20230117 Q3 PHWG WGM Minutes

Gravity SDoH IG review and update

202301 - HL7 WGM Gravity Update.pptx

• Challenges in SDoH exchange being addressed by Gravity
  • Standardization  of data collection
  • Data sharing
• Gravity has identified 17 domains
  • Put together terminology and value sets for each
• Data capture (patient level) by Questionnaire/QuestionnaireResponse, Observatinos, Goals, referrals are all in scope
• Gravity keeps a dashboard for the domains
• There was a May Connectathon track, a CMS Connectathon and January Connectathon track
• Gravity mostly works at the patient level but is interested in application to populations
• There are Technical and Terminology workstreams, plus a Pilots workstream
• Some of the Gravity data sets have been added to USCDI
• FHIR IG STU2 publication happened November 2022
• Currently working on upgrading the reference implementations for STU2
• Also working on test scripts (for Connectathon use)
• Terminology updates
  • Done coding with LOINC, SNOMED CT and ICD-10-CM
  • 159 values sets in VSAC
  • Future work:
    • New domains
    • New terminologies - HC[CS, CPT
    • New data elements
• Pilots updates
  • Kicked off last year
• Technical updates
  • Reviewed recent US Core ballot
  • Working on STU updates
    • Patient Care is sponsoring WG
  • Future work:
    • Address barriers to adoption
    • Review group objectives, roles, etc
• Connectathon outcomes
  • Multi-system ecosystem exercising the whole workflow
  • Used new test scripts
• Continuing to explore consent as a concept
• Looking at harmonizing referrals with BSeR

• ODH team reviewed their open Jira tickets
  • 31 tickets have been resolved but are showing as open as an artifact of the migration from the STU comment page to Jira
    • Motion to close the 31 tickets as having been resolved (Craig Newman/Genny Luensman 20-0-6)
• Publication errors in the FHIR IG that came with pointing to the new US Core have been dealt with
  • Still a few warnings to be dealt with
    • Can likely be moved to the "ignore" list
  • Will be ready for review shortly

• 4 FHIR IGs
  • MDI, BRDR, BFDR, Common VR profiles library
• Medicolegal Death Investigation (MDI)
  • Medical examiner/coroner systems
  • Lots of overlap with VRDR
  • Published Sept 2022 (US specific)
  • Includes forensic toxicology profiles
  • Will be replying to CDC Foundation to participate in a FHIR implementation collaborative
  • Working on dot release updates
• VRDR
  • STU 2 published August 2022
  • Future work
    • first round of jurisdictions to go through certification and production use
    • Workgroup to define EDRS to surveillance systems
    • Continued testing
• BFDR
  • STU 1 published in October 2021
  • Future work:
    • Updates to document
• Common Profile Library
  • STU 1 published October 2021
  • Future work:
    • Continued alignment between IGs
• Jan Connectathon updates
  • See Connectathon Track Report Out
  • Goal of connecting to Epic and Cerner sandboxes
    • identify where data is held (e.g. Condition versus Observation)
    • Vocabulary usage
  • Connected to both sandboxes
  • Generated FHIR Bundles for test patients
  • Identified issues
• May reballot in May 2023