2017-07-18 PA Call Minutes

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Patient Administration Call

Meeting Information

PA Work Group Conference Call

Local numbers sent to list

Meeting Information

PA Work Group Conference Call

Local numers

Date: Tuesday, July 18, 2017

Time: 12:00 PM (US Pacific Time, GMT -7)
Quorum Met (Chair+2, Yes/No)? Yes

Facilitator Irma Jongeneel Scribe Brian Postlethwaite
Attendee Name Affiliation
X Irma Jongeneel Vzvz
X Brian Postlethwaite Telstra Health
X Simone Heckmann HL7 Germany
X Wes Rishel Rishel, USA
X Sam Mater Epic, USA
X Cooper Thompson Epic, USA


Agenda Topics

  1. Update on the Validated Healthcare Directory PSS through Steering Devision
  2. Trackers

Supporting Documents


The PSS was approved , only comment was from Elliott Silver from Imaging who requested that we co-ordinate with IHE who are profiling a “Care Services Directory” (and we have a representative from IHE on the ONC project team)

No update on scheduling

Other organizations are really looking for an invoice resource.
The German users considering it have decided they do not have a need for Claim, and plan to build on an invoice resource.
Expecting that the invoice will be a very “skinny” resource, without a lot of clinical data.

13607 Timings (Working Hours) for a location or organization
This was discussed and considered should the hours open information be on location (considered it was inappropriate on Organization) either as core properties, or standard extensions. This would be an unpleaseant standard extension unless the availableTime property was made into a datatype able to be used in extensions.
Brian had already replied with the comment to consider using HealthcareService, with an example covering their situation. We decided to leave it as is and await feedback on the suggestion.

13599 Code for "Common Law" is missing in MaritalStatus ValueSet
This issue was withdrawn by the submitter

10234/13391 Locations should be able to include the shape (geocoded) of its physical boundry
Brian will review alternatives, and prepare a proposal for a standard extension and will socialize it through the FHIR chat (zulip) before bringing back to PA for inclusion.

13604 Add 'nursepractitioner' to the PractitionerRole value set.
This valueset is an example binding, and thus can be substituted for localized definitions.
This concept is already in the valueset as “nurse”
Some of us have received feedback that example binding is difficult to discover/interpret in the spec.

This valueset is only an example binding, and is not intended to contain an exhaustive set of values, but some guidance as to the type of values.
Many jurisdictions call this "nursepractitioner" concept different things, and have different granularities to this. Hence creating the standard valueset internationally is more difficult, and we would expect jurisdictions to profile in an appropriate valueset.
We also discussed changing over to this valueset: https://www.hl7.org/fhir/valueset-performer-role.html
We also wonder is the concept you are referring to Practice Nurse from SNOMED 159002008 (or 1 of the other 90 nurse types)

Action Item: Investigate if this valueset would satisfy their need, and also if we could change to the suggested performer role valueset would impact harmonization.

Next Meeting/Preliminary Agenda Items
  • Next telecom meeting: Tuesday 17.07.25


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