Chair:  Robert Dieterle

Scribe: Alexandra Goss 

NOTE: This attendance applies if you are present at the related meeting/call, regardless if you have signed a different attendance for your WG. 






Momeena Ali

Shaumik AshrafMITRE

Steve Atwood Athenahealth

Lee BarrettDirectTrust

Drummond Group

Samuel Benton Booz Allen

Matthew Bishop Open City Labs

Seth Blumenthal AMA

Greg Bloom 

Jeff Brown Lantana

Matt Caroll

Daniel Chaput Independent

Chris Cioffi Elevance Health

Erin Clements

Melanie Combs-Dyer Mettle Solutions

Jeff DanfordOptum

Sorin DavisCAQH


Seneca Global

James DerricksonInterSystems
xMing Dunajick Lantana

Justin EdelmanCAQH

Rachel Foerster & Associates


Maria Ferrante

CGI Federal

Kenneth Flores

Point-of-Care Partners, FAST PMO

Rick GeimerLantana
xAlix GossPoint-of-Care Partners, FAST PMO

Independent Health


James HaleyArkansas Blue Cross


Project Unify

Jackie HemenwayUPMC

David HillMITRE

Andy HorvatEpic
xElevance Health

Chetan JainOptum


Gregg Johnson

Jay Johnstone

eHealth Exchange

Point-of-Care Partners, FAST PMO


Alex Kontur ONC

Jason Kulatunga

Fasten Health


Aetna/CVS Health


Patient Centric Solutions

Sean Mahoney MITRE

Point-of-Care Partners, FAST PMO

UC Davis Health

Brianna MathiowetzMITRE

John McBride eHealth Exchange

Greg MeyerCerner


Alex MuggeCMS







Marty Prahl 



Al PivonkaNCQA

Tsveta Polhemus NCQA


FAST/Audacious Inquiry
xSmile Digital Health

Bear Health Tech Consulting

Aetna/CVS Health



Liz Sheffield 



Jamie Smith  IQVIA




Jaffer Traish

Lauree Tu

Liz TuriONC

Elevance Health

Kevin Van Aucer

Dave Vaillancourt 

FEI/BookZurman (and HSS WG)

CVS Health/Aetna


Mark Wholey

Patient Centric Solutions


Joanne ZhousHSS

Sonja ZieglerOptum


Brad SchoffstallCGI

John McBrideeHealth Exchange

Andrei GuselnikovEdifecs

Ranjana Singhalb.well

Michelle BarryAvaility, LLC
xFlorida Blue

Kyle Brew

Myriam Christian


Beth Cunningham

Ramki Jayabala 

Rick Hawes



Eric Chen


Minutes Approved as Presented 


This is to approve minutes via general consent. "You have received the minutes. Are there any corrections to the minutes? (pause) Hearing none, if there are no objections, the minutes are approved as printed."

Agenda Topics

Agenda Outline

Agenda Item

Meeting Minutes from Discussion

Decision Link(if not child)
ManagementHL7 Antitrust StatementProfessional 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).

HL7 Code of Conduct

Meeting Minute Approval

2023-09-28 National Directory Meeting


Project Links

Project Page: National Healthcare Directory

Project Scope Statement: National Healthcare Directory PSS

Implementation Guides:

Reference Implementation:

Connectathon: 2023 - 09 FAST National Directory of Healthcare & Da Vinci Plan Net

Zulip Channel:

Predecessor work that this effort builds upon:


September 2023 Ballot Cycle Milestones

Notice of Intent to Ballot (NIB)June 25, 2023
Ballot Signup/ EnrollmentJuly 3 - Aug 3, 2023
Reconciliation DeadlineJuly 16, 2023
WG IG ApprovalJuly 18 - 27, 2023
Final IG ContentJuly 30, 2023
Ballot Readiness SignoffAug 2, 2023
Ballot VotingAug 4 - Sept 4, 2023


Please be sure to update your Zoom by adding your company name to your name. 

  • Find your name under "participants" (bottom of your zoom screen)
  • Click the ... next to "mute"
  • Choose the "rename" option and add your company next to your name and save the change. 

Da Vinci PDex Plan Net discussions will take place on the 2nd Friday of each month during the standing PDex/Formulary/Plan Net Implementer Support meetings (at 1:00 pm ET). Will plan to reconcile Jira tickets that influence/impact ND work.


NEW ZOOM Link usage started today!  

  • National Directory meeting details will be modified to use FAST's Zoom account. This means we'll update the HL7 Conference Call Center, Confluence references, and post details to list serv and Zulip. 
  • Impact on you:  You'll need to update your own calendar manually or through the HL7 Conference Call Center with new ZOOM meeting details: 

Join Zoom Meeting for October 2023 and beyond for National Directory calls

Meeting ID: 953 1439 0248
Passcode: 588636

Dial by your location
• +1 301 715 8592 US (Washington DC)
• +1 312 626 6799 US (Chicago)
• +1 646 558 8656 US (New York)
• +1 253 215 8782 US (Tacoma)
• +1 346 248 7799 US (Houston)
• +1 669 900 9128 US (San Jose)

Meeting ID: 953 1439 0248

THO Tickets, IG and Ballot  


  • THO process and related decision tree for National Directory IG (see outline below)

THO Decision Tree Process for NDH: 

Code System

    • Is Code System in THO
      1. Yes – continue
      2. No
        1. Is Code System used by NDH only
          1. Yes – Local Code System
          2. No – Add to THO
    • Is it completed (includes all of the required values for the Value Set)?
      1. Yes – continue
      2. No – can we add the required values for the Value Set

Note: Are there codes that overlap and change the meaning  or restrict the addition of new required codes

    1. Yes – need to request additional values
    2. No – consider value set that is combination of the THO Code System and a Code System local to the IG

Value Set

    • Is value set in THO
      1. Yes – use Value Set (need to consider the impact of the Value Set binding)
      2. No – is value set local to IG only
        1. Yes – local Value Set
        2. No – build in THO (submit to THO)
  • Ballot Reconciliation status, topics/technical corrections
  • Process related notes: 
    • Ticket/tracker review cadence advancement with support of commenter participation and carving out time for more complex items.
    • Some of the ticket form content will be written up offline to support block votes. 
    • Biweekly to monthly groupings to advance reviewed items into 'block' vote and touch point with PA WG

10/2/23 NOTES: 

FHIR-42243 - Getting issue details... STATUS Connection type missing. Recommend THO add IHE and two other restful types and add CDS to their THO code system so ND can that value set. 

FHIR-42262 - Getting issue details... STATUS Payload Type.  Issue stems from limited connection types within the elements of the endpoints to FHIR endpoints; pointedly there is no payload type. Had single code to use: Not Applicable. Will recommned adding "N/A"

FHIR-42263 - Getting issue details... STATUS Agree with the ticket and will make change to point to THO over being local value to IG. 

  FHIR-42246 - Getting issue details... STATUS Referral method needs to be updated to reflect current/modern approaches by adding codes. 

FHIR-42247 - Getting issue details... STATUS Only using subset of codes and getting an error message (as shown in yellow below). Will recommend that example set be updated. 

FHIR-42269 - Getting issue details... STATUS  Insurance and Coverage concepts conflated: Insurance is for plan you buy. Coverage is for services. Will recommend creating new code system for coverage or to use ND localized codes. 

FHIR-42270 - Getting issue details... STATUS Agree with ticket and will move references into THO. 

FHIR-42274 - Getting issue details... STATUS Unclear as to underlying issue as it appears tied to an HL7 value set as org role and org affiliate roles are very different. Ming will add a question in zulip to ask submitter to clarify what they are trying to accomplish. 

FHIR-42273 - Getting issue details... STATUS Same code system discussed above and appears tied to the same issue. Add to Zulip question on FHIR-42274.  

FHIR-42253 - Getting issue details... STATUS Discussed historical need to add community/human services based entities. Discrepancy in 'community' definition and the more the codes/definitions reviewed the more it became clear additional research needed before deciding on this ticket. 

FHIR-42254 - Getting issue details... STATUS and FHIR-42275 - Getting issue details... STATUS Existing Practitioner roles code system not extensive enough for ND roles. Will propose that ND current code system and value set as a replacement.

FHIR-42261 - Getting issue details... STATUS Will refer to correct code system. 

FHIR-42271 - Getting issue details... STATUS Extra values; straight forward ticket will ask them to add the code set so ND can use the value set. 

FHIR-42673 - Getting issue details... STATUS Bob greed with the ticket suggesting preadoption of the new endpoint element. Ming noted its an extension, and already in the extension package available. Ticket updated to indicate "persuasive"

ManagementFuture Agenda

Future meetings:

  • THO terminology work to support IG final publication requirements 
  • IG September ballot related items 
  • January Connectathon prep 

Adjourned at:  3:59 pm ET 

Supporting Documents

Outline Reference

Supporting Document