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Difference between revisions of "2017-08-24 Patient Care FHIR Call"

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|colspan="2"| VA
 
|colspan="2"| VA
 
|-
 
|-
| || Stephen Chu
+
| X || Stephen Chu
 
|colspan="2"| The Australian Digital Health Agency (ADHA)
 
|colspan="2"| The Australian Digital Health Agency (ADHA)
 
|-
 
|-
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|colspan="2"| EMI Advisors LLC
 
|colspan="2"| EMI Advisors LLC
 
|-
 
|-
| || Eric Haas
+
| X|| Eric Haas
 
|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
 
|-
 
|-
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|colspan="2"| Optum 360
 
|colspan="2"| Optum 360
 
|-
 
|-
| || Jay Lyle
+
|X || Jay Lyle
 
|colspan="2"| Ockham Information Services LLC, VA
 
|colspan="2"| Ockham Information Services LLC, VA
 
|-
 
|-
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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"| 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 [[2017-08-17_Patient_Care_FHIR_Call]]
 
#Approve previous meeting minutes [[2017-08-17_Patient_Care_FHIR_Call]]
#*'''Motion:''' <moved>/<seconded>
+
#*'''Motion:''' Stephen/Jay
 
#Prior Action Item Follow-up   
 
#Prior Action Item Follow-up   
 
# gForge change request
 
# gForge change request
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=== gForge Change Requests ===
 
=== gForge Change Requests ===
Ready to Discuss
+
Discussion, no vote:
 
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13705 GF#13705] Communication.topic and CommunicationRequest.topic underdefined and overlap with .reasonRequest
 
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13705 GF#13705] Communication.topic and CommunicationRequest.topic underdefined and overlap with .reasonRequest
 
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13743 GF13743] Add AllergyIntolerance, Observation, RiskAssessment, and List to CarePlan.addresses
 
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13743 GF13743] Add AllergyIntolerance, Observation, RiskAssessment, and List to CarePlan.addresses
 +
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12509 GF#12509] CareTeam participant (Michelle Miller)
 +
  
 +
Patient Care WGM agenda: [[PC_Sept_2017_WGM]]
 +
<br>
 +
WGM - Tues Q2
 +
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13705 GF#13705] Communication.topic and CommunicationRequest.topic underdefined and overlap with .reasonRequest
  
WGM:  Joint discussion with Pharmacy, OO
+
WGM:  Joint discussion with CarePlan stakeholders -- Thurs Q1
 +
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13743 GF13743] Add AllergyIntolerance, Observation, RiskAssessment, and List to CarePlan.addresses
 +
 
 +
WGM:  Joint discussion with Pharmacy, OO - Wed Q3
 
* [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
 +
 +
WGM: Joint discussion with SD - Thurs Q2
 
* [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) -  
 
* [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
 
** https://chat.fhir.org/#narrow/stream/implementers/topic/ClinicalImpression
** PC, SD - possibly Thurs Q2
 
* Patient Care WGM agenda: [[PC_Sept_2017_WGM]]
 
  
 +
WGM:  Joint discussion with BR&R - Thurs Q3
 +
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13302 GF#13302] Vocabulary issues with AdverseEvent
 +
* [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=13698 GF#13698] AdverseEvent.suspectedEntity.instance should allow CodeableConcept
 +
* [https://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
 +
<br>
 
Medium Backlog
 
Medium Backlog
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12509 GF#12509] CareTeam participant (Michelle Miller)  
 
* [http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=12509 GF#12509] CareTeam participant (Michelle Miller)  
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** pending SNOMED proposal: https://confluence.ihtsdotools.org/display/cmag/Care+plans
 
** pending SNOMED proposal: https://confluence.ihtsdotools.org/display/cmag/Care+plans
 
** Rob said he would follow up on the status of the SNOMED proposal
 
** Rob said he would follow up on the status of the SNOMED proposal
 
+
<br>
 
Low Backlog
 
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)  
 
* [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)  
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=== Adjourn ===
 
=== Adjourn ===
Adjourned at <hh:mm am/pm> <timezone>.
+
Adjourned at 6:00 Eastern
  
 
==Meeting Outcomes==
 
==Meeting Outcomes==

Latest revision as of 22:02, 24 August 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: 2017-08-24
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
Dave Carlson VA
X Stephen Chu The Australian Digital Health Agency (ADHA)
Evelyn Gallego EMI Advisors LLC
X Eric Haas Haas Consulting
X Rob Hausam Hausam Consulting LLC
X Laura Heermann-Langford Intermountain Healthcare
X Emma Jones Allscripts
Russ Leftwich InterSystems
Tony Little Optum 360
X 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
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 2017-08-17_Patient_Care_FHIR_Call
    • Motion: Stephen/Jay
  3. Prior Action Item Follow-up
  4. gForge change request

Supporting Information

Minutes

Prior Action Item Follow-up

gForge Change Requests

Discussion, no vote:

  • GF#13705 Communication.topic and CommunicationRequest.topic underdefined and overlap with .reasonRequest
  • GF13743 Add AllergyIntolerance, Observation, RiskAssessment, and List to CarePlan.addresses
  • GF#12509 CareTeam participant (Michelle Miller)


Patient Care WGM agenda: PC_Sept_2017_WGM
WGM - Tues Q2

  • GF#13705 Communication.topic and CommunicationRequest.topic underdefined and overlap with .reasonRequest

WGM: Joint discussion with CarePlan stakeholders -- Thurs Q1

  • GF13743 Add AllergyIntolerance, Observation, RiskAssessment, and List to CarePlan.addresses

WGM: Joint discussion with Pharmacy, OO - Wed Q3

  • GF#12673 How to handle HCT/TP
  • GF#12993 Please Create a NonMedicationAdministration object or an Administration object
  • GF#13047 Add DosageInstructions to Procedure

WGM: Joint discussion with SD - Thurs Q2

WGM: Joint discussion with BR&R - Thurs Q3

  • GF#13302 Vocabulary issues with AdverseEvent
  • GF#13698 AdverseEvent.suspectedEntity.instance should allow CodeableConcept
  • GF#11021 Increase cardinality of substance and make certainty relation to substance, not reaction - 2016-09 core #40


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

Adjourn

Adjourned at 6:00 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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