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p.MsoListParagraphCxSpFirst, li.MsoListParagraphCxSpFirst, div.MsoListParagraphCxSpFirst
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        font-family:Wingdings;}
@list l1
        {mso-list-id:681392305;
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        font-family:Symbol;}
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        text-indent:-.25in;
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        text-indent:-.25in;
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        {mso-level-number-format:bullet;
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        text-indent:-.25in;
        font-family:Symbol;}
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        {mso-level-number-format:bullet;
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        text-indent:-.25in;
        font-family:"Courier New";}
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        {mso-level-number-format:bullet;
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        {mso-level-number-format:bullet;
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        font-family:Wingdings;}
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        {mso-level-number-format:bullet;
        mso-level-text:;
        mso-level-tab-stop:2.5in;
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        font-family:Wingdings;}
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        font-family:Wingdings;}
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        mso-list-template-ids:1684169434;}
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        font-family:Symbol;}
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        font-family:Wingdings;}
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        text-indent:-.25in;
        mso-ansi-font-size:10.0pt;
        font-family:Wingdings;}
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        mso-level-number-position:left;
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        mso-ansi-font-size:10.0pt;
        font-family:Wingdings;}
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        text-indent:-.25in;
        mso-ansi-font-size:10.0pt;
        font-family:Wingdings;}
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        text-indent:-.25in;
        mso-ansi-font-size:10.0pt;
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ol
        {margin-bottom:0in;}
ul
        {margin-bottom:0in;}
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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='font-family:"Calibri",sans-serif;color:#1F497D'>The Argonaut Group has implemented (or will soon complete) the following resources in FHIR:<o:p></o:p></span></p><p class=MsoListParagraphCxSpFirst style='text-indent:-.25in;mso-list:l1 level1 lfo5'><![if !supportLists]><span style='font-family:Symbol'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'>         </span></span></span><![endif]>Patient (demographics)<o:p></o:p></p><p class=MsoListParagraphCxSpMiddle style='text-indent:-.25in;mso-list:l1 level1 lfo5'><![if !supportLists]><span style='font-family:Symbol'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'>         </span></span></span><![endif]>Allergies<o:p></o:p></p><p class=MsoListParagraphCxSpMiddle style='text-indent:-.25in;mso-list:l1 level1 lfo5'><![if !supportLists]><span style='font-family:Symbol'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'>         </span></span></span><![endif]>Problems & Health concerns  (Condition/Problem)<o:p></o:p></p><p class=MsoListParagraphCxSpMiddle style='text-indent:-.25in;mso-list:l1 level1 lfo5'><![if !supportLists]><span style='font-family:Symbol'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'>         </span></span></span><![endif]>Vital Signs  <o:p></o:p></p><p class=MsoListParagraphCxSpMiddle style='text-indent:-.25in;mso-list:l1 level1 lfo5'><![if !supportLists]><span style='font-family:Symbol'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'>         </span></span></span><![endif]>Labs<o:p></o:p></p><p class=MsoListParagraphCxSpMiddle style='text-indent:-.25in;mso-list:l1 level1 lfo5'><![if !supportLists]><span style='font-family:Symbol'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'>         </span></span></span><![endif]>Smoking Status  <o:p></o:p></p><p class=MsoListParagraphCxSpMiddle style='text-indent:-.25in;mso-list:l1 level1 lfo5'><![if !supportLists]><span style='font-family:Symbol'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'>         </span></span></span><![endif]>Care Team  (Some vendors have Care Plan of which Care Team is a subset.)<o:p></o:p></p><p class=MsoListParagraphCxSpMiddle style='text-indent:-.25in;mso-list:l1 level1 lfo5'><![if !supportLists]><span style='font-family:Symbol'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'>         </span></span></span><![endif]>Medications<o:p></o:p></p><p class=MsoListParagraphCxSpMiddle style='text-indent:-.25in;mso-list:l1 level1 lfo5'><![if !supportLists]><span style='font-family:Symbol'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'>         </span></span></span><![endif]>Immunizations <o:p></o:p></p><p class=MsoListParagraphCxSpMiddle style='text-indent:-.25in;mso-list:l1 level1 lfo5'><![if !supportLists]><span style='font-family:Symbol'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'>         </span></span></span><![endif]>Goals<o:p></o:p></p><p class=MsoListParagraphCxSpMiddle style='text-indent:-.25in;mso-list:l1 level1 lfo5'><![if !supportLists]><span style='font-family:Symbol'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'>         </span></span></span><![endif]>UDI  (Device)<o:p></o:p></p><p class=MsoListParagraphCxSpMiddle style='text-indent:-.25in;mso-list:l1 level1 lfo5'><![if !supportLists]><span style='font-family:Symbol'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'>         </span></span></span><![endif]>Procedures<o:p></o:p></p><p class=MsoListParagraphCxSpMiddle style='text-indent:-.25in;mso-list:l1 level1 lfo5'><![if !supportLists]><span style='font-family:Symbol'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'>         </span></span></span><![endif]>Plan of Treatment<o:p></o:p></p><p class=MsoListParagraphCxSpLast style='text-indent:-.25in;mso-list:l1 level1 lfo5'><![if !supportLists]><span style='font-family:Symbol'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'>         </span></span></span><![endif]>Assessment<o:p></o:p></p><p class=MsoNormal><span style='font-family:"Calibri",sans-serif;color:#1F497D'>These pretty much match the Common Clinical Data Set.  Why don’t we start with that list?  <o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Calibri",sans-serif;color:#1F497D'>Yes, Eve, it does include labs.<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Calibri",sans-serif;color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Calibri",sans-serif;color:#1F497D'>The virtual clipboard reference is a bit askew since the virtual clipboard initial pilot seems much smaller in scope.  Perhaps it is just me, but I am confused by that reference added in.<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Calibri",sans-serif;color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-family:"Calibri",sans-serif;color:#1F497D'>-Nancy<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Calibri",sans-serif;color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><b><span style='font-size:11.0pt;font-family:"Calibri",sans-serif'>From:</span></b><span style='font-size:11.0pt;font-family:"Calibri",sans-serif'> Openid-specs-heart [mailto:openid-specs-heart-bounces@lists.openid.net] <b>On Behalf Of </b>Debbie Bucci<br><b>Sent:</b> Thursday, July 21, 2016 12:07 PM<br><b>To:</b> Eve Maler <eve.maler@forgerock.com><br><b>Cc:</b> openid-specs-heart@lists.openid.net<br><b>Subject:</b> Re: [Openid-specs-heart] New thread - What is in a clipboard resource set?<o:p></o:p></span></p><p class=MsoNormal><o:p> </o:p></p><div><p class=MsoNormal><o:p> </o:p></p><div><p class=MsoNormal><o:p> </o:p></p><div><p class=MsoNormal>On Thu, Jul 21, 2016 at 11:39 AM, Eve Maler <<a href="mailto:eve.maler@forgerock.com" target="_blank">eve.maler@forgerock.com</a>> wrote:<o:p></o:p></p><blockquote style='border:none;border-left:solid #CCCCCC 1.0pt;padding:0in 0in 0in 6.0pt;margin-left:4.8pt;margin-right:0in'><div><p class=MsoNormal>Just to level-set, there are three links in the current use case to sources that describe potentially interesting data (though not directly how they map to FHIR, as far as I can see):<o:p></o:p></p><div><ul type=disc><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level1 lfo1'><a href="https://bitbucket.org/openid/heart/wiki/Alice_Shares_with_Physicians_and_Others_UMA_FHIR" target="_blank">Use case</a><o:p></o:p></li></ul><ul type=disc><ul type=circle><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level2 lfo1'><a href="https://www.healthit.gov/policy-researchers-implementers/patient-generated-health-data" target="_blank">PGHD</a><o:p></o:p></li><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level2 lfo1'><a href="https://www.healthit.gov/sites/default/files/commonclinicaldataset_ml_11-4-15.pdf" target="_blank">Common Clinical Data Set</a><o:p></o:p></li><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l0 level2 lfo1'><a href="https://www.wedi.org/home/virtual-clipboard-to-improve-patient-data-collection" target="_blank">Virtual clipboard</a> (<a href="http://www.wedi.org/docs/default-document-library/virtual-clipboard-definition-and-design-document.pdf?sfvrsn=0" target="_blank">this link</a> is actually more helpful -- I've changed it in the use case)<o:p></o:p></li></ul></ul><div><p class=MsoNormal>And based on one of our telecon conversations, we provided this list right in the use case, where the first item might possibly encompass some of the others by definition:<o:p></o:p></p></div></div><div><div><ol start=1 type=1><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l3 level1 lfo2'>Virtual clipboard<o:p></o:p></li><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l3 level1 lfo2'>Basic patient profile /Patient)<o:p></o:p></li><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l3 level1 lfo2'>Medication history (/MedicationDispense, /MedicationAdministration)<o:p></o:p></li><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l3 level1 lfo2'>Immunizations (/Immunization.vaccineCode , /Immunization.status)<o:p></o:p></li><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l3 level1 lfo2'>Allergies (/AllergyIntolerance)<o:p></o:p></li><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l3 level1 lfo2'>Problem list /Condition.code, /Condition.status)<o:p></o:p></li><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l3 level1 lfo2'>Labs (/DiagnosticReport.code - LOINC /DiagnosticReport.codedDiagnostics - SNOMED)<o:p></o:p></li><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l3 level1 lfo2'>Basic insurance info? EOB?<o:p></o:p></li><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l3 level1 lfo2'>(what else? Keep it simple) <o:p></o:p></li></ol></div></div></div></blockquote><blockquote style='border:none;border-left:solid #CCCCCC 1.0pt;padding:0in 0in 0in 6.0pt;margin-left:4.8pt;margin-right:0in'><div><div><p class=MsoNormal>Here was my guess about directions, given that a use-case-based definition of this resource set is meant to encompass baseline information before a first visit.<o:p></o:p></p></div></div></blockquote><div><p class=MsoNormal><o:p> </o:p></p></div><div><p class=MsoNormal>Agree - basic info to start the conversation - vs. a clinical referral for specific illness  - that may be a follow-on request.  <o:p></o:p></p></div><div><p class=MsoNormal><o:p> </o:p></p></div><blockquote style='border:none;border-left:solid #CCCCCC 1.0pt;padding:0in 0in 0in 6.0pt;margin-left:4.8pt;margin-right:0in'><div><div><p class=MsoNormal><o:p> </o:p></p></div><div><p class=MsoNormal>First, we want to keep firmly in our minds that Alice's motivation to share this information at all is as a convenience vs. sharing it in a more onerous, brittle fashion (e.g., having to keep updating her meds list later, spending time printing forms, arriving early to the first appointment...). So we don't "win" if we don't hit that mark.<o:p></o:p></p></div></div></blockquote><div><p class=MsoNormal><o:p> </o:p></p></div><div><p class=MsoNormal>If we focus on convenience first  - then other benefits may follow. <o:p></o:p></p></div><blockquote style='border:none;border-left:solid #CCCCCC 1.0pt;padding:0in 0in 0in 6.0pt;margin-left:4.8pt;margin-right:0in'><div><div><p class=MsoNormal><o:p> </o:p></p></div><div><p class=MsoNormal>Second, labs and EOBs look like the "odd items out" on that list for a first visit. Am I right? And what's missing? And what's the "FHIR concordance" for all this? Can one actually be done?<o:p></o:p></p></div></div></blockquote><div><p class=MsoNormal><o:p> </o:p></p></div><div><p class=MsoNormal>Agree no labs and EOB but in US basic insurance (payer as noted below) info will  be needed.   Is emergency contact part of demographics (need to look).   How do capture both OTC meds, herbs ect?  (some of that may be covered as well)   Some information ex: - why are you making the appointment and other things of that nature would be out of scope - or perhaps an extension?<o:p></o:p></p></div><div><p class=MsoNormal><o:p> </o:p></p></div><div><p class=MsoNormal> <o:p></o:p></p></div><blockquote style='border:none;border-left:solid #CCCCCC 1.0pt;padding:0in 0in 0in 6.0pt;margin-left:4.8pt;margin-right:0in'><div><div><p class=MsoNormal><o:p> </o:p></p></div><div><p class=MsoNormal>Third, there would be some kind of a "matrix of requesting-side appropriateness" for what is to be shared:<o:p></o:p></p></div><div><ul type=disc><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l2 level1 lfo3'><b>Payment info:</b> E.g., there's a particular type of insurance infrastructure in the US, but in Canada, it would look different. So the "insurance info" reference in #8 would need to vary or be missing per jurisdiction. <o:p></o:p></li></ul></div></div></blockquote><blockquote style='border:none;border-left:solid #CCCCCC 1.0pt;padding:0in 0in 0in 6.0pt;margin-left:4.8pt;margin-right:0in'><div><div><ul type=disc><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l4 level1 lfo4'><o:p> </o:p></li><li class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;mso-list:l4 level1 lfo4'><b>Provider services:</b> There <i>may</i> be a fundamental mismatch between the nature of health information available and what the provider can even do. When it comes to, say, chiropractic, is there an appropriateness or privacy concern about providing meds/allergy information? It's a complex technical question to imagine leaving this info out per provider type (akin to the segmentation challenges discussed on the recent thread titled "Patient Consent", so perhaps we decide to put it out of scope in favor of time constraints on usage, notifications of what's missing, usage constraints, etc.), but I'm listing this for discussion completeness.<o:p></o:p></li></ul><div><p class=MsoNormal>Finally, I'm assuming that for interoperability and attractiveness of standardization, we'd want to say that (barring the above concerns if solved) if a data item is <i>available</i> in the record, and Alice chooses to share it as part of the "virtual clipboard" resource set context, then it <i>must</i> be included. In technical terms, this would equate to the resource server supporting an API call that extracts out a bunch of potentially disparate data fields and provides them, because it supports the use case (i.e., provides a lot of value). We could separately think about whether extensibility is okay or not in the context of HEART.<o:p></o:p></p></div></div></div></blockquote><div><p class=MsoNormal><o:p> </o:p></p></div><div><p class=MsoNormal>Agree <o:p></o:p></p></div></div></div></div></div></body></html>