ANSI Anti-Trust Policy:  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).

Administrivia

Approve Minutes

• 2023-07-20 Main - Motion to approve Kathy Walsh, Riki Merrick, no further discussion, against: 0, abstain: 3, in favor:5

• 2023-07-27 Main - Motion to approve Kathy, Riki, no further discussion, against: 0, abstain: 2, in favor:6

OO Project Proposal Triage 

• Do we need to review/comment on? 

  • PSS-2235 (due today) - commented on proposal - not interested
  • PSS-2213 (due 8/22) - commented on proposal - not interested

Today's topics:

OO WGM 202309 - Agenda - Orders & Observations - Confluence (hl7.org)

• PH meeting on Tues Q2 – Craig will tell us if that does NOT work – OO can host
• Co-Chairs to add their availability
• Wed Q4 for vocab will talk Gender Harmony, so send reps (Lorraine)
• Added these topics as follows:

  • Tue Q2 – add topics to PH joint

  • CIMI as a WG discussion – if they dissolve, then we need to find places in the domain WGs for their work

  • LabOrder model – apply resolutions to the material – Fri Q2

  • Thu Q4 with CIMI – ballot recon for lab model IG

• Ralf may not be able to attend ☹

• Need to work with FHIR-I or Vocab on the following: 
  • FHIR-40437 - Link missing -  Note this is the expansion list

September Connectathon Participation

• 2023 - 09 Orders Exchange Track only - nothing new here

FHIR JIRAs (link to below)

• Updated status 
• Pulled Block Vote JIRAs from May/June 2023

Update on FHIR Tracker related to Family/Household attributes

• here to not forget / be able to provide updates, was not further discussed today
• Created matrix - see: 2023-07-18 OO on FHIR and 2023-07-25 OO on FHIR
• discussion is generating additional Jira tickets
• Had a lot of discussion on 2023-07-25 OO on FHIR
  • A family can be a recipient of care, but also a provider of care
  • Do we want to repurpose Group for receiving care and CareTeam for providing care, GG doesn’t like it, per zulip thread
  • If they are both providers and receivers of care, then all the attributes would be duplicated
  • In a family parents can give care, but infants would not providing care – but can receive care
  • CareTeam covers Group, so could cover that aspect
  • FHIR-I owns Group and PC owns CareTeam – but this on a WGM agenda for the joint with PC Wed Q1
  • Left note on zulip to join the OO call on August 8 and offered the WGM Wed Q1 (Next week)
  • Send email notes about this plan to Co-Chairs of affected WGs: PC, FHIR-I, Learning Health Systems

Diagnostic Report and CLIA Zulip

• Zulip chat: https://chat.fhir.org/#narrow/stream/229447-V2/topic/privacy.20.2F.20commercial.20lab.20workflowshttps://chat.fhir.org/#narrow/stream/179256-Orders-and-Observation-WG/topic/DiagnosticReport.20statuses.20and.20CLIA.20requirements.3F
  
  • Andrea provided quite a bit of detail, so we can close this topic, BUT
• Need to still review the DiagonistReport status codes: 
  • • Reviewed and made edits to the following: https://docs.google.com/spreadsheets/d/1PZzztfsx_yRfvrl3i9on8Tc-yXZCzbK1wnVgts-SxSQ/edit#gid=0
    • Status in FHIR: http://hl7.org/implement/standards/fhir/codesystem-diagnostic-report-status.html

Zulip - ObservationDefinition.qualifiedInterval.condition

• https://chat.fhir.org/#narrow/stream/179256-Orders-and-Observation-WG/topic/ObservationDefinition.2EqualifiedInterval.2Econdition

• qualifiedInterval – no longer exist – was changed in R5 to observationDefinition.qualifiedValue

• it seems that context provides codes situations, condition is string to capture anything else

• Created FHIR-41617:

  • add more examples

    • for reference range based on sex and age

    • for range category = absolute range of a device

  • need to fix qualifiedValue.gender – that should be using sex parameter for clinical use: qualifiedValue.SPCU

• Added a comment explaining the above and asking what they are trying to achieve

ADJOURNED 1:58 PM ET

• Check back in August for progress

UP-44 -no value set content defined for v2 table 963 value set 

• Leaving UP-44 open for now – so that the new tickets and this one can be linked

• V2 Dashboard

FHIR Discussion Topics: 

JIRA 

Block Vote Pulled JIRA

JIRA

The following are draft pages to organize and author content for each of our health care product resources: 

• BiologicallyDerivedProduct
• Devices
• Nutrition Product
• VisionPrescription

OO Resource Coverage

• Need to discuss developmental roadmap for each of the OO resources for R6
• Added R6 planning to WGM agenda
• Need to discuss what needs to be done prior to WGM to prep for discussions
• Add Resource reorg comments to module pages

Notes

• Marti revised related resource for each topic area to where the resources align to current modules
• Definitional resources were in workflow (pattern is still there) but those are now in administrative – Marti and Jose to take off-line