2012-05-15 DESD WGM Minutes

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Location: Magnolia

Date: 2012-05-15
Time: 7:30-8:30 pm CST
Attendee Name Affiliation
Victor Brodsky Anatomic Pathology
David Booker Anatomic Pathology
X Jeffery Karp Anatomic Pathology
X Craig Gabron Attachments
X Jim McKinley Attachments
David Classen Child Health
Gayle Dolin Child Health
Joy Kuhl Child Health
Andrew Spooner Child Health
Feliciano Yu Child Health
X Joyce Hernandez Clinical Genomics
X Amnon Shabo Clinical Genomics
Daryl Thomas Clinical Genomics
Mollie Ullman-Cullere Clinical Genomics
Edward Hammond Clinical Interoperability Council
Meredith Nahm Clinical Interoperability Council
Anita Walden Clinical Interoperability Council
X Dianne Reeves Clinical Interoperability Council
Suzanne Gonzales-Webb Community Based Collaborative Care
X Richard Thoreson Community Based Collaborative Care
X Max Walker Community Based Collaborative Care
X Mead Walker Domain Expert Steering Division
X Edward Tripp Domain Expert Steering Division
X Laura Heermann Langford Emergency Care
Donald Kamens Emergency Care
James McClay Emergency Care
X Peter Park Emergency Care
X Martin Hurrell Generation of Anesthesia Standards
X Terri Monk Generation of Anesthesia Standards
Todd Cooper Health Care Devices
X Allen Hobbs Health Care Devices
X John Rhoads Health Care Devices
Patty Krantz Health Care Devices
Stephen Chu Patient Care
Kevin Coonan Patient Care
X William Goossen Patient Care
Hugh Leslie Patient Care
Ian Townend Patient Care
Klaus Veil Patient Care
Ali Rashidee Patient Safety
Nick Halsey Patient Safety
Hugh Glover Pharmacy
Tom de Jong Pharmacy
X Melva Peters Pharmacy
X Ken Pool Public Health Emergency Response (PHER)
X Rob Savage Public Health Emergency Response (PHER)
Joginder Madra Public Health Emergency Response (PHER)
John Roberts Public Health Emergency Response (PHER)
X Edward Helton Regulated Clinical Research Information Management (RCRIM)
X Armando Oliva Regulated Clinical Research Information Management (RCRIM)
X Durwin Day Attachments-member
X Scott Robertson Kaiser Permanente


  1. Roll call
  2. Review Agenda
  3. Announcements
  4. Updates from the TSC
  5. PBS metrics in DESD
  6. DESD PBS Metrics
  7. Project Scope votes
    Medication Therapy Management(MTM)Templated CDA from Pharmacy
  8. Mission and Charter votes
    insert link to: Mission and Charters
  9. Work Group Health Review
    • DESD
      • Healthiest for 2012May: Pharmacy, and RCRIM
    1. RED Work Groups
      • Child Health
      • Anatomic Pathology (due to minutes)
    2. No Minutes Posted from last WGM
      • Anatomic Pathology
      • Child Health
  10. New Business



delivered already

TSC updates

No additional ones come to mind. Mead notes the new emphasis on PHIR initiative.

PBS metrics

These are newly released. Pharmacy and RCRIM are our new lead committees. Note, there are several unpublished ballots. This is a point of emphasis - it is the key final point for completing a ballot. Willem notes that Patient Care has several ballots that are unpublished – however he feels the ballots under patient care have already been submitted – but had push back from the TSC or related parties. He thinks this is unfair. The area of biggest concern is “days behind last milestone >120”. Willem notes that Patient Care has made substantial progress in clearing its list of “overdue tasks”. Question: could there be somewhere that one could look to see the bottom line number for determining work group health.

Project Scope Statement - Pharmacy

Comment, Pharmacy has used the most recent template. Suggestion the effective date of the template should be inserted. Ed notes that templates are updated once a year. Willem asks why the focus on CDA when much earlier work was on V3 messages. Response: this supports a particular document that the US Government mandates be handed to patients. The scope statement was approved.

Project320 – Patient Care

The WG passed several models, but the concern came up that it could lead to many, many models, many, many schemas. Since this was seen as too many, the committee decided on a different approach. The y put together a package with 5 models. Now two of them are done, but the others are not. There was a lot of pushback against these models, and the review of these models has taken much energy and effort from the committee. One of the models includes material that is copyrighted. In addition, the Glasgow Coma scale is licensed within the US. (Martin believes that it is in the public domain.) The committee decided to go forward with the two models that were passed. The TSC pushed back against this. The Committee wishes to re-scope the project to only include the two models that are complete. It is moved and seconded to re-scope the Patient Care project 320. Unanimously approved. Willem notes that there is great interest in creating DCMs, but the process in HL7 is too cumbersome. He is looking for more effective processes for balloting these materials.

Work Group Health

We have two red groups: Child Health, Anatomic Pathology. Note, Child Health does not have a representative here, and we think they are not meeting. Anatomic Pathology is on the list since it did not publish minutes. Mead and Ed must contact Child Health

Discussion of harmonization

Can all co-chairs be added to the Harmonization list server? Can there be a header line that calls attention to the item. There is domain experts list. Let us have the SD chairs send out a notice in advance of harmonization to alert the co-chairs. Emergency Care has kept changing their document, but it never counted because they did not record the fact they had voted on it. What way do the DMP, 3 Year Plan, and SWOT measures get pulled. HL7 has a template for minutes. Several noted it is hard to work with. It is recommended, but not required.

In addition

There will be elections needed in Baltimore: Ed has a list. He encourages outgoing chairs to recruit successors.