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20171129 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: 2017/11/29
2015 - 02:00 PM (Eastern Time, GMT -04 DST)
Quorum = chair + 4 no

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

X Eric Haas
Hans Buitendijk
Jose Costa-Teixeira
Dan Rutz
X Rob Hausam
Andrea Pitkus
Kirk Schaper
Marti Velezis
X Kathy Walsh
Elliot Silver

  • Roll Call


Trackers discussed and readied for vote on next week's call:

  • Observation: 14126
  • ServiceRequest: 14002 and 12966

See follow-up comments in trackers. (will create ClinFHIR models for participants to review prior to next week's OO call)


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
    • review with Argonaut/US Core Community
  • 13652 Observation requires Vital Signs Profile support which requires LOINC%2C which is too strict (Erik Moll) Not Persuasive In Person
    • outcome of LOINC/Device meeting - todo email Swapna
Workflow Related
  • 11217 Thoughts on combining SupplyRequest%2C DeviceUseRequest and VisionPrescription - 2016-09 core %23371 (Riki Merrick) Considered for Future Use
    • reached out to Lloyd for next steps :

"If we get SupplyRequest[sic] to the point where it can meet the need and we have an example, we can then suggest punting it to FM. If they disagree, we escalate to FMG" EH I think he meant DeviceRequest

New Profiles
  • 12913 Create a profile for %22Patient characteristics%22 (Lloyd McKenzie) None
    • Are we ready for this?
  • 13938 Add phsyical activity profiles like vitals (Harri Honko) None
    • See Harry's Finnish Profiles
Media Related
  • 13562 DiagnosticReport.image incorrectly named (Elliot Silver) None
  • 14126 Observation.related.type value set is closed, but not comprehensive (Mark Kramer) None
  • 12966 ProcedureRequest - add DosageInstructions or Quantity (Jamie Hignite) None
  • 14002 Support for codified ProcedureRequest.supportingInfo (Michelle Miller) Not Persuasive
  • 14038 how to represent add-ons (Eric Haas) None
    • Discussed - more an issue of using existing specimen or some existing thing since is a convenience for the client or practitioner rather than a reason as in a reflex or a follow-up based on earlier result. example: I forgot to order a Free T$ when ordering a bunch of tests. So I call ask to 'add-on" a free T4 so that a new sample does not have to be drawn. Hence reasonReference is not appropriate.
    • Next Step Eric to create a scenario and walk through the options....
Other =
  • 14142 ProcedureRequest -Harmonize DeviceUseStatement with MedicationStatement (Francois Marcary) None


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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