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AbdulMalik Shakir Hi3Solutions (ShakirConsulting)
Alean Kirnak SW Partners
Cindy Bush CDC/NCHS
Craig Newman Altarum
Crystal Snare State of WA
Danny Wise
Dave deRoode Lantana Consulting Group
Devann Kirkpatrick TN Dept of Health
Erin Holt Coyne TN Dept of Health
George Dixon Allscripts
Heather Patrick CDC
Joginder Madra Madra Consulting Inc.
John Stamm Epic
Justine Maxwell TN DOH
Lura Daussat Public Health Informatics Institute
Melanie Epstein-Corbin CDPH (CA)
Nathan Bunker AIRA
Rita Altamore State of WA
Sarah Gaunt
Shu McGarvey CDC/NGC


  1. Welcome, agenda review, meeting minute approval - 5 min
    1. Proposal to keep this call at the same day/time starting the week after WGM (Craig Newman) - 2 min
  2. ONC 2020-2025 roadmap is out (Craig Newman) - 5 min

  3. ImmDS FHIR IG ballot recon (Nathan Bunker) - 15 min
  4. FHIR resource proposed change (Craig) - 10 min
    1. JIRA 25277 Proposal January 2020.pptx

Discussion items





10minWelcome, agenda review, meeting minute approvalCraig Newman
  • Announcements:
    • BSeR IG is making its way to the TSC
    • VR IG shifting to a different STU version (4)
  • Motion to approve the minutes of the 2020-01-23 call (Erin,AbdulMalik)
    • Approved (22-0-0)
  • Timing of conference calls.  No concerns with current timing.  The conference call series will resume on Feb 13.
5minONC 2020-2025 roadmapCraig Newman
  • No discussion
15minImmDS FHIR IG ballot reconNathan Bunker



  • Three items left:
    • #24009 - Consider returning to a reference to the guideline used to make the recommendation.  Proposed disposition: Considered for Future Use
    • #24945 - Recommend enabling desired functionality via CDS hooks interface.  Proposed Disposition: Not Persuasive
    • #24947 - Why not CDS Hooks?  Proposed Disposition: Not Persuasive
  • Motion to accept the proposed dispositions (Nathan, AbdulMalik)
    • Approved (22-0-0)
10minFHIR resource proposed changeCraig Newman

seriesDoses and DoseNumber elements should be text only

Proposed resolution

  • Find to be Persuasive and introduce changes in R5
    • Update the doseNumber and seriesDoses elements in Immunization, ImmunizationEvaluation and ImmunizationRecommendation to only have a data type of ‘string’
      • Element name will remain the same (as opposed to doseNumberString, etc)
    • The element descriptions will also be clarify the intent of the elements in the resource
      • In Immunization, it's the intent of the provider in administering the vaccine
      • In ImmunizationEvaluation and ImmunizationRecommendation, it is the outcome of the CDS engine evaluation of patient history against the specific set of recommendations it uses
  • Motion to accept the proposed change (Heather Patrick, Nathan Bunker)
    • Approved (20-0-0)

Meeting adjourned at 16:46 (eastern)

Action items