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20171019 OO FHIR conCall

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HL7 OO on FHIR (for Orders and Observations)

Call in details:
Phone: +1 770-657-9270, Passcode: 398652

Join the meeting at:
https://join.me/vernetzt.us

Date: 2017/10/19
2015 - 02:00 PM (Eastern Time, GMT -04 DST)
Quorum = chair + 4 no


scope="col" Co chairs Chair Notetaker
Riki Merrick
Rob Hausam
Lorraine Constable
Patrick Lloyd
KD Nolan
Hans Buitendijk


Attendees
X Eric Haas
Riki Merrick
Jose Costa-Teixeira
Dan Rutz
Jonathan Harber
David Burgess
Lloyd McKenzie
Rob Hausam
Andrea Pitkus
Francois Marcary
Robert Dieterle
Brian Reinhold
John Rhoads
KD Nolan
Ben Atkinson
Elaine Ayeres
Lindsey Hoggle
Karen Nocera
James Allain
Marti Velezis
Margaret Dittloff
Bob Milius

  • Roll Call


Agenda

Trackers

Reopen

9433 Observation.issued and DiagnosticReport.issued (Priority:9) Vote is invalid 13630 Follow-up ProcedureRequest and Procedures (Priority:9) Vote is invalid 13838 extension-event-performerrole description vs value set - I tried to apply and realized the definition of Observation.performer did not mesh with decision.


Vitals Profile
  • 13801 Vital signs profiles - Body Height (Ardon Toonstra) None
  • 13652 Observation requires Vital Signs Profile support which requires LOINC%2C which is too strict (Erik Moll) Not Persuasive In Person
  • 13964 add system as code discriminator to Vitals profiles (Eric Haas) Persuasive
  • 14037 move constraint on related from vitals-profile to vitals-panel (Eric Haas) Persuasive
Workflow Related
  • 11217 Thoughts on combining SupplyRequest%2C DeviceUseRequest and VisionPrescription - 2016-09 core %23371 (Riki Merrick) Considered for Future Use
  • 14038 how to represent add-ons (Eric Haas) None
New Profiles
  • 12913 Create a profile for %22Patient characteristics%22 (Lloyd McKenzie) None
  • 13938 Add phsyical activity profiles like vitals (Harri Honko) None


Media Related
  • 13347 Media should be allowed as an alternative to Observations (Elliot Silver) None
  • 13562 DiagnosticReport.image incorrectly named (Elliot Silver) None
  • 14034 Should be able to reference imaging for derived observations (Elliot Silver) Not Persuasive
Observation
  • 10118 review .related.type codes (Eric Haas) None
  • 13144 Add Core extension to identfy Personal HealthCare Device (Eric Haas) None
  • 14031 Clarify Observation Grouping guidance when dealing with a multi-select answer%2Fvalue (Michelle Miller) Persuasive
  • 14036 Observation needs non-patient-centric examples (Lloyd McKenzie) Persuasive
  • 13318 Observation example for findings%2Fsigns%2Fsymptoms (Michelle Miller) Persuasive with Mod


SeviceRequest
  • 12966 ProcedureRequest - add DosageInstructions or Quantity (Jamie Hignite) None
  • 14002 Support for codified ProcedureRequest.supportingInfo (Michelle Miller) Not Persuasive
  • 13868 category missing valueset binding (Eric Haas) Persuasive


QA

QA criteria link: http://wiki.hl7.org/index.php?title=FHIR_Conformance_QA_Criteria#StructureDefinition_-_Resource_definition

1. a) OK

1. b) Media is Imaging Study

1. c) don't use for other events such MedAdmin that been defined resources

1. d) Ask about where it should be defined have definition but not in introduction


2. a) add more component per tracker -add example for core characteristics and physical activity (steps or sleep)* note where overlap with condition - e.g Preg Obs

b) fix links from xml to html in example_csv

3. a) RIM Rob take a look - lower priority

b) review mappings

4. a) follow up with Lloyd on whether FHIR code systems need to be V3 for codeable as he asserted

   also follow up on NINF and PINF definitions with devices for data absent reason.  (check in IEEE spec Swapna?)


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