<div dir="ltr"><div><div><div><div>All,<br><br></div>Please read this short thread that directly addresses some of the resource naming and patient-friendly naming issues we have talked about. Definitely follow the link that Grahame posts at the end. <a href="http://build.fhir.org/lifecycle.html#current" target="_blank">http://build.fhir.org/<wbr>lifecycle.html#current</a><br><br></div>My conclusion is that HEART cannot and should not play at this game in the first release. All we can do is wait for HL7 / FHIR to do it's work and follow suit. Anything else will simply add confusion to an already difficult problem.<br><br></div>A second gem is embedded in this thread and Grahame's link: The problem of curation in a FHIR-enabled EHR. Most institutional EHRs are very reluctant to open their FHIR API to write for obvious and justifiable reasons. How then do we create a curated longitudinal health record?<br><br>The suggestion I have is to use HEART to enable a patient-centered health record like HIE of One which is designed to be written to by anyone with a medical license that is also a member of the care team. This record demonstrated a pNOSH in the videos and code at <a href="http://hieofone.org/">http://hieofone.org/</a> and is FHIR accessible under control of the HEART authorization server. <br><br>Any EHR vendor can play this game to the extent they want to set up a separate writeable place and manage who gets to access and how it relates to the institutional EHR. The difference is whether the operator of the separate writeable place is willing to accept that liability. It's much cheaper and less risky to let the patient themselves host their HEART AS and patient-centered FHIR health record. The liability then rests with the individual licensed providers that curate the patient-centered record but they're already being paid to be part of the care team.<br><br></div>Adrian<br><div><br><br><br><br><div><div><div><div><br><br><div class="gmail_quote"><span style="font-size:large;font-weight:bold">Forwarded conversation</span><br>Subject: <b class="gmail_sendername">active medication list</b><br>------------------------<br><br><span class="gmail_quote"><font color="#888">From: <b class="gmail_sendername"></b> <span dir="ltr"><<a href="mailto:howard.strasberg@wolterskluwer.com">howard.strasberg@wolterskluwer.com</a>></span><br>Date: Wed, Dec 14, 2016 at 12:45 PM<br>To: argonaut-project <<a href="mailto:argonaut-project@googlegroups.com">argonaut-project@googlegroups.com</a>><br></font><br></span><br><div dir="ltr">Has Argonaut agreed on a common FHIR representation for a patient's active medication list? If so, would it based on MedicationOrder (now MedicationRequest) or MedicationStatement? Which FHIR search parameters would return this list? If it's based on MedicationStatement, would it be status=active? If it's based on MedicationOrder (or MedicationRequest), would it also be status=active, or might it be status=completed (meaning the order was completed)? On the other hand, we wouldn't want to include old orders for medications that the patient is no longer taking. Would app developers have to look at both MedicationOrder (MedicationRequest) and MedicationStatement? Retrieving the active medication list is such a common use case that there should be a simple approach on which everyone agrees.<span class="gmail-HOEnZb"><font color="#888888"><br></font></span></div><span class="gmail-HOEnZb"><font color="#888888">
<p></p>
-- <br>
You received this message because you are subscribed to the Google Groups "argonaut-project" group.<br>
To unsubscribe from this group and stop receiving emails from it, send an email to <a href="mailto:argonaut-project+unsubscribe@googlegroups.com" target="_blank">argonaut-project+unsubscribe@<wbr>googlegroups.com</a>.<br>
To post to this group, send email to <a href="mailto:argonaut-project@googlegroups.com" target="_blank">argonaut-project@googlegroups.<wbr>com</a>.<br>
To view this discussion on the web visit <a href="https://groups.google.com/d/msgid/argonaut-project/c5e61fab-01e6-4ac3-b2cc-b076b47e3110%40googlegroups.com?utm_medium=email&utm_source=footer" target="_blank">https://groups.google.com/d/<wbr>msgid/argonaut-project/<wbr>c5e61fab-01e6-4ac3-b2cc-<wbr>b076b47e3110%40googlegroups.<wbr>com</a>.<br>
For more options, visit <a href="https://groups.google.com/d/optout" target="_blank">https://groups.google.com/d/<wbr>optout</a>.<br>
</font></span><br>----------<br><span class="gmail_quote"><font color="#888">From: <b class="gmail_sendername">Brett Marquard</b> <span dir="ltr"><<a href="mailto:brett@riverrockassociates.com">brett@riverrockassociates.com</a>></span><br>Date: Wed, Dec 14, 2016 at 3:15 PM<br>To: "<a href="mailto:howard.strasberg@wolterskluwer.com">howard.strasberg@wolterskluwer.com</a>" <<a href="mailto:howard.strasberg@wolterskluwer.com">howard.strasberg@wolterskluwer.com</a>>, argonaut-project <<a href="mailto:argonaut-project@googlegroups.com">argonaut-project@googlegroups.com</a>><br></font><br></span><br>
<div lang="EN-US">
<div class="gmail-m_-6155005671294747342WordSection1">
<p class="MsoNormal"><span style="font-size:11pt;font-family:"calibri",sans-serif">Hi, Howard,<u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:"calibri",sans-serif"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:"calibri",sans-serif">This seemingly innocent question is tricky to nail down.<u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:"calibri",sans-serif"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:"calibri",sans-serif">We have discussed this within several projects and have agreed it’s combination of MedicationRequest/<wbr>MedicaitonStatement – in order to finalize approach we included a specific
scenario in the <a href="http://wiki.hl7.org/index.php?title=201701_Medication_Track" target="_blank">
FHIR Mature Medications Connectathon Track</a> for the San Antonio WG (see Patient and Provider access to a patient’s active and historical medication list). We have also included this in the
<a href="http://hl7.org/fhir/us/meds/" target="_blank">Pharmacy FHIR Maturity ballot.</a><u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:"calibri",sans-serif"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:"calibri",sans-serif">You should join us!<u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:"calibri",sans-serif"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:"calibri",sans-serif">Best,<u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:"calibri",sans-serif">Brett
<u></u><u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:"calibri",sans-serif"><u></u> <u></u></span></p>
<p class="MsoNormal"><span style="font-size:11pt;font-family:"calibri",sans-serif"><u></u> <u></u></span></p>
<p class="MsoNormal"><b><span style="font-size:11pt;font-family:"calibri",sans-serif">From:</span></b><span style="font-size:11pt;font-family:"calibri",sans-serif"> <a href="mailto:argonaut-project@googlegroups.com" target="_blank">argonaut-project@googlegroups.<wbr>com</a> [mailto:<a href="mailto:argonaut-project@googlegroups.com" target="_blank">argonaut-project@<wbr>googlegroups.com</a>]
<b>On Behalf Of </b><a href="mailto:howard.strasberg@wolterskluwer.com" target="_blank">howard.strasberg@<wbr>wolterskluwer.com</a><br>
<b>Sent:</b> Wednesday, December 14, 2016 12:45 PM<br>
<b>To:</b> argonaut-project <<a href="mailto:argonaut-project@googlegroups.com" target="_blank">argonaut-project@<wbr>googlegroups.com</a>><br>
<b>Subject:</b> active medication list<u></u><u></u></span></p><div></div></div>
</div><div></div>
To view this discussion on the web visit <a href="https://groups.google.com/d/msgid/argonaut-project/CY1PR07MB21659AA0E9B98788A684D14FA89A0%40CY1PR07MB2165.namprd07.prod.outlook.com?utm_medium=email&utm_source=footer" target="_blank">https://groups.google.com/d/<wbr>msgid/argonaut-project/<wbr>CY1PR07MB21659AA0E9B98788A684D<wbr>14FA89A0%40CY1PR07MB2165.<wbr>namprd07.prod.outlook.com</a>.<div class="gmail-HOEnZb"></div><br>----------<br><span class="gmail_quote"><font color="#888">From: <b class="gmail_sendername">Grahame Grieve</b> <span dir="ltr"><<a href="mailto:grahame@healthintersections.com.au">grahame@healthintersections.com.au</a>></span><br>Date: Wed, Dec 14, 2016 at 3:41 PM<br>To: Brett Marquard <<a href="mailto:brett@riverrockassociates.com">brett@riverrockassociates.com</a>><br>Cc: "<a href="mailto:howard.strasberg@wolterskluwer.com">howard.strasberg@wolterskluwer.com</a>" <<a href="mailto:howard.strasberg@wolterskluwer.com">howard.strasberg@wolterskluwer.com</a>>, argonaut-project <<a href="mailto:argonaut-project@googlegroups.com">argonaut-project@googlegroups.com</a>><br></font><br></span><br><div dir="ltr">Also, note this: <a href="http://build.fhir.org/lifecycle.html#current" target="_blank">http://build.fhir.org/<wbr>lifecycle.html#current</a><div><br></div><div>Grahame</div><div><br></div></div><div class="gmail_extra"><div></div>-- <br><div class="gmail-m_307200754282518979gmail_signature">-----<br><a href="http://www.healthintersections.com.au" target="_blank">http://www.<wbr>healthintersections.com.au</a> / <a href="mailto:grahame@healthintersections.com.au" target="_blank">grahame@healthintersections.<wbr>com.au</a> / <a href="tel:+61%20411%20867%20065" value="+61411867065" target="_blank">+61 411 867 065</a></div>
</div><span class="gmail-">
<p></p>
-- <br>
You received this message because you are subscribed to the Google Groups "argonaut-project" group.<br>
To unsubscribe from this group and stop receiving emails from it, send an email to <a href="mailto:argonaut-project+unsubscribe@googlegroups.com" target="_blank">argonaut-project+unsubscribe@<wbr>googlegroups.com</a>.<br>
To post to this group, send email to <a href="mailto:argonaut-project@googlegroups.com" target="_blank">argonaut-project@googlegroups.<wbr>com</a>.<br></span>
To view this discussion on the web visit <a href="https://groups.google.com/d/msgid/argonaut-project/CAG47hGbHHTarVoFJxR6wsNoJv0zJkcU-H%2B18i0EixSU77u0WNA%40mail.gmail.com?utm_medium=email&utm_source=footer" target="_blank">https://groups.google.com/d/<wbr>msgid/argonaut-project/<wbr>CAG47hGbHHTarVoFJxR6wsNoJv0zJk<wbr>cU-H%2B18i0EixSU77u0WNA%<wbr>40mail.gmail.com</a>.<div class="gmail-HOEnZb"></div><br></div><br><br clear="all"><br>-- <br><div class="gmail_signature"><div dir="ltr"><div><div dir="ltr"><div><div dir="ltr"><div><br><div dir="ltr">Adrian Gropper MD<span style="font-size:11pt"></span><br><br><span style="font-family:"arial",sans-serif;color:rgb(31,73,125)">PROTECT YOUR FUTURE - RESTORE Health Privacy!</span><span style="font-family:"arial",sans-serif;color:rgb(31,73,125)"><br>HELP us fight for the right to control personal health data.</span><span style="font-family:"arial",sans-serif;color:rgb(31,73,125)"></span><span style="font-family:"arial",sans-serif;color:rgb(31,73,125)"><br>DONATE:
<a href="http://patientprivacyrights.org/donate-2/" target="_blank"><span style="color:rgb(5,99,193)">http://patientprivacyrights.org/donate-2/</span></a></span><span style="color:rgb(31,73,125)"></span>
</div></div></div></div></div></div></div></div>
</div></div></div></div></div></div>