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OO Main - Meeting Information

Meeting Details

Date: August 3, 2023

Time: 1 - 2PM ET


Meeting Status

Chair:  JD Nolen

Scribe: Riki Merrick

  • Quorum (Co-Chair + 4) Met 

OO Events 


OO Calls Next 7 Days (check if happening)

  • Catalog
  • LAB
  • v2-to-FHIR
  • Specimen
  • HCP
  • OO on FHIR
  • Cancer Pathology Reporting
  • IHE SDC/eCC on FHIR 

  • Nutrition  - every 4th of Month
  • v2-to-FHIR
  • Main Call

  • LIVD - date TBD

Upcoming Topics/Due Dates

Sep 2023 Connectathon / Ballot / WGM
WGM Agenda postedAug 11, 2023
WGM Minutes postedSep 29, 2023
Other Deadlines
TSC Representative ElectionJuly 31, 2023
2024 Jan Connectathon and Ballot
TSC Approved PSS deadlineAug 11, 2023
FHIR IG proposals to FMGOct 22, 2023
NIB deadlineNov 11, 2023
FHIR Connectathon Track Proposal dueNov 17, 2023
FHIR Core substantive Content freezeDec 5, 2023
Prior ballot recon dueDec 3, 2023
Ballot FHIR IG approval 
Final ballot content deadlineDec 17, 2023
WGM Agenda posted
WGM Minutes posted
DateUpcoming Agenda Topics
TBDNeed to check Block Vote readiness for June JIRA tickets


(Names of people present are BOLDED)



Ralf HerzogRoche
Rob HausamHausam Consulting
JD NolenMercy Children's Hospital
Hans BuitendijkOracle
Riki MerrickVernetzt, LLC / APHL
Yanick GaudetStar Global 
Andrea PitkusUW
Marti VelezisSonrisa / FDA
Craig NewmanAltarum
Dan RutzEpic
Jose Costa Teixeira
Christopher HarrisonQuest Diagnostics
Bob DieterleEnable Care
Kathy WalshLabcorp
Lorraine ConstableConstable Consulting
Elliot SilverResMed
Donna Pertel
Susan DownerJMC / APHL
Patrick Loyd
Matt Elrod
Dave HillMitre
Maria Moen

Agenda and Notes:


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 (

  • 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

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 - ObservationDefinition.qualifiedInterval.condition


  • 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-Jira Review (time permitting) 


Projects/Feedback (Updates in BOLD)


ProjectTopicsProject Information
  • Topics:
    • Need to add current topics
  • Project Page Link: 
  • Meetings
    • Every other Friday, 9-10am ET starting 10/1
  • Topics:

    • Need to add current topics

  • Project Page Link: 
  • Meetings:

    • Mondays 1 - 2 PM ET
    • Thursdays 11 - 12 AM EDT

FHIR Discussion Topics: 


Block Vote Pulled JIRA

JIRA Status



Block Vote Pulled JIRA

From June 2023




Elliot Silver pulled FHIR-33042

Hans pulled FHIR-32154, FHIR-25552 

From May 25, 2023


JIRA Status



JIRA Issue Backlog
  • Should the extension be removed?
    • 4/27 NOTES:
    • Side-bar: There are also several extensions on other resources, for example for nutrition that we are not sure where the extensions came from
    • Related Jira referenced in comments = FHIR-29273
      • This jira mentions these artifacts
        • Blood Pressure Panel
        • Body Length
        • Body Weight
        • Head Occipital-Frontal Circumference by Tape Measure
      •  came from Rita Pyle
    • A component is different from a qualifier
      • It is not in the definition for component, but mentioned in text in we say “or may provide qualifying information to observation.code”
        • Can we find out how this text got added? – It is in R4, but not R3, so maybe we can find it
      • Is the bodyposition an observation that is part of the bloodpressure measurement procedure?
        • Diastolic pressure
        • Systolic pressure
        • Body position – this would have to apply to both of those measurement
      • The old jira came from Rita Pyle – let’s ask her to supply the list of qualifiers that are modeled differently – add comment to this Jira tagging her
      • Add Overall comment? We see a difference between qualifiers and components of an observation – let’s do some more research first
  • Total FHIR = 265Tickets in Submitted, Triaged, Waiting For Input

    • FHIRCore = 232
    • FHIRCast=1
    • FHIRPath=11
    • FHIR IGs = 14

  • At-home Test - Deferred tickets that have been reopened.
  • This group is not meeting – how or when do these tickets get resolved?

  • Grouping the tickets with Observation.category changes
  • Need to determine where to have this discussion – at least to propose dispositions for a block
  • Discussed at WGM – need to determine outstanding JIRAs

JIRAs to Be Applied (FHIR Core)

JIRAs to Be Applied (IGs)

  • Status of tickets

Total To be Applied:
  • 62 FHIRCore
  • 72 IG related
JIRAS to be marked Published

Note - these are in the published R5 on

Modules - Updates on progress


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

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


  • 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

Projects/Feedback (Updates in BOLD)


ProjectTopicsProject Information
  • Topics:

    • Need to add current topics

  • Project Page Link: 
  • Meetings:

    • Every Monday 2 - 3 PM ET
  • Topics
    • Device Association
    • Module for Device, BDP and Nutrition
    • Intake/Administration/Procedure Consistencies
    • otherwise Jira tickets for Device(Definition), BDP, Nutrition
  • Topics
    • Jira tickets work
Cancer Pathology Reporting
  • Topics
    • IG has been reviewed and approved by FMG with the caveat that it not be published until the MedMorph Reference Architecture IG is published (checking on ETA)
  • Topics
    • Publication Pending

  • Project page: 
  • Meetings
    • Every Wednesday 2 -4 PM ET
    • Note that the call is listed on call calendar only as 1 hour call, since conference center won't let calls overlap
  • Topics

    • Next Call July 26, 2023
  • Project page link: 
  • Meetings

    • 4th  Wednesday ONLY 2-3 ET
  • Topics
    • LIVD IG - Ballot Reconciliation 
    • Next Call: July 20, 2023

(FHIR in the Lab) Order Workflow project is merged with: FHIR Orders Exchange (DME/AcuteOrders) (Administrative)


  • FHIR in the Lab/Workflow - establishing boundaries for each project
  • FOE
    • Referrals/PriorAuths/Orders/Claims
    • Focus on exchanges between Ordering Provider and Performing Provider

Order Service Catalog
  • Topics
    • Preparing Publication request
    • Draft content has been sent out
  • Topics
    • LRI/LOI
    • Lab related topics