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Chair: Lindsey Hoggle

Scribe: @James Mcclay

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Meeting ID: 803 356 1462

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 Meeting ID: 803 356 1462

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Attendees: 

Present

Name

Affiliation


Intermountain             
XHealth Project Partners 

Intersystems

Pfizer



Enable Care
    MaxMD

CDISC

Lantana
Mitre
X

JP Systems



PJM Consulting

MaxMD

Altarum

Stratametrics, LLC

Caroline Potteiger

PCPI
XDaniel RutzEpic

@Paul SevilleCerner


   Mitre

@Anita WaldenOHSU
    X

@James Tcheng

Duke



Kevin Baskin
    
      @Karen Thullen
      Gary Dickinson
     Susan Matney
     John Donnelly
      Michelle Barry
   X    @James McClayUNMC
XNatasha Kreisle
XPele Yu
XTimothy Bennett


Agenda Topics

Agenda Item

 Discussion and Responsibilities

Minutes and Decisions 
Jira Migration for CDA Assets (10 min)

NK - discussion: https://confluence.hl7.org/x/iwchAg

  • Normative Standards need to be reaffirmed to remain an ANSI standard.
  • HL7 characterization - stable,

Style sheet issue with ANSI standards.

HL7 Version 3 IG for CDA Release 2: EMS Patient Care Report - HL7 Stable, ANSI - withdrawn

HL7 CDA R2 IG: Trauma Registry Data Submission, Release 1 superseded by Release 2 for ANSI. Stable - HL7.

 Minutes Approval (3 minutes)

Request to approve by consensus. 

2020-11-12 CIC Conference Call

Approved

Review of Agenda/Key HL7 Deadlines/Business Tasks

January 25-29 2021WGM 

All HL7 Calendars (Confluence) 

(10 minutes)

NOTE: Trauma Registry Release 2 needs no action by CIC at present; published in Jan 2019

Today's Update:  See discussion above

Confirm the standards/products status in Standards for Review spreadsheet.

Confirm that Emergency Services will be withdrawn or allowed to expire.

Past Update:



Project Report-outs 

(10 minutes)


mCODE (May Terry)  Mark Kramer

Target Dates:    

Normative ballot: Jan 2022   

Publication Request: Feb 2022   

Receive ANSI approval/Project end: April 2022



Todays Update:

Vote on mCODE Block Vote sent by Mark Kramer

mCODE-Block-Vote-1-proposed-2020-11-09.xlsx

Request to Pull FHIR-28550 from Daniel Rutz | Integration Architect (EDI) | Epic | drutz@epic.com

Re: FHIR-28550 (Set observation category in profiles), can we pull that to discuss the categorization of one of those Observations?  (Also adding in OO because I’d imagine they have folks who would like to see this.)

For “Cancer Stage Parent”, I’m not convinced that Observation.category is most appropriate as ‘survey’, especially given that Pathological Stage is ‘laboratory’.  I know clinical staging happens in a structured form-like way, but so does pathological staging in a lot of cases, and neither staging process feels quite the same as the archetypical “survey” stuff like PHQ9 or APGAR which tend to be a little more mechanical. 

I guess I’m wondering if ‘exam’ would be better, for lack of something in the .category value set that really feels like it fits... maybe this is a use case to expand that list although I don’t have a good term handy to propose.   Among other considerations, I’m also imaging that given the way I see the data generally being stored & discussed, it might be difficult to get ‘survey’ on that particular Observation (but that might require looking at what the rest of the data model it fits within and would be captured with is categorized as, which admittedly I haven’t done).


Motion: Approve block vote

Second:

Vote approval: 7-0-0

Past Update: 

CODEX is taking the lead on Cancer Interoperability; need a WG, likely to be Public Health.  Expect more than one WG.  CIC supports the work re: bandwidth for work necessary.  Nothing has yet been decided but glad to discuss with Public Health.  

Confirm May 2021 for STU ballot vs Target Dates from PSS.


(10 minutes)

VANGUARD (Stan Huff Richard R. Esmond Julia Skapik Kevin Baskin) (Marti Velezis)

Target Dates:

Informative: N/A
STU: Jan 2021
Normative: Sept 2022

Today's Update:

None

Past Update: 

Kevin - planning terminology development based upon the projects involved in.  They are working on a Roadmap for the vocabulary work to give group a better sense of work underway.  Question: Logica - discussions on a need for a repository so domains could keep their data to prevent overlap.  Logica is interested in Logica domains and FHIR Profiles; other discussions on where to have FHIR Profiles repository.

Work underway on anatomic nomenclature will intersect many areas; would like to collaborate on this. 

Question on Sandboxes: they are doing retrospective queries on codes. Would like a place to test queries and moving forward testing.  

Through MDEpiNet, planning a Think Tank Sessions, two of them which will likely begin in February 2021: coordinated needs of the community for interoperability and practical resources which can be used across the community; would like to include CIC.  CIC Contact: Kevin M. Baskin



(10 minutes)

Complete STU1 Reconciliation /Request Publication:  Jan 2020 WGM

Submit for STU2 Ballot: Sep 2020

Complete STU2 Reconciliation/Request Publication:  Jan 2021 WGM

Today's Update:

None

Past Update: 

no one available for report



(10 minutes)

CCRF (Anita Walden @Jimmy Tcheng)

Today's Update:

Vote has already been accomplished; Publication Request made for CCRF.

Request for publication should be submitted tomorrow.

Past Update: 

 Lindsey and Laura are working with Anita/AbdulMalik to complete the ballot reconciliation for publication.

(10 minutes)

Pain Assessment Project (Susan Matney)

Skin and Wound Project (Susan Matney)

Today's Update:

None

Past Update:

no one available to report today. 

Nursing Knowledge Big Data Initiative; FHIR R4 IG complete.

Podiatry Work Plan to achieve January ballot 2021; is not full ballot. 

Pain Assessment:  Susan has many vendors to standardize it to use it.  Cannot go to ballot until there is a Connectathon.  FHIR Profiles are to be completed by October 30, 2020. 

CIC needs clarifications on Pain Assessment Work. 

Unclear on Connectathon. Excellent Pain Assessment.  They have 8-10 Patient Scales that are in LOINC.  Need to determine if FHIR work is only the area that Pain Assessment can be published. Podiatry wants to implement it in their systems, which does not involve FHIR.


New Business

Timothy Bennett and Pele Yu presented discussion of EHR WG sponsored Pediatric EHR Functional Profile.

21st Century Cures Subtitle G, sec 10006, iii - voluntary certification of HIT for Pediatric Care.

Pediatric Care HIT FP Project Confluence page

Meet Tuesday Q2 at WGM.

Question whether CIC would like to co-sponsor.

Q&A: Discussion of specific Peds IT requirements

Motion to support: James McClay, Second @James Tcheng

Vote approval: 6-0-1

CIC will designate participant.

Next Meetings

Thursday, December 24:  2-3 PM EST

Thursday, January 14, 2021 2-3 PM EST

Thursday, January 28, 2021 2-3 PM EST (During WGM)



January 14, 2021 meeting during connectathon.

Have invited the CDA group to attend a meeting for CDA review requested.

Adjournment  Adjourned at   2:50 EST

Supporting Documents

Outline Reference

Supporting Document

Minute Approval