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2017-01-12 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
WebEx: https://cerner.webex.com/cerner/j.php?MTID=mfc8969c4f77244480beee61d31385e79

Date: 2016-01-12
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
Danielle Friend Epic
Eric Haas Haas Consulting
Rob Hausam Hausam Consulting LLC
Laura Heermann-Langford Intermountain Healthcare
Emma Jones Allscripts
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
Lloyd McKenzie Gevity (HL7 Canada)
Larry McKnight Cerner
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 2017-01-05_Patient_Care_FHIR_Call
    • Motion: <moved>/<seconded>
  3. WGM agenda review
  4. 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#11346 - suggest adding 'modified' element to indicate when the careTeam was last updated. - 2016-09 core #504
    • GF#12567 - Rename component to milestone within valueset-goal-relationship-type
    • 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
  • Tues Q2 - Condition/Concern
    • GF#10090 - Condition Introduction (taking into account concerns)
  • Tues Q3 - CareTeam value set discussion
    • GF#10725 - QA 4: CareTeam CodeableConcepts need a binding to a value set
    • GF#11334 - Constrain participant role value set - 2016-09 core #492
  • 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


  • Thurs Q3 - FHIR ballot reconciliation - joint with OO for second half
    • GF#12186 - Proposed Changes to Questionnaire / Questionnaire Response from Tuesday evening discussion
    • GF#10635 - QA 5a: Resource references exist in both directions for Condition and ClinicalImpression
    • GF#11209 - Feedback on ClinicalImpression - 2016-09 core #363
    • 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

  • 40 unresolved tracker items (31 ballot + 9 high maturity resource non-ballot comments)
    • 16 requested input from vocab (value set related ballot comments) -- 5 of which require input from Patient Care first
    • 1 waiting for input
    • 3 Discuss at WGM - joint with OO
    • 12 ready for discussion at WGM or conference calls
    • 8 Block Vote 1
  • 19 Resolved - Change Request tracker items
    • 17 ballot or high maturity resource (+ 2 non-ballot, non-priority resource)
    • 7 are substantive (+ 12 are non-substantive)
      • 4 related to new extensions/profiles
      • 1 workflow pattern
      • 1 new resources (AdverseEvent/Reaction)
      • 1 ready to be applied

Waiting for Input

WGM

Mon Q3

Tues Q2

Wed Q1

Thurs Q3

Block Vote 1 (scheduled for Jan 12)


Discussed Today

Backlog - Ready to Discuss in Subsequent Calls

Resources with higher maturity - target FMM Level 3

Workflow

CarePlan / Goal / CareTeam

Care Team

Value Set topics:

Condition

Procedure

Questionnaire / QuestionnaireResponse

ClinicalImpression

Communication/CommunicationRequest

Adjourn

Adjourned at <hh:mm am/pm> <timezone>.

Meeting Outcomes

Actions
Next Meeting/Preliminary Agenda Items
  1. Agenda review
  2. Approve previous meeting minutes 2017-01-05_Patient_Care_FHIR_Call
    • Motion: <moved>/<seconded> Abstain - <#>, Negative - <#>, Approve - <#>
  3. gForge change request

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