Date

Attendees


Nathan Bunker, Cameron Minich, Assiatou Diallo, Craig Newman, Kevin Snow, Mike Berry, Heather Patrick, Clément Hennequin

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).

ItemNotes
Updates

Helios Updates

  • Craig giving update on bulk query.  
    • Asking IIS vendors, state programs, to participate in these. Keep eye out for emails. 
    • Looking for pilots. 
    • If interested in participating, contact Craig Newman 
Technical Question

Request about not allowing invalid lot numbers to be put in the IIS. Knowing what is a real lot is the main problem. 

Terminology servers are for code. Would there ever be a chance of all manufacturers to submit their lots. Standardized API in front of that? 

CDC has been having discussions with manufacturers about this. Trying to leverage what we learned during Covid. What might be helpful. What are the challenges we are facing? Manufacturers don't have a good view of the public health impact of not knowing the lot numbers. They are unaware of the impact of their decisions on the process. Struggling with being heard. 

FHIR Resource: Medication Resource, does it carry a lot? It does carry a lot. 

Some information, dated and limited: https://repository.immregistries.org/files/resources/596f7218ad93e/aira_sisc_vaccine_lot_number_guidance_20180614.pdf  https://repository.immregistries.org/files/resources/5835adc2da0a1/mirow_micro-guide__lot_number_validation_best_practices_.pdf

Knowing what lot numbers should like does solve some of the problem. Because of the technical limits this is an onboarding issue. Would be useful to have templates, could we look a the data we have. Lot number is a free text field. 

A national entity could ask all the IIS to send lot numbers and create a master list. 

Possible solutions:

  • Publish lot numbers
  • Validated lot numbers
  • Collect lot numbers from IIS to create master list

May be sensitivities about making lot numbers public. 

What should this group do with this question/issue? 

Nathan Bunker Will write this up for next week. 

One IIS is doing lot number lookup, they are in the progress. Mike Berry will share with us when they have made more progress. 

Primary Source issue
  • Discussing FHIR-36060 - Getting issue details... STATUS
  • Discussing FHIR-27016 - Getting issue details... STATUS
    • Jose wants to point to the protocol used for deciding on the vaccination. 
    • Agreed to added two new fields, but now Lloyd indicate there is an issue. Craig is waiting for Jose and Lloyd to sort out the issue and then go for a vote in Public Health. 
  • Discussion about Immunization.primarySource
    • Craig reviewed the current situation. 
    • Want to clarify the definition before it goes out to ballot. 
    • Current definition: Indicates whether this record was captured as an original primary source-of-truth record rather than a secondary 'reported' record. A value "true" means this is a primary record of the immunization.
    • Possible interpretations
      • Source of the original data
        • May be useful for evaluating the quality of the data
      • Relationship of the system to the data
        • May be useful for downstream activities such as inventory decrementing
    • When the "system" is the one that first records the data the two interpretations merge
    • Possible updated definition: Indicates whether this record was captured as an original primary source-of-truth record rather than a secondary 'reported' record. A value "true" means this is a primary record of the immunization.
    • Provenance may be a third concept 

Supporting info ticket

FHIR-36060 - Getting issue details... STATUS


Action items

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