Chair: Russ Leftwich
Scribe: Jim McClay
CIC Thursday Call Information
Standing CIC and Project Calls
Time: 02:00 PM Eastern Time (US and Canada)
To join the call, visit the Conference Calling Center or reference CIC e-mails
To sign up for calls, visit the Conference Calling Center
Regular CIC Calls: at 2:00 ET
Second Thursday: Cancer Interoperability – All things Cancer (Breast Cancer, mCODE, plus Pain)
Fourth Thursdays: All things Registries & HRex, VANGUARD
CA Interoperability: Every Wednesday 1000-1100 ET
Breast Cancer: Every Wednesday: 2:00-3:00 p.m. ET
HRex: In STU phase; no present calls.
mCODE: (Cancer Interoperability Calls - Tuesday 2-3 PM ET)
Discussion and Responsibilities
|Minutes and Decisions|
|Getting meeting started|
|Minutes Approval (3 minutes)|
Request to approve by consensus. Approved - 7/22/21 Jim/Chris
Agenda items for today:
1) mCode Block Vote and discussion
Project Proposals & Retiring Standards & E-votes (8 minutes)
Discuss active Project Proposals and Project Scope Statements (PSS)
See attached slides
Q1: Coverage - country map
Q2: OMOP mapping from ICHOM data model
Q3: First use case is breast cancer - how will this interdigitate with existing HL7 BC standards (mCode) - Bruce Bray notes significant overlap. Need to attempt to harmonize since already coded in EHR.
Q4: Marti Velezis VANGUARD group checks on ICHOM. Looking for minimal core data sets. Different view on ICHOM standards.
Scope of first FHIR IG - adding to existing IG to cover gap to include ICHOM standard.
Next Step: set up harmonization call to Draft Project Scope Statement.
Robert Dieterle suggests overlap with GRAVITY project common frameworks for quality and outcomes measures.
Vote on formation of new work group called "Human and Social Services Work Group" https://confluence.hl7.org/display/HL7/Human+and+Social+Services+Work+Group+Formation+Proposal
Discussion without resolution
Bruce Bray moved to approve
Vadim Peretokin Second
Karen Thullner update on imaging.
|SECOND THURSDAY TOPICS||CANCER INTEROPERABILITY|
1) mCODE STU2 Block Vote 4
Pulled FHIR-32836 from vote at this time.
2) Discussion of FHIR-32839 Saul Kravitz
Modality and Technique Value Sets for Brachytherapy Treatment Phase, Radiotherapy Course...
Combinations are to be enforced by invariants vs suggestion from David Pyle for a hierarchical value set (example: Purpose of Use value set)
Value set will be published in implementation guide and on HL7 terminology server. Value set maintenance as part of STU process.
Sherita Alai Discussion of definitions and data sets concerning radiotherapy (part of mCODE).
issue 1: Seeking clarification of difference between Modality and Technique and reasoning for 3 lists of values
Martin von Siebenthal clarified differences between value sets for Brachytherapy and Teleradiotherapy.
compare to NCI CDE Public ID 7063723 (cdebrowser.nci.nih.gov)
Brachytherapy techniques are a little different.
Saul Kravitz Motion - FHIR 32839 "persuasive with modification - modification -provide clarity on radiation oncology terms with improved definitions."
Mark Kramer will followup
vote on Block Vote 2
please pull 32279 and 32281 and 32245 from this vote
motion to approve the remaining items in Block Vote 2 made by Saul Kravitz, 2nd by Marti Velezis, ; abstain = 2, opposed = 0, approved =5.
Normative ballot: Jan 2022
Publication Request: Feb 2022
Receive ANSI approval/Project end: April 2022
Discussion of ECI values
May have partial information in calculating comorbidity index - individual elements collected without calculating score.
Motion: Propose adding explanation for not having calculation - persuasive with modification.
Marti Velezis recommends updating to explain following ECI rule of "when comorbid condition is unknown or absent it should be set to "absent"
New Block Vote: mCODE FHIR IG STU2 Block Vote 3
Sherita Alai asking to pull - FHIR-32839Getting issue details... STATUS and - FHIR-32431Getting issue details... STATUS as a corollary
MOTION: Saul Kravitz Approve block vote withholding 32839 and 32431
Second: Marti Velezis
Disputed items pulled from block vote discussed and resolved. Vote needed on items FHIR 31327 and FHIR 31326.
Pain Assessment Project
SM called for attention to this at the recent NKBD towards getting implementors. Connect this project to the MCC eCare Plan project and their use case that could use Pain.
|FOURTH THURSDAY TOPICS|
IG proposal vote needed Protocols for Clinical Registry Extraction and Data Submission
Motion made to approve the IG proposal made by David P/2nd by Jimmy T. Abstain = 0; oppose = 0; approve 7
Past Update:Lloyd Test McKenzie requests time on second Thursday agenda for update on HRex
Next Target ballot could be an informative ballot Jan 22
Past Update:Marti Velezis VANGUARD continues work on device related value sets.
Administrative: Review of Agenda/Key HL7 Deadlines/Business Tasks
Reminder New CIC Meeting Structure
Will target these dates for the topics, but will be flexible as needed for project deadlines.
|Notes Regarding Next Meeting|
|Adjournment||Adjourn by consensus.||Adjourned at:|
|x||Intermountain CIC Co-Chair|
|x||Intersystems CIC Co-Chair|
|x||UNMC CIC Co-Chair|
|x||Jimmy Tcheng||Duke CIC Co-Chair|
|@Michelle Barry||Da Vinci|
|Michael Einkauf||Parexel International|
|x||Martin Von Siebenthal||guest|
|x||Wendy Ver Hoef||Guest|