Clinician on FHIR - January 2017, San Antonio
Back to: Patient Care
Return to: FHIR Clinical Resources - PCWG
Return to: Clinicians on FHIR
Return to: Clinician on FHIR 2017
Introduction
The January 2017 Clinician-on-FHIR event will be hosted on Friday January 20, 2017.
Weekly preparatory conference calls are being hosted on Tuesdays at 5:00 - 6:00 pm US Eastern.
First Clinician-on-FHIR call starts: Tuesday October 4, 2016
Conference call details: please see HL7 email broadcast
Planning
Master Plan for Baltimore Clinicians on FHIR - January 2017 - draft - date: 2016-10-25
Tracks to be addressed
- Allergy/Intolerance and Adverse Reaction
- Family Member History - Clinical Genomics
- Clinical documentation:
- - Past Medical History
- Emergency care, covering:
- - Condition
- - Procedure
- - Referral Request
- Medication
- Diagnostic Request, Report and Observation
- Care Plan, covering:
- - Instruction
- - Care Team
Goal = create at least one (or more if possible) meaningful example(s) (actual JSON resource instance) for each FHIR resource otherwise the limitation of the FHIR resource is identified.
Planning Notes for Each Track
Seven tracks have been identified for the January 2017 Clinician-on-FHIR event.
Care Plan
- For discussion on: 01 November 2016 conference call
Track lead/co-leads:
- - Laura
- - Emma
Scope:
- - To include: Instruction, Care Team
Goals/Objectives
- - What is the best way to do instruction?
- Communication does not seem to meet the needs of what is needed (demonstrate why. meta data? what is missing).
- Careplan.activity.... does not seem to mee the needs (demonstrate why, what is missing?)
- Use the list resource and list them as text (why does this work or why not?)
Lessons from previous Clinician-on-FHIR
Use cases / Scenarios
- - define what is meant by instruction
- Discharge instruction (Take this med, get this follow up, follow this activity or diet)
- First set (MU)
- -a. Diet: Diabetic low salt diet
- -b. Medications: Take prescribed medications as advised.
- -c. Appointments: Schedule an appointment with Dr Seven after 1 week. Follow up with Outpatient facility for Immunosuppression treatment.
- -d. For Fever of > 101.5 F, or onset of chest pain/breathlessness contact Emergency.
- Second Set (MU)
- -a. Appointments: Schedule an appointment with Dr Seven after 1 week. Follow up with Outpatient facility.
- -b. In case of fever, take Tylenol as advised in plan of treatment.
- Vaccine Instruction
- Care activity instruction
- Fellow provider instruction - (See slide deck) (Instruction to pharmacy)
- Post procedure protocol instruction (post CABG instructions to patient (the full written page of instructions), post colonoscopy intsruction sheet)
- Goals - MU allows text only.
- -a. Get rid of intermittent fever that is occurring every few weeks.
- -b. Need to gain more energy to do regular activities
- -"c. Negotiated Goal for Body Temperature
LOINC 8310-5 98-99 degrees Fahrenheit Date-6/22/2015 Related problem: 386661006 SNOMED-CT Fever (finding) 6/22/2015 – Start Date Active "
- Health Status evaluation outcomes -
- -"a. Outcome Observation #1:
- -i. Refers to Goal Observation for Weight
- -ii. Refers to the Intervention Act #1
- -iii. Progress Towards Goal of Weight – Goal Not Achieved as of 6/22/2015"
- -"b. Outcome Observation #2:
- -i. Refers to Goal Observation for Body Temperature
- -ii. Refers to Intervention Act #2
- -iii. Progress Towards Goal of Body Temperature – Goal Achieved as of 6/24/2015"
NEED SCENARIOS for CARE TEAM
Processes
Allergy/Intolerance and Adverse Reaction
- For discussion on: 8 November 2016 conference call
Track lead/co-leads:
- - Russ
- - Elaine
- - Rob
Goals/Objectives
Lessons from previous Clinician-on-FHIR
Use cases / Scenarios
Processes
Clinical documentation
- For discussion on: 22 November 2016 conference call
Track lead/co-leads:
- - Russ
- - Emma
- - Stephen (tentative)
Scope
- - to cover Past Medical History
Goals/Objectives
Lessons from previous Clinician-on-FHIR
Use cases / Scenarios
Processes
Emergency care
- For discussion on: 29 November 2016 conference call
Track lead/co-leads:
- - Jim
- - Laura
Scope
- To include: Condition, Procedure, Referral Request
Goals/Objectives
Lessons from previous Clinician-on-FHIR
Use cases / Scenarios
Processes
Medication
- For discussion on: 6 December 2016 conference call
Track lead/co-leads:
- - Melva
- - John Hatem
Scope:
- - To include: Medication, Medication Order, Medication Dispense, Medication Administration, Medication Statement
Goals/Objectives
Lessons from previous Clinician-on-FHIR
Use cases / Scenarios
Processes
Diagnostic Request, Report and Observation
- For discussion on: 13 December 2016 conference call
Track lead/co-leads:
- - Rob
Goals/Objectives
Lessons from previous Clinician-on-FHIR
Use cases / Scenarios
Processes
Family Member History
- For discussion on: 20 December 2016 conference call
Track lead/co-leads:
- - Grant Wood
- - Gil Alterovitz
Scope:
- - To include clinical genomics
Goals/Objectives
Lessons from previous Clinician-on-FHIR
Use cases / Scenarios
Processes
ClinFHIR Tool Review
- Date: 3 January 2017 Conference call
- Details - TBA
Technical Connectathon
The HSSP community is running a project, which is a FHIR based Care Coordination Service.
The project:
- plans to define services and profiles that allow care coordination across clinical teams for a patient (e.g. manage teams, care plans, etc) - expects to use FHIR resources, profiles, operations etc to define a "Care Coordination Service" - has use cases, and some preliminary architecture - plans to hold a connectathon track at the January meeting - is working towards an initial submission date of Feb 2017, and is being lead by AllScripts
The project is seeking participation from the FHIR community, including all those that are already working on (or have in production) solutions around coordinated care, both inside USA and outside as well.
A proposal has been initiated for a Care Plan track to be run at the Jan FHIR connectathon (technical connectathon) that would focus on testing CarePlan, CareTeam, and Goal. And any any profiles that are available or proposed at that time, e.g. US-Core profiles and the IHE Dynamic Care Plan IG.
More details about the proposal can be found at this link:
http://wiki.hl7.org/index.php?title=201701_Care_Plan
Resource subscription function may be useful in care planning collaboration:
http://wiki.hl7.org/index.php?title=201701_Resource_Subscription_Track
