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20180131 US Realm SC WGM

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US Realm Steering Committee Call Agenda/Minutes

Location:Fulton - 3rd Floor

Date: 2018-01-31
Time: 7:00 AM
Co-Chairs Ed/Brett Note taker(s) Anne
Attendee / Name
Calvin Beebe x John Roberts Hans Buitendijk
Lorraine Constable Johnathan Coleman x Ed Hammond
x Tony Julian Paul Knapp Austin Kreisler
x Brett Marquard x Ken McCaslin Nancy Orvis
Brian Pech x Wayne Kubick x Christol Green
Sandra Stuart . Pat Van Dyke x Craig Parker
x Danielle Friend x Eric Haas x Jenni Syed
x Steve Posnak . David Susanto .
Visitor/ Name
x Laura Conn x John Moehrke x Grahame Grieve
x Lenel James x Jocelyn Keegan x John Loonsk
Quorum: Chair + 7



  • Agenda Review
    • Christol Green notes that Attachments would like to redo an old X12 document that is outdated. Could publish a new version that is an informative guide. The document was originally written by the Security WG with a different title. Is currently a PDF document that hasn’t been touched since 2008. Brett suggests putting it through the FAQ system.
    • Rob McClure would like to add US terminology
  • Review Items
    • C-CDA Supplemental Templates for Pregnancy Status - Laura Conn
      • Laura describes the project. Creates guidance for electronic pregnancy status information data. Will also explore FHIR needs around the data. Brett notes there is a pregnancy observation; Laura states this expands that. Discussion over terminologies. US Core Data Interoperability can be listed as another external driver. Discussion over mentioning the existing templates in backwards compatibility and checking yes in that section.
        • MOTION To approve: Ed/Tony
        • VOTE: All in favor
    • US Medications Implementation Guide Update – Prescription Drug Monitoring Program PSS
      • Brett presents project. Goal is to provide a mapping from the PDMP exchange to FHIR Medication resources. Ed suggests making sure NCPDP is engaged so they’re aware of what we’re doing. Discussion over STU number. Rob asks about values coming in from NCPDP to these resources; should be aware of any external terminologies potentially coming in. The goal of these is to get the information from PDMP to the EHR. Steve Posnak describes the current data flow to enhance understanding. Public Health will be added as a cosponsor.
        • MOTION to approve: Ken/Ed
        • VOTE: All in favor
  • Discussion:
    • US Terminology – Rob McClure
      • Wants to make a couple of points: 1) One expectation is that, for external terminologies, there are policies put in place by HTA. US realm specific projects that have terminology requests come through this committee. If it’s a universal realm issue, it would go to the HTA. There is also a presumption where a realm can create its own guide, published in the realm-specific space as opposed to being published through the HL7 website. Working on managing that issue as well. Rob asks US Realm to help HTA in these matters. Ed thinks this is a dynamic issue and we need to be flexible as we meet the requirements of HL7 international and the US Realm. Rob summarizes that if there’s something that is part of the US Realm’s responsibility, that responsibility extends to terminology. 2) You already have responsibility for the things in US Core. This extends to maintenance of the products. We all need to review the material under our responsibility looking at the associated value sets that are specific to this realm.
  • Adjourned at 7:51 am Eastern

Meeting Outcomes

Next Meeting/Preliminary Agenda Items

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