Chair: Stan Huff

Scribe: Stan Huff







Susan MatneyIntermountain

Reed Gelzer

Nathan DavisIntermountain

Paul Seville

Kurt AllenEir Solutions

Stan HuffIntermountain

Minutes Approved as Presented 


The detail proposed agenda is:

  • Record this call
  • Agenda review
  • Meeting with AMA, discussion about device vs. measurementDeviceExt - Nathan Davis
    • Suggested solution for now
      • Need a codeable device and the observation.device (reference). This will be available as a choice in R5.
      • We can precoordinate device and qualifiers (e.g. manual with adult cuff)
    • We can make corrections as new use cases might require
  • Call schedule
    • Do we want to cancel on March 12 (HIMSS)?
      • We will keep the meeting for now
  • Planning for upcoming ballots
  • Discussion about Connectathons - Susan Matney
    • Planning for May Connectathon: Vital signs, Wound assessment
    • Questions for HL7
      • Do we need to test all attributes in the resource or profile?
    • Besides knowing the structure is appropriate we need have some way of verifying that the clinical content covers the domain of interest
  • Updates on a number of different fronts - Kurt and Richard
    • Have made good progress on the high level model (template) for things like breast radiology, anatomic pathology, etc.
    • Mark - may want to use abstract profile for some items (take up this topic in some "next" meeting)
      • Quantitative lab, coded lab, panel, etc. (helper labs, patterns)
      • Also show examples of specific patterns
      • Also show the tables for detailed content
    • Next week we will do a deep dive on high level structures - Richard and Kurt
  • Review of CIMI sessions at Sydney
    • Orders and Observations
      • FHIR Body Site Data Type -,2020-Q3.1
        • Motion to recommend to FHIR-I create an Anatomical Location Data Type that enables post coordinated body locations documentation an establish an approach that enables consistent use of pre- and post-coordinated strategies given observation is normative by Stan Huff, Loraine Constable
        • Next steps: Reach out to Patient Care and CDS to add it to procedure, Condition, etc. to the list.
      • CIMI discussion 20 Feb 2020
        • Separate the need for Anatomical Location DT from when to use it versus BodyStructure
        • We (CIMI) need to join the O&O sessions where this will be discussed
        • Susan will review the openEHR implementation of anatomic location
    • Lunch meeting with FHIR-I
      • New interpretation of use of SNOMED (or other proprietary terminologies) and International IGs
        • Meaning of concepts defined by reference to SNOMED, but use of local codes with the same meaning would be considered as compliant
        • Define a “SNOMED realm” – all the countries that have licenses for SNOMED
          • We should do this also (second choice)
        • Add needed items to the “free use” SNOMED list (first choice)
          • Susan will send concepts to Grahame to add
        • CIMI discussion 20 Feb 2020
          • Issue of using SNOMED CT codes in international 
            • * if the IG requires the use of SNOMED CT to conform to it, then it must be published by realm with a SNOMED CT license, or the concepts must be licensed for free use for all applicable implementers.

      • How can CIMI be of most value to the FHIR community?
        • Problem – many domain specific IGs
          • Proposal
            • CIMI review and vote on IGs to make them as consistent as possible
            • Enumerate high level patterns for people to use
      • Process for reuse of FHIR profiles in IGs – openEHR and Intermountain experience
        • People should specify what “type” of IG they are using – domain, exchange, etc.
        • Additional option: put all profiles in a library and “#include” the profiles in the implementation guides. All profiles are in one place and can be easily indexed. Usage information can also be included.  For further discussion.
  • Strategy for what content to ballot, all models, or just important patterns? - Stan Huff
  • "Mixins" or "Fragments" that would be common building blocks for provenance, roles, participations, etc.
  • Any other business

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HL7 CIMI Planning and Oversight meeting

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