Facilitator:

Austin Kreisler

Date:


Minutes Approved as Presented 



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."


Attendees:


Additional partisipants:

  •  Floyd Isenberg
  • ehass
  • Rob Hausam
  • cnewman
  • Linda Michaelsen




Agenda:

  1. Call to order
  2. Business Updates (10 min)
    1. Additions/modifications to the agenda
    2. Approve minutes from YYYY-MM-DD Agenda and Minutes
    3. HL7
      • RIM Austin Kreisler
      • Steering Division / TSC Austin Kreisler
        • SDWG appeal to the TSC on PACP
          • TSC MOTION that the group reconcile the ballot as normative and then request the appropriate publication level based on the results of reconciliation. If published as STU, the consensus group would have to be advised.
        • Approaching Deadlines
        • OCT 4th - WG PSS Approval Deadline 2020MAY
        • Nov. 3rd - FHIR IG Proposals Due
        • Nov. 7th - Harmonization Initial Proposals Due
        • Nov. 17th - NIB Deadline
        • Nov. 17th - FHIR IGs substantively complete
        • Nov. 21st - Harmonization Final Proposals Due
        • Dec. 5th - Harmonization meeting
        • Dec 22nd - Final Content Deadline
        • Dec. 27th - Ballot Open for Voting
      • CDA-MG Lisa R. Nelson Brett Marquard
      • Vocab Sheila Abner
      • Pub facilitator Alexander Henket
      • Electronic Services and Tools Andrew Statler
      • Patient Care Emma Jones 
      • Example Task Force Brett Marquard
  3. External Updates - ONC and others
  4. Project Updates
    1. Value Set Issues

    2. Consolidated CDA STU Comments
    3. Consolidated CDA STU 2019 Updates Lisa R. Nelson Brett Marquard
    4. C-CDA Companion Guide Reconciliation/status Lisa R. Nelson Gay Dolin
    5. Other Project Updates
  5. Additional Items
    1. Questionnaire Response Block Vote (Martin Rosner) 
    2. CDA IG Quality Criteria Block Vote (Austin Kreisler)
      1. CDA IG Quality Criteria ballot reconciliation meeting on Friday, Oct. 4th at 1pm Eastern
    3. Proposal to Withdarw the following Expired STU's (and close related projects) (Austin Kreisler)
      1. Implementation Guide for CDA Release 2: Procedure Note
        1. Withdraw_Implementation Guide for CDA Release 2 Procedure Note.docx
      2. Implementation Guide for CDA Release 2: Progress Note
        1. Withdraw_Implementation Guide for CDA Release 2 Progress Note.docx
      3. HL7 Implementation Guide LOINC Document Ontology, Release 1
        1. Withdraw_HL7 Implementation Guide LOINC Document Ontology Release 1.docx
  6. US Core FHIR Trackers (second hour) Brett Marquard Eric Haas
    1. Oxygen delivery and pulse Ox representation Eric Haas
  7. FHIR Tracker Items (if time is available)
  8. Adjournment


Notes/Minutes

  1. Call to order
  2. Business Updates (10 min)
    1. Additions/modifications to the agenda
    2. Approve minutes from YYYY-MM-DD Agenda and Minutes
    3. HL7
      • RIM Austin Kreisler
      • Steering Division / TSC Austin Kreisler
        • SDWG appeal to the TSC on PACP
          • TSC MOTION that the group reconcile the ballot as normative and then request the appropriate publication level based on the results of reconciliation. If published as STU, the consensus group would have to be advised
        • Approaching Deadlines
        • OCT 4th - WG PSS Approval Deadline 2020MAY
        • Nov. 3rd - FHIR IG Proposals Due
        • Nov. 7th - Harmonization Initial Proposals Due
        • Nov. 17th - NIB Deadline
        • Nov. 17th - FHIR IGs substantively complete
        • Nov. 21st - Harmonization Final Proposals Due
        • Dec. 5th - Harmonization meeting
        • Dec 22nd - Final Content Deadline
        • Dec. 27th - Ballot Open for Voting
      • CDA-MG Lisa R. Nelson Brett Marquard - HAI Publication request was approved.
      • Vocab Sheila Abner n/a
      • Pub facilitator Alexander Henket n/a
      • Electronic Services and Tools Andrew Statler n/a
      • Patient Care Emma Jones  They are starting up the CDA template work.
      • Example Task Force Brett Marquard
  3. External Updates - ONC and others
  4. Project Updates
    1. Value Set Issues

    2. Consolidated CDA STU Comments
    3. Consolidated CDA STU 2019 Updates Lisa R. Nelson Brett Marquard
    4. C-CDA Companion Guide Reconciliation/status Lisa R. Nelson Gay Dolin
      1. Lisa provided an overview of the schedule for completion of the C-CDA Companion Guide. 
      2. Lisa reviewed the Comment 162 - on the representation of date time .UUUU   to support 1/10,000 seconds. With the revision. in place, the block vote including comment 162.  Lisa motions to approve 10/03/2019 block.  Second by Ben  Opposed: 0 Abstain: 0 For: 17 motion passed.
    5. Other Project Updates - n/a
  5. Additional Items
    1. Questionnaire Response Block Vote (Martin Rosner) - they have 23 more comments (2-3 more block vote completed)
      1. Block vote.  Motion to approve the Questionnaire 2019 block vote by Martin, Second Calvin
      2. Vote: Opposed: 0 Abstain: 0 For: 14 motion passes
    2. CDA IG Quality Criteria Block Vote (Austin Kreisler)
      1. CDA IG Quality Criteria ballot reconciliation meeting on Friday, Oct. 4th at 1pm Eastern
        1. Motion to approve the block vote sent out last week as block vote 4. Made by: Calvin Second: Jeff
          1. Vote: Opposed: 0 Abstain: 0 For: 14 motion passes
    3. Proposal to Withdarw the following Expired STU's (and close related projects) (Austin Kreisler)
      1. Austin reviewed the three outstanding STUs that we should withdraw.  The proposal is to consider moving these forward as a house keeping activity.  
      2. Implementation Guide for CDA Release 2: Procedure Note
        1. Withdraw_Implementation Guide for CDA Release 2 Procedure Note.docx
      3. Implementation Guide for CDA Release 2: Progress Note
        1. Withdraw_Implementation Guide for CDA Release 2 Progress Note.docx
      4. HL7 Implementation Guide LOINC Document Ontology, Release 1
        1. Withdraw_HL7 Implementation Guide LOINC Document Ontology Release 1.docx
      5. There was a question why some of the other pre-consolidated CDA IGs were not identified.  Brett was going to work with Austin to see what might be withdrawn. 
  6. US Core FHIR Trackers (second hour) Brett Marquard Eric Haas 
    1. Oxygen delivery and pulse Ox representation Eric Haas
      1. The need to document Qx as a flow and as a percent. The question was about the how to document the flow rate and the concentration.
        1. Motion to approve the disposition for #24639 - by Brett Second Gay - Vote: Opposed: 0 Abstain: 1 For: 16 motion passes
    2. Block vote was posted and will be voted on.
      1. (PULLED) GF#24639, Need to document room air on oxygen delivery amount - (considered - no action taken)

        (PULLED) GF#23917, US Core version discoverability confusion (persuasive with mod)

        GF#23900, US Core clarification on status field - (persuasive with mod - proposed disposition preapplied in CI Build)

        GF#23896, US Core clarify how to make language available in Narrative (persuasive)

        GF#23892, US Core Language - Servers should use the translation extension to translate to requested lang (persuasive)

        1. Motion to approve the three above in block vote, by Brett, second Gay - Vote: Abstain: 0 Against: 0 for: 16 Motion passes
      2. #23917 -
      3. #24658 - (must support issues) - there is a need to review the usage to ensure its consistent (keep text, change text, or remove the must support for a few elements)
      4. #23917 - discover the version (Endpoint Discoverability)  needs some clarification
      5. the security page issues (old language - AuditEvent usage text).  There is a page posted with edits and its been reviewed on a project call.  The text in general was reviewed and updated.  The changes were reviewed on the call.
      6.  US Core Security page was reviewed and updated to reflect the implementation and testing progress on US Core in this area.
        1. The motion to approve disposition #24894 will be consider next week.
      7. #23915  is a duplicate
      8. Three items will be covered next week:
        1. US Core gforge items:

          24894 - Update security page to reflect current testing.

          24658 - Clarify definition of MustSupport

          23917 - US Core version discoverability confusion

      9. Next week there will be a publication request
  7. FHIR Tracker Items (if time is available)
  8. Gay - go to the HL7 Site to pull down a new meeting. 
  9. Adjournment