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Nathan Bunker, Noam Arzt, Craig Newman, Kevin Snow, Mike Berry, Danny Wise, Eric Larson, Stein Esser, Heather Patrick, Mike Berry, Chrissy Miner, Stein EsserAlex Woodward, Grey Faulkenberry

Discussion items

Professional Associations that bring together competing entities, such as HL7, are subject to strict scrutiny under applicable antitrust laws. HL7 recognizes that the antitrust laws were enacted to promote fairness in competition and, as such, supports laws against monopoly and restraints of trade and their enforcement. Each individual participating in HL7 activities, regardless of venue, is responsible for knowing the contents of and adhering to the HL7 Antitrust policy as stated in §05.01 of the Governance and Operations Manual (GOM).

  • Helios Bulk Data Connectathon - January 2023 Henderson NV Update
    • 2023 - 01 Helios Accelerator Bulk Data Track
    • Resistance points 
      • Talking with federal agency that wants to do query for patients getting care in IIS. Security compliance, FedRAMP. FHIR is new so there is a worry about using it. Have a model with a "finder" file that is used to run queries, and then remove the details about which patients were selected. Core issue is likely they have their own solution and want to use it. (Solution may already built and so there is not interest in switching to a standard.)
        • Bulk query groups can be deleted, they can be ephemeral. 
        • What about HIPAA concerns about tracking access?
        • IIS already know who is eligible. 
        • Maybe CDC or ONC should be brought into conversation? 
        • Bulk FHIR query can technically support this. 
        • Another connection might be with the IZ Gateway, could broker connections with IIS.
        • Discussion about use of FHIR in public health, big push in social determinates of health
        • VCI is FHIR
  • FHIR-I Workflow call Monday 11/21 to talk about .recorded
    • Talking about creating groups
    • Technical discussion earlier to talk about creating groups. 
    • Some time with FHIR-I workflow group Monday afternoon to talk about .recorded data element. 2pm Eastern, will be discussed in the later half of call.
Future of Immunization Standards

No updates this week

FHIR R5 comments

No further update

Craig is going to reach out to FHIR-I, perhaps through Zulip, to see what the definition of recorded. See Will discuss with FHIR-I

Joining FHIR-I on Monday, November 21 at 2pm ET

Need more information from the original commenter. Craig will ping again to see if we can get additional information. 

Converting ImmunizationRecommendation to ImmunizationRequest

Any further discussion on this? 

Nathan has started a visualization of the interaction between resources. Can share today for feedback/discussion. 

Need to get this on a future CDS call. Get Bryn on the call as well. May need to document the movement from ImmunizationRecommendation to MedicationRequest. Need to present a visualization to CDS, and eventually a written recommendation. Need to show how the resources fit together and interact with other concepts. There is a clinical reasoning module, maybe we need an immunization module that talks about how these things go together. 

Smart Health LinksAny further discussion on this?

Nathan will put changes in presentation and visualization and send to Craig for sharing with other groups such as Pharmacy and CDS. 

Smart Health LinksTechnical meetings are winding down, now waiting for implementers to make progress. Maybe one more call after Thanksgiving and there is no agenda. Only seeing what is going to happen. 
Inventory Management

Any further discussion on this? 

Discussion about what level of effort the community is going to do in this. Great potential with this project, but a lot of effort

Another product offering for scheduling, coming out in the next week. Not sure how FHIR might fit into that

WHO call for FHIR CQL BuilderDon't know much about it. Immunization Recommendations and CQL and using FHIR. In case anyone wanted to look at it.
Next Calls

Next Meetings:

Dec 9th

Jan 6th