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2018-04-18 Learning Health Systems Call

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Facilitator Russell Leftwich Note taker(s) Emma Jones
Attendee Name Affiliation

X Russell Leftwich InterSystems
John Roberts Tennessee Department of Health
X Stephen Chu Individual
X Evelyn Gallego ONC
Kathy Walsh LabCorp
Asim Muhammad Philips Research Europe
Laura Heermann-Langford Intermountain Healthcare
X Emma Jones Allscripts
Jeff Brown Cancerlinq
Lisa Nelson Individual
Dave Carlson VA
X Chris Melo Phillips Healthcare
Michelle Miller Cerner
Benjamin Kummer Columbia University
Matt Rhan
Michael Padula
Joseph Quinn
Thomson Kuhn
Rob Hausum
Serafina Versaggi VA
Ann Whiz
Kathleen Conner
Bridget McCabe
Lisa Gonzalez
Bridget Burke
X Claude Nanjo


  • Chair: Russell Leftwich
  • Scribe: Emma Jones
  • Motion to approve the following meeting minutes
    • April 4 call minutes: Emma moved , Claude second:
    • April 11 call minutes: Emma moved , Chris second: (update with Chris)

Agenda Other business CIMI Modeling

Next Steps

  • plan for bollot after the WGM
  • Look at the Care Team members in FHIR resources and identify gaps for modeling purposes.
    • Suggestion to do this after a few ballot rounds - anticipate push back from FHIR-I team.
    • This is part of the requirements gathering phase. Comparing FHIR to the requirements to determine how well FHIR represented the requirements. Agreement with this approach
    • Before approaching FHIR look at the logical model that address the requirements
    • 80/20 - the 80% should include systems that are not "EHR". Would be interested in systems that are not EHRs would have in those systems - representation of care team members.
      • Medicaid systems - have care team members listed somehow to be able to coordinate across organizations.
    • Also need to look at what systems may not be doing that they should be doing. The problem will be having access to people who have access to these systems.
    • Resource allocation and staffing should be part of the care team DAM
  • Gaps in FHIR Care Team
    • Communication and consent to support back-up coverage. Back-up is a concept in the eLTSS use case

CIMI Modeling

  • Requirement Discussion
    • Communication requirements
  • See Questions about Requirements
  • Suggestion not to consider machines as care team member (i.e. AI)
  • Requirement to consider - Coverage protocol - when transfer from one physician to another. Does the transfer cause an impact to the care team resource itself.