Conf Call Minutes OO November 14, 2019

Time: 1 -2 PM EDT

Coordinates:

#FreeConference: Ord
+1 515 606 5332
Access Code: 294586#

Attendees:

	Name	Organization
1	Ralf Herzog	Roche
2	Kathy Walsh	LabCorp
3	Becky Gradl	EatRight
4	Marti Velezis	Sonrisa / FDA
5	Hans Buitendijk	Cerner
6	JD Nolen	Mercy Children's Hospital
7	Mark Kramer	Mitre
8	Riki Merrick	Vernetzt, LLC / APHL
9	Jim Harrison	UVA / CAP
10	Ron van Duyne	CDC
11	Jose Costa Teixeira
12

Co-Chair: Hans Buitendijk

Scribe: Hans Buitendijk, Riki Merrick

Agenda:

Agenda Review
Minutes
MUST make NIBs by 11/17
- #1010 was approved earlier - made NIB and submitted
- #1009 - v3 Food and Medication Preferences Clinical Messages - submitted
  - Motion to submit: Becky Gradl, Riki Merrick
    - Against: 0; Abstain: 1; In Favor: 8
- #1067 - Laboratory Order Conceptual Model Specification R2 - submitted
  - Motion to submit: Riki Merrick, Rob Hausam
    - Against: 0; Abstain: 1; In Favor: 8
- #1496 - DME (FMG Approved IG Proposal=https://wiki.hl7.org/Fhir_dme_orders) - submitted
  - Motion to submit: Riki Merrick, Rob Hausam
    - Against: 0; Abstain: 1; In Favor: 8
FHIR
- DeviceDefinition => FMM1
  - had 1 hour long debate around the deviceDefinition resource proposal around using just device and adding an indicator to the device resource to indicate type or instance or unknown
  - resulted in 2 updates needed:
    - articulate why we are using deviceDefiniton instead of just using Device – similar to medication resource
    - and also need to update the medication resource boundaries to indicate when to use it vs. device and deviceDefinition - work with Rx / John Hatem on that
    - Motion to update DeviceDefinition from FMM0 to FMM1 per FMG decisions. Rob Hausam, Marti Velezis
      - Discussion: Need two gForges/jiras when ready for the two action items (Resource Proposal update and Medication scope/boundary update) Hans Buitendijk
      - Against: 0; Abstain: 0; In Favor: 9

Call for Harmonization Proposals = Final due date: November 29
- From IHE work
  - HL70513
    - Riki could not locate V3 or CDA related vocabulary, so can we just submit as is, or wait another week?
    - Will wait for next week and apply other edits per tech review (need to fill in approval status).
US Realm Lab (eDOS/LOI/LRI) - Next week
CIMI (last 20 minutes) - Next week
- Diagnostic Report Performer/resultsInterpreter Role
  - what is the use case here?
  - resultsInterpreter – is required for AP
  - what is the use case – for data exchange or for modeling in the LIMS
  - this was coming from oncology group – they wanted to slice
  - in eventpattern has performer and person
    - (Need to add link to participant pattern in the minutes from last week)
    - Is the performer.function vs using participant with a role of organization and person – does the performerFunction valueset applies here
    - In V2 and V3 this is shared over the wire for some use cases
- Other joint topics?
Project updates:
- LIVD
  - Not using catalogEntry in LIVD, so we are not really making changes in LIVD
  - Hans and Rob will make the ballot recon updates applied and submit a publication request
  - Meeting
    - Every Friday, 1-2pm ET
  - Project page link: http://wiki.hl7.org/index.php?title=LIVD_-_FHIR_Mapping_Project
- Order Service Catalog
  - ObservationDefinition and SpecimenDefinition proposals need to move to FMM1 (already approved, including gForges)
  - Working on updates to link without use of CatalogEntry.
  - Meeting
- - - Every Friday, 12-1pm ET
  - Project Page Link: http://wiki.hl7.org/index.php?title=Ordering_Service_Project
- Nutrition
  - Met last week, but have limited participation
  - Continue to define nutritionProduct
  - Updates sent to Jose for modeling in current build
  - Meeting
    - Every Friday 2-3 ET
  - Project page link: Nutrition
- Specimen DAM
  - Continue work on mapping DAM to FHIR.
  - Trying to figure out how to handle container, holders, storage equipment.
    - FHIR only has backbone element for the container in specimen (and have a gForge to allow nesting) vs representing containers (immediate touching the specimen) and holders and storageEquipment in the DAM
  - Dealing with specimenCollection and specimenProcessing – split that out into references to procedure resources or leave as backbone elements (was question to listserve earlier, but no answers back)
  - For both of these consider what the current systems can support as well as what other needs there are
  - If any of these elements need to be described outside of specimen, use reference, else leave as backbone, or consider allowing a choice of the two approaches
  - Meetings:
    - Every Tuesday 3 - 4 PM ET
  - Project Page Link: http://wiki.hl7.org/index.php?title=Specimen
- FHIR - OO on FHIR
  - General discusions on reflex orders and DiagnosticReport Performer/resultsInterpreter Role. No conclusions yet.
  - Also starting to look at Micro (from V2 to FHIR call discussion).
  - Meeting
    - Every Tuesday 2 - 3 PM ET
  - Project page link: FHIR
- AUC
  - Conversation around X12 implementations, but some around IHE v2 usage resulting in need for follow up
    - some are using ORU messages instead of order messages, so should at least highlight that
    - order message works well
    - some folks are using DFT messages need to migrate data into FT1 segment
    - need to set up a call with Dan Rutz, MaryKay, Kathleen, Riki, Hans
  - IHE needs to update Volume IV to reflect that. Hopefully before end of year.
- CIMI/Concept Modeling
  - Need to schedule a call - Lorraine Constableto reach out
- DME
  - Has several files available – slide deck and proposed mappings on the project page - minutes to be uploaded shortly
  - Topics of interest
    - Decision to use subscriptions – they want to start with FHIR R4, but the new subscription work is being done in R5 (or the backporting option into R4)
  - First meeting was Nov 8
  - Meetings:
    - Every Friday 4 - 5 PM ET
  - Project Page Link: DME Project
- Lab Order Model
  - see above
- Healthcare Product: Device/DeviceDefinition/UDI
  - see above for deviceDefinition topic
  - Still have 3 negatives that need to be withdrawn. Hans Buitendijk to reach out.
  - Meeting
  - Project Page Link: Healthcare Product
- V2+
- V2.9
  - Publication request has been approved by v2MG and is in 45 day ANSi review - Ulrike Merrick to ask on V2 Management Call tomorrow to get status update
- V2-to-FHIR
  - Discussions on Micro mapping.
  - ADT message ready for ballot consideration
  - Discussion on how to organize the implementation Guide
  - Motion to submit a NIB for For Comment Only. Riki Merrick, Rob Hausam
    - Against: 0; Abstain: 0; In Favor: 9
    - Hans Buitendijk to create NIB and submit
  - Meetings:
    - Mondays 1 - 2 PM ET
    - Tuesdays 11 - 12 AM EDT
  - Project Page Link: V2-To-FHIR Project

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