2012-06-11 TSC Call Minutes

TSC Agenda/Minutes

Meeting Info/Attendees

HL7 TSC Meeting Minutes Location: call 770-657-9270 using code 985371# GoToMeeting ID: 165-215-206		Date: 2012-06-11 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	x	Ravi Natarajan	x	Helen Stevens
regrets	John Quinn	regrets	Ron Parker	x	Giorgio Cangioli
Domain Experts		Foundation and Technology		Structure and Semantic Design		Technical and Support Services
x	Ed Tripp	x	Woody Beeler	regrets	Calvin Beebe	x	Freida Hall
x	Mead Walker	x	Tony Julian	x	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	.	obs2	.
.	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 2012-06-04 TSC Call Agenda
4. Review action items –
5. Approval items:
   • Motion: Approve project scope statement for FHIR DSTU Ballot, for TSC, cosponsored by MnM, at Project Insight #891, TSC Tracker #2281
   • Motion: Approve project scope statement for Develop FHIR resources for Pharmacy,, for Pharmacy Work Group, at Project Insight #855, TSC Tracker #2287
   • Tabled Motion: Project scope statement approval for Medication Therapy Management(MTM) Templated CDA, for Pharmacy WG of DESD, cosponsored by Structured Documents and Electronic Health Records WGs of SSD SD, at Project Insight 842 and TSC Tracker 2280.
   • Tabled Motion: Project scope statement approval for Specimen Domain Analysis Model Second Release, for Orders and Observations WG of SSD SD, cosponsored by Clinical Genomics, Imaging Integration, PHER and Anatomic Pathology, at Project Insight 892 and TSC Tracker 2285.
   • Tabled Motion: Project scope statement approval for Specimen CMET Second Release, for Orders and Observations WG of SSD SD, cosponsored by Clinical Genomics, Imaging Integration and Anatomic Pathology, at Project Insight 682 and TSC Tracker 2285.
   • DSTU Publication Request for CIC of DESD, HL7 Implementation Guide for CDA® Release 2: Emergency Medical Services Run Report, Release 1 (US Realm) at Project Insight 677 and TSC Tracker 2290, for 12 months.
6. Discussion topics:
   • Meeting Room space restrictions based on Work Groups not posting minutes - from 2012-05-15_TSC_WGM_Minutes
     • Not posted yet after the May WGM : DOMAIN EXPERTS -GAS (Anesthesiology), Child Health (did not meet), CIC, Emergency Care, Patient Care, Patient Safety
     • FOUNDATION & TECHNOLOGY - Implementable Technology Specifications, Templates
     • STRUCTURE & SEMANTIC DESIGN - CCOW, EHR, Financial Management, Orders & Observations
     • TECHNICAL & SUPPORT SERVICES - Electronic Services, Process Improvement Committee
7. Reports: (attach written reports below from Steering Divisions et al.)
   • TSC / Steering Division co-chair nominations close June 15th
8. Open Issues List
   • TSC Issue # 2115, Review product maintenance strategy - approved by TSC on 12/12/2011 teleconference; review how the process is working after 6 months

Supporting Documents

• See links

Minutes

Minutes/Conclusions Reached:
Austin calls to order at 11:02 AM EDT

1. Introduction of visitors (including declaration of interests) Jean is observing today.
2. Agenda review and approval - Austin Kreisler approved by general consent
3. Approve Minutes of 2012-06-04 TSC Call Agenda - vote: approved (7/0/1), Ravi, Giorgio abstain (Ed carries DESD vote though Mead abstains)
4. Review action items –
5. Approval items:
   • Motion: Approve project scope statement for FHIR DSTU Ballot, for TSC, cosponsored by MnM, at Project Insight #891, TSC Tracker #2281
     • One step imposed in project scopes is PBS Metric Review. PBS Metrics reviewed for TSC; 33% of projects prior to May WGM needed PI Milestone date update. No separate dashboard for TSC-sponsored ballots exist.
     • Vote: Unanimously approved.
   • Motion: Approve project scope statement for Develop FHIR resources for Pharmacy,, for Pharmacy Work Group, at Project Insight #855, TSC Tracker #2287
     • Austin recommends that since we don't have the FHIR Governance Board (FGB) fully fleshed out, that we kick it over to the FHIR Governance Task Force at this time. Helen clarifies that once this FGB is operational it would be another level of review prior to the TSC but the TSC would still review the projects. Woody clarifies that the FGB is doing both governance and management at this time but would eventually be split out. Ravi asks if the Task Force is a project? Austin clarifies it was a task force set up by the TSC at the May WGM. They may be ready to present a proposal to the TSC in a week or two. Ed comments there is still a need for Steering Divisions to be aware and review project scope statements but adding another layer of bureaucracy is not good. Austin suggests there is the possibility that the Steering Division would be informed but not require a vote on it. Ed suggests that the Steering Division may perform the PBS Metrics Review for example. Woody notes that the relationships between the various components are definitely part of the Task Force discussion. Austin notes that Management versus Governance is a parallel process being defined.
     • Ed moves to table, Woody seconds. Bring back next week after task force review. Vote: motion to table unanimously approved.
   • Tabled Motion: Project scope statement approval for Medication Therapy Management(MTM) Templated CDA, for Pharmacy WG of DESD, cosponsored by Structured Documents and Electronic Health Records WGs of SSD SD, at Project Insight 842 and TSC Tracker 2280.
     • Still have not heard anything back regarding joint balloting and IP with NCPDP. Mead reports he sent an email to Pharmacy cochairs and Scott - Scott replied that they would take it up at the Pharmacy conference call but haven't heard anything further. Pat reports that HL7 did a joint ballot with NCPDP for two functional profiles and they had determined they would have shared IP. ACTION ITEM: Pat will get more details for the TSC from HQ on the examples from EHR and circle back through Scott and Sue Thompson. Austin asks her to include Chuck Jaffe as he was asked about the IP issues. Leave on the table.
   • Tabled Motion: Project scope statement approval for Specimen Domain Analysis Model Second Release, for Orders and Observations WG of SSD SD, cosponsored by Clinical Genomics, Imaging Integration, PHER and Anatomic Pathology, at Project Insight 892 and TSC Tracker 2285.
     • Updated project scope statement for Specimen DAM first release as sent to the TSC list by Austin was reviewed.
     • Vote: unanimously approved.
   • Tabled Motion: Project scope statement approval for Specimen CMET Second Release, for Orders and Observations WG of SSD SD, cosponsored by Clinical Genomics, Imaging Integration and Anatomic Pathology, at Project Insight 682 and TSC Tracker 2285.
     • Updated project scope statement for Specimen CMET Second release as sent to the TSC list by Austin was reviewed.
     • clarification that they will not be creating a V2 messaging product but only feedback potentially to 2.x
     • Vote: unanimously approved
   • Patrick joins
   • DSTU Publication Request for CIC of DESD, HL7 Implementation Guide for CDA® Release 2: Emergency Medical Services Run Report, Release 1 (US Realm) at Project Insight 677 and TSC Tracker 2290, for 12 months.
     • Ballot tally results updated
     • Vote: unanimously approved
6. Discussion topics:
   • TSC / Steering Division co-chair nominations close June 15th - Helen reminds Ed to re-nominate himself for TSC. Ed is not inclined to run for Steering Division chair again. The TSC nominations committee will need to line up additional candidates. Mead will speak with Ed this afternoon about additional candidates.
     • Helen leaves the call.
   • Meeting Room space restrictions based on Work Groups not posting minutes - from 2012-05-15_TSC_WGM_Minutes
     • Patrick asks why we're not taking a more soft-pedaled approach.
     • Lynn reports that the EC discussed the TSC resolution after the May WGM and finds that it may adversely impact WGM attendance. The EC would entertain a recommendation from the TSC and so such a decision should belong to the EC. Patrick notes that some Work Groups who have been consistently in the green are at risk if we use the current WGM cycle interpretation. Pat also noted that the discussion was on the Work Group having posted minutes but not necessarily the minutes from the previous WGM. Austin notes that he interpreted this as affecting three WGs from the January to May cycle, not the dozen or so listed. Anatomic Pathology requested room space in Baltimore and have since posted minutes. Two of the three are not requesting meeting space. Austin notes that the indication from the EC was not communicated to the TSC until a moment ago.
     • Mead reports PSWG posted minutes on Friday.
     • Amendment to the motion to "enact a process that if minutes are not published that room allocations are put on hold and come to the TSC for approval and the chairs are advised to come to the TSC to discuss" that we want the evaluation of the metric for publishing minutes as of the WGH published at the last WGM in considering allowing meeting room space requests. Vote: unanimously approved.
     • One of the three WGs have since published their minutes and should be permitted their requested meeting space; the other two did not request space. No further action needed. Woody asks if they need to have met - if they haven't met there's nothing to post. CCOW is not meeting. Child Health is only meeting once a year. Mead asks if they never meet how will anyone who is interested in enhancing the standard bring something forward? WG co-chairs have a responsibility of attending two out of three WGMs per year, notes Austin. Based on the GOM, they may not be viable work groups. Ed notes that after 5 years they have to renew an ANSI standard; if the WG disbands how will that ballot activity be handled. Austin notes that Work Groups usually end up merging their work with some other work group. Ed notes the TSC might recommend that to CCOW. ACTION ITEM: Mead agrees the Steering Division chairs should contact the Work Group chairs to address the issues and move them forward. Austin will contact the EC to see where the breakdown in communication occurred. Woody further notes that if we would proceed with suspending a work group the EC would likely want to know about it. The goal is to get the minutes published, not to prohibit giving them meeting room space.
     • Not posted yet after the May WGM: DOMAIN EXPERTS -GAS (Anesthesiology), Child Health (did not meet), CIC, Emergency Care, Patient Care, Patient Safety
     • FOUNDATION & TECHNOLOGY - Implementable Technology Specifications, Templates
     • STRUCTURE & SEMANTIC DESIGN - CCOW, EHR, Financial Management, Orders & Observations
     • TECHNICAL & SUPPORT SERVICES - Electronic Services, Process Improvement Committee
7. Reports: (attach written reports below from Steering Divisions et al.)
8. Open Issues List
   • TSC Issue # 2115, Review product maintenance strategy - approved by TSC on 12/12/2011 teleconference; review how the process is working after 6 months
     • The process seems to be working.
     • Freida suggests that we get feedback on those products using the "Care Connected by HL7" logo to include on our product briefs for implementations in specific products. Lynn will follow up on what HQ has learned from those vendors using the new logo.

Adjourned 12:00 PM EDT

Next Steps

Actions (Include Owner, Action Item, and due date) Mead agrees the Steering Division chairs should contact the Work Group chairs to address the issues and move them forward. Austin will contact the EC to see where the breakdown in communication occurred. Lynn will follow up on what HQ has learned from those vendors using the new logo.

Next Meeting/Preliminary Agenda Items 2012-06-18 TSC Call Agenda.

© 2012 Health Level Seven® International. All rights reserved.