taker(s) Michelle M Miller
Attendee Name Affiliation


X Elaine Ayres NIH/Department of Clinical Research Informatics
X Stephen Chu Australian Digital Health Agency
X Tracey Coleman Allscripts
Eric Haas Haas Consulting
Rob Hausam Hausam Consulting LLC
Laura Heermann-Langford Intermountain Healthcare
X Emma Jones Allscripts
X Russ Leftwich InterSystems
Tony Little Optum 360
Jay Lyle Ockham Information Services LLC, VA
Sarah Maulden VA
Hank Mayers ReliaTech Consulting
Jim McClay Univ of Nebraska Medical Center
X Rob McClure MD Partners
Russell McDonell Telstra Health
Lloyd McKenzie Gevity (HL7 Canada)
Larry McKnight Cerner
X Michelle M Miller Cerner
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
Quorum Requirements Met: yes

Agenda

Agenda Topics

  1. Agenda review
  2. Approve previous meeting minutes 2016-10-20_Patient_Care_FHIR_Call
    • Motion: Stephen/Russ
  3. Prior Action Item Follow-up
  4. gForge change request

Supporting Information

STU 3 Timeline

From FHIR_Ballot_Prep

  • Sun Oct. 9
    • Last date for change requests (subsequent change requests are auto-punted to release 4)
  • Sun Oct. 30
    • NIBs due for any IGs balloting in the Jan. cycle
  • Sun Nov. 20
    • All ballot reconciliation complete
  • Sun Nov. 27
    • All substantive changes applied to Core
  • Sun Dec. 4
    • Content freeze for ballot & connectathon & publication QA review
  • Sun Dec. 24
    • QA review complete, Qa changes begin being applied
  • Dec 29 - Jan 3ish
    • Publish

FHIR Maturity Levels

[1] 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

Resource
Current FMM Level Goal FMM Level QA Status QA Reviewer Implementation Comments
AllergyIntolerance 1 3 Michelle Argonaut
Condition 2 3 Michelle Argonaut
Procedure 1 3 Michelle Argonaut
CarePlan 1 3 Michelle Argonaut
Goal 1 3 Michelle
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 Michelle 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

Minutes

Prior Action Item Follow-up

gForge Change Requests

FHIR Publication / Backlog Status

  • 119 unresolved tracker items (99 ballot + 19 high maturity resource non-ballot comments + 1 quick win) to resolve by Nov 20
    • 29 scheduled in Block Vote 2
    • 37 scheduled in Block Vote 3
    • 18 requested input from vocab (value set related ballot comments)
    • 13 waiting for input
    • 5 waiting to be scheduled (joint with OO or in person requests)
    • 17 ready for discussion during our weekly conference call

Vote on Block Vote 2

Scheduled for Oct 27. Vote: Russ/Elaine: 4-0-2

Block Vote 3 Preview

Schedule for Nov 3

In Person (Pending Schedule)

In Person Requests -- in the process of being scheduled

Joint with OO -- in the process of being scheduled

Discussion

AllergyIntolerance

Backlog - Ready to Discuss Next Week

Resources with higher maturity - target FMM Level 3

AllergyIntolerance


CarePlan / Goal

  • http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11116 Better define the careplan.activity.outcome field - discussion occurred during the CarePlan (Wed, Oct 26) conference call. PCWG agreed that outcome is needed on both the activity and goal. For example, a goal of losing 20 pounds might include activities to 1) reduce caloric intake via diet and 2)exercise 30 minutes per day. The outcome associated with the weight loss goal might be an observation with the updated body weight whereas the outcome on the activity side might be the number of calories burned via exercise or calories consumed via diet. Next steps:
    • expand/clarify the outcome definitions on both the activity and goal.
    • harmonize the outcome structure to allow the activity to reference an observation (like the goal outcome allows)
    • bind the outcome codeableconcepts to value sets

Condition

Procedure

Questionnaire / QuestionnaireResponse

Care Team

Adjourn

Adjourned at 6:35pm Eastern

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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