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20171026 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:

Date: 2017/10/26
2015 - 02:00 PM (Eastern Time, GMT -04 DST)
Quorum = chair + 4 yes

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

X Eric Haas
Riki Merrick
X Jose Costa-Teixeira
X Dan Rutz
X Rob Hausam
X Andrea Pitkus
X Kirk Schaper
X Ron van Duyne
X Diego Lopez
X Elliot Silver
X Elliott Silver

  • Roll Call


From last time
This time

1) address the Media issues as well as GF#10118 (related types) and GF#14034, GF#13347 - I explain a proposed solution in Zulip with pictures!! see if we can at least move forward to put in the draft for comment Ballot as trial balloons with a note to ballotters for comments

  • looked over and ready for discussion in Jt call next hour see that summary
  • ready for discussion and vote in OO
  • discussion to add PartOf from extension to inline element porposed will adding tracker and include as a substantive change with note to ballotters

2) Using Codes : GF#13318 - add the proposed text to the notes section. (with some minor edits) and see if we can at least move forward to put in the draft for comment Ballot as trial balloons with a note to ballotters for comments.

  • looked over and ready for discussion and vote in OO

3) Clarify Observation Grouping guidance when dealing with a multi-select answer/value 14034

  • preapplied and ready to discuss :
  • voted and approved but I lost the minutes so will need to revote next week OO call.

4) Lloyd's new request to GF#10471 to add a paragraph about CG in both Observation and DR ( not not why we need to do it twice twice)

  • looked over and ready for next weeks vote in OO

Trackers sorted by topic

Vitals Profile

(reviewing with Argonaut Community as well since tied to USCore)

  • 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
  • 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
    • Bring to OO meeting for vote as is and get comments in ballot.
  • 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 criteria link:

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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