Chair:  @Bryan Rhodes

Scribe: @Isaac Vetter 

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NOTE: This attendance applies if you are present at the related meeting/call, regardless if you have signed a different attendance for your WG. 






Wolters Kluwer





University of Utah



Computable Publishing...


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)

 Minutes Approval

2022-11-30 - Meeting Agenda

Ballot Schedule

January 2023 Ballot Cycle (2023 January Cycle)
December 8th - Consensus Group Signup Close
December 9th - Ballot Open
December 17th - WGM Agendas Due
January 9th - Ballot Close
January 14th - 15th - FHIR Connectathon
January 15th - 20th - WGM

May  2023 Ballot Cycle
October 9, 2022 - WG Approved PSS to the PMO
December 19, 2022 - TSC Approved PSS
February 19 - NIB Deadline

IPA Project Update

HL7.FHIR.UV.IPA\International Patient Access - FHIR v4.0.1

  • (Virtually) all ballot comments are resolved. We're very close to publication. 
  • We're conducting a very thorough qa review before requesting publication, including a profile by profile comparison against a handful of relevant IGs (at minimum: IPS, US Core, CA-Baseline). 
  • Following this review, we're request publication. Optimally, we'll publish before EoY. 


DTR Block Vote

Key Summary T Created Updated Due Assignee Reporter P Status Resolution

Bob D

Block-votes for CRD, DTR, and PAS were described last week. FM has approved CDR and PAS block votes. The DTR block vote has only a single Not Persuasive. 

Bob Dieterle / Jeff Brown : 12-0-2

Opposed: 0, Abstain: 2, For: 12

WGM Agenda Review

January 2023 CDS-CQI WGM Agenda

  • WGM agenda reviewed. 

FHIR Tracker Dispositions

FHIR-39093 - Getting issue details... STATUS

  • Some negative votes against the 

[FHIR-39175] Keep the Citation resource - Jira (

  • Comments from MITRE (and former MITRE) in favor of keeping the Citation resource

[FHIR-38816] KEEP Citation as a core FHIR Resource - Jira (

  • Brian's Jira to keep Citation

Brian: Citation is core to EBM. Without a FHIR Citation resource, we'd need something that's not FHIR to represent a citation. It's not an up or down vote on Citation resource; rather, it's about EBM resource as FHIR or perhaps create a new/alternate "sibling" data structure with it's own management processes. Does HL7 or FHIR want to take on the creation of a new specification (product family?) and subsequent committees, etc?

This should be a conversions and decision with FMG, not just CDS. 

Does the CDS WG have a recommendation for the scientific evidence representation or evidence-based medicine representation in FHIR?

  • Bryn:
    • The CDS  WG believe that EBM is appropriate in FHIR because it's necessary to fully model a continuous quality improvement lifecycle in a learning health system in healthcare. CDS strongly supports FHIR resources that aren't centered on a patient.
    • Personally, I'm concerned about the size and complexity of the Citation resource, but that's a totally different discussion from the question of its existence.
    • Citation exists because of our underlying principle to support computable representation of knowledge in FHIR. 
    • We'll reach out to FMG to potentially specify a WGM quarter for this conversation. 
  • Brian to take next step of drafting a proposed disposition on FHIR-39093 - Getting issue details... STATUS
  • Bryn, following Brian's disposition to ask FMG for time during Jan WGM.

Working through this list of jiras.


 Next agenda

  • 12/14
    • WGM Agenda Review

12/28 call is canceled.

12/21 may be canceled, tbd.

 Adjourned at 12:02 Central

Supporting Documents

Outline Reference

Supporting Document

Minute Approval