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MEETING MINUTES

Deliverables

• Discuss specific goals for this group and deliverables
  • This is related to the Monday call for FHIR Order Exchange in US realm
  • This should be an IG, which will give implementers better starting point
  • The IG could be a framework IG that defines the pattern on HOW to do orders
    • for each use case - lab / medical equipment / referrals then create profiles for each use case - defining the specific FHIR resources that are needed in that use case
• IG proposal:
  • Updates made to the Clinical Order Workflow (COW) IG Proposal which is still in the "pending' state.
  • Determined that we need to have both R4B and R5 content
  • Determined in scope and out of scope scenarios (In scope: Lab, DME, Specialty* Referrals, Nutrition, Imaging, Medication, Inventory, Social Services, Procedures) - see Long description section
    • Note - specialty includes consultations, surgical, speech and language, occupational, physical therapy, post-acute care, rehabilitation, hospice, etc.)
    • Add Immunization under the Medication
    • Screenings may fall under imaging, labs or other groupings
  • Need to have Jose provide the gitHub location for the IG
  • Discussed the linkages to other IGs: Gravity, ELTSS, etc. and will need to note others.
  • Next steps:
    • Action item: Please review the IG proposal and make any comments to this page with any related IGs and/or additional use cases

Next Meeting: May 19, 2023 (week after the WGM)

Note - next week is cancelled and the following week is the working group meeting

---------Adjourned 11:01AM EDT  ----------------

Chat Messages:

ThomasZhou (AH) to Everyone (Apr 28, 2023, 7:23 AM)
May think to build the data model on R4 and the vocabulary is free

ThomasZhou (AH) to Everyone (Apr 28, 2023, 7:34 AM)
replace completion with close?
Does it cover precision medicine?

Andrea Pitkus to Everyone (Apr 28, 2023, 7:38 AM)
Yes, any order information needed for precision medicine is included
it's implied.
Precision medicine is based more on results and their values (pathology, genomics/molecular, clinical lab, biomarkers, etc.) Orders may include medication (i.e. for companion diagnostics), etc. too.

Brian Handspicker to Everyone (Apr 28, 2023, 7:42 AM)
Any desire to add into the Related IGs section the SDOH ClinicalCare IG? (Gravity Closed Loop Referrals for Socialcare Services)

Brian Handspicker to Everyone (Apr 28, 2023, 7:48 AM)
http://hl7.org/fhir/us/eLTSS/background.html

Annie Raval to Everyone (Apr 28, 2023, 7:56 AM)
Not sure if this relevant but should we include immunization orders  (vaccine, dosage etc.) or screening orders (cancer screening, infectious disease screenings) ?

Andrea Pitkus to Everyone (Apr 28, 2023, 8:00 AM)
Do we need a protocol order which involves sub orders medication and imaging for procedure w contrast
Or therapy with DME (need both) per protocol/order set

Brian Handspicker to Everyone (Apr 28, 2023, 8:00 AM)
SDOH CC IG: https://build.fhir.org/ig/HL7/fhir-sdoh-clinicalcare/index.html