2023-10-17 INM WG Agenda/Minutes

Discussion was held RE: guidance for usage of the SOGI information  as referenced from the product brief for HL7 V2.9.1:  https://www.hl7.org/implement/standards/product_brief.cfm?product_id=516 

Motion from Craig Newman/Brian Frankl /2-0-1

Ulrike Merrick or Craig Newman  will update the Jira tickets.

For all of these the resolution is the same

• Jira grouping tag: 2023-10-03
• Proposed disposition:

o   Not persuasive

• • The scope of the original Observation-based guidance was for patient only. If other persons need similar data exchanged (Sexual Orientation, Gender Identity or Pronouns), then the new GS* segments should be used as described in the base standard.
  • The usage is found in the newly defined gender harmony guide for implementers https://build.fhir.org/ig/HL7/fhir-gender-harmony/branches/main/hl7v2genderharmony.html
  • The observation based guidance will be updated to

    • The default approach for any message type where the base standard message definition does not already include patient-level observations is to insert the PATIENT_OBSERVATION segment group defined below. Examples for several common order/results related message types are provided below.

      If a given domain (e.g. Immunization) already has an existing solution defined, the domain-specific approach may continue to be used in place of the default approach." as agreed upon on this call. 

• For OO:
• V2-25602 - Everywhere GSP, GSR, and GSC are added OBX needs to be added as well
• V2-25605 - Add OBX where new Gender Harmony segments were added
• V2-25618 - Add OBX where Gender Harmony Segments are added
• V2-25625 - Add OBX where Gender Harmony Segments are added
• V2-25626 - Add OBX where Gender Harmony Segments are added
• V2-25627 - Add OBX where Gender Harmony Segments are added

• For PA:
• V2-25603 - Add OBX as an alternative to GSP and GSR
• V2-25612 - Add OBX where Gender Harmony Segments are added
• V2-25620 - Everywhere GSP, GSR, and GSC are added OBX needs to be added as well
• V2-25622 - Add OBX where Gender Harmony Segments are added

• For PC:
• V2-25613 - Add OBX where Gender Harmony Segments are added
• V2-25615 - Add OBX where Gender Harmony Segments are added

• For FM:
• V2-25610 – Add OBX where Gender Harmony Segments are added
• V2-25624 – Add OBX where Gender Harmony Segments are added

• For SD:
• V2-25623 - Add OBX where Gender Harmony Segments are added

Related, but a different resolution:

• For V2 Management:
• V2-25564 - Update Existing Guidance To Remove "short-term"
• proposed disposition:
• Persuasive
• This was an oversight and has been corrected as of 9/25/2023
• V2-25596 - Update existing SOGI guidance to remove "Short Term" designation.
• proposed disposition:
• Persuasive
• This was an oversight and has been corrected as of 9/25/2023

LOI/LRI ACK Choreography Question

20231017 - will be moved to a future agenda when the SME's are available.

Background is written up here: 

• https://confluence.hl7.org/pages/viewpage.action?pageId=184929333#id-20230929OOLAB-LOI/LRIACKChoreographyQuestion

This boils down to these questions:

#1 verify that message structure (and content validation is ONLY at application level) - besides figuring out if file is even HL7 and reviewing MSH

#2 If AA is sent in MSA, does that mean no ERR segments can be sent?

2024 info ballots on maturity of MessageHeader, MessageDefinition

There will be three for-comment ballots in 2024 and WGs are asked to ballot each of their FHIR resources towards a goal of maturation for normative in R6. 

We need to decide when to ballot our resources. Alternatively, is deprecating MessageDefinition really an option?

Determine next steps:

• Extension review from Grahame's automated analysis

During the Sept WGM, FHIR-I or FMG? asked each WG to analyze and review extensions on their resources for unnecessary duplication. 

The auto-generated list is called stats2 and is here ....