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2017-10-12 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

Date: 2017-10-12
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
Dave Carlson VA
Stephen Chu The Australian Digital Health Agency (ADHA)
Evelyn Gallego EMI Advisors LLC
Eric Haas Health eData Inc
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
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
Mike Padula The Children's Hospital of Philadelphia
Craig Parker Intermountain Healthcare
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 Topics

  1. Agenda review
  2. Approve previous meeting minutes 2017-10-05_Patient_Care_FHIR_Call
    • Motion: <moved>/<seconded>
  3. Prior Action Item Follow-up
  4. gForge change request

Supporting Information


High Priority Resources (AlleryIntolerance, Condition, Procedure)


  • QA 4d. value set should include unknown when minOccurs=1 - AllergyIntolerance.clinicalStatus has invariant that requires it, but it doesn't have unknown -- (similar to tracker we resolved last week for AllergyIntolerance.verificationStatus GF#13997)
  • GF#14007 QA 5e. W5 mappings - AllergyIntolerance.asserter = w5 who.source whereas Condition.asserter = w5
    • Similar to questions on how to map AllergyIntolerance.assertedDate = IAM-20 (Statused at Date/Time) or IAM-13 (Reported Date/Time)?
    • AllergyIntolerance.assertedDate says "The date on which the existance of the AllergyIntolerance was first asserted or acknowledged" as well as "Date record was believed accurate"
    • AllergyIntolerance.asserter says "The source of the information about the allergy that is recorded"

Condition -- focus for next week

  • GF#13980 condition-related extension cardinality should be 0..* (pre-applied)
  • QA 4a. Condition.category is CodeableConcept with FHIR-defined value set - related to past GF#11091
  • revisit GF#13026 Condition.clinicalStatus
  • QA 4d. value set should include unknown when minOccurs=1 - Condition.clinicalStatus has invariant that requires it, but it doesn't have unknown

Procedure -- backlog

  • GF#13974 Purpose of Procedure.reasonCode vs. Procedure.reasonReference (Ioana Singureanu)
  • GF#13975 Procedure.reasonReference description is incomplete (Ioana Singureanu)
  • GF#13976 Procedure.focalDevice description is confusing (Ioana Singureanu)

gForge Change Requests


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

Meeting Outcomes

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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