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Introduction

There is plan to hold a Clinician-on-FHIR day (Friday 20 September) at the September 2019 Atlanta HL7 Workgroup Meeting.

Useful Resources

http://clinfhir.com/

https://fhirblog.com/


Planning

September 2019 Clinician-on-FHR planning confluence page

Tracks

The following tracks are proposed to be featured at the September 2019 Clinician-on-FHIR day:

  1. Care Coordination, dynamic care planning, guidelines/protocol, CQF - clinical quality framework
  2. Emergency Care (Screening)
  3. Pediatric Care (Special needs care)
  4. Medication Management
  5. Clinical Assessment/Problem List


Track 1: Dynamic care planning & care coordination

Track leads

Emma Jones

George Dixon

Clinical scenarios/storyboard

Can the Dynamic Care planning pick up on the MVA patient described in the Clinical Assessment below?  

Track 2: Emergency care

Track leads

Laura Heermann

Clinical scenarios/storyboard

Consider adding the ED part to the Clinical Impression piece here....  have the same patient that comes in from the MVA and do the multiple screenings for that patient?  Could include the SDoH items?  

Track 3: Pediatric care

Track leads

Michael Padula

Clinical scenarios/storyboard


Track 4: Medication management

Track leads


Clinical scenarios/storyboard


Track 5: Clinical assessment

Track leads

Stephen Chu

Clinical scenarios/storyboard

Will add a case re: patient in MVA who sustained fractured ribs (6 and 7) and fractured femur with surgery to insert hardware in femur.  Post op- dropped sats, increased SOB, cyanosis, abnormal ABG and increased pain.... will include ED assessments, that confirmed the impression of the fractured ribs and fractured femur.  Will also include clinical assessments and clinical impression, will look at fatty emboli, pneumonia, will end with dx of contusion of the lung.  Will include observation, procedure, condition and clinical impression, diagnostic request, diagnostic impression resources.  Will add the clinical workflow and the resources to be used (including suggested data to be used in the scenario) but to keep enough flexibility for those doing the testing.  (need to be sure to add the demographics, age, gender, etc.... Is this an existing patient in the EHR?  existing data available? - on not... mention the SDoH - but don't need to make it more complex with that data, include a smoking history, or diabetes for the other tracks?)



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