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Facilitator:

Austin Kreisler


Date:


Call Details:

 Click for Call Details

Zoom Information

https://us02web.zoom.us/j/465862913?pwd=cUllR1BndVpYNVpyR3dzc3VIUERTZz09

Meeting ID: 465 862 913

Passcode: 310940

Phone Information:

+1 312 626 6799 US (Chicago)
+1 929 436 2866 US (New York)
+1 301 715 8592 US (Germantown)
+1 346 248 7799 US (Houston)
+1 669 900 6833 US (San Jose)
+1 253 215 8782 US (Tacoma)
Find your local number: https://us02web.zoom.us/u/kb1hK2eKvz



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Agenda:


10:00am ET

  1. Call to order 
    1. Call for Attendance

  2. Business Updates (10 min)
    1. Additions/modifications to the agenda
    2. Approve minutes from 2020-11-12 Agenda and Minutes

    3. HL7
  3. Review Project Proposals
    1. Project Proposals Home
  4. External Updates - ONC and others
  5. Project Updates
  6. C-CDA - Roadmap: Errata Updates, changes, long-term plans
    1. Please sign up here if you want to participate - Wednesday, December 2nd at 11 am ET is winning so far for the start of 3-4 recurring meetings
      1. https://doodle.com/poll/nwaqxvv2xic5mx9h?utm_source=poll&utm_medium=link
  7. Additional Items
    1. Extensions
    2. Reballot of C-CDA on FHIR for "Mapping Rules" esp wrt participant mappings within the resources
      1. PCWG/SD/FHIR I notes: 2020 Sept WGM Patient Care Agenda and Minutes
    3. HAI ballot review David DeRoode
    4. Personal Advance Care Plan STU comment 2062 Natasha Kreisle

    5. Need to evaluate all SDWG CDA standards to assign current status
      1. Standards for Review - For Distribution-sdwg.xlsx
  8. STU Comments [ Comment Tracker ]
    1. HL7 CDA® R2 IG: C-CDA Templates for Clinical Notes DSTU Release 2 & 2.1 - US Realm
  9. FHIR Tickets [ JIRA ]

Notes/Minutes:


  1. Business Updates (10 min)
    1. Additions/modifications to the agenda - none
    2. Approve minutes from 2020-11-12 Agenda and Minutes
      Approved by general consent

    3. HL7
  2. Review Project Proposals
    1. No changes
  3. External Updates - ONC and others
    1. Lindsey Hoggle - new US Realm Program Manager for HL7 - gather everything related to US Realm
  4. Project Updates - none
  5. C-CDA - Roadmap: Errata Updates, changes, long-term plans
    1. Please sign up here if you want to participate - Wednesday, December 2nd at 11 am ET is winning so far for the start of 3-4 recurring meetings
      1. https://doodle.com/poll/nwaqxvv2xic5mx9h?utm_source=poll&utm_medium=link
  6. Additional Items
    1. Extensions - no updates
    2. Reballot of C-CDA on FHIR for "Mapping Rules" esp wrt participant mappings within the resources
      1. Re-clarification that this is representing C-CDA using FHIR Resources 
      2. PCWG/SD/FHIR I notes: 2020 Sept WGM Patient Care Agenda and Minutes
      3. Austin - consider adding this as a Parking Lot item/page in Confluence
    3. HAI ballot review David DeRoode
      1. Hoping to get an approval vote ready in a couple of weeks
      2. Adding COVID-related codes
      3. Problems with closed template "Confirmed or Suspected COVID-19" - people are encouraged to comment!
      4. How many people know these templates are being produced? Circulated by NHSN awhile ago.
      5. Will discuss in Examples Task Force
    4. Personal Advance Care Plan STU comment 2062 Natasha Kreisle

      1. TypeMotion
        Motion

        Remove the word "the" from the sentence.

        By

        NKreisle

        Second

        CBeebe

        Ref #comment 2062
        For26
        Neg0
        Abs0
        Status

        APPROVED

        Tally26-0-0 
      2. Will consider block vote for future comments
    5. Need to evaluate all SDWG CDA standards to assign current status
      1. Standards for Review - For Distribution-sdwg.xlsx
      2. Please review
  7. STU Comments [ Comment Tracker ]
    1. HL7 CDA® R2 IG: C-CDA Templates for Clinical Notes DSTU Release 2 & 2.1 - US Realm

      TypeMotion
      Motion

      Motion to accept proposed rewording

      By
      Second
      Date

       

      Ref #http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=2080
      Status

      APPROVED

      Tally26-0-0
    2. http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=1981
      1. Lisa R. Nelson why can't this one example be ED? 
      2. Marti Velezis it can; we should add guidance that if the data is not in the narrative, ED can still contain the text.
      3. Brett Marquard - table this for now; need to reopen a comment, but will discuss in task force first
    3. Adding "sdtc:" before functionCode in companion guide

      TypeMotion
      Motion

      Motion to adopt the above proposed wording

      By
      Second
      Date

      11/19/2020

      Ref #http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=2048
      Status

      APPROVED

      Tally25-0-0 
    4. Medication route translation restriction

      TypeMotion
      Motion

      Instead of the proposed wording, utilize the "such that it" Trifolia capability to enable sending additional translations. New Prposed wording: The routeCode, if present, SHOULD contain zero or more [0..*] translation (CONF:4483-32960) such that it 1. SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Medication Route urn:oid:2.16.840.1.113762.1.4.1099.12 DYNAMIC (CONF:4483-32961).

      Motion: Accept the new proposed wording

      By
      Second
      Date


      Ref #http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=2035
      Status

      APPROVED

      Tally23-00-00 
    5. ClinicalDocument/code/@code requirement on Consult note, Referral Note, Transfer Summary
      Consult Note must be backwards compatible with 1.1, so this is fine to change (was already required via backwards compatibility). Referral Note / Transfer Summary were new in 2.0/2.1, so this would be a design change request for those two templates (however consistent and more usable it would be); motion limited to only changing this for Consult Note.

      TypeMotion
      Motion

      This is an Errata for one of the three proposed changes: (Consult Note, R2.1) 3. SHALL contain exactly one [1..1] code (CONF:1198-17176). a. This code SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ConsultDocumentType urn:oid:2.16.840.1.113883.11.20.9.31 DYNAMIC (CONF:1198-17177). The other two proposed changes need to be resubmitted as a separate STU comment since they need to be handled as Design Changes (not errata).

      Motion to alter CONF:1198-17176 & CONF:1198-17177 as worded above

      By
      Second
      Date

      11/19/2020 

      Ref #http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=2039
      Status

      APPROVED

      Tally23-0-0 
    6. Invalid example 2040

      TypeMotion
      Motion

      Motion to correct the example as proposed. 

      By
      Second
      Date

      11/19/2020

      Ref #http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=2040
      Status

      APPROVED

      Tally23-0-0 
    7. Invalid example 2047

      TypeMotion
      Motion

      Figure 137: Criticality Observation Example <value xsi:type="CD" code="High" displayName="High Criticality - NEED PROPER CODE" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>

      Looks like we published this without ever fixing the code. The @code should be CRITH, the @displayName should be "high criticality", the @codeSystem should be 2.16.840.1.113883.5.10.63, and the @codeSystemName should be "HL7ObservationValue".

      Proposed Wording <value xsi:type="CD" code="CRITH" displayName="high criticality" codeSystem="2.16.840.1.113883.5.10.63" codeSystemName="HL7ObservationValue"/>

      Motion is to adopt proposed wording in the example 

      By
      Second
      Date

       

      Ref #http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=2047
      Status

      APPROVED

      Tally22-0-0 
  8. FHIR Tickets [ JIRA ]

 


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