Difference between revisions of "2017-01-12 Patient Care FHIR Call"
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− | | || Elaine Ayres | + | | X|| Elaine Ayres |
|colspan="2"| NIH/Department of Clinical Research Informatics | |colspan="2"| NIH/Department of Clinical Research Informatics | ||
|- | |- | ||
− | | | + | | X || Stephen Chu |
|colspan="2"| | |colspan="2"| | ||
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|colspan="2"| Haas Consulting | |colspan="2"| Haas Consulting | ||
|- | |- | ||
− | | || Rob Hausam | + | |X || Rob Hausam |
|colspan="2"| Hausam Consulting LLC | |colspan="2"| Hausam Consulting LLC | ||
|- | |- | ||
− | | || Laura Heermann-Langford | + | | X|| Laura Heermann-Langford |
|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 | ||
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|colspan="2"| Telstra Health | |colspan="2"| Telstra Health | ||
|- | |- | ||
− | | || Lloyd McKenzie | + | |X || Lloyd McKenzie |
|colspan="2"| Gevity (HL7 Canada) | |colspan="2"| Gevity (HL7 Canada) | ||
|- | |- | ||
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|colspan="2"| Cerner | |colspan="2"| Cerner | ||
|- | |- | ||
− | | | + | | X || Michelle M Miller |
|colspan="2"| Cerner | |colspan="2"| Cerner | ||
|- | |- | ||
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| || Iona Thraen | | || Iona Thraen | ||
|colspan="2"| Dept of Veterans Affairs | |colspan="2"| Dept of Veterans Affairs | ||
+ | |- | ||
+ | | X|| Evelyn Gallego | ||
+ | |colspan="2"| | ||
|- | |- | ||
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#Agenda review | #Agenda review | ||
#Approve previous meeting minutes [[2017-01-05_Patient_Care_FHIR_Call]] | #Approve previous meeting minutes [[2017-01-05_Patient_Care_FHIR_Call]] | ||
− | #*'''Motion:''' | + | #*'''Motion:''' Stephen/Emma |
− | # | + | # WGM agenda review |
# gForge change request | # gForge change request | ||
Line 233: | Line 236: | ||
Quarters dedicated to FHIR ballot reconciliation | Quarters dedicated to FHIR ballot reconciliation | ||
* Mon Q3 - CarePlan, CareTeam, and Goal | * Mon Q3 - CarePlan, CareTeam, and Goal | ||
− | * | + | ** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11116 GF#11116] - Better define the careplan.activity.outcome field. - 2016-09 core #270 |
− | ** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id= | + | ** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11342 GF#11342] - Add CareTeam.relatedTeam or other composition relationship - 2016-09 core #500 |
− | ** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id= | + | ** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11344 GF#11344] - Allow CarePlan.activity.detail.performer to be CareTeam - 2016-09 core #502 |
+ | ** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10620 GF#10620] - QA 7a: CarePlan.activity.outcome needs a binding to a value set | ||
+ | ** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10623 GF#10623] - QA: Goal CodeableConcept elements are missing a binding to a value set | ||
+ | ** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10613 GF#10613] - QA 4e: Clean up valueset-goal-status | ||
+ | ** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10615 GF#10615] - QA 4: Clean up valueset-goal-status-reason | ||
+ | |||
+ | * Tues Q2 - Condition/Concern | ||
** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10090 GF#10090] - Condition Introduction (taking into account concerns) | ** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10090 GF#10090] - Condition Introduction (taking into account concerns) | ||
* Tues Q3 - CareTeam value set discussion | * Tues Q3 - CareTeam value set discussion | ||
+ | ** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10725 GF#10725] - QA 4: CareTeam CodeableConcepts need a binding to a value set | ||
+ | ** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11334 GF#11334] - Constrain participant role value set - 2016-09 core #492 | ||
+ | |||
* Wed Q1 - FHIR ballot reconciliation | * Wed Q1 - FHIR ballot reconciliation | ||
− | * Thurs Q3 - FHIR ballot reconciliation | + | ** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11162 GF#11162] - Suggest include reference to remedial treatment(s) - 2016-09 core #316 |
+ | ** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10626 GF#10626] - QA: Procedure.usedCode needs a binding to a value set | ||
+ | ** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10627 GF#10627] - QA 4a: Consider binding Procedure.focalDevice.action (CodeableConcept) to codes from an external coding system - vocab | ||
+ | ** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10293 GF#10393] revisit workflow patterns; review gap analysis attached to the gForge | ||
+ | |||
+ | * Thurs Q3 - FHIR ballot reconciliation - joint with OO for second half | ||
+ | ** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10635 GF#10635] - QA 5a: Resource references exist in both directions for Condition and ClinicalImpression | ||
+ | ** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11209 GF#11209] - Feedback on ClinicalImpression - 2016-09 core #363 | ||
+ | ** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10387 GF#10387] - CommunicationRequest needs ability to describe the location that the communication is about (John Moehrke) | ||
+ | ** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11026 GF#11026] – Relationship between Condition and Observation (Jay Lyle) | ||
+ | ** [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11119 GF#11119] – Differentiate ProcedureRequest and DiagnosticRequest and align their elements (Danielle Friend) - related [https://chat.fhir.org/#narrow/stream/implementers/topic/ProcedureRequest.20and.20DiagnosticRequest Zulip Chat] | ||
+ | |||
+ | === gForge Change Requests === | ||
+ | |||
+ | ====FHIR Publication / Backlog Status==== | ||
+ | |||
+ | After today's meeting.... | ||
+ | |||
+ | * 27 unresolved tracker items (all ballot comments) | ||
+ | ** 8 requested input from vocab (value set related ballot comments) | ||
+ | ** 1 waiting for input | ||
+ | ** 18 ready for discussion at WGM (including 2 that are joint with OO) or conference calls | ||
+ | |||
+ | * 29 Resolved - Change Request tracker items | ||
+ | ** 27 ballot or high maturity resource (+ 2 non-ballot, non-priority resource) | ||
+ | ** 14 are substantive (+ 15 are non-substantive) | ||
+ | *** 4 related to new extensions/profiles | ||
+ | *** 1 workflow pattern | ||
+ | *** 1 new resources (AdverseEvent/Reaction) | ||
+ | *** 8 ready to be applied | ||
+ | ==== Waiting for Input ==== | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=7185 GF#7185] ClinicalImpression is poorly thought out (ClemMcDonald@mail.nih.gov) | ||
− | === | + | ====Block Vote 1 (scheduled for Jan 12) ==== |
+ | Emma/Rob H - 5-0-3 | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=9044 GF#9044] - Need extension to track FHIR data type | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12400 GF#12400] - Add Goal search parameter for startDate | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12418 GF#12418] - add status search parameter to CarePlan | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12442 GF#12442] - QA: Questionnaire.item.enableWhen.answer and Questionnaire.item.initial bindings missing | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12434 GF#12434] - Remove answerInstant from Questionnaire(Response) | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12517 GF#12517] - add diagnosticrequest to context of procedure-targetbodysite | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12511 GF#12511] - Questionnaire.item.type optional problem | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12430 GF#12430] - Make clear that QuestionnaireResponse must align with corresponding Questionnaire | ||
+ | |||
+ | ==== Ready for Discussion ==== | ||
+ | Continue discussion on... | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11346 GF#11346] - suggest adding 'modified' element to indicate when the careTeam was last updated. - 2016-09 core #504 -- resolved! | ||
+ | |||
+ | Questionnaire | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12186 GF#12186] - Proposed Changes to Questionnaire / Questionnaire Response from Tuesday evening discussion -- resolved! | ||
+ | |||
+ | Communication/CommunicationRequest | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10391 GF#10391] - Communication.reason needs to be searchable (John Moehrke) -- resolved! | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10390 GF#10390] - CommunicationRequest query on reason (John Moehrke) -- resolved! | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10387 GF#10387] - CommunicationRequest needs ability to describe the location that the communication is about (John Moehrke) -- to be continued at WGM.... | ||
+ | |||
+ | AllergyIntolerance/AdverseReaction (last 30 minutes) | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11021 GF#11021] - AllergyIntolerance.reaction should be removed and replaced with a choice of references to either a CodeableConcept OR a new AdverseReaction resource -- to be continued at WGM... | ||
+ | |||
+ | ==== Vocab Assistance ==== | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10621 GF#10621] - QA 4a: Consider whether CarePlan.activity.detail.category should be bound to an external code system | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10622 GF#10622] - QA 4a: Consider whether Goal.category should be bound to codes from an external code system | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10624 GF#10624] - QA 4a: Consider whether Goal.priority (CodeableConcept) should be bound to an external code system such as SNOMED | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11351 GF#11351] - AllergyIntoleranceCategory should be SNOMED - 2016-09 core #509 | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11355 GF#11355] - CarePlan category value set is out of date or wrong - 2016-09 core #513 | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11357 GF#11357] - Re-use the procedure value set instead of wrapping it - 2016-09 core #515 | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11358 GF#11358] - Should not make a new value set ehre - use the Problem value set that also includes Events and SWEC concepts. - 2016-09 core #516 | ||
+ | * [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11359 GF#11359] - Why only one medication in an activity? And the value set is problematic (but example) - 2016-09 core #517 | ||
− | |||
=== Adjourn === | === Adjourn === | ||
− | Adjourned at | + | Adjourned at 6:45PM Eastern. |
==Meeting Outcomes== | ==Meeting Outcomes== | ||
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|width="100%" |'''Next Meeting/Preliminary Agenda Items'''<br/> | |width="100%" |'''Next Meeting/Preliminary Agenda Items'''<br/> | ||
#Agenda review | #Agenda review | ||
− | #Approve previous meeting minutes | + | #Approve previous meeting minutes |
#*'''Motion:''' <moved>/<seconded> Abstain - <#>, Negative - <#>, Approve - <#> | #*'''Motion:''' <moved>/<seconded> Abstain - <#>, Negative - <#>, Approve - <#> | ||
# gForge change request | # gForge change request |
Latest revision as of 15:38, 10 February 2017
Meeting Information
Patient Care FHIR Resources Conference Call Location: Conference Call |
Date: 2017-01-12 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 | ||
Danielle Friend | Epic | ||
Eric Haas | Haas Consulting | ||
X | Rob Hausam | Hausam Consulting LLC | |
X | 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 | ||
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 | 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 | Evelyn Gallego | ||
Quorum Requirements Met: yes |
Agenda
Agenda Topics
- Agenda review
- Approve previous meeting minutes 2017-01-05_Patient_Care_FHIR_Call
- Motion: Stephen/Emma
- WGM agenda review
- gForge change request
Supporting Information
STU 3 Timeline
From FHIR_Ballot_Prep
- Sun. Nov. 27 Ballot substantive resource freeze (prioritize resources that IGs will be based on)
- Sun. Dec. 4 Ballot total freeze
- Sun. Dec. 9 (or a day or two earlier) Freeze released - all changes allowed
- Sun. Feb. 5 Ballot reconciliation deadline - All ballot comments must be reconciled, tracker issue report must be clean
- Sun. Feb. 19 Publication substantive resource freeze
- Sun. Feb 26 Publication total freeze
- Mon. Feb 27 QA period opens
- Tue. Feb 28 FMM QA spreadsheet updated for all WG resources
- Sun. Mar. 13 QA period closes
- Sun. Mar. 20 All QA applied
The "following week" STU 3 is published!
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
WGM agenda
Quarters dedicated to FHIR ballot reconciliation
- Mon Q3 - CarePlan, CareTeam, and Goal
- GF#11116 - Better define the careplan.activity.outcome field. - 2016-09 core #270
- GF#11342 - Add CareTeam.relatedTeam or other composition relationship - 2016-09 core #500
- GF#11344 - Allow CarePlan.activity.detail.performer to be CareTeam - 2016-09 core #502
- GF#10620 - QA 7a: CarePlan.activity.outcome needs a binding to a value set
- GF#10623 - QA: Goal CodeableConcept elements are missing a binding to a value set
- GF#10613 - QA 4e: Clean up valueset-goal-status
- GF#10615 - QA 4: Clean up valueset-goal-status-reason
- Tues Q2 - Condition/Concern
- GF#10090 - Condition Introduction (taking into account concerns)
- Tues Q3 - CareTeam value set discussion
- Wed Q1 - FHIR ballot reconciliation
- GF#11162 - Suggest include reference to remedial treatment(s) - 2016-09 core #316
- GF#10626 - QA: Procedure.usedCode needs a binding to a value set
- GF#10627 - QA 4a: Consider binding Procedure.focalDevice.action (CodeableConcept) to codes from an external coding system - vocab
- GF#10393 revisit workflow patterns; review gap analysis attached to the gForge
- Thurs Q3 - FHIR ballot reconciliation - joint with OO for second half
- GF#10635 - QA 5a: Resource references exist in both directions for Condition and ClinicalImpression
- GF#11209 - Feedback on ClinicalImpression - 2016-09 core #363
- GF#10387 - CommunicationRequest needs ability to describe the location that the communication is about (John Moehrke)
- GF#11026 – Relationship between Condition and Observation (Jay Lyle)
- GF#11119 – Differentiate ProcedureRequest and DiagnosticRequest and align their elements (Danielle Friend) - related Zulip Chat
gForge Change Requests
FHIR Publication / Backlog Status
After today's meeting....
- 27 unresolved tracker items (all ballot comments)
- 8 requested input from vocab (value set related ballot comments)
- 1 waiting for input
- 18 ready for discussion at WGM (including 2 that are joint with OO) or conference calls
- 29 Resolved - Change Request tracker items
- 27 ballot or high maturity resource (+ 2 non-ballot, non-priority resource)
- 14 are substantive (+ 15 are non-substantive)
- 4 related to new extensions/profiles
- 1 workflow pattern
- 1 new resources (AdverseEvent/Reaction)
- 8 ready to be applied
Waiting for Input
- GF#7185 ClinicalImpression is poorly thought out (ClemMcDonald@mail.nih.gov)
Block Vote 1 (scheduled for Jan 12)
Emma/Rob H - 5-0-3
- GF#9044 - Need extension to track FHIR data type
- GF#12400 - Add Goal search parameter for startDate
- GF#12418 - add status search parameter to CarePlan
- GF#12442 - QA: Questionnaire.item.enableWhen.answer and Questionnaire.item.initial bindings missing
- GF#12434 - Remove answerInstant from Questionnaire(Response)
- GF#12517 - add diagnosticrequest to context of procedure-targetbodysite
- GF#12511 - Questionnaire.item.type optional problem
- GF#12430 - Make clear that QuestionnaireResponse must align with corresponding Questionnaire
Ready for Discussion
Continue discussion on...
- GF#11346 - suggest adding 'modified' element to indicate when the careTeam was last updated. - 2016-09 core #504 -- resolved!
Questionnaire
- GF#12186 - Proposed Changes to Questionnaire / Questionnaire Response from Tuesday evening discussion -- resolved!
Communication/CommunicationRequest
- GF#10391 - Communication.reason needs to be searchable (John Moehrke) -- resolved!
- GF#10390 - CommunicationRequest query on reason (John Moehrke) -- resolved!
- GF#10387 - CommunicationRequest needs ability to describe the location that the communication is about (John Moehrke) -- to be continued at WGM....
AllergyIntolerance/AdverseReaction (last 30 minutes)
- GF#11021 - AllergyIntolerance.reaction should be removed and replaced with a choice of references to either a CodeableConcept OR a new AdverseReaction resource -- to be continued at WGM...
Vocab Assistance
- GF#10621 - QA 4a: Consider whether CarePlan.activity.detail.category should be bound to an external code system
- GF#10622 - QA 4a: Consider whether Goal.category should be bound to codes from an external code system
- GF#10624 - QA 4a: Consider whether Goal.priority (CodeableConcept) should be bound to an external code system such as SNOMED
- GF#11351 - AllergyIntoleranceCategory should be SNOMED - 2016-09 core #509
- GF#11355 - CarePlan category value set is out of date or wrong - 2016-09 core #513
- GF#11357 - Re-use the procedure value set instead of wrapping it - 2016-09 core #515
- GF#11358 - Should not make a new value set ehre - use the Problem value set that also includes Events and SWEC concepts. - 2016-09 core #516
- GF#11359 - Why only one medication in an activity? And the value set is problematic (but example) - 2016-09 core #517
Adjourn
Adjourned at 6:45PM Eastern.
Meeting Outcomes
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