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Administrivia

Approve Minutes

• 2023-08-03 Main - Motion to approve as updated Kathy Walsh, Marti Velezis

  • Against: 0; Abstain: 0; In Favor: 13

OO Project Proposal Triage 

• Reviewed the list, but believe some are old and others are missing.

• Next week to catch-up on latest submissions.

Workgroup Dashboard

• Request from Marc Duteau:

  • HL7 initiated a project to automate the creation of JIRA dashboards for work groups, IGs, accelerators, and end users.
    Since co-chairs are some of the main users of dashboards like these, we wanted to make sure we got your input.
    If you have a dashboard you’ve made or used that you think is a great example of one of those categories or even
    if you just have some features you’d like to see in these automated dashboards please let me know at Marc@duteaudesign.com by August 19^th.

• Agreed that Marti will forward the ones she created for OO and others, particularly highlighting the different variants for different purposes/areas of focus.  Thank you!!!!

Today's topics:

OO WGM 202309 - Agenda - Orders & Observations - Confluence (hl7.org)

• PH meeting on Tues Q2 – Craig will tell us if that does NOT work – OO can host – on agenda

• Co-Chairs to add their availability

• Wed Q4 for vocab will talk Gender Harmony, so send reps (Lorraine) - on agenda

• Added these topics as follows:

  • Tue Q2 – add topics to PH joint

  • CIMI as a WG discussion – if they dissolve, then we need to find places in the domain WGs for their work

  • LabOrder model – apply resolutions to the material – Fri Q2

  • Thu Q4 with CIMI – ballot recon for lab model IG

• Ralf may not be able to attend ☹

• Need to work with FHIR-I or Vocab on the following: 

  • FHIR-40437 - Link missing -  Note this is the expansion list

  • Robert Hausam will be checking it out to see where it should land.

FHIR JIRAs (link to below)

• JIRA for QA fixes for Catalog IG. JD will make fixes, just needs a vote: FHIR-41729 - Fixes for final QA TRIAGED

  • See JIRA
  • Motion to find persuasive with modifications
    • Marti Velezis / Lorraine Constable: 13-0-1
  • Assigned to JD Nolen
  • Will QA on Catalog call tomorrow.

• Updated status 

  • Reviewed status – need to work on making progress on JIRAs via block votes if we cannot make progress during WGM
  • Added times to WGM Agenda to do work on backlog - initially added to those quarters without topics yet, but also will be added where we anticipate extra time available.

• Pulled Block Vote JIRAs from May/June 2023 - did not discuss - and will add to the WGM agenda if we do not get to it before then.

Update on FHIR Tracker related to Family/Household attributes

• Confluence page: OO Families/Household/Workplace/Event JIRAs
• Will need to prep for WGM – Wed Q1 Discussion
• Also added to FHIR-I Joint on Thurs Q2 for update and recap

Zulip

ObservationDefinition.qualifiedInterval.condition

• See https://chat.fhir.org/#narrow/stream/179256-Orders-and-Observation-WG/topic/ObservationDefinition.2EqualifiedInterval.2Econdition for the question/issue

• qualifiedInterval – no longer exist – was changed in R5 to observationDefinition.qualifiedValue and further advanced

• It seems that context provides codes situations, condition is string to capture anything else

• Created FHIR-41671 to:

  • add more examples

    • for reference range based on sex and age

    • for range category = absolute range of a device

  • need to fix qualifiedValue.gender – that should be using sex parameter for clinical use: qualifiedValue.SPCU

• Added a comment explaining the above and asking what they are trying to achieve

• Also need to provide guidance/clarity on how either qualifiedInterval (R4) or qualifiedValue (R6) identifies the values that are therefore valid for Observation.interpretation and Observation.component.interpretation
  • Add to the Lab call on Friday, August 18, 1-2pm ET.

Order Catalog `_include:iterate=*`

• See https://chat.fhir.org/#narrow/stream/179256-Orders-and-Observation-WG/topic/Order.20Catalog.20.60_include.3Aiterate.3D*.60 for the question/issue

• Discussed what we are doing with the Catalog calls – where this would have been discussed.

• Fridays - 12 - 1PM ET
• Create JIRA ticket (in person) for the changes that are needed to identify search parameters that may need to be added
  • UPDATE: JIRA Ticket created here: FHIR-41744 - Getting issue details... STATUS
• The target would be the next version of the IG.

-----------Meeting adjourned at 2:04PM EDT------------------

From Chat

Rahul Agarwal (Medplum) to Everyone (Aug 10, 2023, 1:42 PM)

https://www.medplum.com/solutions
 
Rahul Agarwal (Medplum) to Everyone (Aug 10, 2023, 1:50 PM)
rahul@medplum.com
 
Rahul Agarwal (Medplum) to Everyone (Aug 10, 2023, 1:58 PM)
http://www.hl7.org/fhir/search.html#_include
 
Andrea Pitkus, PhD, MLS(ASCP)CE, FAMIA. UW-Madison to Everyone (Aug 10, 2023, 2:00 PM)
Thanks for bringing up these issues.  lab is still maturing,  NO LIS is using FHIR as far as we know yet,  We need to do extensive review to make sure FHIR will meet lab needs.  Working on building out in COW for orders too.
 
Rahul Agarwal (Medplum) to Everyone (Aug 10, 2023, 2:01 PM)
There is at least 1 LIS - Medplum :)
Our case study: https://www.medplum.com/blog/ro-case-study

• Check back in August for progress

UP-44 -no value set content defined for v2 table 963 value set 

• Leaving UP-44 open for now – so that the new tickets and this one can be linked

• V2 Dashboard

FHIR Discussion Topics: 

JIRA 

Block Vote Pulled JIRA

JIRA

The following are draft pages to organize and author content for each of our health care product resources: 

• BiologicallyDerivedProduct
• Devices
• Nutrition Product
• VisionPrescription

OO Resource Coverage

• Need to discuss developmental roadmap for each of the OO resources for R6
• Added R6 planning to WGM agenda
• Need to discuss what needs to be done prior to WGM to prep for discussions
• Add Resource reorg comments to module pages

Notes

• Marti revised related resource for each topic area to where the resources align to current modules
• Definitional resources were in workflow (pattern is still there) but those are now in administrative – Marti and Jose to take off-line