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Time: 1 - 2 PM ET





Ralf HerzogRoche
JD NolenChildren's Mercy Hospital
Freida HallQuest Diagnostics
Andrea PitkusUniversity of Wisconsin
Becky GradlAcademy of Nutrition and Dietetics
Dan RutzEpic
Kathy WalshLabCorp
Nancy SpectorAMA
Rob HausamHausam Consulting
Marti VelezisSonrisa/FDA
Jose Costa Teixeira
David BurgessLabCorp

Chair: JD Nolen

Scribe: JD Nolen


  • Agenda Review

  • Minutes
  • Pre-WGM Joint Meetings:
    • HCD - Device/DeviceDefinition/DeviceMetric - Meeting set 10AM ET Thursday at WGM 
    • Pt Care - Per Rob, there was a meeting. But another meeting is needed to reach conclusions. TBD on date/time. 
  • September WGM Timeslots
    • OO WGM Agenda - 202009
    • OO WGM 202009 - Attendance Log 
    • Doodle Prep -
    • The group covered the open Q's for the meeting and we tentatively added topics. 
      • Specimen debrief after joint with PA
      • FHIR stuff (Eric?) 
      • LIVID (on Thursday)
    • TODO: We need to do a co-chair/interested party schedule check next meeting for coverage and timing of topics. 
    • Message Structure Review
      • TODO: Need update from Hans
      • Need to have a review between OO, PA, InM.  Hans Buitendijkto reach out.
      • V2+ would have problems with current structures that have "errors"
      • Target to have our internal review done first week September
  • Healthcare Product Block Vote (with pulled items below)   - Marti/Jose     Against: 0     Abstain: 7   In Favor: 4     –  Passed
    • Device
      • FHIR-28308 - Binding is missing for Device.operationalStatus.value and Device.associationStatus.value valuesets - Ana Kostadinovska

      • FHIR-28197 - Consider an element on Device for brand name - Isaac Vetter — Pulled by Marti. Not resolved. 
      • FHIR-23704 - Why isn't the Device resources, considering its patient reference, within the patient compartment? - Isaac Vetter
    • Device/Definition
      • FHIR-26639 - Rationalise values (and DeviceDefinition) - Rik Smithies
      • FHIR-26636 - Differentiation of implantable vs. patient-use and "non-implantable" devices unclear - Floyd Eisenberg
      • FHIR-25400 - Change the type of .version element
      • FHIR-20575 Align UDI-DI and DI issuers across Device and DevideDefinition resources, reuse definitions - Ioana Singureanu
      • FHIR-16947 Drop ItemInstance - 2018-May Core STU #141 - Lloyd McKenzie - PULLED
      • FHIR-16314 - Keep Device Instance separate from Device Kind - Hans Buitendijk

    •  DeviceUseStatement
      • FHIR-26900 - Incorrect clinical-patient search parameter on DeviceUseStatement. - Eero Kelly

  • eDOS Peer Review
    • Option 1 (recommended) Add LOINC 80395-7 Date of gestational age estimate to the eDOS IG, and reference it in 11884-4, 49052-4, and 49051-6 to provide guidance on how to report the date.
      • Vote: Frieda/Kathy    Against: 2  Abstain: 2  In Favor: 5 - Passed
    • More to review next week on this

Meeting ended here on the agenda 

    • Nutrition
      • Reviewed upcoming work, updating DAM scope, and at instance/kind.
      • Meeting
        • Every other Wednesday 2-3 ET
      • Project page link: Nutrition
    • Specimen DAM
      • Working on sketch for task, transfer, movement, procedure needs.  Likely needs a new resource.
      • Will involve logistics as well at some point.
      •  Meetings:
        • Every Monday 2 - 3 PM ET
      • Project Page Link:
    • FHIR - OO on FHIR
      • Have been on hiatus due to other topics needing publication.
      • Reconvene starting mid-August.
      • Meeting
        • Every Tuesday 2 - 3 PM ET
      • Project page link: FHIR
      • IHE needs to update Volume IV to reflect CMS vocabulary.
      • Also needs to consider alternative use of ORU to clarify how OBX could be used, plus mapping to FT1.
      • CDSM connection is still proprietary, interest to get CDS Hooks/Standards.
      • Change to the name of the LOINC Code. 
    • CIMI/Concept Modeling
      • Co-chair will meet to discuss the future of the group – Lorraine will check what’s up
    • DME
      • Need to sort out Post-Acute Orders vs. DME (as in NIB).
      • Check with Bob Dieterle.  Needed before publication.
      • Project Page Link: DME Project
    • Healthcare Product: Device/DeviceDefinition/UDI
      • UDI IG draft proposal for Aug 31 and then to OO.
      • UDI DAM in ballot
      • BR&R
      • PPE/Inventory August 24
      • Resource Proposal Updates
      • Meeting: Every Monday 3 -4 PM ET
    • V2+ 
      • Still need to look at open tickets and message structure issues.
      • Meetings:
        • Every other Friday, 9-10am ET
      • Project Page Link: V2+
    • V2-to-FHIR

    • US Realm Lab (eDOS/LOI/LRI) 
      • See AOE PSS discussion above
        • PSS was approved for January ballot.
      • HHS ELR Guidance document "locked in" 
      • LOI has STU comments and maybe (unclear) updates from HHS/CDC
    • Product Grid – no update, is not needed this cycle
      • Co-chair meeting to re-group.
      • Need to still review the status of our standards in the product grid:
        • Status definitions - Riki to follow up to see where those are in the grid - here are the ones given to TSC:
          • active, planned use or in use, future maintenance release
            • stable, in use, generate feedback, not active
            • review, not updated in foreseeable future
            • deprecated - deprecated - no further work planned - if not already using, it is not recommended to be implemented