Time: 1 -2 PM EDT
Coordinates:
- #FreeConference: Ord
- +1 515 606 5332
- Access Code: 294586#
Attendees:
Name | Organization | |
1 | Ralf Herzog | Roche |
2 | Kathy Walsh | LabCorp |
3 | Becky Gradl | EatRight |
4 | Marti Velezis | Sonrisa / FDA |
5 | Hans Buitendijk | Cerner |
6 | JD Nolen | Mercy Children's Hospital |
7 | Mark Kramer | Mitre |
8 | Riki Merrick | Vernetzt, LLC / APHL |
9 | Jim Harrison | UVA / CAP |
10 | Ron van Duyne | CDC |
11 | Jose Costa Teixeira | |
12 |
Co-Chair: Hans Buitendijk
Scribe: Hans Buitendijk, Riki Merrick
Agenda:
- Agenda Review
- Minutes
- October 31, 2019
- Motion to accept as updated: Kathy Walsh, JD Nolen
- Against: 0; Abstain: 0; In Favor: 6
- Motion to accept as updated: Kathy Walsh, JD Nolen
- November 7, 2019
- Motion to accept as distributed: Riki Merrick, Kathy Walsh
- Against: 0; Abstain: 2; In Favor: 6
- Against: 0; Abstain: 2; In Favor: 6
- Motion to accept as distributed: Riki Merrick, Kathy Walsh
- October 31, 2019
- MUST make NIBs by 11/17
- #1010 was approved earlier - made NIB and submitted
- #1009 - v3 Food and Medication Preferences Clinical Messages - submitted
- Motion to submit: Becky Gradl, Riki Merrick
- Against: 0; Abstain: 1; In Favor: 8
- Motion to submit: Becky Gradl, Riki Merrick
- #1067 - Laboratory Order Conceptual Model Specification R2 - submitted
- Motion to submit: Riki Merrick, Rob Hausam
- Against: 0; Abstain: 1; In Favor: 8
- Motion to submit: Riki Merrick, Rob Hausam
- #1496 - DME (FMG Approved IG Proposal=https://wiki.hl7.org/Fhir_dme_orders) - submitted
- Motion to submit: Riki Merrick, Rob Hausam
- Against: 0; Abstain: 1; In Favor: 8
- Against: 0; Abstain: 1; In Favor: 8
- Motion to submit: Riki Merrick, Rob Hausam
- FHIR
- DeviceDefinition => FMM1
- had 1 hour long debate around the deviceDefinition resource proposal around using just device and adding an indicator to the device resource to indicate type or instance or unknown
- resulted in 2 updates needed:
- articulate why we are using deviceDefiniton instead of just using Device – similar to medication resource
- and also need to update the medication resource boundaries to indicate when to use it vs. device and deviceDefinition - work with Rx / John Hatem on that
- Motion to update DeviceDefinition from FMM0 to FMM1 per FMG decisions. Rob Hausam, Marti Velezis
- Discussion: Need two gForges/jiras when ready for the two action items (Resource Proposal update and Medication scope/boundary update) Hans Buitendijk
- Against: 0; Abstain: 0; In Favor: 9
- DeviceDefinition => FMM1
- Call for Harmonization Proposals = Final due date: November 29
- From IHE work
- HL70513
- Riki could not locate V3 or CDA related vocabulary, so can we just submit as is, or wait another week?
- Will wait for next week and apply other edits per tech review (need to fill in approval status).
- HL70513
- From IHE work
- US Realm Lab (eDOS/LOI/LRI) - Next week
- We have until September 2020 to address/update. - Ulrike Merrick to prepare for next week
- eDOS -http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=225
- #1692 – need to research the LOINC for Sex and if in correct AOE table location (should be messaged elsewhere)
- LOI - http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=227
- #1615 – need to research where the disconnect is
- LRI - http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=226
- #1616 - same research needed as for LOI #1615
- Created "version implemented" so we can track when these changes have been implemented
- eDOS -http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=225
- We have until September 2020 to address/update. - Ulrike Merrick to prepare for next week
- CIMI (last 20 minutes) - Next week
- Diagnostic Report Performer/resultsInterpreter Role
- what is the use case here?
- resultsInterpreter – is required for AP
- what is the use case – for data exchange or for modeling in the LIMS
- this was coming from oncology group – they wanted to slice
- in eventpattern has performer and person
- (Need to add link to participant pattern in the minutes from last week)
- Is the performer.function vs using participant with a role of organization and person – does the performerFunction valueset applies here
- In V2 and V3 this is shared over the wire for some use cases
- Other joint topics?
- Diagnostic Report Performer/resultsInterpreter Role
- Project updates:
- LIVD
- Not using catalogEntry in LIVD, so we are not really making changes in LIVD
- Hans and Rob will make the ballot recon updates applied and submit a publication request
- Meeting
- Every Friday, 1-2pm ET
- Project page link: http://wiki.hl7.org/index.php?title=LIVD_-_FHIR_Mapping_Project
- Order Service Catalog
- ObservationDefinition and SpecimenDefinition proposals need to move to FMM1 (already approved, including gForges)
- Working on updates to link without use of CatalogEntry.
- Meeting
- Every Friday, 12-1pm ET
Project Page Link: http://wiki.hl7.org/index.php?title=Ordering_Service_Project
- Nutrition
- Met last week, but have limited participation
- Continue to define nutritionProduct
- Updates sent to Jose for modeling in current build
- Meeting
- Every Friday 2-3 ET
- Project page link: Nutrition
- Specimen DAM
- Continue work on mapping DAM to FHIR.
- Trying to figure out how to handle container, holders, storage equipment.
- FHIR only has backbone element for the container in specimen (and have a gForge to allow nesting) vs representing containers (immediate touching the specimen) and holders and storageEquipment in the DAM
- Dealing with specimenCollection and specimenProcessing – split that out into references to procedure resources or leave as backbone elements (was question to listserve earlier, but no answers back)
- For both of these consider what the current systems can support as well as what other needs there are
- If any of these elements need to be described outside of specimen, use reference, else leave as backbone, or consider allowing a choice of the two approaches
- Meetings:
- Every Tuesday 3 - 4 PM ET
- Project Page Link: http://wiki.hl7.org/index.php?title=Specimen
- FHIR - OO on FHIR
- General discusions on reflex orders and DiagnosticReport Performer/resultsInterpreter Role. No conclusions yet.
- Also starting to look at Micro (from V2 to FHIR call discussion).
- Meeting
- Every Tuesday 2 - 3 PM ET
- Project page link: FHIR
- AUC
- Conversation around X12 implementations, but some around IHE v2 usage resulting in need for follow up
- some are using ORU messages instead of order messages, so should at least highlight that
- order message works well
- some folks are using DFT messages need to migrate data into FT1 segment
- need to set up a call with Dan Rutz, MaryKay, Kathleen, Riki, Hans
- IHE needs to update Volume IV to reflect that. Hopefully before end of year.
- Conversation around X12 implementations, but some around IHE v2 usage resulting in need for follow up
- CIMI/Concept Modeling
- Need to schedule a call - Lorraine Constableto reach out
- DME
- Has several files available – slide deck and proposed mappings on the project page - minutes to be uploaded shortly
- Topics of interest
- Decision to use subscriptions – they want to start with FHIR R4, but the new subscription work is being done in R5 (or the backporting option into R4)
- First meeting was Nov 8
- Meetings:
- Every Friday 4 - 5 PM ET
- Project Page Link: DME Project
- Lab Order Model
- see above
- Healthcare Product: Device/DeviceDefinition/UDI
- see above for deviceDefinition topic
- Still have 3 negatives that need to be withdrawn. Hans Buitendijk to reach out.
- Meeting
- Every Monday 3 -4 PM ET
- Project Page Link: Healthcare Product
- V2+
- Will be using FHIR structureDefinition with use of GitHub
- Meetings:
- Every other Friday, 9-10am ET, next call tomorrow
- Project Page Link: V2+
- V2.9
- Publication request has been approved by v2MG and is in 45 day ANSi review - Ulrike Merrick to ask on V2 Management Call tomorrow to get status update
V2-to-FHIR
- Discussions on Micro mapping.
- ADT message ready for ballot consideration
- Discussion on how to organize the implementation Guide
- Motion to submit a NIB for For Comment Only. Riki Merrick, Rob Hausam
- Against: 0; Abstain: 0; In Favor: 9
- Hans Buitendijk to create NIB and submit
- Meetings:
- Mondays 1 - 2 PM ET
- Tuesdays 11 - 12 AM EDT
- Project Page Link: V2-To-FHIR Project
- LIVD