Date: May 10, 2022

Quarter: Q4

Minutes Approved as Presented 

This is to approve minutes via general consent. "You have received the minutes. Are there any corrections to the minutes? (pause) Hearing none, if there are no objections, the minutes are approved as printed."


Set goals, objectives or some context for this meeting.

Discussion items

30 mineCR UpdateJohn Loonsk

eCR Update for PHWG 5-10-22.pptx

  • over 12,000 facilities in Production for case reporting (most COVID only)
  • eCR team is working on expanding to "full case reporting"
  • 19 EHR products are on boarding
  • Increasing numbers of HIT vendors are implementing the eRSD triggering and reporting set up functionality
  • eICR CDA v1.1 and Reportability Response 1.0 are what are in operation
  • The project team feels that eCR needs to be represented in ONC's ISA and EHR certification
    • EHR certification doesn't currently specify the format required
    • The exact nature that regulation may take is not known
  • The project team also is suggesting that additional levers (like CLIA) to ensure well-structured and coded data
  • State laws are important in addition to federal regulations because reporting is fundamentally at the state level
  • Expected updates:
    • CDA eICR 3.0 → 3.1
      • no structural changes
    • CDA RR 1.0 → 1.1
      • no structural changes
    • FHIR eCR 2.0 → 2.1
      • eRSD updates to support EHR implementers
30 minMedMorph updateMaria Michaels
  • HL7 May 2022 MedMorph update v4.pptx
  • In the process of dispositioning the content IGs and finishing up the Reference Architecture IG
    • Hep C uses eCR but the other three have their own IGs
    • Goal to be completed and ready for publication by July
  • IG updates
    • Block votes have been passed for the Cancer and Health Care Surveys
    • Research IG will be tackled next
  • Next steps
    • Continue real world piloting and execute a short term evaluation 
    • Draft MedMorph roadmap (including long term evaluation plan)
      • Speaks to scalability and sustainability
    • Participate in USCDI and USCDI+
  • MedMorph recently spoke with the CREDS team to differentiate between the projects
    • CREDS can be used to transform other data formats to FHIR for use in the MedMorph architecture
30 minJoint discussion (eg PH library)Sarah Gaunt (PH library), Bryn Rhodes (CMI)
  • The NIB process is open for Sept 2022
  • US Public Health Profiles Library
    • 20220510_PHWG_USPHL_Update.pptx
    • Complement to US Core (with an analogous process for review and approval)
    • Profiles can then be referenced by other IGs
    • Initial stage was to evaluation and harmonize between eCR and MedMorph
    • PSS was put forward for approval in March 2022, aiming to go to ballot in Sept 2022
      • Waiting on an appeal of the missed deadline to go to ballot in Sept
      • Need to appeal to FMG to skip connectathon testing requirement before going to ballot because it's a library IG, not an implementable IG
      • Need to work with the PH Work Group to identify the process for reviewing, approving and creating profiles
  • Content Management Infrastructure (CMI)
    • The project has been approved, next step is IG proposal and getting the repository set up
    • Will start by refactoring existing common profiles
    • Architectural profiles may include some of the Public Health library profiles
    • Bryn offered to join a PH WG call once he's a little further along
    • Look at Sept 2022 but may end up being Jan 2023
    • A similar vetted process (to US Core and PH library) will need to be developed

Action items