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Meeting Details
Date:
Time: 10AM ET
Coordinates: Join Zoom meeting: https://zoom.us/j/5100467805 | Meeting ID: 510 046 7805 | +1 929-436-2866-US (New York)
Attendees:
Marti Velezis (Sonrisa/FDA), Rob Hausam (Hausam Consulting), Michael Lingenfeldter (BAH/CDC), Kathy Walsh (Labcorp), Ana Szarfman (FDA), Annie Raval(CDC), Gelu Comanescu (CDC), Ralf Herzog (Roche), JD Nolen (Mercy Children’s Hospital), Riki Merrick (Vernetzt, LLC / APHL), Andrea Pitkus (UW)
Chair: Ralf Herzog
Scribe: Riki Merrick
- Quorum Met
AGENDA
- Workflow Topics
- JIRA Tickets
- AOB?
MEETING MINUTES
R5 Ballot JIRA Tickets
- Nutrition -
- Administrative
- FHIR-32294 - Does NutritionIntake resource exist?
- This issue has been applied since ballot comment
- Motion to find persuasive, pre-applied for R5, the resource exists now – Marti Velezis, Riki Merrick, no further discussion, against: 0, abstain: 0, in favor: 10
- FHIR-32294 - Does NutritionIntake resource exist?
- FHIR-33401 - How to store the nutrients of a nutrition administration?
- Similar to the request for BDP - this issue is on Procedure. This was sent to us by Patient Care b/c it is a Nutrition element.
- How do you document nutrition facts during procedure? This ticket was created before we had nutrition specific resources– need to review procedure and see, if all resources we would need for that as available for linking
- What use cases do we have?
- Bottle feeding, enteral feeding – would you really use procedure for this, or wouldn’t NutritionIntake cover this by itself
- partOf with reference to nutritionIntake?
- Or should we just tell PC to use NutritionIntake for those use cases where the main focus of the procedure is nutrition:
- Reassign to PC
- Made comment to use NutritionIntake where that is the main focus of the procedure – add that to the boundaries section
- Administrative
- FHIR-33390
- orderDetail has parameters
- This is a PC ticket, but it is related to other tickets:
- https://jira.hl7.org/browse/FHIR-33391
- https://jira.hl7.org/browse/FHIR-31584 -Examples 1 & 2 are lab AOEs and their values where you would need 1 focus with multiple parameters
- but may be in clinical notes, respiratory therapy notes/procedures too
- https://confluence.hl7.org/display/OO/2023-02-06+OO+-+HCP
- https://jira.hl7.org/browse/FHIR-32265
- Will you always have a parameterFocus?
- The focus is what helps you create the grouping of the orderDetail
- Will bring this to the HCP call on Monday next week (2/13/2023)
- UP-44
- V2 table has no suggested values, but in FHIR we have value set – drawn from NCBI Thesaurus, but that is US-centric for the base
- If we can add recommendations to a few code systems based on the region of us to a concept domain
- Can we just have example binding for the same value set used in FHR: http://build.fhir.org/valueset-device-safety.html
- EUDAMED handles some concepts differently (they are using these as safety, but in other places the same concepts are warnings)
- Needs to be dealt with before v2.9.1 is published, but can be after Feb 29th
- Move to HCP call
- Should we update the FHIR example value set to include NCI Thesaurus and EUDAMED and then point to it? – it seems to also need to get added to THO (currently only in the FHIR build)
Management
- Do we need to run the catalog call?
- Yes to do work on resolved tickets
- Do we need to run the catalog call?
Call adjourned 11:01 AM ET
From Chat:
- Szarfman@fda.hhs.gov 10:12 AM
- At one point, I would like to see how are the changes/improvements work for specific uses, in fully integrated processes
- Szarfman@fda.hhs.gov 10:12 AM
BELOW NOT DISCUSSED
- DiagnosticReport Examples / Parent-Child
- https://jira.hl7.org/browse/FHIR-39168 - Proposed draft language to implement the disposition:
- Critical JIRAs to resolve as well:
- To discuss Friday (agendas permitting) and/or at OO on FHIR next Tuesday.
Workflow Topics
- Pick up workflow work...