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Topic

Time & Constraints


Ballot approval steps and preparation 

Postpone the meetings until comments are received.



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Agenda Outline

Agenda Item

Discussion

Decisions/Updates

1

Review Project Planning 


Public health report out.





Report out to Public Health has been discussed and reviewed (Craig Newman).


Medication 

Google Drive Live Link
urlhttps://docs.google.com/spreadsheets/d/1JTXVrmdWya4by2x0jJiFE8MHMPFx2-ihTQIZNwnZvuI/edit#gid=0



2Subgroups Roundup

Structural and vocabulary mapping group (PAMPI+) status



(02/13/23 Terminology "Routes" team review request.

Allergy gaps review with Russ.

http://hl7.org/fhir/uv/v2mappings/2020Sep/index.html



https://docs.google.com/spreadsheets/d/1wsWF03DFq7TkRPhl5AjFjki00KfCRXmvJJ4BAkC8uEg/edit#gid=712927881


CF map: https://docs.google.com/spreadsheets/d/1JTXVrmdWya4by2x0jJiFE8MHMPFx2-ihTQIZNwnZvuI/edit#gid=0

Negation Allergy examples were discussed in the context of the paths for the value(s) transformation.

Terminology discussion planned for the Tuesday working group meeting discussion.

(https://jira.hl7.org/browse/FHIR-39625)


02/27/23-Timelines: (sign up) 03/14-21; structure docs-03/16, CGP-03/16  ; FHIR management -03/22.

02/27/23-Outstanding work 2-3 weeks:

  1. CCDA-FHIR:
    1. Additional examples (med doses)More complete C-CDA example
  2. 03/09 FHIR-CCDA:
    1. Ken- documentation; Oracle-examples; 
  3. 03/10 Maps review is finalized. 
  4. IG content, identify gaps 
    Google Drive Live Link
    urlhttps://docs.google.com/spreadsheets/d/1uRMx2lUCpAypsfKipgvDyT6vAiX-bKoS11N27Fe2qGo/edit#gid=0



Not discussed 
3

May 2023 Ballot discussion





https://www.hl7.org/special/committees/tsc/ballotmanagement/pi_index_nibs.cfm?ProjectNumber=1122

Considerations:

C-CDA or FHR FMG can be considered the same project the ballot artifacts are the same - TBD

Content restraining suggestion has been made for an upcoming cycle. 

What is the Ballot artifact project to use? TBD 

FMG Discussion 2022-11-02 FMG Agenda/Minutes (Summarized by John D'Amore)

Github repository https://github.com/HL7/ccda-on-fhir

Cross-group team approves the NIB (02/09/2023).

Considerations:

The CDA to FHIR mapping has been validated through connectathon validation, focusing on mapping C-CDA to FHIR.

Only - Oracle and MDIX were working on the bi-directional implementation.


4

Ontology 

Not discussed 

Links 

https://confluence.hl7.org/display/CGP/Cross-Group+Projects+Home
https://confluence.hl7.org/display/CGP/Provenance+Domain

Model selection topics: Provenance and Allergy.

Floyd will reach out to Gay and the team. Explore ONC funding. Considering canonical concepts for the model. No updates (01/30)


5

Provenance Domain Definitions 

Definition of Author

Narrative 

Not discussed 


6

Qualitative and Quantitative scoring

Analytics

Not discussed 

Artifacts sources review. Gaps classification, minimum elements, and clinical validations. (DSS driver )The team has shared resources and thoughts. The initial scope has been identified - provenance and Allergies. 

Deloitte team ( Taima Gomez, Steve Powell, Nahom Endashaw)

Another avenue has been proposed:




7

HL7 SD and FHIR Connectathons 

Not discussed

Connectathon information 2023 - 01 Connectathon 32

track report out:

Widget Connector
urlhttps://docs.google.com/document/d/1U3IUI7HgAE6ZAYPh1V-fLWNuWLManHy6ypmb0858v6I/edit#heading=h.vt2kiqr0lbh6


8HL7 Working Group

Not discussed


Not discussed 


9Balloting Preparation


The decision process for using ConceptMap

Antler (condition syntax tool for running languages) vs fhirpath - why both. 

https://build.fhir.org/ig/HL7/v2-to-fhir/mapping_guidelines.html

Stating spec (e.g., cardinality) in map vs. linking – reader convenience?  cardinality is included in the maps when you have required on one side 

[IG Shorthand links broken but in git]

Relations between fsh, json, & html

> Map pages have two sections; is one from csv & one from ConceptMap?

> FSH has fewer entries than the table (which has blank rows).

Who is using this and for what purpose? Any feedback? 


An antler style has been preferred. Concept maps play an important role in the V2-FHIR project as they help to address similarities and differences between FHIR 5 and FHIR 4 concepts i.e., role codes or participation codes, or other attributes. Also, specs like cardinality and optionality fields are important to include on both sides of the map as they are maybe different for FHIR and V2.  

https://build.fhir.org/ig/HL7/v2-to-fhir/

The most updated maps:

Google Drive Live Link
urlhttps://docs.google.com/spreadsheets/d/1PaFYPSSq4oplTvw_4OgOn6h2Bs_CMvCAU9CqC4tPBgk/edit#gid=1930219638
FMG. building maps is still a challenge 

Potential CDC collaboration. NIB draft

All necessary approvals were received from 3 teams:

2023

May NIB Draft

C-CDA to FHIR publication:

https://www.hl7.org/fhir/us/ccda/the_specification.html

https://build.fhir.org/ig/HL7/ccda-on-fhir/branches/Feb2023

Contributing to C-CDA to FHIR (and back) Implementation Guide John D'Amore knowledge transfer:

Guide:

https://docs.google.com/document/d/11TuhrdUH1GA5EHI38x27NgsFZaFM5hYXCcBeM-agOVo/edit

Recording: 

https://hl7-org.zoom.us/rec/share/kbU0qz-AiHHLoT0gurxoWK5lOWONNNFsrHIUEsAGdVcwSdPGUxSdBiNg-f9gAijg.clFi4-Cgr3Fm-wbH

-04-13 Cross-Group Project Workgroup Call



Parking Lot topics for the future:

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