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Meeting Notes

JIRA Trackers for Today

• FHIR-26674 - ServiceRequest.asNeeded[x] and ServiceRequest.reason

  • Follow-up on Zulip discussion

  • Move this ticket to become a Change Request
    • Rob Hausam / Elliot Silver : 6-0-0
  • Updated the Proposed disposition
  • Add to the Thursday April 20, 2023 OO Main teleconference
• FHIR-40765 - 
  • Triaged the ticket; and need to link or classify as duplicate of FHIR-26674
  • Marti Velezis will send email to Pharmacy and OO Co-chairs with the following 2 options:
    
    • Follow MedicationRequest and DeviceRequest pattern with an invariant

asNeeded	ΣC	0..1	boolean
asNeededFor	ΣC	0..*	CodeableConcept

• • • • RuleAsNeededFor can only be set if AsNeeded is empty or trueasNeededFor.empty() or asNeeded.empty() or asNeeded (dos-1)

OR

• • • Follow ServiceRequest with choice; and update the definition to be clear as to the difference from the reason element.

asNeeded[x]	Σ	0..1
asNeededBoolean			boolean
asNeededCodeableConcept			CodeableConcept

• 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??  
  • 4/18 - No further discussion this week - the submitter did not respond to the comments yet.
  • Rob will send Finnie Flores an email to get a response
• 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
  • No further discussion this week - need to determine need with Hans Buitendijk 
  • Marti Velezis sent email to Hans with request to review this ticket.
• FHIR-39448  
  • This ticket was reopened after R5 publication
  • We reviewed the previous proposed changes and confirmed that the changes still need to be made
  • Robert Hausam will add to the list of proposed changes if any additional changes are required; and we will discuss next time.
• FHIR-38985
  • Added to the FHIR-I session at WGM on Thursday Q2
• FHIR-38833
  • This ticket was reopened after R5 publication
  • Added to the FHIR-I session at WGM on Thursday Q2
  • See if we can get FHIR-I to add another time slot for Rob to participate

-------Adjourned meeting at 3:01PM EDT -----------

Next Meeting: April 25, 2023