Chair:  Jean Duteau 

Scribe: Floyd Eisenberg  

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Attendance at the end of this page after the minutes.

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)

Management

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)

Minutes to be reviewed at the full WG call on April 13.
QI-Core Variance Request

No new variance requests

Not discussed

US Core - January Ballot Reconciliation Schedule

Ballot Reconciliation Schedule:

  • This week Feb 23: Clinical Notes DiagnosticReport
  • Mar 2: Conformance, Search
  • Mar 9: Assessments
  • Mar 16: Assessments -cancelled
  • Mar 23: open - currently planning to meet only during regular 2nd and 4th CGP calls unless alternate weeks become necessary
  • Mar 30: Today's call
  • April 13: Full CGP WG call

Weekly Block Votes Schedule: <<BLOCK VOTING COMPLETED>>

Preview the groupings on Jira's US Core Dashboard. The tentative agenda for the weekly Block Votes (BV) Themes are:

  • BV-2 (February 2): Pregnancy , MedicationDispense/Request - done
  • BV-3 (Feb 9): Occupational Profiles (ODH), Coverage - done
  • BV-4 (Feb 9 -Feb 16): Specimen, Extensions - done
  • BV-5 (Feb 16 -Feb 23): Assessments
  • BV-6( Feb 23 - Mar 2): Assessments
  • BV-7 (Mar 2 - Mar 9): CarePlan, Clinical-Notes, DiagnosticReport
  • BV-8 (Mar 9 - Mar 16): Conformance, Search
  • BV-9 (Mar 16 - Mar 23): Leftovers

Goal: Finish trackers by end of March and Publish by May.

No discussion re: schedule
US Core Individual Tracker Discussions:

From last week:

  1. FHIR-40103: Remove Must Support from Goal.target and Goal.target.due[x], (corey_spears) Persuasive with Modification
  2. FHIR-38808 and FHIR-40514 Add support for imaging identifiers/US core should have specific profiles for imaging and lab results (bvdh) ****
  3. FHIR-40583: Change Direct Address to be part of .telecom rather than .endpoint in PractitionerRole (Jessica Bright) ****

Assessments Trackers:

With our 4-week assessments mini-sprint with Argonaut participants finishing the week of March 27, we will be discussing these final US Core trackers regarding Assessments...

  1. FHIR-39965: Consider changing Observation.derivedFrom and hasMember QuestionnaireResponse reference to SDC QuestionnaireResponse Persuasive with Modification Corey Spears
  2. FHIR-39952: Modify the descriptive reason why QuestonnaireResponse is not included in the IG Persuasive with Modification Corey Spears
  3. FHIR-39722:
    The use of Observations where QuestionnaireReponse is more applicableUnresolved Bas van den Heuvel

  4. FHIR-39495 Disagree with removing QuestionnaireResponse Unresolved Lloyd McKenzie

Finally if time....

  1. FHIR-40583: Change Direct Address to be part of .telecom rather than .endpoint in PractitionerRole (Jessica Brigh

FHIR-40034 - request to update slice from "uscore" to "screening-assessment" If possible will use existing value set  (e.g., US Core Observation Category Value Set); or create new value set based on existing external code systems. See tracker.

Motion to approve FHIR-40034: Hans Buitendijk/Brett Marquard: 12-0-2

FHIR-40103: Remove Must Support from Goal.target and Goal.target.due[x], (corey_spears) Persuasive with Modification - Requirement to support start date or due date.

The group had a lot of discussion about the challenge with allowing either startDate or targetDate if only one is Must Support for certification.

Motion to approve FHIR-40103: Eric Haas/Brett Marquard: 7-4-3

FHIR-38808 - plan to update guidance with more specificity while awaiting a more detailed approach from an existing Imaging Access SMART project that is underway.

FHIR-40514 Add support for imaging identifiers/US core should have specific profiles for imaging and lab results (bvdh) ****

Motion to approve both FHIR-38808 and FHIR-40514: Eric Haas/Didi Davis: 14-0-1

FHIR-39965: Consider changing Observation.derivedFrom and hasMember QuestionnaireResponse reference to SDC QuestionnaireResponse Persuasive with Modification Corey Spears

Motion to approve: Eric Haas/Jason Vogt: 15-0-0

FHIR-39952: Modify the descriptive reason why QuestonnaireResponse is not included in the IG Persuasive with Modification Corey Spears

Motion to approve: Eric Haas/Jason Vogt: 16-0-0


FHIR-39495 Disagree with removing QuestionnaireResponse Unresolved Lloyd McKenzie - Eric indicates he discussed the proposed resolution with Lloyd McKenzie who had requested in-person resolution, and that Lloyd provided text for the resolution and was in agreement with it. 

Motion to approve: Eric Haas/Brett Marquard: 16-0-0

Still to be reviewed (on April 13 full WGM):

FHIR-39722:
The use of Observations where QuestionnaireReponse is more applicableUnresolved Bas van den Heuvel

FHIR-40583: Change Direct Address to be part of .telecom rather than .endpoint in PractitionerRole (Jessica Bright) **** submitted after the end date for submission prior to publication.

 




CGP continues to meet on the Second and Fourth Thursdays, US Core ballot reconciliation on alternate Thursdays

Discuss: Meeting every other week on regularly scheduled CGP Calls.

No meeting next week (April 6) - the next time CGP meets will be the regularly scheduled 2nd Thursday of the month - April 13, 2023.
Adjournment


Adjourned at 2:03 PM ET.

Parking Lot Items

Item

Description

International Patient AccessConsideration of a variance process for future CGP review and approval.

Attendees

Name

Affiliation


Attendance

ONC

ONC
yes
Cambia Health

Mitre

Phillips Healthcare
yes
Brian MeshellMitre

Brian Swinkels


Wave One Associatesbrett@waveoneassociates.comyes
Altera

Elevance Health

VA

Epic
yes
Lantana
yes



Mitre
yes





yes






Emma Orietsejafor 

yes


yes
iParsimonyfeisenberg@iparsimony.com  yes



Namaste
yes
CDC




Grace Mandel




yes
EMI Advisors




Epic



yes



Duteau Design Incjean@duteaudesign.comyes



Altera Digital Health



yes






ICF

Mitre




BCBSA

Keirscha Thompson 


Optum

MaxMD




eCW




Varian

MaxMD


yes
Melisa Coker


NQF/CDC Contractor
yes
Optum

Oracle natalee.agassi@oracle.com





yes
NCQA

Randall Severy


Carradora




EnableCare




MDPartners

Lantana

Mitre

ONC




Mitre




SureScripts







Mitre



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