Facilitator:  Christol Green  Russell Ott 

Scribe: Robin Isgett  







      xAlberto S. Llanes 
      xTony Benson 
      xJoseph Quinn 
      xAdam Culbertson 
      x@Mary Winter

Agenda Topics

Agenda Outline

Agenda Item

Meeting Minutes from Discussion

Decision Link

New HL7 Antitrust Policy

The HL7 Antitrust Policy was approved as part of the last GOM revision (section 05 Antitrust compliance). The following must be added to the minutes for each meeting.

              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 s05.01 of the Governance and Operations Manual (GOM)

Co-chair read policy to the Workgroup.
ManagementApprove 11/23 meeting minutesReviewed - approved by consensus.

New Proposals and PSS for review - PIE comments or interest

  1. Project Proposals 
  2. Project Scope Statements
  3. (enter "C" in "Status" filter for "consensus-review"

New draft PSS Radiation Therapy Treatment Data  - made comment that PIE WG was not interested party.
Mark RCARIN Digital ID Card Jan Ballot - updates  Mark stated that they had calls with Melva and Lioyd, plus FM reagrding the work not being finished.  Cille stated that when changes are made, such as with infrastructure maintenance, they have to be made quickly.  Preparing for Connectathon with Touchstone/Aegis for test scripts.
ManagementReminder that the Jan 2022  Ballot sign-up participation ends Dec 9th.Jean asked about ballot for the Attachment guide.  The 2013 guide (R1) is being withdrawn.  The 2017 guide (R2) is on the ballot.
John K

Continued discussion:

Costly chart pull/chart case dilemma for payers

    • JK spoke to payers looking to ROI payers invested in this
    • Correct diagnosis for better Medicare/Medicaid reimbursement and how FHIR can help
    • Asked if the PIE WG has interest in the chart pull dilemma
      • We decided to continue discussion at the next meeting
John could not attend today.  Roll over to next meeting.

Attachment IG: HL7 CDA® R2 Attachment Implementation Guide: Exchange of C-CDA Based Documents, Release 2
US Realm - discuss next steps for publication

 No formal steps have been taken yet towards publishing the Attachment IG. Russ polished the content and  posted on Confluence, as well as drafted a publication request for us to review:


publication draft and the fully reconciled spreadsheet on the confluence page:



  1. Review and vote on the “Product Brief” in the publication request (it’s a copy of what was previously published for the guide)  The URL for the meeting minutes should be in the publication request.  It also needs to go to the CDA management group.
  2. Set expectations that we’ll ask for formal publication approval for the IG at our next meeting.

Reviewed Publication Request for final vote.  Russ made a motion to publish the guide and Rachel seconded the motion.  There was discussion as to rather the guide should be an STU instead on Informative.  Alix abstained from the vote.

VOTE:  13-0-1

Lenel JSDOH - Race and ethnicity discussion - see presentation.  The CDC contains all the race and ethnicity codes from the cencus, but no consistent value set.  Rachel asked about vocabulary code sets.  Lenel stated that the THO is in discussions in the area of directories.
Open FloorDiscussed Connectathon.  Lenel stated that CDA and FHIR discussions were added for May.  Rachel commented that APIs and realtime is where everything is going.  A co-chair meeting will be scheduled for 12/14/21 to discuss Jan meeting agenda, plus give Alberto a chance to do the agenda.  Alix asked if the May meeting would be a hybrid (in person and virtual).  Lenel stated that most hotels could not provide both, but it is under consideration.

Adjourned at 3:29 PM EST

Supporting Documents

Outline Reference

Supporting Document

Minute Approval

Action items