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Meeting Details

Date: April 11, 2023

Time: 2PM

Coordinates:  Join Zoom meeting: | Meeting ID: 510 046 7805 | +1 929-436-2866-US (New York)


JD Nolen, Rob Hausam, Kathy Walsh, David Barwin, Yanick Gaudet, Marti Velezis

Co-chair: JD Nolen

Scribe: Marti Velezis

  • Quorum (Co-Chair + 4) Met 


  • JIRA Tickets - Backlog
  • Next Meeting


Meeting Notes

JIRA Trackers for Today

JIRA Backlog

  • FHIR-26674 - ServiceRequest.asNeeded[x] and ServiceRequest.reason
    • Follow-up on Zulip discussion

    • Proposed Disposition: 
      • 1. Make asNeededBoolean and asNeededCodeableConcept separate elements, change the names to be asNeeded (0..1) and asNeededFor (0..*), respectively, to follow the pattern in Dosage and DeviceRequest
         2. Add this invariant:  "AsNeededFor can only be set if AsNeeded is empty or true"    
         3. Update definitions to reflect the changes in the elements
         4. Provide examples showing how to use asNeeded/AsNeededFor
             1. An example showing asNeeded and asNeededFor being used with Reason
              2. An example showing asNeeded and asNeededFor without Reason 
              3. An example showing asNeeded without Reason

    • Example: 
      • order - test glucose or exercise
      • reason - diabetic
      • asNeededFor - glucose level
  • FHIR-34491 - Add statusReason in ServiceRequest
    • We initially discussed that we did not see value in adding statusReason as we didn't know what additional value it would bring (esp. with the example of Procedure.statusReason value set)

    • We left a comment to reporter to provide use cases for us to consider
    • Also – could this be used for the next JIRA re: verbal orders??  
    • 4/11 - No further discussion this week - the submitter did not respond to the comments yet.
  • FHIR-34207 - Add attribute to document confirmation
    • We started to discuss this ticket - re: As various orders may be place verbally, a ServiceRequest needs to be able to document that this ServiceRequest confirms a verbal order that may already have been fulfilled, thus not re-initiated.
    • Proposal to add extension
      • The backbone includes .time and .note (Annotation) – and annotation also includes  time.  Need to evaluate how to represent this information. 
    • We also discussed whether or not there was some connection to the status and statusReason
    • 4/11 - No further discussion this week - need to determine need with Hans Buitendijk 

-------Adjourned meeting at      -----------

Next Meeting: April 18, 2023

Backlog - Did not Discuss -----------------------------