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Facilitator:

Austin Kreisler

Date:


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."

Attendees:

 Click here to expand...


Austin - austin.j.kreisler@leidos.com Host

Becky Angeles - becky.angeles@carradora.com

Lindsey Hoggle - lhoggle@IRISHealthsolutions.com

Sheila Abner - sha8@cdc.gov

Jeff Brown - jeff.brown@cigna.com

Gay Dolin RN MSN - gdolin@imo-online.com Host

Andrew Statler - astatler@cerner.com Host

Lisa Anderson - landerson@ncqa.org

Becky Gradl-Academy of Nutrition and Dietetics - bgradl@eatright.org

Susan L Langford - Susan_Langford@bcbst.com

Calvin - cbeebe@mayo.edu Host

Matthew Rahn - matthew.rahn@hhs.gov

Avinash Shanbhag - Avinash.Shanbhag@hhs.gov

Dave deRoode - david.deroode@lantanagroup.com


Benjamin Flessner - benjamin@redoxengine.com Host

Brett - brett@waveoneassociates.com


Serafina Versaggi - serafina.versaggi@gmail.com

George Dixon - george.dixon@allscripts.com

Matt - mrlord@mdixinc.com

Rita Altamore (WA DOH) - Rita.Altamore@doh.wa.gov

Rob McClure - rmcclure@mdpartners.com

Martin Rosner - martin.rosner@philips.com

Michael Tyburski - michael.tyburski@ssa.gov

Matt S - mszczepa@epic.com

Natasha Kreisle - nkreisle@max.md

Marti - martha.velezis@fda.hhs.gov

Lisa - LNelson@max.md

Emma Jones - emma.jones@allscripts.com

Rob - rrhausam@gmail.com

Lisa - LNelson@max.md

Serafina Versaggi - serafina.versaggi@gmail.com

Thomson - tmk000@gmail.com

Craig Newman - craig.newman@altarum.org

Eric - ehaas@healthedatainc.com

Drew - Drew.Torres@cerner.com

Marti - marti.velezis@gmail.com

Drew - Drew.Torres@cerner.com

Dave deRoode - david.deroode@lantanagroup.com

Floyd Eisenberg - cgp@lists.hl7.org

Agenda:

  1. Call to order
  2. Business Updates (10 min)
    1. Additions/modifications to the agenda
    2. Approve minutes from 2019-10-03 Agenda and Minutes
    3. HL7
      • RIM Austin Kreisler
      • Steering Division / TSC Austin Kreisler
        • Approaching Deadlines
        • OCT 4th - WG PSS Approval Deadline 2020MAY (PAST)
        • Nov. 3rd - FHIR IG Proposals Due
        • Nov. 7th - Harmonization Initial Proposals Due
        • Nov. 17th - NIB Deadline
        • Nov. 17th - FHIR IGs substantively complete
        • Nov. 21st - Harmonization Final Proposals Due
        • Dec. 5th - Harmonization meeting
        • Dec 22nd - Final Content Deadline
        • Dec. 27th - Ballot Open for Voting
      • CDA-MG Lisa R. Nelson Brett Marquard
      • Vocab Sheila Abner
      • Pub facilitator Alexander Henket
      • Electronic Services and Tools Andrew Statler
      • Patient Care Emma Jones 
      • Example Task Force Brett Marquard
  3. External Updates - ONC and others
  4. Project Updates
    1. Value Set Issues

    2. Consolidated CDA STU Comments
    3. Consolidated CDA STU 2019 Updates Lisa R. Nelson Brett Marquard
    4. C-CDA Companion Guide Reconciliation/Publication Lisa R. Nelson
      1. Block Votes
    5. Rubric Informative Guide Reconciliation Gay Dolin Matthew Rahn
    6. Other Project Updates
  5. Additional Items
    1. Discuss gender identity David DeRoode 10min
      1. Note that there is an existing project related to this run by Vocabulary WG: http://www.hl7.org/Special/committees/Vocab/projects.cfm?action=edit&ProjectNumber=1533
    2. Questionnaire Response Block Vote (Martin Rosner)
    3. CDA IG Quality Criteria Block Vote (Austin Kreisler)
    4. PACP Block Vote (Lisa R. Nelson)
    5. Proposal to Withdarw the following Expired STU's (and close related projects) (Austin Kreisler)
      1. Implementation Guide for CDA Release 2: Procedure Note
        1. Withdraw_Implementation Guide for CDA Release 2 Procedure Note.docx
      2. Implementation Guide for CDA Release 2: Progress Note
        1. Withdraw_Implementation Guide for CDA Release 2 Progress Note.docx
      3. HL7 Implementation Guide LOINC Document Ontology, Release 1
        1. Withdraw_HL7 Implementation Guide LOINC Document Ontology Release 1.docx
  6. US Core FHIR Trackers (second hour) Brett Marquard Eric Haas
  7. FHIR Tracker Items (if time is available) Sean McIlvenna
  8. Vital Signs value set misalignment (Rob McClure)
  9. Adjournment

Notes/Minutes

  1. Call to order
  2. Business Updates (10 min)
    1. Additions/modifications to the agenda
    2. Approve minutes from 2019-10-03 Agenda and Minutes
    3. HL7
      • RIM Austin Kreisler - n/a
      • Steering Division / TSC Austin Kreisler - review of dates provided below
        • Approaching Deadlines
        • OCT 4th - WG PSS Approval Deadline 2020MAY (PAST)
        • Nov. 3rd - FHIR IG Proposals Due
        • Nov. 7th - Harmonization Initial Proposals Due
        • Nov. 17th - NIB Deadline
        • Nov. 17th - FHIR IGs substantively complete
        • Nov. 21st - Harmonization Final Proposals Due
        • Dec. 5th - Harmonization meeting
        • Dec 22nd - Final Content Deadline
        • Dec. 27th - Ballot Open for Voting
      • CDA-MG Lisa R. Nelson Brett Marquard - errata release for QRDA, etc.
      • Vocab Sheila Abner - vocab all today
      • Pub facilitator  Alexander Henket - n/a
      • Electronic Services and Tools Andrew Statler -n/a
      • Patient Care Emma Jones  - n/a
      • Example Task Force Brett Marquard - No meeting today.  Gay will setup their meetings starting next week.
        • Block votes for today (3 samples) Motion to approve the three samples, by Brett, Second by George -
        • Vote:  Opposed:0 Abstain: 0 For: 21 motion passes
  3. External Updates - ONC and others - n/a
  4. Project Updates
    1. Value Set Issues - n/a

    2. Consolidated CDA STU Comments - n/a
    3. Consolidated CDA STU 2019 Updates Lisa R. Nelson Brett Marquard - n/a
    4. C-CDA Companion Guide Reconciliation/Publication Lisa R. Nelson
      1. Block Votes a small wording change was proposed for Comment #25. Comment #27 has been updated with updates from Reginstrief (LOINC)
        1. Lisa reviewed comment #25 - Patient Care added some text about how consistent IDs, and the benefits of having them.  The text has been revised to simply say that consistent IDs help to do the matching better. 
        2. Lisa reviewed comment #27 - USCDI had information about specific note type names.  The bindings were loose, in meeting with Reginstrief  (LOINC) they identified the correct LOINC Codes and the correct value set for Imaging Documents.  And two  general LOINC codes for Pathology Narrative and Laboratory Narrative were identified, with no value sets. 
        3. The use of Loinc parts is still appropriate
      2. Companion Guide 404 - no change to the companion guide but an update.  The codes will be from the document ontology and some Scale=Doc. These were in the original companion guide and needs to be updated in this companion guide.
      3. Vote to approve the block by Lisa, Second Brett   Vote: Opposed: 0 Abstain: 0 For: 25 Motion passes
      4. There is an issue with the UDI templates #409 issue
        1. There are some changes being made to the template to a for UDI and the correct version will be updated.
    5. Motion to approve the block vote inclusive of the revisions reviewed.  by Lisa, Second Calvin
      1. Vote: Opposed: 0 Abstain: 0 For: 25 motion passes.
    6. Rubric Informative Guide Reconciliation Gay Dolin Matthew Rahn - soon starting to begin reconciliation.
    7. Other Project Updates
  5. Additional Items
    1. Discuss gender identity David DeRoode 10min
      1. Note that there is an existing project related to this run by Vocabulary WG: http://www.hl7.org/Special/committees/Vocab/projects.cfm?action=edit&ProjectNumber=1533
        1. David - the gender identify template, the health service project contains this topic and the guidance does not align with the C-CDA example taskforce did not align with the one that was used (NCHS) should they align with the C-CDA Example Taskforce codes. The example taskforce would not create a new template plate. The recommendation is that the NCHS should conform to the social history modeling in C-CDA Example Taskforce.
    2. Questionnaire Response Block Vote (Martin Rosner)
      1. Block vote 2 on the Questionnaire Response (24 comments) none have been requested to be pulled.
        1. Motion to approve the block vote, by Martin, Second Calvin - Vote: Opposed: 0 Abstain: 0 For: 24 motion passes
        2. they will be finalizing the ballot spreadsheet and get it uploaded and request withdraws
    3. CDA IG Quality Criteria Block Vote (Austin Kreisler)
      1. Final block vote for the CDA IG Quality Criteria, any items to remove - none requested.
        1. Motion to approve by Calvin, Second by Lisa
        2. Vote: Opposed: 0 Abstain: 0 For: 25 motion passes
    4. PACP Block Vote (Lisa R. Nelson)
      1. A block vote with 30 typos and not requests to pull received, none were requested to pull
        1. Lisa motions to approve the block, second by Calvin - Vote: Opposed: 0 Abstain: 0 For: 26 motion passes
    5. Proposal to Withdarw the following Expired STU's (and close related projects) (Austin Kreisler)
      1. Implementation Guide for CDA Release 2: Procedure Note
        1. Withdraw_Implementation Guide for CDA Release 2 Procedure Note.docx
      2. Implementation Guide for CDA Release 2: Progress Note
        1. Withdraw_Implementation Guide for CDA Release 2 Progress Note.docx
      3. HL7 Implementation Guide LOINC Document Ontology, Release 1
        1. Withdraw_HL7 Implementation Guide LOINC Document Ontology Release 1.docx
      4. Motion to notify the list that we are wanting to withdraw the following 3 IGs.
      5. Motion made by Calvin, Second by Gay   Vote:  Opposed: 0  Abstain: 0   For: 25   Motion passes
  6. US Core FHIR Trackers (second hour) Brett Marquard Eric Haas 
    1. Three trackers
      1. #24894 - SHALL comment on AuditEvent resource usage - the security page has been updated as discussed and posted last week.
        1. Brett motion to approve, Second by Calvin - Opposed: 0 Abstain: 0 For: 26 motion passes
      2. #23197 - IG version and Version of FHIR discussion - clarified the text on how to find this information.
        1. Motion to approve the comment Brett, Second Lisa Opposed: 0 Abstain: 1 For: 26 motion passes#
      3. #24658 - Update to "Must support", will reference the future of US Core. Example there is limited testing on Write and this will be called out.
        1. Motion to approve the revision proposed in the dispositions (Word Document) as shared with the group. by Brett Second Calvin   
        2. Vote: Opposed: 0   Abstain: 0  For:  26  Motion Passes
      4. CareTeam role value set - #20566  - there was a change made on the values set on participant role needed to roles and not relationships.
        1. Do we realign with FHIR R4 Continuous for CareTeam Role + NUCC? Yes
        2. Motion to approve the disposition on #20566 by Brett, Second Lisa Vote: Opposed: 0 Abstain: 0 For: 26 motion passes
      5. Problem value set - 2015 Encounter Diagnosis - min SNOMED or ICD
        1. For this topic, we need to support both SNOMED and ICD ideally
          1. For this issue  next steps 
            1. Long Tracker
            2. Post tracker to list serv. (who else should we notify)
            3. Review on 10/17 call
      6. Procedure value set - HCPCS - Level 2  was missed.  It looks like the codes could be added.
      7. The last two tracker items will be discussed on the 17th on the SDWG.
      8. Motion by Brett to indicate the SWG is supportive of the last two proposed changes. By Brett, Second Calvin
      9. Vote: Opposed: 0 Abstain: 0 For: 23 motion passes
  7. FHIR Tracker Items (if time is available) Sean McIlvenna
  8. Vital Signs value set misalignment (Rob McClure)
  9. Adjournment


 

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