Date:  5-5-2021

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

Electronic Case Reporting UpdateJohn Loonsk
  • CDA eICR STU 3.0 and FHIR eCR STU 2.0 are in alignment
  • Both have dependencies on US Core, ODH FHIR and the US Public Health Profile Library (USPHPL) references
  • eCR covers over 100 legally reported conditions
  • Since Covid, there are 8800 facilities sending Covid eCRs
  • 8.2 million eCRs have been delivered to 64 public health agencies, the majority are CDAs
  • Public health agencies are at varying capacity to receive and process the XML
  • There are agencies needing the HTML version and are not consuming the XML

US Public Health Profiles Library Context ReviewJohn Loonsk
  • A subgroup of PH members have been working on the library and reporting back to the PH work group.
  • eCR, MedMedmorph and Vital Records have been working on harmonizing the FHIR IGs.
  • The US Public Health Profiles Library will be a collection of reusable architecture and content profiles representing common public health concepts and patterns. It is intended as a complement to US Core that is used to ease implementation burden of healthcare organizations, electronic health record companies, public health agencies, and others involved in the US public health endeavor.

  • The short-term scope of this library will include elements common to eCR and MedMorph FHIR IGs and will define a US Realm specific framework that defines common elements for the implementation guides. The longer-term scope of this will include analysis and inclusion of data elements from vital records death reporting, birth and fetal death reporting, and other Public Health use cases.
  • A draft project proposal has been drafted and was reviewed.
  • Motion: PH WG agrees to accept the draft project proposal John Loonsk/Erin Holt 20-0-0

US Public Health Library List

Sarah Gaunt

  • The subgroup has developed a list of 50 profiles for inclusion in the library.
  • The profiles are categorized into two categories, content and architecture.
  • The list includes recommendation from the subgroup:
    • Yes, include: profile suitable as is for inclusion in PH Library
    • No, do not include:  definitely not a candidate
    • Yes, with mods:  changes to the profile need to be made
    • Needs more discussion
  • 36 were determined to need more discussion
  • The content profiles needing further discussion were reviewed.  Items 9, 10 and 11.
  • The purpose of the review is to get to the point to decide what will be in eCR and Medmorph to get to ballot.
  • It was decided a small group will continue to go through the list and bring it to the work group for final review.
  • The list will be sent via the listserv in advance of the WG meeting.

Action items