Date: 20230117

Quarter: Q3

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

20 min

Gravity SDoH IG review and update

Corey Spears

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 updateLori/Genny
  • 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

Vital recordsCindy
  • 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

Human and Social Services Work Group UpdatesKen Lord
  • Human and Social Services Person Centric Project 1.13.23.a.pptx
  • Working on a Project Proposal - looking for feedback
  • Looking to enhance SDOH factors into various settings to improve health outcomes
  • ACF (Administration for Children and Families) is the executive sponsor
    • Working with community based organizations
    • Dedicated to using FHIR
  • In this work "patient" isn't always an appropriate term for an individual
    • Need a solution that is practical and implementable given that Patient is a normative resource
    • This can be a significant issue for some organizations
  • Goal - Enhance FHIR to enable a Person-Centric View on an individual
  • PSS-2153 - Getting issue details... STATUS

Action items