Facilitator:  Durwin Day 

Scribe: Robin Isgett 





xChris Johnson co-chair

Antitrust Statement

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).

Agenda Topics

Agenda Outline

Agenda Item

Meeting Minutes from Discussion

Decision Link


HL7 ANSI Anti-Trust Policy

HL7 adheres to the ANSI Anti-Trust policy.  We should avoid sharing any information on this call that could be interpreted as anti-competitive.  If there are topics that you don’t normally speak about in other public settings, such as conferences or trade shows, then it’s probably best to save those topics for another time as this is a public call. If you have any questions you can refer to the GOM section 05.01 or consult your companies legal division.

Durwin read Antitrust Statement.

 Minutes Approval  - Dec 20, 2022

Minutes approved by consensus.

New Proposals and PSS for review - PIE comments or interest

No new proposals or PSSs.
Mary Kay

Mary Kay was reviewing n citation X12:

Mary Kay still reviewing X12 references.
Begin review for comments

Federal Register RIN 0938-AT38 
Administrative Simplification: Adoption of Standards for Health Care Attachments
Transactions and Electronic Signatures, and Modification to Referral Certification and
Authorization Transaction Standard  (90 day comment period)

The following standards are listed in the NPRM:


  • X12N 275 - Additional Information to Support a Health Care Claim or Encounter (006020X314), September 2014; IBR approved for § 162.2002(d).
  • X12N 275 - Additional Information to Support a Health Care Services Review (006020X316), August 2021; IBR approved for § 162.2002(c).
  • X12N 277 - Health Care Claim Request for Additional Information (006020X313), September 2014; IBR approved for § 162.2002(e).
  • X12N 278 - Health Care Services Request for Review and Response (006020X315), September 2014; IBR approved for § 162.1302(e).
  • HL7 CDA R2 Attachment Implementation Guide: Exchange of C-CDA Based Documents, Release 1 – March 2017; IBR approved for§162.2002(a).
  • HL7 Implementation Guide for CDA Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) Draft Standard for Trial Use Release 2.1, Volume 1— Introductory Material, June 2019 with Errata; IBR approved for §162.2002(b).
  • HL7 Implementation Guide for CDA Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) Draft Standard for Trial Use Release 2.1, Volume 2 — Templates and Supporting Material, June 2019 with Errata; IBR approved for §162.2002(b).

Also, the 278 standard for referral certification and prior authorization are proposed for update:

  • Update from the current 278 (005010X217) to: 278 - Health Care Services Request for Review and Response (006020X315)

In the preamble, continued evaluation and future consideration mention of HL7 FHIR-based standards is outlined with references of prior recommendations from NCVHS and the FHIR Clinical Data Exchange (CDex) IG. See section 3. Alternatives Considered starting on page 63.

Durwin suggested WEDI Spotlight presentations to broaden/clarify the healthcare attachments definition.  Discuss CDex omission in listening sessions Jan 25th and Feb 8th at 2:00 PM EST.  Slides will be posted.  Durwin stated that the CDA grids were there.  Comments are due mid-March.  

Review PIE WGM Agenda for Jan 16-19th

Voting in the 2023 January ballot closes at midnight next Monday January 9. Please ensure your comments are added to Jira and your vote associated with them as soon as possible.

2023 Calendar of events

HL7 FHIR Connectathon, Jan. 14-15, 2023, Hilton Hotel Lake, Las Vegas Resort and Spa, Henderson, Nevada

HL7 Working Group Meeting, Jan. 16-20, 2023,  Hilton Hotel Lake, Las Vegas Resort and Spa, Henderson, Nevada

Review Agenda​ https://www.hl7.org/events/

NCVHS Sub-Committee hearing, Washington DC - testimony will be presented

      1/18/2023 X12 8020 proposed rules

      1/19/2023 CAQH CORE proposed rules

 X12 January 22 – Feb 1st – Westminster CO 

VIVE - March 26 - 29, 2023, Nashville TN  https://www.viveevent.com/

40th National HIPAA Summit - Virtual March 7-10, 2023  www.HIPAASummit.com

HIMSS23, April 17-21, 2023, Chicago IL https://www.himss.org/global-conference

HL7 Connectathon and WGM

NCPDP 2023 Annual Technology & Business Conference, May 8 - 10, 2023, Scottsdale, Arizona, https://ncpdp.org/ac/call-for-proposals-info.aspx

Craig Newman joined to respond to the comment the PIE WG made regarding the Proposed Public Health Bulk Data use case.  A PSS to come after the connectathon.  

1)  Technical immunization registry

2)  Agreed upon list of who has access.

Payers would be interested to know who would add/remove from the data lake.  PIE would be an interested party, but will table it for a bigger audience next week.  If any questions regarding the connectathon track in January, contact craig.newman@altarum.org.

Lenel - for SDoH time stamps and code sets, bring to Patient Care workgroup with more details next week.

Management Next agendaNext meeting is 01/10/23. 
Adjourned at 3:17 PM EST

Supporting Documents

Outline Reference

Supporting Document

Minute Approval

Action items