2026-06-03 Steering Committee Meeting Notes

Stakeholder group

SHIELD organization

Name of SHIELD member

organization designation

Industry Entity

Labgnostic, Inc.

Steve Box

primary

alternate

Epic

Dan Rutz

primary

alternate

Biomerieux

Xavier Gansel

primary

alternate

OPEN

OPEN

primary

OPEN

OPEN

alternate

Healthcare Provider

Quest Diagnostics, Seattle, WA

Mehdi Nassiri, MD

primary

University of Wisconsin-Madison

Andrea Pitkus, PhD, MLS(ASCP)CM, FAMIA

primary

UT Southwestern Medical Center

Hung Luu

primary

UNMC

Scott Campbell

primary

Longtime Lab Professional

Carmen Pugh - regrets

primary

Sonic Healthcare / ACLA

Eric Crugnale

primary

Harvard

Li Zha

primary

Patient Advocate

 OPEN

OPEN

individual

Standards Organization

SNOMED International

Jim Case - regrets

primary

Monica Harry - regrets

alternate

Regenstrief Institute

Marjorie Rallins

primary

Eza Hafeza

alternate

HL7

Julia Skapik

primary

alternate

Professional Organization

Association of Public Health Laboratories

Riki Merrick

primary

Christina Gallegos

alternate

Logica

Stan Huff

primary

alternate

CAP

Raj Dash

primary

alternate

AMP

Robyn Temple

primary

alternate

Governmental - non Voting

CMS

Michael Smalara

primary

Open

alternate

ONC

Sara Armson

primary

 OPEN

alternate

CDC

Hubert Vesper (/DDNID/NCEH/DLS)

primary

Jasmine Chaitram

alternate

NLM

OPEN

primary

OPEN

alternate

FDA

OPEN

primary

alternate

Quorum evaluation (two-thirds (2/3) of the Voting Representatives shall be necessary to constitute a quorum for the transaction of business)

Currently we have 17 named members (1 open slot, future 3 openings), so 2/3 = 11 is quorum (excluding chair and government members).

# of voting member per charter: 13 - 21

# of non-voting members per charter: 7

Open Meeting

12:09 PM ET

Follow up items

• NLM and FDA participation:

  • John Snyder is asking about decision for NLM

  • Reached out to contacts for FDA Collaborative Community and lead in OHT7 - they are working on finding a resource

SC Members

Scott Campbell now at CAP - will need to see, if offical primary / secondary and adjust - then announce opening for HC provider as a choice

Clem McDonald has passed away

https://danielvreeman.com/blog/2026/05/24/in-memoriam-clem-mcdonald/

People shared their favorite memories and the iput Clem had on them personally and on their work, too

We all will miss him, but will undoubtedly be using the foundational elements he gave us to move interoperability forward

Update from HL7 WGM in Rotterdam

Small meeting overall

• OO minutes: https://confluence.hl7.org/spaces/OO/pages/453917575/2026-05-18-22_WGM

• Discussed Grouping of observations in FHIR:

  • https://confluence.hl7.org/spaces/OO/pages/453905828/Proposed+Text+for+FHIR+R6+Grouping+Options

  • Today’s discussion:

    • Pattern#1 has ONLY 1 DiagnosticReport FHIR resource - all grouping is done via Observation.hasMember (using the bollean to indicate that an Observation resource is acting ONLY as a grouper, so is never expected to have a value in .result or .dataAbsentReason or .component)

    • Pattern#2 can have MANY DiagnosticReport FHIR resources, one for each panel (OBR in a V2 message) to group all related observations

    • We really should have examples represented in each pattern to showcase how the representations end up (if it is working)

• US Patient Care Summary (USPCS) was tested in Connectathon

• Ballot Reconciliation for USPCS (finished 2/3 of tickets!)

Updates to Codes for Outbreaks

Hantavirus and Ebola LOINCs: https://loinc.org/prerelease/ - KUDOS to the LOINC team!

Andrea’s blog: https://www.linkedin.com/posts/andrea-pitkus-phd-mls-ascp-cm-famia-2a0b748_an-overview-of-health-data-standards-for-ugcPost-7463744941064609794-Yb_Y/?rcm=ACoAAAGYl5gBhHG9z_iLVKPFLIJzVxbfDeN79Is

No ICD-10 codes, though there are ICD-11 codes (for outside the US), unclear about need for CPT codes; working on adding a SCT code for disorder code

APHL is working on LIVD files for both diseases

Topic was also discussed on Lab LOINC Committee Call: input from Netherlands and Canada also provided

Nebraska PHL stood up a PCR for Andesvirus over a weekend and got that published

What is the process to get the notification for new standard code development for the next outbreak?

• During COVID Regenstrief did outreach to other SDOs and CDC for input on testing

• For Ebola and Hantavirus Regenstrief was just proactive on themselves

• maybe we need to set up communications with WHO?

• what is the best way to cordinate the communication between the SDOs and outbreak response organizations

Review SHIELD WG Deliverables and Milestone Grid

THANK YOU to all the WG Chairs for their effort in moving SHIELD work forward!!!

Julia will schedule the Standards and Vocab WG calls soon?

HL7 WGM in Bethesda joint meeting with FDA, ONC and CMS or other participants that are in the area possible?

Sep 19-25th HL7 is at Marriott in Rockville - in person meeting for SHIELD members? Potentially another DC area site.

If we do Q5, HL7 will not charge participants registration

Vision 2030 work

https://docs.google.com/document/d/11A9VyhtSGm9dCjJNOi7_eJzz3gPDMYhkmNCoQNVbxuo/edit?tab=t.0#heading=h.yp9lsvo5yvsf

Follow up from last call when discussed see minutes: 2026-04-29 Steering Committee Meeting Notes

Need to find date to re-invite Serge

Discussion today:

• not discussed today

Next calls

All SHIELD Calls

• Jun 9, 2026 and Jun 23, 2026

General Updates: 2024 - WG Chairs please make sure we have material for updates (at least notes we can link to)

Special Topic:

• May 12, 2026

Steering Committee:

• Jun 17, 2026

Call adjourned

1:01 PM ET

Ideas for the longevity of SHIELD Community and work

not discussed

Placeholder to get back to later

• Antimicrobial result reporting - CAP Informatics Commitee will request feedback from Standards and Vocab WG

  • Any updates from CAP?

• Other presentations to folks at FDA?

  • Data Standards Review Committee of the FDA

  • FDA Scientific Computing Board (SCB)

  • Compass group lab

• Next HTI rule (whenever it comes out)