20150317 US Realm TF Call

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US Realm Task Force Call Agenda/Minutes Location: call 770-657-9270 using code 985371# 929-752-237		Date: 2015-mm-dd Time: 1 PM Eastern
Facilitator	Ed/Ken	Note taker(s)	Anne

Attendee / Name
	Calvin Beebe		Woody Beeler		Keith Boone
	Joe Bormel		Lorraine Constable	x	Johnathan Coleman
	Julie Crouse		John Feikema
x	Ed Hammond	x	Tony Julian	x	Paul Knapp
x	Austin Kreisler		Lynn Laakso	x	Ken McCaslin
	John Quinn		David Susanto		Pat VanDyke
Visitor / Name
x	Sandy Stuart
no quorum definition

Agenda

Administrivia

• Agenda review
• Review notes from 20150224_US_Realm_TF_Call
• Action Items
  • Paul to forward FMG issues for US Realm for 3/17 agenda
  • Ed to complete draft of nomination process for Board review

Discussion:

• Sandy Stuart from HTA present to discuss vocabularies used exclusively within US realm

Approval Item:

• Project Approval Request for HL7 Mobile Framework for Healthcare Adoption of Short-Message Technologies (mFHAST) at Project Insight TBD and TSC Tracker 5927

Minutes

• Called to order at 1:05
• Ed will have draft of nom process out to group for review by end of the week – hopes to present to board at April meeting.
• Sandy Stuart here from HTA. Vocab group doing stringent cleanup of V2 tables, then align them with SNOMED. Ed: Are there terms exclusive to US Realm? US extension to SNOMED to describe things unique to the US – no equivalent in LOINC. Does the US ignore the rest of the world when creating value sets? Sandy – that would be a question for NLM. Meaningful Use in SNOMED – every time something goes through the SNOMED process, it is evaluated for US realm vs. Universal. Some projects using HL7 products that are trying to bring together the international community. Original discussion centered around race and ethnicity collection in US and that the practice is unique. Need to determine what is important clinically. Increasing number of DMA data contained which gives us more detailed definitions. Another issue: is it gender, or sex? Ed suggests to Sandy that if issues come up to work through those with us.
• Paul mentions that there are a number of US-specific vocabularies used in FHIR – race and ethnicity are the key ones. They’re wanting to add “unknown” and “asked but not known.” Those to values are not represented in the standard value set for race in V3. What do we do about that? One approach would be to have a value set that absorbs the complete V3 race code set plus two unknown codes of standard origin. V2 and FHIR would use value sets. Ed: How do we move it forward? Will take a mandate from TSC, or topic for the new governance board. This is something we need to propose a pathway for – Vocabulary should be the next step in managing this issue. Two pathways: we can either push the issue to vocabulary, or push the issue back to FHIR to create a value set with two unknown values. Ed suggests Vocabulary is an appropriate structure and pathway for this and future issues.
  • MOTION to move this issue to Vocabulary to determine the appropriate approach to accommodate unknown in a value set with the version 3 race codes and create FHIR tracker item for this that is assigned to Vocabulary by Paul; second by Austin.
  • VOTE: Opposed: 0 Abstained: 0 In favor: all
• mFHAST project scope: will look over next week; invite Matthew Graham for discussion (Anne)
• Adjourned at 1:40

Meeting Outcomes

Actions

Next Meeting/Preliminary Agenda Items 20150324 US Realm TF Call Tuesday at 1 PM ET

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