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  • Nagesh Bashyam
  • Boris Brodsky (Co-chair)
  • Christi Denney
  • Julie Evans
  • Myron Finseth (Co-chair)
  • Bill Friggle
  • Jose Galvez
  • Hugh Glover (Co-chair)
  • Norman Gregory
  • Ed Helton (Co-chair)
  • Catherine Hosage Norman
  • Andy Iverson
  • Julie James
  • Gayathri Jayawardena
  • Josh Mandel
  • Abudllah Rafiqi
  • Robinette Renner
  • Wendy ver Hoef
  • Mead Walker
  • Isabel Zaru-Roque

1 Minutes Approval

2 Project and PSS Review and Approval

Key Dates

FHIR Ballot Prep schedule

R4 Publication

2018-11-01: Substantive content freeze for core R4 publication

2018-12-02: FHIR core and FHIR IGs are all locked. No further changes without product director permission

Finalization of FMM levels

Jan 2019 FHIR IGs

2018-10-31 - Reconciliation packages posted to ballot desktop for previous ballots (if any)

2018-10-28 - NIBs due, IG must be publishing on the CI build and "functionally complete"

FMG will be evaluating "need to ballot" - each ballot must be necessary

All artifact types, all key behaviors, etc. present. If there are bugs in the publication process, they must be identified by this point and must be resolved to the point that the build at least runs successfully and any tooling-related issues must be agreed to be resolvable

2018-11-18 - Content deadline for QA. All content must be final from the workgroup perspective - no changes other than QA fixes from this point - no new artifacts or content

2.1 #1426 Women’s Health Technology Coordinated Registry Network (CRN)

 Confluence page

  • Continuing enhancing the IG
  • Planning to submit the NIB early next year
  • Planning to ballot in May

2.2 #1425 CDISC Lab Semantics in FHIR

2.3 #1424 Common Data Model Harmonization (CDMH) - FHIR Implementation Guide

  • Planning to ballot in May

2.4 #1416 Exploration of FHIR resources to support of IDMP 11238/19844 Substances Standard and Technical Specification

  • Planning to ballot in May

2.5 #1310 BRIDG Model Update (BRIDG Release 5.2 /HL7 BRIDG R5 is being updated)

  • Planning to ballot in May

2.7 #?? siRB

2.8 #?? eSource

2.9 #?? PRO - Patient Reported Outcomes


3.1 FHIR Tracker Items

Current BR&R Open Items

  • GF#17794 – will need to gather more background info to evaluate
  • CRN team will review the items assigned to them

3.2 ResearchStudy / ResearchSubject

  • Lloyd suggested moving maturity level from 0 to 2
    • Have been used in Connectathon, part of production at Accenture
    • Don’t need to formally accept the details of the usage until Level 4
    • Will find out what the resources are being used for, and revisit the level on the Nov 13 call
  • The semantics of StudySite
    • Reviewed the distinction between Healthcare Facility and Organization. (Healthcare Facility used to be the Role of Organization) 
    • May also consider Healthcare Facility as a capability, since StudySite may not be a Healthcare Facility (e.g. could collect measurements in a park or cafeteria)
    • Interested in the entity that is responsible for the site rather than its location, but should be able to represent both

4. Action Item List

5. AOB

Josh Mandel - SMART on FHIR (Slide Link)

  • Validation: No official certification program on the clinical system. E.g. Inferno tool. Each vendor has their own set of rules and policies, user developer programs to vet apps.
  • Geographical spread: Supported by US government (ONC) and the work has been largely been in the US, but there is nothing US-specific. Profiles are more US-specific (e.g. supporting Argonaut profiles), but work is being done internationally to support regional
  • Clinical research apps: At Harvard Medical School, a project Sync for Science empowering consumers to share their data with researchers. For researchers, FHIR Bulk Data project provides ways of exporting data from EHRs in bulk to support population model access (as opposed to individual patient records).
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