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Meeting Details

Date: March 17, 2023

Time: 1PM ET

Coordinates:  Join Zoom meeting: | Meeting ID: 510 046 7805 | +1 929-436-2866-US (New York)


Ralf Herzog (Roche), Rob Hausam (Hausam Consulting), Pam Banning (3M), Kathy, Dan Rutz (Epic), Christopher Harrison (Quest Diagnostics), Craig Newman (Altarum), Marti Velezis (Sonrisa / FDA), Sheryl Taylor (NIST), Hans Buitendijk (Oracle), Joan Kegerize (ACLA)

Co-chair: Hans Buitendijk

Scribe: Riki Merrick

  • Quorum (Co-Chair + 4) Met 


  • Standing Topics 
    • Special Topics
    • Workflow updates
  • JIRAs Triage
  • Other?

Meeting Resources

JIRA Dashboards:

Meeting Minutes

Previous Meeting Notes

Standing Topics

eSignature Update

  • Not discussed

eSignature Update

2023-02-24 OO - LAB/LIVD has PAC feedback discussion

Any Update?

New Rule on Race/Ethnicity from OMB

Due date is April 12, 2023  

  • They now want to conflate 4 different things into 1 field: race / ethnicity/ nationality / lineage = descendants of slaves or Asian immigrants before a specific time
    • Not good to conflate – currently those are different fields in the standard
    • They asked questions of which solution would work best – need to better understand the options they are presenting in the questions to decide
    • Kathy will create the first draft - for review next week

New Rule on Race/Ethnicity from OMB 


  • Federal Register :: Initial Proposals For Updating OMB's Race and Ethnicity Statistical Standards  
  • <from prior call chat> Hans mentioned “trickle down” - the reason we had race and ethnicity terms added in HL7 started with V2 is because CDC requested Patient Administration (Chpt. 3) to add (HL7 V2.4 I think) because CDC had to conform to federal requirements.  The same terms used for Census Bureau data ‘trickled over’ to other federal agencies.  If this new request for comment proceeds to a new proposed then final rule, it would probably “trickle down” eventually impacting CDC, ONC, CDC (thus eventually healthcare standards) etc.  See 1997 link and you will recognize correlation to HL7 V2 of race and ethnicity.  Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity | The White House (

New Rule on Race/Ethnicity from CDC

Due date is April 1, 2023 

  • OMB 5 categories – there will be changes there, too
  • Detailed list is being expanded and some codes are being retired – these codes still roll up into the 5 OMB categories
  • Ultimately OMB categories will have to be updated, once those rules are out
  • Because they are proposing a number of concepts be retired – what are we doing with those?
  • Depends on the use of this data what concepts are appropriate
  • Looks like they are using NEW codes for ALL concepts, even the ones they are not replacing?
    • They are building on what was used for the census in 2020
    • This seems to be more of a "make other groups within HL7 aware of this" so they should make these comments like PA, PH, Terminology Infrastructure and cc PAC - Ulrike Merrick to draft and send to the list first
  • For those in clinical interpretations this list is not complete (ethnicity for example around jewish faith) – that is OO comment
  • For cancer do want to know, if folks are multi-racial – but should not have that as special category
    • US core is only 0..1 – that needs to be fixed
  • None of these concepts have definitions
  • In ethnicity – also some terms include male/female versions others don’t – should not be mixed in here either
  • CDC Race / ethnicity National Webinar scheduled for Tuesday 3/21 1-2 PM ET: Please click the link below to join the webinar: Passcode: 595705@1a

PHIN VADS Hot Topics at first mentions commenting and second gives links to documents. 

NEW 4/1/2023

Comments on the CDC Race and Ethnicity Code System (CDCREC) will be accepted until April 1, 2023. Artifacts can be found by viewing the 2022_RaceAndEthnicityFinal_TablesforPub_Final. In addition, the rationale for the prepared code system is located in the Background file. For technical assistance and support concerning the updated CDCREC, please email RECODES@CDC.GOV or PHINVS@CDC.GOV mailboxes.

CDC Race Category and Ethnicity Group

List of concepts present in CDC Race Category value set which is based upon OMB recommendations and list of concepts present in Ethnicity Group value set which is based upon OMB Race & Ethnicity.

FILE: 2022_RaceAndEthnicityFinal_TablesforPub_Final.xlsx - Race and Ethnicity Download File (Full Code System, relationships, and Hierarchy codes)

FILE: 2022 Race and Ethnicity Code System_Background_Final.pdf - Background and Purpose

LINK: Background and Hierarchy

Update from FHIR Lab Workflow call

  • Not discussed


  • Next time for LIVD 3/24 call

JIRA Triage

Not discussed

V2 Lab JIRAs (link)

Add JIRAs for Next time – related to Lab

FHIR Lab JIRA (link)

Add JIRAs for Next time – related to Lab

From Chat

  • Pam Banning 1:20 PM
    • sorry, need to drop
  • SZARFMAN to  Everyone 1:26 PM
    • There are medical issues like tuberculosis that are more prevalent in some countries that can generate some long-term problems due to the inflammation associated with the difficulties of the body to eliminate death bacterial remains
  • Andrea Pitkus to  Everyone 1:28 PM
    • Good call it Marti
  • You to  Everyone 1:29 PM
    • This is more about ancestry, though if you are a recent immigrant that may be the same - which is why nationality should not be mixed in with this
  • Andrea Pitkus 1:29 PM
    • With the focus on clinical trials, research on specific patient populations, equitable care, etc this doesn't help provide the specificity needed for all humans
  • Andrea Pitkus to  Everyone 1:36 PM
    • I'd be interested in that Riki
  • You 1:37 PM
  • SZARFMAN 1:54 PM
  • Dan Rutz 1:59 PM
    • I need to drop, happy St. Patrick's Day!

Call Adjourned at 2:01 PM ET

Next Meeting: 3/24/2023

Next Time: 

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