2012-03-12 TSC Call Minutes

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TSC Agenda/Minutes

Meeting Info/Attendees

HL7 TSC Meeting Minutes

Location: call 770-657-9270 using code 985371#
GoToMeeting ID: 165-215-206

Date: 2012-03-12
Time: 11:00 AM U.S. Eastern
Facilitator: Austin Kreisler Note taker(s): Lynn Laakso
Quorum = chair + 5 including 2 SD represented yes/no
Chair/CTO ArB International Affiliate Rep Ad-Hoc
x Austin Kreisler x Charlie Mead . Ravi Natarajan . Helen Stevens
x John Quinn regrets Ron Parker . open
Domain Experts Foundation and Technology Structure and Semantic Design Technical and Support Services
. Ed Tripp x Woody Beeler x Calvin Beebe x Freida Hall
. Mead Walker x Tony Julian 2nd half Pat van Dyke x Patrick Loyd
ex officio Invited Guests Observers HL7 Staff
. Don Mon (HL7 Chair) w/vote . tba x Jean Duteau x Lynn Laakso
. Bob Dolin (Vice Chair) vote . tba x Brian Pech x Don Lloyd
. Chuck Jaffe (CEO) vote . tba . . .

Agenda

Agenda Topics

  1. Introduction of visitors (including declaration of interests)
  2. Agenda review and approval - Austin Kreisler
  3. Approve Minutes of 2012-03-05 TSC Call Agenda
  4. Review action items –
  5. Approval items:
  6. Discussion topics:
    • Discussion on policy on tutorials for material that is still under development as a brand new standard (FHIR)
    • Harmonization metric for Work Group Health - update on MnM and Vocab discussions on communication of roles in broader participation
  7. Reports: (attach written reports below from Steering Divisions et al.)
    • May 2012 Ballot Review - seeking review 2012-03-12 and approval 2012-03-19 at TSC Tracker #2209
      • Items Requiring TSC Approval - New Normative Ballots
        • Health Level Seven Arden Syntax for Medical Logic Systems, Version 2.9 (1st Normative Ballot) – Project Insight ID: 734. Unique Ballot ID: ARDEN_V29_N1_2012MAY; Arden: This material was slated to appear in the last two ballot cycles but was withdrawn both times.
        • HL7 EHR-System Functional Model, Release 2 (1st Normative Ballot) – Project Insight ID: 551. Unique Ballot ID: EHRS_FM_R2_N1_2012MAY; EHR: This material previously balloted as Comment Only in May 2011.
        • HL7 Version 3 Reference Information Model, Release 5 (1st Normative Ballot) – Project Insight ID: 363. Unique Ballot ID: V3_RIM_R5_N1_2012MAY; MnM: This is the first ballot appearance of this release.
        • HL7 Version 3 Standard: Common Product Model CMETs, Release 12 (1st Normative Ballot) – Project Insight ID: 858. Unique Ballot ID: V3_CPM_CMET_R12_N1_2012MAY; OO: These CMETs are currently in DSTU.
        • HL7 Version 3 Standard: Core Principles and Properties of Version 3 Models, Release 2 (1st Normative Ballot) – Project Insight ID: 864. Unique Ballot ID: V3_CPPV3MODELS_R2_N1_2012MAY; MnM: This is the first ballot appearance of this release.
        • HL7 Version 3 Standard: Structured Product Labeling, Release 5 (1st Normative Ballot) – Project Insight ID: 325. Unique Ballot ID: V3_SPL_R5_N1_2012MAY; RCRIM: The previous version of this material is currently in DSTU.
        • HL7 Version 3 Standard: Care Provision Domain Information Model, Release 1 (1st Normative Ballot) – Project Insight ID: 813. Unique Ballot ID: V3_PC_DIM_R1_N1_2012MAY; Patient Care: This is the first ballot of this material. NOTE: DIMs usually ballot as informative. Requesting Alternate Ballot Dates with an April 6th Opening and May 6th Closing
        • HL7 Version 3 Standard: Care Record Topic, Release 1 (1st Normative Ballot) – Project Insight ID: 810. Unique Ballot ID: V3_PC_CAREREC_R1_N1_2012MAY; Patient Care: This item was part of the Care Provision DSTU that expired in May 2011. Requesting Alternate Ballot Dates with an April 6th Opening and May 6th Closing
        • HL7 Version 3 Standard: Care Transfer Topic, Release 1 (1st Normative Ballot) – Project Insight ID: 812. Unique Ballot ID: V3_PC_CARETRANS_R1_N1_2012MAY; Patient Care: This item was part of the Care Provision DSTU that expired in May 2011. Requesting Alternate Ballot Dates with an April 6th Opening and May 6th Closing
        • HL7 Version 3 Standard: Queries Care Record Topic, Release 1 (1st Normative Ballot) – Project Insight ID: 811. Unique Ballot ID: V3_PC_CARERECQUERY_R1_N1_2012MAY; Patient Care: This item was part of the Care Provision DSTU that expired in May 2011. Requesting Alternate Ballot Dates with an April 6th Opening and May 6th Closing
      • New Normative Reaffirmation Ballots
        • Reaffirmation of HL7 Version 3 Standard: Clinical Genomics; Pedigree, Release 1 (1st Normative Ballot) – Project Insight ID: 852. Unique Ballot ID: REAFFIRM_V3_CG_PED_R1_N1_2012MAY - CG
        • Reaffirmation of HL7 Version 3 Standard: Accounting and Billing, Release 2 (1st Normative Ballot) – Project Insight ID: 777. Unique Ballot ID: REAFFIRM_V3_AB_R2_N1_2012MAY - FM
        • Reaffirmation of HL7 Version 3 Standard: Claims and Reimbursement, Release 4 (1st Normative Ballot) – Project Insight ID: 776. Unique Ballot ID: REAFFIRM_V3_CR_R4_N1_2012MAY - FM
        • Reaffirmation of HL7 Version 3 Standard: Implantable Device Cardiac – Follow-up Device Summary, Release 2 (1st Normative Ballot) – Project Insight ID: 868. Unique Ballot ID: REAFFIRM_V3_IDC_R1_N1_2012MAY - OO
      • New Informative Ballots [Please note that all of the following require name approvals as new items.]
        • HL7 Version 3 Domain Analysis Model: Behavioral Health Assessment, Release 1 – US Realm (1st Informative Ballot) – Project Insight ID: 800. Unique Ballot ID: V3DAM_BHA_R1_I1_2012MAY; CBCC: This material balloted as Comment Only in January 2012.
        • HL7 Version 3 Domain Analysis Model: Clinical Genomics, Release 1 – US Realm (1st Informative Ballot) – Project Insight ID: 705. Unique Ballot ID: V3_DAM_CG_R1_I1_2012MAY; CG: This is the first appearance of this material.
        • HL7 Version 3 Domain Analysis Model: Schizophrenia, Release 2 (1st Informative Ballot) – Project Insight ID: 840. Unique Ballot ID: V3_DAM_SCHIZ_R1_I1_2012MAY; CIC: This is the first appearance of this material.
        • HL7 Version 3 Standard: Clinical Genomics; Gene Expression, Release 1 – US Realm (1st Informative Ballot) – Project Insight ID: 867. Unique Ballot ID: V3_CG_GEXPR_R1_I1_2012MAY; CG: This is the first appearance of this material.
      • New DSTU Ballots [Please note that all of the following require name approvals as new item, except as noted.]
        • HL7 Implementation Guide for CDA® Release 2: Behavioral Health Assessment, Release 1 – US Realm (1st DSTU Ballot) – Project Insight ID: 800. Unique Ballot ID: CDAR2_IG_BHA_R1_D1_2012MAY; CBCC: This is the first appearance of this material.
        • HL7 Implementation Guide for CDA® Release 2: Reporting Death Info from the EHR to Vital Records, Release 1 – US Realm (1st DSTU Ballot) – Project Insight ID: 859. Unique Ballot ID: CDAR2_IG_EHR2VRDRPT_R1_D1_2012MAY; PHER: This is the first appearance of this material.
        • HL7 Implementation Guide for CDA® Release 2 - Level 3: Healthcare Associated Infection Reports, Release 8 – US Realm (1st DSTU Ballot) – Project Insight ID: 866. Unique Ballot ID: CDAR2_IG_HAIRPT_R8_D1_2012MAY; SD: This is the first appearance of this material. Requesting Alternate Ballot Dates with an April 6th Opening and May 6th Closing
        • HL7 Version 2 Implementation Guide: Implementing the Virtual Medical Record for Clinical Decision Support (vMR-CDS), Release 1 (1st DSTU Ballot) – Project Insight ID: 184. Unique Ballot ID: V2IG_CDS_VMR_R1_D1_2012MAY; CDS: This material previously balloted as Informative in the May 2010 ballot cycle. It was also slated to appear in the September 2011 and January 2012 cycles but was withdrawn both times. Name already approved.
        • HL7 Version 3 Standard: Pharmacy; Medication Dispense and Supply Event, Release 2 (1st DSTU Ballot) – Project Insight ID: 817. Unique Ballot ID: V3_RX_MDSEVNT_R2_D1_2012MAY; RX: This is the first appearance of this release. No name approval required.
        • HL7 Version 3 Standard: Pharmacy; Medication Order, Release 2 (1st DSTU Ballot) – Project Insight ID: 558. Unique Ballot ID: V3_RX_MEDORDER_R2_D1_2012MAY; RX: This is the first appearance of this release. No name approval required.
        • HL7 Version 3 Standard: Study Design: Structured Document, Release 1 – US Realm (1st DSTU Ballot) – Project Insight ID: 851. Unique Ballot ID: V3_SDS_SD_R1_D1_2012MAY; RCRIM: This is the first appearance of this release.
        • HL7 Implementation Guide for CDA® Release 2: IHE Health Story Consolidation, DSTU Release 1.1 - US Realm (1st DSTU Update Ballot) – Project Insight ID: 854. Unique Ballot ID: CDAR2_IG_IHE_CONSOL_R1_U1_2012MAY; SD: This is an incremental update to the IHE Health Story Consolidation material in DSTU until December 2012. No name approval required. Requesting Alternate Ballot Dates with an April 6th Opening and May 6th Closing.
        • HL7 Implementation Guide for CDA® Release 2: Quality Reporting Document Architecture, DSTU Release 2 – US Realm (1st DSTU Update Ballot) – Project Insight ID: 210. Unique Ballot ID: CDAR2_QRDA_R1_U1_2012MAY; SD: This is a major update to the QRDA material in DSTU until April 2012. No name approval required. Requesting Alternate Ballot Dates with an April 6th Opening and May 6th Closing.
    • Informational Items
      • Continuing Normative Ballots
        • HL7 Version 3 Standard: Immunization Messaging, Release 1 (2nd Normative Ballot) – Project Insight ID: 309; Unique Ballot ID: V3_IZ_R1_N2_2012MAY
        • HL7 Version 3 Standard: Patient Administration; Patient Encounter, Release 1 (2nd Normative Ballot) – Project Insight ID: 736; Unique Ballot ID: V3_PA_ENCOUNTER_R1_N2_2012MAY no recon package yet posted from 2012Jan ballot
      • Comment Only Ballots
        • HL7 Version 3 Domain Analysis Model: Clinical Sequencing, Release 1 (1st Comment Only Ballot) – Project Insight ID: 841; Unique Ballot ID: V3_CG_CLINSEQ_R1_O1_2012MAY
        • HL7 Version 3 Specification: Data Elements for Emergency Department Systems (DEEDS), Release 1 – US Realm (1st Comment Only Ballot) – Project Insight ID: 820; Unique Ballot ID: V3_DEEDS_R1_O1_2012MAY
        • HL7 Version 3 Standard: Orders; Composite Order, Release 1 (1st Comment Only Ballot) – Project Insight ID: 110; Unique Ballot ID: V3_OR_COMPORD_R1_O1_2012MAY
        • HL7 Version 3 Standard: Orders; Laboratory Order, Release 1 (1st Comment Only Ballot) – Project Insight ID: 587; Unique Ballot ID: V3_ORD_LABORD_R1_O1_2012MAY
        • HL7 Version 3 Standard: Security and Privacy Ontology, Release 1 (1st Comment Only Ballot) – Project Insight ID: 646; Unique Ballot ID: V3_SECPRONT_R1_O1_2012MAY
    • Reconciliation deadline is 2012-03-18
  8. Open Issues List


Supporting Documents

  • See links

Minutes

Minutes/Conclusions Reached:
Call to order 11:06AM EDT

  1. Introduction of visitors (including declaration of interests) - Jean Duteau is on the call as an observer, also Don Lloyd to support ballot questions.
  2. Agenda review and approval - Austin Kreisler - no changes identified
  3. Approve Minutes of 2012-03-05 TSC Call Agenda unanimously approved
  4. Review action items –
  5. Approval items:
    • Motion: Approve project scope statement for Healthcare Associated Infection Reports, Release 8 an Implementation Guide for CDA R2 at Level 3 , sponsored by SDWG of SSD SD, at Project Insight #866, TSC Tracker # 2197.
      • Vote: unanimously approved
    • Motion: Approve project scope statement for HL7/IHE Health Story Implementation Guide Consolidation – additional templates, for SDWG of SSD SD, cosponsored by Patient Care of DESD, at Project Insight #854, TSC Tracker # 2199. Scope discussion described additional material planned requiring scope change for greater than minor DSTU revision.
      • Vote: unanimously approved
    • Motion: Approve project scope statement for V2 code table versioning and alignment to V3 vocabulary model, for CGIT of FTSD, cosponsored by Vocabulary WG at Project Insight #874, TSC Tracker # 2203. Woody describes the project as bringing reason and order into the V2 tables.
      • Vote: unanimously approved
    • Motion: Approve project scope statement for Re-Affirmation V3 Implantable Device Cardiac – Follow-up Summary, Release 1 (ANSI/HL7 V3 IDC, R1-2006),, for OO WG of SSD SD and cosponsored by Healthcare Devices of DESD, at Project Insight #868, TSC Tracker # 2200. Calvin describes the project. No changes required.
      • Vote: unanimously approved
    • Motion: Approve project scope statement for Quality Reporting Document Architecture (QRDA) Draft Standard for Trial Use (DSTU), Release 2, sponsored by SDWG of SSD SD, cosponsored by Child Health WG of DESD, at Project Insight #210, TSC Tracker # 2201. Calvin describes this as coming out of the S&I work. Keith demonstrated some of the concepts at HIMSS. Austin points out that three of the four implementers have question marks… Calvin asks if we can approve the project subject to confirmation of the DSTU implementers? Woody says we have time to go back and get the implementers if we table; we're not up against a deadline. Calvin checks with the project facilitators - CMS confirms participation.
      • Vote: unanimously approved.
    • Tabled Motion: Approve DSTU extension request for Patient Care of DESD: Care Provision: Allergy and Intolerance Release 1 at TSC Tracker # 2195, and Project Insight #174. Pending examination of GOM change history on multiple DSTU extensions.
    • Woody asks if they're extending it just to keep pointing at it or if they're actively working towards a normative ballot. Jean responds that they are actively working on it. Woody asks if they're ready for a DSTU update or normative ballot. Jean thinks that what they're working on would replace this as a new DSTU ballot. Austin notes that there was an instance with RCRIM where the TSC held them to DSTU update or normative ballot. Woody finds if they were completing an in-progress ballot for a new DSTU anticipated in September, for example that would be acceptable. Jean does not know when they plan to come back to ballot. They could be invited back to discuss their ballot plan. Return to table. ACTION ITEM: Lynn will invite PC cochairs to attend next week to discuss ballot plans.
  6. Reports: (attach written reports below from Steering Divisions et al.)
    • May 2012 Ballot Review - seeking review 2012-03-12 and approval 2012-03-19 at TSC Tracker #2209
      • EHR-S FM R2 pending R1.1 recirculation ballot, finished last week and passed. Anticipating a publication request for R1.1.
      • The Domain Information Model for Care Provision is a revision of the existing D-MIM, and as a D-MIM is on an appropriate normative path. Conformance to the Normative standard is achieved by subsequent ballots, not by an implementers. It's not a Domain Information Model, it's a D-MIM.
      • Close dates for Care Provision will be May 7th not May 6th.
      • John asks if there is additional material of import to the CMS MU Stage 2 effort. None was identified.
  7. Discussion topics:
    • Discussion on policy on tutorials for material that is still under development as a brand new standard (FHIR). Woody suggests we call it a teaching session instead of a tutorial. It's intended for membership consumption only. This was discussed in San Antonio that we needed to socialize the concept with the HL7 community. Suggest recommend this for co-chairs, facilitators, etc. and not call it a 'tutorial' as an internal education session and take it out of the HQ process for other tutorials seeking registration and labeled as such in the brochure and on-site guide. It is intended for socialization for regular attendees, not intended for first-time attendees.
      • This came up before in preparation of tutorial materials for SAIF.
    • Harmonization metric for Work Group Health - update on MnM and Vocab discussions on communication of roles in broader participation
      • Arden and CCOW not being part of V3 realm will not likely participate. Woody notes that earlier objections have been overcome; individuals can represent multiple groups. We have challenges with identifying attendees and representation. Austin offers to collect representation information during the Harmonization event. Jean asks if you have to be a co-chair or a facilitator to represent the group. Austin clarifies that modeling facilitators are not required to be co-chairs. Sometimes they assign roles for obtaining balance. Austin notes that the intent is not to improve harmonization but to improve cross model consistency by taking what the participants learn in Harmonization and applying it to their other standards work. We'll see what the response looks like tomorrow.


Next Steps

Actions (Include Owner, Action Item, and due date)
  • Lynn will invite PC cochairs to attend next week to discuss ballot plans for Allergy/Intolerance.
Next Meeting/Preliminary Agenda Items
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