Date: Sept 13 2023

Quarter: Q2

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

45 mineCR UpdateJohn Loonsk

  • Metrics:
    • >28,000 HCOs in production
    • 2073 hospitals
    • 355 critical access hospitals
    • 1472 FQHCs
    • 11441 ambulatory facilities
  • Accelerated onboarding for EHRs
  • 66 EHRs engaged in onboarding
  • Wanting to drive everyone to FULL eCR where 200 + conditions are supported by eCR as opposed to COVID Only
  • Currently only functional requirements in rules, no standard specified
  • Wanting to see specific eCR standards include in certification (CDA or FHIR) and the specific release CDA eICR R3.1 and FHIR eICR R2.1
  • Need to move in this direction to address needs in data quality
  • Data Quality
    • Desire for processable data
    • Process for improvement include:
      • Quality assurance working group
    • DQ schematron; PHAs can get technical support to implement schematron during the HCO onboarding process.
      • DQ monitoring report. DQ schematron and monitoring report goes through each data element to determine completeness quality. Given to HCO and EHR vendor during onboarding so they have a clear view of how data coming from them don’t meet the requirements for public health. It is also used during the onboarding process by AIMS to help advance quality improvements
    • “Requiredness”
      • Requiredness is also expressed with the quality of the data, including where data and /or terminologies are required to be
      • Despite having some degree of requiredness, but none meet complete needs
      • None of the current federal levers results in getting high quality machine processable complete data for PH
    • Part of this is a communication issue and attempting to generate and provide feedback with regards to quality through the DQ monitoring report
    • FHIR is as irregularly implemented as CDA right now or more so
    • Issues in clinical workflow, feeding systems, EHR interfaces, mapping into resources, API...
    • Because the needs of data is different for Public health vs HCO, data quality needs to be more of a priority of standard work, regulation, and national conversation.
45 min

BSeR update and ballot recon

Sarah G.

  • US public health profiles library (USPHPL) are a collection of sharable reusable FHIR profiles
  • It is intended to complement US Core. The profiles are intended to be referenced and used by US public health implementation guides to foster interoperability not addressed in US Core.
  • 0 published in 8/2023
  • IG publisher version that includes the USPHPL check is expected later this month
  • IG Publisher QA report will have a warning if a developing IG develops a profile that already exits in USPHPL
  • IG developer will need to use the USPHPL profile or engage PHWG to request a variance
  • The USPHPL exist in both eICRs, Medmorph IGs
  • Moving forward will develop closers relationships with USCDI+, VR CPL, and additional PH programs
  • Some USPHPL are needed refinements of US core profiles. There are ongoing processes to retire some profiles when a functional US Core version is available .
  • Implementing committee processes with the PH WG
  • Would like to develop support for ongoing maintenance
  • Draft USPHPL Exception Process Document on our confluence page – US PHPL Variance Request Process
  • Suggestions: Include narrative that explains the relationship between this and other artifacts like PHIN VADS/VSAC. Include a flow diagram for implementers

BSeR Ballot recon 

  • Group 5 - 42206, 42207, 42217
    • Motion- Sarah moves to approve as persuasive
    • Second-John Loonsk
    • Abstain-0
    • Against-0
    • For- 20
  • 42218
    • Remove MustSupport on slices for Task.Identifier
    • Need to research
  • 42221
    • Remove MustSupport on Task.note
    • Would like some guidance on when to use note as opposed to other
    • Need to research
  • 42220
    • Relax Cardinality on subject of task
    • Could provide general guidance on expecting subject present in needed resources. Could provide guidance that the task preceding the service
    • Need to research
  • 42225
    • Motion- Sarah moves to find 42225 persuasive
    • Second- John Loonsk
    • Abstian-0
    • Against-0
    • For-19

Action items