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Difference between revisions of "2017-07-20 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
 
|-
 
|-
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|colspan="2"|
 
|colspan="2"|
 
|-
 
|-
−
|  || Stephen Chu
+
|X || Stephen Chu
 
|colspan="2"| The Australian Digital Health Agency (ADHA)
 
|colspan="2"| The Australian Digital Health Agency (ADHA)
 +
|-
 +
| X || Dave Carlson
 +
|colspan="2"| VA
 
|-
 
|-
 
| || Evelyn Gallego
 
| || Evelyn Gallego
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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
 
|-
 
|-
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|colspan="2"| InterSystems
 
|colspan="2"| InterSystems
 
|-
 
|-
−
| || Tony Little
+
| X || Tony Little
 
|colspan="2"| Optum 360
 
|colspan="2"| Optum 360
 
|-
 
|-
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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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|colspan="2"| Cognosante
 
|colspan="2"| Cognosante
 
|-
 
|-
−
| || Mike Padula
+
| X|| Mike Padula
 
|colspan="2"|  The Children's Hospital of Philadelphia
 
|colspan="2"|  The Children's Hospital of Philadelphia
 
|-
 
|-
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|colspan="2"| Intermountain Healthcare
 
|colspan="2"| Intermountain Healthcare
 
|-
 
|-
−
| || Joe Quinn
+
|X || Joe Quinn
 
|colspan="2"| Optum
 
|colspan="2"| Optum
 
|-
 
|-
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#Agenda review
 
#Agenda review
 
#Approve previous meeting minutes [[2017-07-13_Patient_Care_FHIR_Call]] and [[2017-07-17_Patient_Care_FHIR_Call]]
 
#Approve previous meeting minutes [[2017-07-13_Patient_Care_FHIR_Call]] and [[2017-07-17_Patient_Care_FHIR_Call]]
−
#*'''Motion:''' <moved>/<seconded>
+
#*'''Motion:''' Joe/Mike
 
#Prior Action Item Follow-up   
 
#Prior Action Item Follow-up   
 
# gForge change request
 
# gForge change request
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=== Prior Action Item Follow-up ===
 
=== Prior Action Item Follow-up ===
 +
* Elaine is still working on date for AdverseEvent joint call with BR&R
 +
* There are a couple more trackers related to AdverseEvent
  
 
=== gForge Change Requests ===
 
=== gForge Change Requests ===
−
Backlog (ran out of time):
+
 
 +
Prioritization of backlog was discussed today as well as discussion (no resolution) on ballot comment [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10621 GF#10621]
 +
 
 +
High Backlog
 
* [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 (ballot)
 
* [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 (ballot)
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10352 GF#10352] CHange Encounter or annd element to remove referencial limitation to on Encounters (Paul Knapp)
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11021 GF#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=12163 GF#12163] Update payload URL to lead to a real file (Guillaume Rossignol)
  
−
WGM
+
Medium Backlog
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12509 GF#12509] CareTeam participant (Michelle Miller)
 +
** Feedback from LHS, and LHS continues to meet and discuss
 +
** CareTeam.participant.role (existing) 0..* - need to update definition of role (since it mentions responsibility) Example: PCP - close to finalizing the value set
 +
** CareTeam.participant.function 0..* (new) - Example: PT, Wound Care - close to finalizing the value set
 +
** CareTeam.participant.specialty is no longer needed -- instead, get from Practitioner
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12633 GF#12633] Split Procedure into Procedure and ProcedureStatement (Lloyd McKenzie)
 +
** Zulip chat asking for implementer feedback:  https://chat.fhir.org/#narrow/stream/implementers/topic/Procedure.20vs.20ProcedureStatement
 +
** Dave commented that there is relevance for ProcedureStatement in context of CarePlan activities (Activity Statements where the activity is a procedure)
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=10028 GF#10028] Careplan: Provide ability to specify patient and/or provider preferences (Emma Jones)
 +
** meet need with a profile for preference on the observation resource.  Requirements are a preference category (nutrition, medication, care), the preference priority (high/medium/delayed from C-CDA) and with elements of expressor and recorder. 
 +
** This profile would not be developed for this release cycle
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13140 GF#13140] logical definition of care-plan-category value set may require realignment with SCT changes (Matthew Cordell)
 +
** pending SNOMED proposal: https://confluence.ihtsdotools.org/display/cmag/Care+plans
 +
** Rob said he would follow up on the status of the SNOMED proposal
 +
 
 +
Low Backlog
 +
* [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 (Michelle Miller)
 +
** ClinicalImpression is not mature enough to resolve this issue.  Ask MnM for an exemption on the QA checklist (re: Condition having a circular reference with ClinicalImpression)
 +
** Add note: "A known issue exists with circular references between Condition and ClinicalImpression, which is due to the low maturity level of ClinicalImpression. The Patient Care work group intends to address this issue when ClinicalImpression is considered substantially complete and ready for implementation"
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=11173 GF#11173] CarePlan needs support for reviews - 2016-09 core #327 (Stephen Chu)
 +
** Tracking of reviews and plans for reviews is something that applies to many resources, not just CarePlan (e.g. protocols, standing orders, long term care admissions, etc.).  This is something probably best handled by "Task" but will require a fair bit of analysis and discussion with other work groups to agree on approach.  Defer to R4. Consider transfer to OO who owns Task
 +
 
 +
 
 +
Joint discussion on Aug 10 + WGM
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12673 GF#12673] How to handle HCT/TP
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12673 GF#12673] How to handle HCT/TP
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12993 GF#12993] Please Create a NonMedicationAdministration object or an Administration object
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12993 GF#12993] Please Create a NonMedicationAdministration object or an Administration object
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13047 GF#13047] Add DosageInstructions to Procedure
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13047 GF#13047] Add DosageInstructions to Procedure
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12676 GF#12676] Guidance request for GP SOAP in FHIR (Alexander Henket) -
 +
** https://chat.fhir.org/#narrow/stream/implementers/topic/ClinicalImpression
 +
** PC, SD - possibly Thurs Q2
 +
 +
Patient Care WGM agenda: [[PC_Sept_2017_WGM]]
  
 
=== Adjourn ===
 
=== Adjourn ===
−
Adjourned at <hh:mm am/pm> <timezone>.
+
Adjourned at 6:30pm Eastern
  
 
==Meeting Outcomes==
 
==Meeting Outcomes==
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| width="100%" align="left" style="background:#f0f0f0;"|'''Actions''' ''
 
| width="100%" align="left" style="background:#f0f0f0;"|'''Actions''' ''
 
   
 
   
−
*
+
* Aug 10 - transfusion joint call with OO/Pharm/PC
 +
* Elaine working on date for AdverseEvent joint call with BR&R
  
 
|-
 
|-

Latest revision as of 22:34, 20 July 2017



Meeting Information

Patient Care FHIR Resources Conference Call

Location: Conference Call
Phone Number: +1 770-657-9270
Participant Passcode: 943377
WebEx: https://cernermeeting.webex.com/join/michelle.m.miller

Date: 2017-07-20
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
Pushpalatha Bhat
X Stephen Chu The Australian Digital Health Agency (ADHA)
X Dave Carlson VA
Evelyn Gallego EMI Advisors LLC
Eric Haas Haas Consulting
X Rob Hausam Hausam Consulting LLC
X Laura Heermann-Langford Intermountain Healthcare
Emma Jones Allscripts
Russ Leftwich InterSystems
X Tony Little Optum 360
Jay Lyle Ockham Information Services LLC, VA
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
X Mike Padula The Children's Hospital of Philadelphia
Craig Parker Intermountain Healthcare
X Joe Quinn Optum
Simon Sum Academy of Nutrition and Dietetics
Iona Thraen Dept of Veterans Affairs
Serafina Versaggi Dept of Veterans Affairs
Quorum Requirements Met: yes

Agenda

Agenda Topics

  1. Agenda review
  2. Approve previous meeting minutes 2017-07-13_Patient_Care_FHIR_Call and 2017-07-17_Patient_Care_FHIR_Call
    • Motion: Joe/Mike
  3. Prior Action Item Follow-up
  4. gForge change request

Supporting Information

Minutes

Prior Action Item Follow-up

  • Elaine is still working on date for AdverseEvent joint call with BR&R
  • There are a couple more trackers related to AdverseEvent

gForge Change Requests

Prioritization of backlog was discussed today as well as discussion (no resolution) on ballot comment GF#10621

High Backlog

  • GF#10621 QA 4a: Consider whether CarePlan.activity.detail.category should be bound to an external code system (ballot)
  • GF#10352 CHange Encounter or annd element to remove referencial limitation to on Encounters (Paul Knapp)
  • GF#11021 Increase cardinality of substance and make certainty relation to substance not reaction - 2016-09 core #40 (Jay Lyle)
  • GF#12163 Update payload URL to lead to a real file (Guillaume Rossignol)

Medium Backlog

  • GF#12509 CareTeam participant (Michelle Miller)
    • Feedback from LHS, and LHS continues to meet and discuss
    • CareTeam.participant.role (existing) 0..* - need to update definition of role (since it mentions responsibility) Example: PCP - close to finalizing the value set
    • CareTeam.participant.function 0..* (new) - Example: PT, Wound Care - close to finalizing the value set
    • CareTeam.participant.specialty is no longer needed -- instead, get from Practitioner
  • GF#12633 Split Procedure into Procedure and ProcedureStatement (Lloyd McKenzie)
  • GF#10028 Careplan: Provide ability to specify patient and/or provider preferences (Emma Jones)
    • meet need with a profile for preference on the observation resource. Requirements are a preference category (nutrition, medication, care), the preference priority (high/medium/delayed from C-CDA) and with elements of expressor and recorder.
    • This profile would not be developed for this release cycle
  • GF#13140 logical definition of care-plan-category value set may require realignment with SCT changes (Matthew Cordell)

Low Backlog

  • GF#10635 QA 5a: Resource references exist in both directions for Condition and ClinicalImpression (Michelle Miller)
    • ClinicalImpression is not mature enough to resolve this issue. Ask MnM for an exemption on the QA checklist (re: Condition having a circular reference with ClinicalImpression)
    • Add note: "A known issue exists with circular references between Condition and ClinicalImpression, which is due to the low maturity level of ClinicalImpression. The Patient Care work group intends to address this issue when ClinicalImpression is considered substantially complete and ready for implementation"
  • GF#11173 CarePlan needs support for reviews - 2016-09 core #327 (Stephen Chu)
    • Tracking of reviews and plans for reviews is something that applies to many resources, not just CarePlan (e.g. protocols, standing orders, long term care admissions, etc.). This is something probably best handled by "Task" but will require a fair bit of analysis and discussion with other work groups to agree on approach. Defer to R4. Consider transfer to OO who owns Task


Joint discussion on Aug 10 + WGM

Patient Care WGM agenda: PC_Sept_2017_WGM

Adjourn

Adjourned at 6:30pm Eastern

Meeting Outcomes

Actions
  • Aug 10 - transfusion joint call with OO/Pharm/PC
  • Elaine working on date for AdverseEvent joint call with BR&R
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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