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Chair: Robert Dieterle

Scribe: Vanessa Candelora
 

Minutes Approved as Presented 


This is to approve minutes via general consent. "You have received the minutes. Are there any corrections to the minutes? (pause) Hearing none, if there are no objections, the minutes are approved as printed."


Agenda Topics

Agenda Outline

Agenda Item

Meeting Minutes from Discussion

Decision Link(if not child)
ManagementReview ANSI Anti-Trust Policy




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Links




Da Vinci Implementer Support Page

If you are an implementer and have questions, enter them on our chat.fhir zulip stream:   

https://chat.fhir.org/#narrow/stream/179283-Da-Vinci

https://chat.fhir.org/#narrow/stream/180805-Da-Vinci.20eCDx




CDex Ballot Reconciliation


CDex JIRA Dashboard




Meeting Notes

HRex IG Ballot Reconciliation

HRex JIRA Dashboard

JIRA Open Issues for review

HRex Vassil's last question will be discussed next week 3/10 -   FHIR-28892 - Getting issue details... STATUS

Reviewed today:

FHIR-28828 - Getting issue details... STATUS  - reviewed and proposed disposition agreed to. 

FHIR-28848 - Getting issue details... STATUS - reviewed and proposed disposition agreed to. 

FHIR-28215 - Getting issue details... STATUS  - Discussion:

  • Asyncrounous works as follows: you post to the end point and say you want asyncronous. Then you will get back the url to pull to see when results are ready.  Pushing to a specific address is not how bulk data works, that would be messaging or something else.  
  • The Profile allows for contained, allows for url, allows for query.  Unless we need to change it because something is broken, let's leave it alone. 
  • The example should be updated and add some usage notes to support.
  • Proposed disposition agreed to. 
  • Substantive since it's something that is new language, but not a breaking change. 

FHIR-28182 - Getting issue details... STATUS  - reviewed and discussed. 


SVAP Process (ONC process) is what oversees these guides.  Need to be careful about breaking changes and have compatibility with past versions. 



















Next Week

From 2/17:

https://jira.hl7.org/browse/FHIR-30867 - Lloyd proposed wording agreed to on call 2/17

https://jira.hl7.org/browse/FHIR-30868 - review Kathleen proposed wording based on 30867.

https://jira.hl7.org/browse/FHIR-30869 - review Kathleen proposed wording based on 30867.

  • On 2/24 - Left off with FHIR-30489 - Getting issue details... STATUS  - Eric to Draft resolution.


HREX related CDEX Comments:

FHIR-26855 CDex documents require signature, but don't explain how used
FHIR-30490 TRIAGED clinician burden reduction
FHIR-30858 TRIAGED Perhaps just call for current published version?
FHIR-30863 TRIAGED Is it purely a workflow decision whether a request is required to release patient data?

FHIR-30870 TRIAGED  Clarifications

AMA Comments:

FHIR-30815  Not Persuasive Provider to Provider use case should be out of scope as it has not been tested.
FHIR-30816  Unresolved Please clarify whether any human involvement is required, and an example, as well as define the term fulfillment as it relates to attestation.
FHIR-30820  Unresolved When a task is complete what triggers the termination of a payer's ability to fetch data?
FHIR-30821  Unresolved When and how do data servers terminate a client's set of requests?
FHIR-30822  Unresolved What method is used to determine the end of a client's access to a data server?


Block 1 pulls:

FHIR-30831 TRIAGED Not Persuasive More missing content.
FHIR-30832 TRIAGED Not Persuasive The content of this IG wasn't quite ready for ballot. What HL7 process improvement is needed to prevent this in the future?

3/10 Agenda: HRex Vassil's last question  FHIR-28892 - Getting issue details... STATUS



Adjournment

Adjourned at 2:58pm ET



Supporting Documents

Outline Reference

Supporting Document

Minute Approval



Action items

  •  Kathleen Connor  to re-work the proposed change for the other two tickets:FHIR-30868, FHIR-30869
  •  

Create Decision from template

Attendees


Present

Name

Affiliation

  •  
Eric Haas
  •  
Enable Care
  •  

  •  
Stanley NachimsonNachimson Advisors
  •  

Vaibhav Gupta


  •  
Laura HoffmanAMA
  •  
Julia Wormwood
  •  
Mettles
  •  
Gevity
  •  
HealthShare Exchange (HSX)
  •  
Health Share Exchange
  •  
Cedars Sinai
  •  
SmileCDR
  •  
Celine LefebvreAMA
  •  
Mettles
  •  
Allscripts
  •  
BCBS IL
  •  
Cambia Health
  •  
BCBSA
  •  
Point of Care Partners
  •  
Edifecs
  •  
BCBS AL
  •  
Cognosante
  •  
BCBS AL
  •  
Optum
  •  
Stratametrics
  •  
HealthLx
  •  
Optum
  •  
InterSystems
  •  
NewWave
  •  
Cigna
  •  
HealthLX
  •  
Independence Blue Cross
  •  
BCBS AL
  •  
BCBS FL
  •  
Chris JohnsonBCBS AL
  •  
Rachel Foerster & Associates
  •  
Anthem
  •  
Namaste informatics
  •  
WPS Health Solutions
  •  
Deepthi ReddyMettle Solutions
  •  
India DuncanOptum
  •  
Tibco
  •  
Christopher GraconIndependent Health
  •  
Dave FosterEdifecs
  •  
Eric Dimmel
  •  
Jeff BrownCigna
  •  
CMS
  •  
Eddy NievesEpic
  •  
Troy BergstrandBC Idaho
  •  
Tara BramhallCMS
  •  
Heather McComasAMA
  •  
Bryan JeffersPNC
  •  
MaxMD
  •  
Epic
  •  
Holly Miller, MDMedAllies
  •  
Patricia MillerEpisource
  •  
AEGIS
  •  
Thomas GrannanAzuba
  •  

  •  
VA/Book Zurman
  •  
Julie Burgoon
  •  
Tracy Hautanen-KrielCigna
  •  
Rob Reeder
  •  
Ezequiel MoralesCigna
  •  
Bapi BeheraClinDCast
  •  
Arsal HussainiAccenture
  •  
Sai TumuluruCentene
  •  
Hans Buitendijk

Cerner

  •  
Mariel BrechnerEvernorth
  •  
Jason Vander Jagt
  •  
Latitia ShotlowPWN Healt
  •  

  •  
EPIC
  •  
Rose SerjakGevity (Gravity) 
  •  
Aash Bhatt(MD. Nephrology)
  •  
George Varghese
  •  
MedAllies
  •  
Mike ArceMoxe
  •  
Semira SinghProvidence
  •  
Sneh GiriDeloitte
  •  


Present

Name

Affiliation

  •  
Laurie WoodromeLabcorp
  •  
eClinicalWorks
  •  
Patrick LeblancFallon Health
  •  

  •  
Michelle BarryAvaility
  •  
MCG
  •  
Nancy SpectorAMA
  •  
Rajesh Godavarthi
  •  
Sreekanth PuramMettle Solutions
  •  
Susan BellileAvaility
  •  
Anthem
  •  
Jagakarthikeyan KaruppiahInovalon
  •  
Melanie JonesCMS
  •  
BCBST
  •  
Robert (Rim) CothrenCA HIE
  •  
Yolanda VillanovaCMS
  •  

  •  
CMS
  •  
Cristol GreenAnthem
  •  
BCBSFL
  •  
CMS
  •  
Tori WillowsWellcare
  •  
CAQH
  •  
BSBCMI
  •  
Greg Zeller
  •  

  •  
Sonja ZieglerOptum
  •  
Aaron  KohnChorus
  •  
Kat RuizUNC Health
  •  
Sheryl TurneyAnthem
  •  
Healow
  •  
Anthem
  •  

  •  
Padma KondaveetiMettle Solutions
  •  
Shilesh Nair
  •  
eClinicalWorks
  •  
Scott HoltItliti Health
  •  
UHC
  •  
Edifecs
  •  
MiHIN
  •  
Keeyah ShahCasenet
  •  
Igor Sirkovich
  •  
Mrugen MehtaeClinicalWorks
  •  

  •  
Scott M. Robertson
  •  
Mark FlemingChange Healthcare
  •  
Patricia CraigJoint Commission
  •  
Patricia Miller
  •  

  •  
Krshan Patel
  •  
Frank McKinneyPoint-of-Care Partners
  •  
Srikanth Basavarju
  •  

  •  
Gigi HannaAccenture
  •  
Karin Frankcormac-corp
  •  
Varian
  •  
Mary WinterFramewest Health (payer)
  •  
Matt ReidAMA
  •  
Michael FasuloRegence
  •  
Providence
  •  
Pam West
  •  
BCBSA
  •  
Travis HendrixDrFirst
  •  
BCBS AL
  •  
Thomson Kuhn
  •  
Ronald WamplerAetna
  •