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Facilitator:

Calvin E. Beebe

Date:


 Conference Call Information


Group

Structured Documents
Requested by Dolin MSN RN, Gay


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Call is scheduled to last 2 hours

Thursday Apr 16, 2020 - 10:00 AM (Eastern Time, GMT -04 DST)
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Minutes Approved as Presented 

x

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...

Agenda:

  1. Call to order
  2. Business Updates (10 min)
    1. Additions/modifications to the agenda
    2. Approve minutes from 2020-04-16 Agenda and Minutes
    3. HL7
  3. External Updates - ONC and others
  4. Project Updates
    1. C-CDA Rubric Informative Guide -  (Gay DolinMatthew Rahn)
      1. Review Suggested Change
      2. Request to Approve Publication
    2. Provenance
    3. Other Project Updates
  5. Additional Items
    1. Personal Advanced Care Plan (PACP) Ballot Comment Reconciliation (submitted by Lisa R. Nelson on  )
      1.  Motion that SDWG approve the PACP Amalgamated Ballot sheet dated CDAR2_IG_PERSADVCAREPLAN_R1_N1_2019SEP_almalgamated_20200409.xls As the record of the completed ballot reconciliation. (@Scott Brown)

        1.  https://confluence.hl7.org/display/SD/PACP+September+2019+Ballot+Reconciliation
    2. STU Comment Review (co-chairs)
  6. VSAC Value Set 2020 Updates: (Lisa R. Nelson and Rob McClure (second hour)
    1. 1768 (Any follow-up today?)
  7. Quality problems with Value Set definitions in the C-CDA R2.1 Supplemental Templates for UDI Implantable Medical Devices IG
    1. 9 value set problems
    2. Prior Quality Issues causing the IG to NOT be referenced by the C-CDA R2.1 Companion Guide R2
    3. Verbal agreement was to allow a small contained set of UDI templates to be added into the C-CDA R2.1 Companion Guide R2 –contained within Appendix B.
      1. Supplemental IG was supposed to UPDATED OR DEPRECATED
        1. Guide has not been Updated.
  1. SDWG DECISION REQUEST:

    1. Remove C-CDA R2.1 Supplemental Templates for UDI Implantable Medical Devices IG from the scope of the Annual Value Set Update for C-CDA R2.1
    2. Deprecate the C-CDA R2.1 Supplemental Templates for UDI Implantable Medical Devices IG


    1. Templating syntax problems with Value Set definitions in the C-CDA R2.1 Companion Guide R2
      1. Value Set bindings are not correctly implemented in templates

    Value Set Name

    Value Set OID

    STU Comment

    Device Magnetic resonance (MR) Safety

    2.16.840.1.113762.1.4.1021.46

    1954

    STUDevice Latex Safety

    2.16.840.1.113762.1.4.1021.47

    1955

    Implantable Device Status

    2.16.840.1.113762.1.4.1021.48

    1956

      1. STU Comments have been added

    SDWG REQUEST:

    1. SDWG needs to perform an STU Update for Appendix B or the C-CDA R2.1 Companion Guide R2 to address the issue
  2. Do we want a Vocab focused Conference Call (with co-chair)?
  3. FHIR Tracker Items (if time is available)
  4. Adjournment

Notes/Minutes

 

  1. Call to order
    1. Calvin E. Beebe called to order 10:06am EST
  2. Business Updates (10 min)
    1. Additions/modifications to the agenda
      1. Brett Marquard might have some additions around the Provenance
    2. Approve minutes from 2020-04-16 Agenda and Minutes
      1. approved by consensus
    3. HL7
      • RIM (Austin Kreisler)
        • None
      • Steering Division / TSC (Austin Kreisler)
        • None
      • CDA-MG (Lisa R. Nelson, Brett Marquard)
        • The IAT was rolled out yesterday
        • We discussed the migration of CDA document comments to JIRA
        • New publication framework is on hold right now is waiting for contract with HL7.
        • A couple of members are not available in the CDAMG today. Kai has been busy. George Dixon is no longer a member.
        • How do we handle comments on Normative documents? A question came up about the DS4P document at the CDA Management Meeting and not being able to find it to post comments in the STU Comment Tool. Upon further research Andrew Statler discovered that it was Normative and that is why it is not in the STU Comment tool. Emma Jonespointed out that since this standard is in the Data Blocking rule, we should make sure it is available for comment, especially since it has not been widely adopted.
          • Our previous wiki pages were the source for comments on Normative documents. We never transitioned that functionality to Confluence or an alternative when we moved away from wiki. This is something that we should incorporate into the JIRA commenting tools as we are moving the STU comments into JIRA. As we get a time-frame for JIRA commenting on STUs, we can make a decision on whether we need an interim solution.
      • Vocab (Sheila Abner)
        • No updates
      • Publishing Electronic Services and Tools (Andrew Statler)
      • Patient Care (Emma Jones
        • Should have something soon
      • Example Task Force (Brett Marquard)
        • Will meet today. Have some COVID submission. Patient is immuno-compromised.
  3. External Updates - ONC and others
    1. Final Rule published in Federal Register effective May 1 with a 3 month deferral for effective date.
  4. Project Updates
    1. C-CDA Rubric Informative Guide -  (Gay DolinMatthew Rahn)
      1. Review Suggested Change
      2. Request to Approve Publication
        1. Would like permission to publish this week. Request from Tom to add Carriage Return. There are 3 things to look at.
        2. TypeMotion
          Motion

          Motion to approve publication of the C-CDA rubric guide

          By
          Second
          Date

           

          Ref #
          For16
          Neg00
          Abs01
          Status

          APPROVED

          Tally16-00-01
          Discussion

          No Discussion

          Gay Dolin to complete Publication Request and it will be reviewed on April 30 SDWG call.

    2. Provenance
      1. Brett Marquard created a template for an Assembler. Brett is continuing to work on the definition of this and will clean up the language. This is something we have received feedback on.
    3. Other Project Updates
  5. Additional Items
    1. Personal Advanced Care Plan (PACP) Ballot Comment Reconciliation (submitted by Lisa R. Nelson on  )
      1.  Motion that SDWG approve the PACP Amalgamated Ballot sheet dated CDAR2_IG_PERSADVCAREPLAN_R1_N1_2019SEP_almalgamated_20200409.xls As the record of the completed ballot reconciliation. (@Scott Brown)

        1.  https://confluence.hl7.org/display/SD/PACP+September+2019+Ballot+Reconciliation
          1. Lisa R. Nelson wanted to know if this had been posted yet. Need to follow-up with Austin.
    2. STU Comment Review (co-chairs)
      1. General Comments from Emma
      2. 1946
      3. 1947
        1. Guidance on the expected use of examples in the C-CDA IGs. This creates confusion with implementations and certification expectations.
          1. We need to add a clarification in the IGs. 
          2. In Volume 1, we need to add statements to reflect that the Examples are not guaranteed to represent all conformance statements, and may only be representing a specific component of the xml.
          3. For the examples in Volume 2, we should look at a footnote on the examples to point each back to the statement in Volume 1.
        2. Next Errata package
        3. TypeMotion
          Motion

          Motion to approve the comment as stated 

          By
          Second
          Date

           

          Ref #1947
          For17
          Neg00
          Abs00
          Status

          APPROVED

          Tally17-00-00
          Discussion

          No further discussion

  6. VSAC Value Set 2020 Updates: (Lisa R. Nelson and Rob McClure (second hour)
    1. 1768 (Any follow-up today?)
      1. We need to update the comments on the STU to include the minutes from  
        1. Andrew Statler will reach out to Lisa R. Nelson to get the notes updated and we can review on  [[
  7. Quality problems with Value Set definitions in the C-CDA R2.1 Supplemental Templates for UDI Implantable Medical Devices IG
    1. 9 value set problems
    2. Prior Quality Issues causing the IG to NOT be referenced by the C-CDA R2.1 Companion Guide R2
    3. Verbal agreement was to allow a small contained set of UDI templates to be added into the C-CDA R2.1 Companion Guide R2 –contained within Appendix B.
      1. Supplemental IG was supposed to UPDATED OR DEPRECATED
        1. Guide has not been Updated.
    4. SDWG DECISION REQUEST:
      1. Remove C-CDA R2.1 Supplemental Templates for UDI Implantable Medical Devices IG from the scope of the Annual Value Set Update for C-CDA R2.1
      2. TypeMotion
        Motion

        Motion to 

        1. Remove C-CDA R2.1 Supplemental Templates for UDI Implantable Medical Devices IG from the scope of the Annual Value Set Update for C-CDA R2.1
        By
        Second
        Date

         

        Ref #
        For16
        Neg00
        Abs01
        Status

        APPROVED

        Tally16-00-01
        Discussion

        No further discussion

      3. Deprecate the C-CDA R2.1 Supplemental Templates for UDI Implantable Medical Devices IG
        1. Will come back to this...
  8. Templating syntax problems with Value Set definitions in the C-CDA R2.1 Companion Guide R2
      1. Value Set bindings are not correctly implemented in templates
      2.  
      3. Value Set Name

        Value Set OID

        STU Comment

        Device Magnetic resonance (MR) Safety

        2.16.840.1.113762.1.4.1021.46

        1954

        STUDevice Latex Safety

        2.16.840.1.113762.1.4.1021.47

        1955

        Implantable Device Status

        2.16.840.1.113762.1.4.1021.48

        1956

      4. STU Comments have been added
    1. SDWG REQUEST:
      1. SDWG needs to perform an STU Update for Appendix B or the C-CDA R2.1 Companion Guide R2 to address the issue
      2. TypeMotion
        Motion

        Motion to SDWG accept as persuasive the dispositions proposed for items 1954, 1955, 1956.

        By
        Second
        Date

         

        Ref #1954, 1955, 1956
        For16
        Neg00
        Abs01
        Status

        APPROVED

        Tally16-00-01
        Discussion

        There was discussion about the work and the need to create a project to complete the work. An additional motion to be created to address the project aspect of this.

        Action

        Calvin E. Beebe to update the STU Comments dispositions.

        TypeMotion
        Motion

        Motion: SDWG seek a proponent and team to follow-up on launching a PSS to address doing an Errata update to C-CDA R2.1 Companion Guide Appendix B to address STU Comments considered in scope (reported before a certain date) and errata (true technical corrections only).

        By
        Second
        Date

         

        Ref #1954,1955,1956
        For15
        Neg00
        Abs00
        Status

        APPROVED

        Tally15-00-00
        Discussion

        Would Appendix B be one of the templates created? The Companion Guide is additional templates that are part of the C-CDA.

        The Appendix would be adjunct.

        Comments would be registered against the Companion Guide which is an STU.

        Emma Jones registered her comment against C-CDA Companion Guide Release 2.

        Have we considered comment 

        ActionPut time on next week's agenda to discuss this further
  1. Do we want a Vocab focused Conference Call (with co-chair)?
  2. FHIR Tracker Items (if time is available)
  3. Adjournment
    1. Adjourned at 12:02pm EST


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