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

• 2023-08-31 Main - Motion to approve
  • Kathy Walsh / Marti Velezis: 13-0-1

OO Project Proposal Triage

• Nothing to review 

Other (Project Approvals, NIBs, etc.)

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

• Need to work with FHIR-I or Vocab on the following: 

  • FHIR-40437 - Link missing -  Note this is the expansion list

  • Robert Hausam will be checking it out to see where it should land - will update the agenda, when clear
  • 9/7 - Pending - need to determine which group needs to address this topic
• OpenCDx Project proposal needs to be added to the agenda - Tues Q3 - Marti to verify
  • 9/7 - Sent follow-up message to Eric and Preston and waiting for a response
    
• 9/7 - Joint Meeting
  • Todd Cooper - Devices related to Nutrition - PHN F&N and OO Nutrition- Tuesday Q4
  • Donna/Michelle - NutritionIntake - need to clarify where this topic is happening - CQI - Monday Q4 (at beginning of the quarter); RE: QI Core profile for NutritionIntake

---------Next week: WGM in Phoenix---------

FHIR JIRAs (link to below)

• OO on FHIR Block Vote for August - VOTE TODAY

  • Tags to use for inclusion: OO-FHIR-Block-Vote  August-2023

• 9/7 - Motion to approve block vote:
  • Marti Velezis / Yanick Gaudet : 9-0-4
  • All tickets have been updated with votes (9/7/2023 - MJV)

• Pulled Block Vote JIRAs from May/June 2023

  • FHIR-33042 - Getting issue details... STATUS
    • https://hl7.org/fhir/valueset-observation-status.html
    • amended means something was changed elsewhere, but it did NOT affect result or interpretation or reference ranges
    • appended identifies the observation that was added to a report, it could be included in several reports
    • discussion if this is at the right level - or should this be at DiagnosticReport level
    • corrected is NOT a child of amended - move up to level 1
    • 9/7 - Will have to revisit today
      • Part of vote in July 2023 and should have been removed
        • Reopen the ticket today
          • Hans Buitendijk / Rob Hausam : 10-0-2 John D.L. Nolen 
          • Marti sent JIRA admin to get this ticket reopened to apply the updates to this ticket
            • Ticket reopened and vote recorded 
        • Add "appended between corrected and cancelled as a Level 1 term
        • Need to make sure that the Resource is more flexible than applying lab-related terms and/or jurisdictional requirements (which are better suited to "mappings")
        • Perhaps the "result" or "observation should not allow "amended" for labs
          • Should there be more prescriptive instructions for when to use these terms and the observation elements that are being amended
          • Should "amended" be removed?
          • Note - this is Normative content and needs community consultation
      • Note - "corrected" should be level 1 and we need to look up that request separately
        • Note - this is Normative content and needs community consultation
      • This ticket needs to be further discussed -
        • Added to Tues Q2 to discuss but not make any final decisions
        • We will pick up on another OO post WGM with recommendations

Reminder Next Meeting: September 21, 2023

Meeting Adjourned: 2:05PM EDT

From Chat: 

David Barwin to Everyone (Sep 7, 2023, 1:04 PM)
Will be dropping off at 30min mark
 
Andrea Pitkus to Everyone (Sep 7, 2023, 1:05 PM)
Will COW occur tomorrow?
 
Ralf Herzog to Everyone (Sep 7, 2023, 1:06 PM)
no
 
Andrea Pitkus to Everyone (Sep 7, 2023, 1:06 PM)
and will it resume next fri?
thanks
 
Andrea Pitkus to Everyone (Sep 7, 2023, 1:31 PM)
CLIA indicates reports with amended info is a corrected report.
per Kathy's comments
fyi, from CAP accreditation, "Amended/amendment - Any change in a previously issued anatomic pathology or cytopathology report
intended to correct an inaccuracy, including changes in the diagnosis, narrative text, clinical history, pre- and
post-operative diagnoses, patient identification, or other content."
Corrected/correction - A change in a previously issued clinical pathology test report intended to correct an
inaccuracy, including changes in test results, patient identification, reference intervals, interpretation, or other content.  (FROM CAP)

Andrea Pitkus to Everyone (Sep 7, 2023, 1:37 PM)
Note CAP indicates amend/amended would be used for AP or cytopath reports.
I realize it applies outside of lab too

Andrea Pitkus to Everyone (Sep 7, 2023, 1:52 PM)
agree ralf
corrections can occur whether amendments occur
 
Elliot Silver (ResMed) to Everyone (Sep 7, 2023, 1:53 PM)
“When I use a word,’ Humpty Dumpty said in rather a scornful tone, ‘it means just what I choose it to mean — neither more nor less.’

Andrea Pitkus to Everyone (Sep 7, 2023, 1:54 PM)
unfortunately in healthcare, the same term is used with different meanings at times
According to CAP, amended wouldn't apply to the observation

• 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
  • some work by devices WG
  • do we need to differentiate lab devices (pre/post- analytical devices from analytical devices in the lab)?
  • Need to decide to what level of detail this page should go, or if we need this then how to document some of this content = may not belong here, but rather on the device related resource pages
• 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