Quarter: Q3 - 1:45-3:00
Minutes Approved as Presented
SCRIBE: James McClay
This is to approve minutes via general consent. "You have received the minutes. Are there any corrections to the minutes? (pause) Hearing none, if there are no objections, the minutes are approved as printed."
Framework of Frameworks: All things Registries
|45 min||CREDS Project|
Project with ACC, CRISP as an ONC LEAP Grant
Operating as the FHIR Interop experts.
Update existing registry work for an IG - Women's Health Registry
Submission to ACC registries -
Chief challenge - accessing distributed patient data for inclusion in registry.
Could get data through CareEquality-CommonWell or from Epic API.
Can map to a different data model in CREDS - with map to FHIR USCDI, CDA templates, V2
Implementer can get data in C-CDA format - therefore input can come from multiple formats and multiple sources (FHIR, V2, CDA). Then go through and find elements matching data with FHIRpath
David Pyke points out that data isn't really accessible - lots of question/answer - yes, no.
Are they on a new medication? requires review of all medication records and interpretation.
ACC has a problem. They cannot ingest FHIR (except the patient resource). There data model is built around human judgements. 5% of questions cannot be queried.
CPT being closed is a challenge.
ONC (Grantee) requires results go through Ballot
|45 Min||MedMorph||Maria Michaels|
See Presentation: Improve availability of EHR data for research and Public Health
MedMorph Architectural and information flow Diagram - Published in JAMIA 2021
Wrapping up (technically in production is eCR (electronic Case Reporting) - First EHR Vendor is Cerner
(Check out eCR FHIR App)
Current MedMorph Content IG Ballots