2023-03-23 Cross-Group Project Workgroup Call

• Last WG Call:
  • 2023-03-09 Cross-Group Project Workgroup Call
• Antitrust statement reminder:

Professional Associations, such as HL7, which bring together competing entities are subject to strict scrutiny under applicable antitrust laws. HL7 recognizes that the antitrust laws were enacted to promote fairness in competition and, as such, supports laws against monopoly and restraints of trade and their enforcement. Each individual participating in HL7 meetings and conferences, regardless of venue, is responsible for knowing the contents of and adhering to the HL7 Antitrust Policy as stated in §05.01 of the Governance and Operations Manual (GOM)

The Physical Activity IG:

FHIR-40398

FYI

FHIR-40399

FHIR-40400

Late-breaking change on Transfusion and Vaccination AE Guide:

FHIR-40676 - Getting issue details... STATUS

Variance request from the Physical Activity IG:

FHIR-40398 - Motion to approve for up through US Core version 5.0.1 - Eric Haas/Jason Vogt: 20-0-0

FHIR-40399 - US Core Conditions, Problems, and Health Concerns - Motion to approve for version based on US Core 3.1.1 and 4..0.1 - Eric Haas/Floyd Eisenberg: 19-0-1

FHIR-40400 - ServiceRequest.reason - approve based on US Core through version 5.0.1 - Motion to approve: Eric Haas/Brett Marquard: 20-0-0

FHIR-40676 Profiles for Transfusion and Vaccination Adverse Event Detection and Reporting - will fixed the RelatedPerson to based on appropriate version of US Core RelatedPerson in the next version of the IG to be balloted in Fall 2023 - since the issue was only a technical correction, it cannot be changed. - Motion - Eric Haas/Brett Marquard: 20-0-1

Status Update

Jay Lyle and John D'Amore joined the call to review content of the C-CDA on FHIR Guide with mappings. Reviewed 2 weeks ago and during Monday CGP specific calls March 13 and 20.  

Motion to approve content for ballot - Jay Lyle/Floyd Eisenberg: 20-0-1

US Core - January Ballot Reconciliation Schedule

Ballot Reconciliation Schedule:

• This week Feb 23: Clinical Notes DiagnosticReport
• Mar 2: Conformance, Search
• Mar 9: Assessments
• Mar 16: Assessments -cancelled
• Mar 23: open - currently planning to meet only during regular 2nd and 4th CGP calls unless alternate weeks become necessary
• Mar 30: optional
• April 13: open

Weekly Block Votes Schedule: <<BLOCK VOTING COMPLETED>>

Preview the groupings on Jira's US Core Dashboard. The tentative agenda for the weekly Block Votes (BV) Themes are:

• BV-2 (February 2): Pregnancy , MedicationDispense/Request - done
• BV-3 (Feb 9): Occupational Profiles (ODH), Coverage - done
• BV-4 (Feb 9 -Feb 16): Specimen, Extensions - done
• BV-5 (Feb 16 -Feb 23): Assessments
• BV-6( Feb 23 - Mar 2): Assessments
• BV-7 (Mar 2 - Mar 9): CarePlan, Clinical-Notes, DiagnosticReport
• BV-8 (Mar 9 - Mar 16): Conformance, Search
• BV-9 (Mar 16 - Mar 23): Leftovers

Goal: Finish trackers by end of March and Publish by May.

No block vote today

1. FHIR-40034: (pulled from BV6) Rename US Core Observation Category (Howard Strasberg) Persuasive
2. based on above variance requests:
   1. reopen and redisposition FHIR-39940 
   2. new FHIR-40656
3. FHIR-40103: Remove Must Support from Goal.target and Goal.target.due[x], (corey_spears) Persuasive with Modification
4. FHIR-38808 and FHIR-40514 Add support for imaging identifiers/US core should have specific profiles for imaging and lab results (bvdh) ****

if time

4. FHIR-40583: Change Direct Address to be part of .telecom rather than .endpoint in PractitionerRole (Jessica Bright) ****

Other Tracker Discussion: 

FHIR-40034: (pulled from BV6) Rename US Core Observation Category (Howard Strasberg) Persuasive

1. Hans Buitendijk joined to discuss resolution - creating a specific US Core assessment category value set as distinct from US Core simple observation profile
2. Motion to approve - Eric Haas/Hans Buitendijk
3. Eric pulled motion to review content of value set and determine if it is a specific US Core value set.
4. To be discussed again at subsequent meeting.

Reopen and redisposition FHIR-39940 

Simple observation includes derivedFrom - it should be a simple observation and not require MS

Motion to reopen - Eric Haas/Juliet Rubini: 20-0-0

 FHIR-39940 - Change disposition to remove MS from derivedFrom the reference to US Core Observation Screening Assessment profile. And make it a USCDI requirement to support assessments and add user note Profile specific implementation guidance how to reference the source for assessments. 

Motion - Eric Haas, Yunwei Wang: 18-0-0

New FHIR-40656 - change MedicationRequest reasonReference and ServiceRequest reasonReference to use US Core profiles to only reference base FHIR profiles.  

Motion - Eric Haas, Gaye Dolin: 18-0-0

FHIR-40103: Remove Must Support from Goal.target and Goal.target.due[x], (corey_spears) Persuasive with Modification - to be discussed further

CGP continues to meet on the Second and Fourth Thursdays, additional calls for US Core ballot reconciliation only if needed

MaxMD

Mitre