Date: 5/24/2021

Quarter: Q2

OO Hosted CQI, CDS, and CIMI

Agenda brought forward by CQI and CDS

Previous topics for update discussion May 2021:

  • Use case is ordering a specific lab, from a standards perspective we selected a generic SNOMED code (Urine Drug Screen), what is the most appropriate mechanism for mapping that to a local code, any efforts in this space? (Standardizing orderables as part of a ServiceRequest)
  • DeviceUseStatement (DeviceUsage in FHIR R5), Implantable versus non-Implantable Devices FHIR-26636
  • Differentiation between when to use US Core ObservationLab Vs Observation (example = Pap test result)
  • DiagnosticReport versus Observation for retrieve queries (eCQMs and CDS)

Meeting Minutes


  • Use case is ordering a specific lab, from a standards perspective we selected a generic SNOMED code (Urine Drug Screen), what is the most appropriate mechanism for mapping that to a local code, any efforts in this space? (Standardizing orderables as part of a ServiceRequest)
    • Bryn stated that work to scope this need is continuing during the Connectathons.


  • DeviceUseStatement (DeviceUsage in FHIR R5), Implantable versus non-Implantable Devices FHIR-26636
    • The current ServiceRequest allows to add details on the procedure using the orderDetail field. This allows for adding CodeableConcepts, but not the values associated with them. In some cases this requires referring to settings to be used with a device, in which case we would like to refer to a DeviceDefinition resource. In other cases we want to specify the focal device (amongst several devices).  See alternatives being discussed to address inclusion of these parameters.  This will be discussed further on Friday Q1.
    • DeviceUsage records the use of a healthcare-related device by a patient. The record is the result of a report by the patient, provider, or related person of a device's current, past, or future use or non-use.  The resource can be used to note the general use (or non-use) of an device used by a patient or other implanted devices such as a pacemaker.  The FHIR definition of DeviceUsage.
    • Conversation around where you make the distinction between DeviceUsage and Observation. 
      • DeviceUsage could used to indicate that an implant is in place or a device is being used.  Observation would be used for more detailed information about the usage of the device.
      • Suggested that clarity between these usages should be included.


Next STEPS from OO minutes:

  • Clarify difference between when to use DeviceUsage, Observation, and Procedure.
  • Reach out to PACIO and Gravity on their non-use of DeviceUsage.

Action Items

  • None