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Agenda Outline

Agenda Item

Meeting Minutes from Discussion

Decision Link(if not child)
Management Minutes Approval2019-10-23 Meeting Agenda
Methodology

Harmonization Proposal from CBCP regarding CDS compartment:

2019Dec_HARM_INITIALPROPOSAL_VOCAB_SECURE_kathleen_connor_CDS Compartment_20191026215118.doc


  • Overall, CDS has important concerns about the proposal.
    • It will be challenging to label every data element for security levels. How will one make a determination if a data element might be relevant for decision support? Anything could be relevant for CDS.
    • A better approach would be to use a role-based approach on which CDS has a specific security role. 
    • There were also concerns about exactly where this would be used and whether it is needed.

Comments on FDA Guidance
  • CDS requests more time to review the specification. 
  • Apparently the regulation softened the language regarding requirement for the healthcare provider to independently replicate a recommendation. To be considered not a device, a CDS needs to allow a healthcare provider to independently evaluate the basis of a recommendation.

FHIR Tracker Items

[#21633](https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=21633&start=0) - Discuss potential refinements to the DetectedIssue resource based on the ClinicalUseIssue draft

[#20728](https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=20728&start=0) - Reduce cardinality of action to 0..1

[#23709](https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=23709&start=0) - Add kind search parameter to ActivityDefinition

[#24617](https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=24617&start=0) - Ability to reference a goal in RequestGroup

[#24675](https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=24675&start=0) - Searching for unmitigated DetectedIssue

[#25056](https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=25056&start=0) - Add RequestGroup as a possible result type of PlanDefinition $apply

[#24618](https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=24618&start=0) - Support definitional participants in RequestGroup

[#23876](https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=23876&start=0) - Change clinical-protocol to protocol

[#23841](https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=23841&start=0) - Align PlanDefinition.goal.detail with Goal.detail

All items were discussed and voted on. Dispositions documented on FHIR tracker.




CQL STU Comments

http://www.hl7.org/dstucomments/showdetail.cfm?dstuid=264

Postponed to next call
Project UpdatesProject leads make sure to update the project pages.
Management

 Next agenda:

  • CDS Hooks STU Update Discussion
  • CQL STU Comments


 Adjournment
 Adjourned at 1:00pm ET

Supporting Documents

Outline Reference

Supporting Document

Minute Approval2019-10-23 Meeting Agenda

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