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Agenda Outline

Agenda Item

Meeting Minutes from Discussion

Decision Link(if not child)


Professional Associations, such as HL7, which bring together competing entities 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 meetings and conferences, 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)

Project Proposals and PSS Review

Variance Requests

Follow up from US Realm Steering Committee regarding CGP endorsement of proposal (March 9) for the following change to the variance request process:
1) When new or changed profiles are only found in the CI build version of US Core
2) When an IG is publishing a Technical Correction with no profiles being changed

Update CGP Variance guidance: US Core Variance Request Process

The Physical Activity IG:





Late-breaking change on Transfusion and Vaccination AE Guide:


Codex RT (Radiation Therapy)Status Update

Military History

Status Update

CCDA to FHIR Mapping 

Vote on readiness for ballot. Review period started Thursday, March 16 (email to WG from John D'Amore at 8:59 AM ET). Content at: with comments requested to be sent to John D'Amore (MoreInformatics), Natalee Agassi (Oracle Health AI), Jay Lyle (JP Systems), and Chun Li (Diameter Health) - Note that the CGP call for this project March 20 will discuss any questions or concerns as well.

A few points for context:

  • The original C-CDA-on-FHIR project did work from 2016-2020 but they did not publish granular mapping (focused more on Composition). Based on discussion between SDWG and FHIR Management Group (FMG), the decision was made in late 2022 that our project’s work should be included in the same implementation guide. The prior work is retained in the current publication but has not been updated (except in a few instances of QA errors and points about C-CDA<>FHIR mapping).
  • To access the “mapping” work, please use the “Mapping” dropdown along the top of the guide. Here is a link to the mapping project’s background:
  • Only maps for some clinical domains were ready to share at this time, specifically Problems, Allergies, Medications, Immunizations, Procedures and Patient (we refer to as PAMI+). Both C-CDA to FHIR and FHIR to C-CDA mappings and examples are included
  • For more information on the C-CDA to/from mapping project, you can go to our Confluence site:

FHIR IG & CDA Supplemental Guide for Medical Record Reviews

Ballot content review on Monday project calls (10 AM ET) on CGP Zoom March 13 and March 20, with vote today (March 23) regarding ballot content readiness and submission.

International Patient Access IGStatus Update

US Core - January Ballot Reconciliation Schedule

Ballot Reconciliation Schedule:

  • This week Feb 23: Clinical Notes DiagnosticReport
  • Mar 2: Conformance, Search
  • Mar 9: Assessments
  • Mar 16: Assessments -cancelled
  • Mar 23: open - currently planning to meet only during regular 2nd and 4th CGP calls unless alternate weeks become necessary
  • Mar 30: optional
  • April 13: open

Weekly Block Votes Schedule: <<BLOCK VOTING COMPLETED>>

Preview the groupings on Jira's US Core Dashboard. The tentative agenda for the weekly Block Votes (BV) Themes are:

  • BV-2 (February 2): Pregnancy , MedicationDispense/Request - done
  • BV-3 (Feb 9): Occupational Profiles (ODH), Coverage - done
  • BV-4 (Feb 9 -Feb 16): Specimen, Extensions - done
  • BV-5 (Feb 16 -Feb 23): Assessments
  • BV-6( Feb 23 - Mar 2): Assessments
  • BV-7 (Mar 2 - Mar 9): CarePlan, Clinical-Notes, DiagnosticReport
  • BV-8 (Mar 9 - Mar 16): Conformance, Search
  • BV-9 (Mar 16 - Mar 23): Leftovers

Goal: Finish trackers by end of March and Publish by May.

US Core Block Vote

No block vote today

US Core Individual Tracker Discussions:
  1. FHIR-40034: (pulled from BV6) Rename US Core Observation Category (Howard Strasberg) Persuasive
  2. based on above variance requests:
    1. reopen and redisposition FHIR-39940 
    2. new FHIR-40656
  3. FHIR-40103: Remove Must Support from and[x], (corey_spears) Persuasive with Modification
  4. FHIR-38808 and FHIR-40514 Add support for imaging identifiers/US core should have specific profiles for imaging and lab results (bvdh) ****

if time

4. FHIR-40583: Change Direct Address to be part of .telecom rather than .endpoint in PractitionerRole (Jessica Bright) ****

Other Tracker Discussion: 

CGP continues to meet on the Second and Fourth Thursdays, additional calls for US Core ballot reconciliation only if needed