Date: May 8

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

BSeR updatesJohn Loonsk
  • Goal: facilitate close loop electronic extra-clinical chronic disease referrals
  • Often don't happen electronically because standard approaches provide too much data
    • Need segmented data payloads for use cases outside of clinical care
      • e.g. a weight loss program doesn't need a full patient summary
  • Other projects are working on eReferrals
    • BSeR, 360x, Gravity, IXFS, etc
    • Need to harmonize
      • Use of Task and ServiceRequest
        • Working with Gravity and 360x to review both Task and ServiceRequest (created gap analysis)
        • Tried to align profiles (data element by data element)
        • Sarah has created draft updated profile based on the alignment in the current build
      • Generic transactions (to support both messaging and tightly coupled exchanges)
        • Messaging
          • Push of payload packages
          • Task may live mostly on the service requester side (i.e. EHR/HCO)
        • Tightly coupled
          • Notification followed by retrieval of Task or data payload
          • Task harmonized between both systems
      • FHIR queries to express data
        • Usable with both types of transactions
        • May need to be defined outside of the IG
        • Possibly as a batch query (bundle of pre-coordinated queries for a given use case)
      • Core architecture
        • For both clinical referrals and chronic disease extra-clinical referrals
  • Looking to go to ballot in Sept 2023
  • May 2023 Connectathon was successful
    • Further discussion with PA tomorrow (5/9)
  • Slides

Dutch Competence CenterNictiz
  • eReferrals in The Netherlands
    • The competence center (Nictiz) may play a similar role to ONC (gov't funded but not part of the gov't)
  • Developing a national IG
    • Similar to what BSeR is doing
  • Background
    • The general practitioner (GP) is the gatekeeper for care and has a lot of info on a particular patient
    • Clinical data needs to be transferred from the GP to the specialist when there is a referral
    • Currently, the exchange of data is unstructured (PDF, etc)
    • A mix of exchange standards are used
    • Data flowing includes the referral, updates and a final report
    • "paramedic" for the Dutch means "allied health professionals" (e.g. physiotherapy, etc)
  • IG under development
    • First use case is GP to "paramedic"
    • Beta version will be released for testing this summer
    • 28 more use cases (workflow steps) will be added in the future
    • Based on FHIR R4
  • Nictiz has done a gap analysis on part of the BSeR to see how it would fit their needs
    • Some parts of the profiles (e.g. Must Support designations) that may be US specific and prevent its use in The Netherlands
      • BSeR is currently US Realm
    • Is there desire for closer cooperation between the groups?
      • Shared functional requirements?
      • Potentially shared technical requirements?
    • How would US Core be impacted?
    • Are there other examples of international IGs that can be profiled for US Realm use?
    • Further discussions are needed
      • Nictix and BSer will coordinate an off-line discussion 
        • PH WG will get updates

Action items