Page tree
Skip to end of metadata
Go to start of metadata

Chair:  Ulrike Merrick

Scribe: Dana Marcelonis
 

Attendees


Present

Name

Affiliation

  •  
Enablecare
  •  
Viet NguyenStratametrics
  •  
Ulrike MerrickVernetzt, LLC 
  •  
Anupam ThakurBCBSFL
  •  
Corey SpearsInfor
  •  
BCBSAL
  •  
Casenet
  •  
Holly WeeksRegence
  •  
Jeffrey DanfordAllscripts
  •  
Joseph QuinnOptum
  •  
Laurie BurckhardtWPS Health Solutions
  •  
Lindee ChinEdifecs
  •  
Lisa R. NelsonMaxMD
  •  
Linda MichaelsenOptum
  •  
Mark TaylorReady Computing
  •  
Peter Muir
  •  
Rajesh GodavarthiMCG Health
  •  
Samir JainReady Computing
  •  
Sreenivas MallipeddiMCG Health
  •  
Susan BellileAvaility
  •  
Susan LangfordBCBST
  •  
Tony BensonBCBSAL
  •  
Yan WangMaxMD
  •  
Jeanie SmithBCBSFL
  •  
Rachel E. FoersterCAQH Core
  •  
Mary Kay McDanielCognosante
  •  
Greg LindenLinden Tech Advisors
  •  
Eric Haas
  •  
Anthem
  •  
Dawn PerreaultBCBSM
  •  
Jennell Stewart
  •  
Kat RuizUNC Health
  •  
Michael GouldIBC
  •  
Tony Laurie
  •  
Karen L. ZapataAnthem
  •  
Ann GallagherOptum
  •  
eClinical Works
  •  
Frank HoneVeradigm
  •  
BCBS AL
  •  
Lynn PerrineLantana
  •  
Nancy BeavinHumana
  •  

  •  
Ralph Saint-PhardHealow
  •  
Serafina Versaggi
  •  
Seth ParadisHealow
  •  
Sheryl TurneyAnthem
  •  
Todd Johnson
  •  
Julie MaasEMR Direct
  •  
Duane WalkerBCBSM
  •  
Epic
  •  
Jennifer CurryRegence
  •  
Regence
  •  
David DeGandiCambia
  •  
Cigna
  •  
Kate ReesCambia
  •  
TIBCO
  •  
UHC
  •  
Ric LIghtHumana
  •  
TorQuailla AultmanNC.gov
  •  
Chris JohnsonBCBS AL
  •  
Cigna
  •  
Anna MeisheidCMS
  •  
Gino Canessa
  •  

  •  
Scott Stuewe
  •  
HealthLX
  •  
HealthLX
  •  

  •  

  •  
Tracy M. FitzgibbonRegence
  •  
Jordan StoreyRegence
  •  
Jonas
  •  
Kayla SuaProvidence
  •  
EMR Direct
  •  
Sasha Volkov
  •  

  •  
Providence
  •  

  •  
Roland GamacheAHRQ
  •  

  •  
Rim Cothren
  •  
Eric SullivanInnovalon
  •  
Jason

Minutes Approved as Presented 


This is to approve minutes via general consent. "You have received the minutes. Are there any corrections to the minutes? (pause) Hearing none, if there are no objections, the minutes are approved as printed."


Agenda Topics

Agenda Outline

Agenda Item

Meeting Minutes from Discussion

Decision Link(if not child)
ManagementReview ANSI Anti-Trust Policy



Ballot and Connectathon Schedule

Implementation Guide Status Update
  • Alerts/Notifications IG removed from September ballot
    • More time to think through FHIR-specific aspects
    • Communication had more boundaries that weren't clearly described - there has been some scope shift in the Communication resource
      • We picked the wrong bundle type (transaction)
      • Using the operation endpoint wasn't correct
      • Notify operation wasn't defined yet, but we thought it was
        • When you do an operation, there's no guarantee that the bundle you send to an operation gets stored and forwarded (parsing only)
    • Looking at FHIR Messaging as an alternative
    • Possible late fall or January ballot
    • Next step is to build out how we would do FHIR Messaging so that we can build RI


Connectathons

FHIR Messaging
  • Not trying to map V2 to FHIR, just using FHIR Messaging to exchange the alerts
  • FHIR Messaging does not have to use REST
    • Should IG focus on REST? Be agnostic on transport?
  • Are any EHR vendors supporting this? Viet Nguyento bring up in the call with vendors
  • There is a FHIR Messaging Zulip stream: https://chat.fhir.org/#narrow/stream/179263-fhir-messages
  • FHIR Messaging video: https://vimeo.com/171533785
    • Rene is in the Netherlands and is working on this, but don't know if it's in production
  • Messaging Using FHIR Resources: https://www.hl7.org/fhir/messaging.html
  • May need to set up a second FHIR server to create a 'messaging hub'?
    • Can we not use the other Communications approach using existing FHIR servers?
    • Can we re-use the work we've done with Communications resource within the bundle or do we need to convert to other resource(s)?
  • FHIR Messaging not in 'top 10' clinical messaging protocols in wide use
  • How big are the expected bundles for alerts?
  • Team will document all the reasons to switch over to Messaging
  • Anything we can do in Communication we can do in Messaging
  • 4 FHIR Paradigms included here: https://www.hl7.org/fhir/overview-clinical.html



Homework
ManagementNext Agenda
  • Connectathon Kick-Off/Track Overview Presentation (Aug 14th)

Adjournment
Adjourned at 12:42pm ET

Supporting Documents

Outline Reference

Supporting Document

Minute Approval
Meeting PPT PresentationDa Vinci Presentation 20190807Alerts-Notification.pptx
Messaging Using FHIR Resources

https://www.hl7.org/fhir/messaging.html

FHIR Messaging Video

 https://vimeo.com/171533785

Virtual Connectathon Recorded Kick-Off Presentation2019-07-31 12.05 Da Vinci - Alerts_ Notifications_Virtual Connectathon Presentation.mp4
Alerts Implementation Guidehttp://build.fhir.org/ig/HL7/davinci-alerts/branches/master/index.html


Action items


Create Decision from template