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Meeting Notes

• JIRA Tickets
  • DocumentReference 
    • FHIR-38634 - Raise DocumentReference to FMM 4
    • Applied disposition: Recommend that FMM4 as the changes have been part of use has resulted in the changes to the resource
    • Motion John Moehrke / Hans Buitendijk : 5-1-0
    • Move to Thursday Discussion/Vote
  • DiagnosticReport Narrative update (FHIR-34205, FHIR-34206, FHIR-34207) and they all can be done post R5 publication.  So did not reject them, just did not finish them as they are not part of R5 ballot.
  • FHIR-40263 - Remove basedOn and update relatesTo
    • Added comment for FHIR-I (Lloyd McKenzie ) that DocRef is following the Event pattern for basedOn to relatesTo w/Ref(RelatedArtifact).
    • Chat Question: We'll use DocRef/RelatedArtifact for the form we'll send along with the FHIR bundle when exchanging Portable Medical Orders.  Bridging the gap between paper and digital will require we deliver a familiar human-readable form in addition to the data contained in the FHIR bundle.  Is that a good use case for this ticket?  We don't think that RelatedArtifact should be used; and plan to keep this as is unless otherwise instructed by FHIR-I.
    • Need response from FHIR-I on following the pattern or making the change as proposed
  • FHIR-19250
    • Hans Buitendijk will draft for Thursday or Friday's call; we should get this done for R5 publication
    • US Core has language that we can use/modify: https://www.hl7.org/fhir/us/core/clinical-notes.html
      • DiagosticReport - discrete results in a structured format
      • DocRef is about scanned narrative, or existing document and non-discrete reporting (e.g., CCDA) 
      • Recognition that there is an overlap; and the consumer should expect both
      • Hans Buitendijk will draft for Thursday or Friday's call; we should get this done for R5 publication
    • Same issue as FHIR-25797 -Improve Boundary Definition for DiagnosticReport vs. DocumentReference
  • FHIR-24671 - Collaborate with SDWG to refine the value set used by DocumentReference.category
    • This category value set has been applied since this request was submitted; consider this pre-applied 
    • John Moehrke / Hans Buitendijk : 7-0-0
  • FHIR-39390 - Allow ObservationDefinition to be subject specific
    • Motion to find Not Persuasive
      • John Moehrke / Marti Velezis : 7-0-0
  • Looking for a new time for the OO on FHIR meetings as this time is difficult for some of the participants
    • Marti to include a link to a meeting poll on Thursday's agenda (and distribute via the listserve);
    • http://whenisgood.net/ooonfhir
  •  No meeting next week – we will be focused on applying the changes prior to R5 publication.
  • Next Meeting: February 28, 2023

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