2013-02-25 TSC Call Minutes

TSC Agenda/Minutes

Meeting Info/Attendees

HL7 TSC Meeting Minutes Location: call 770-657-9270 using code 985371# GoToMeeting ID: 273-848-837		Date: 2013-02-25 Time: 11:00 AM U.S. Eastern
Facilitator: Austin Kreisler		Note taker(s): Lynn Laakso

Quorum = chair + 5 including 2 SD represented				yes
Chair/CTO		ArB		International Affiliate Rep		Ad-Hoc
x	Austin Kreisler	.	Charlie Mead	.	Ravi Natarajan	.
x	John Quinn	x	Ron Parker	x	Jean Duteau
Domain Experts		Foundation and Technology		Structure and Semantic Design		Technical and Support Services
x	Melva Peters	x	Woody Beeler	x	Calvin Beebe	x	Freida Hall
x	Mead Walker	x	Tony Julian	x	Pat van Dyke	x	Andy Stechishin
ex officio		Invited Guests		Observers		HL7 Staff
.	Don Mon (HL7 Chair) w/vote	.		x	Brian Pech	x	Lynn Laakso
.	Bob Dolin (Vice Chair) vote	.	.	.	obs2	x	Dave Hamill
.	Chuck Jaffe (CEO) vote	.		.	.	.

Agenda

Housekeeping

1. Introduction of visitors (including declaration of interests)
2. Agenda review and approval - Austin Kreisler
3. Approve Minutes of 2013-02-18 TSC Call Agenda

Governance

1. Approval items:
2. Discussion topics:
   • Strategic Initiatives Dashboard - WGM Effectiveness Metrics (Dave Hamill)
     • Need TSC steward to replace Patrick
   • TSC Health Metrics

Management

1. Review action items –
   • #2400 Consolidation of approaches for submitting enhancement requests - (last update: revisit after illumination from the board on the plans for a help desk)
   • organize vitality assessment pre-kickoff call (Ron) will have an outline next week.
   • Austin, Charlie and Calvin will work offline to draft the precise measurement of a new metric around WGH regarding cochairs
   • Lynn will try to get a list of cochairs and membership status - see report as of 2013-02-22
   • Jean will establish and schedule the ANSI/GOM Review Task force, with Freida, Pat and Calvin -
   • Pat will obtain the FP definition from Helen. Charlie offers to review it using terms such as the ArB recommendation for a DAM.
   • Woody will check V3 schemas for accommodation of non-English character representation and Tony will look into CCOW character representation for HITSC's ISO 8859 recommendation.
2. Approval items:

   From e-vote last week - votes cast by 4 SD and one International Representative:

   • Unanimously approved- WG Dissolution request for Clinical Context Object Work Group (CCOW) of SSD SD, at TSC Tracker 2523.
   • Unanimously approved- Project Approval Request for HL7 EHR-S Public Health Functional Profile Release 2, for EHR WG of SSD SD and cosponsored by PHER WG of DESD at Project Insight # 982 and TSC Tracker 2522.
   • Unanimously approved- Project Approval Request for Develop FHIR resources for Patient Administration by for Patient Administration of SSD SD at Project Insight # 925 and TSC Tracker 2526.
   • Unanimously approved- Project Approval Request for Form Definition Document by SDWG of SSD SD at Project Insight #976 and TSC Tracker 2524.
   • Unanimously approved- Project Approval Request for Questionnaire Response Document by SDWG of SSD SD, at Project Insight #977 and TSC Tracker 2525.
   • Unanimously approved- Project Approval Request for CDA Implementation Guide for HIV/AIDS data set report by SDWG of SSD SD at Project Insight #969 and TSC Tracker 2527
   • Unanimously approved- publication request approval of HL7 Implementation Guide for CDA® Release 2: Genetic Testing Reports, Release 1 as a DSTU for 24 months, for the Clinical Genomics WG of SSD SD at at Project Insight # 460 and TSC Tracker # 2489
   • Approved 4/0/1 - Project approval request for HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health, Release 2 (US Realm) for PHER of DESD and cosponsored by OO of SSD SD and CGIT of FTSD at Project Insight # 737 and TSC Tracker # 2518
   • Unanimously approved- normative intent to ballot approval for Context Aware Knowledge Retrieval (Infobutton), SOA Implementation Guide for CDS of SSD SD at Project Insight # 507 and TSC Tracker # 2491.
   • Unanimously approved- normative intent to ballot approval for HL7 Implementation Guide for CDA Release 2 - Level 3: Personal Healthcare Monitoring Reports, Release 1 for SDWG of SSD SD at Project Insight # 209 at and TSC Tracker # 2519.

   For e-vote this week:

   • DSTU Publication Request for Medication Statement Service Profile, for SOA of FTSD and Pharmacy of DESD, at Project Insight #838 and TSC Tracker 2493.
   • Informative Publication Request for HL7 Version 2 Implementation Guide: Clinical Genomics; Fully LOINC-Qualified Genetic Variation Model, Release 2 for Clinical Genomics WG of SSD SD at Project Insight #692 and TSC Tracker 2529 and registration with ANSI as a Technical Report.
   • Out of Cycle Meeting Request for Pharmacy of DESD at TSC Tracker 2530
3. Discussion topics:
   • PBS Metrics team review of the 2013May NIB submissions
4. Reports: (attach written reports below from Steering Divisions et al.)
5. Open Issues List

Minutes

Minutes/Conclusions Reached:

1. Introduction of visitors (including declaration of interests) Dave Hamill will be joining the call and Brian is observing
2. Agenda review and approval - Austin Kreisler; feedback on questions regarding character set under action items. Approved by general consent
3. Approve Minutes of 2013-02-18 TSC Call Agenda unanimously approved

Governance

1. Approval items:
2. Discussion topics:
   • Strategic Initiatives Dashboard - WGM Effectiveness Metrics (Dave Hamill)
     • Dave displays the WGMEffectiveness_20121206b spreadsheet. Current draft targets 10% improvement of non-compliance. Jean volunteers to work with Dave on these metrics and has concern on the international council. The outlier metrics on the Sydney meeting skew the data but otherwise it makes logical sense. Ron notes the posting agendas seems to be the target metric where we need to be concerned and agrees with the 10% threshold. Woody agrees with Jean's observations and Austin suggests we look at only a period of time, like three or four cycles. Jean and Mead note it would be interesting to have data even further back. Dave notes that the columns based on survey data will only be available as far back as we have collected that data.
     • Austin asks about a rollup metric for dashboard reporting. ACTION ITEM: Jean should work with Dave on what the number of cycles for the rolling average on which the improvement threshold is measured. Dave and Lynn will look for surveymonkey data on 2011Sept San Diego data.
   • TSC Health Metrics
     • Measuring TSC metrics to similar standards to which the Work Groups are measured. If we do it for the TSC then we might also do it for FGB/FMG and other PLA governance groups going forward. Mead finds it reasonable and the list is the first step. Austin suggests meeting quorum, participation in e-votes. The members' groups represented might want to see how they are being represented and what the standards are that we hold ourselves to. Want to make it generic enough so that groups other than the TSC can measure themselves to the benchmarks. Calvin thinks it might apply to Steering Divisions as well. ACTION ITEM: Austin and Calvin will take a look at some draft metrics for mid-tier governance and management groups.

Management

1. Review action items –
   • #2400 Consolidation of approaches for submitting enhancement requests - (last update: revisit after illumination from the board on the plans for a help desk)
     • Address next week or following
   • organize vitality assessment pre-kickoff call (Ron) will have an outline next week. Ron reports no progress on vitality assessment for SAIF as they are heads-down on the BAM
   • Austin, Charlie and Calvin will work offline to draft the precise measurement of a new metric around WGH regarding cochairs; no progress this week
   • Lynn will try to get a list of cochairs and membership status - see report as of 2013-02-22 II and CS have cochairs from Siemens pending membership renewals. Patient Safety still working on their situation.
   • Jean will establish and schedule the ANSI/GOM Review Task force, with Freida, Pat and Calvin - doodle poll sent today. Freida reports that there are three items that the GOC wish to address and she'll send them out.
   • Pat will obtain the FP definition from Helen. Charlie offers to review it using terms such as the ArB recommendation for a DAM. She'll have something by the end of this week.
   • Woody will check V3 schemas for accommodation of non-English character representation. He found that the schemas cannot assert a character representation. Instances can assert such a constraint and the implementation guides may do so. Woody will forward Paul's letter on V3. FHIR uses UTF-8 and these character sets can be represented in UTF-8.
   • Tony will look into CCOW character representation for HITSC's ISO 8859 recommendation. He sent his findings to the TSC list today. Web content manager through http is bound to the mentioned character set. Windows implementation is not bound to a character set.
     • Calvin asks if the implementations or applications built by HL7 are of concern to the issue. The US conformance criteria on EHRs for character set display was the concern and it appears the standards accommodate this. If HTTP is out of compliance then the Feds would have to work on W3C to change and basically render their statement as un-enforceable. ACTION ITEM: Austin and Woody will draft language for a recommendation on this.
2. Approval items:

   From e-vote last week - votes cast by 4 SD and one International Representative:

   • Unanimously approved- WG Dissolution request for Clinical Context Object Work Group (CCOW) of SSD SD, at TSC Tracker 2523.
   • Unanimously approved- Project Approval Request for HL7 EHR-S Public Health Functional Profile Release 2, for EHR WG of SSD SD and cosponsored by PHER WG of DESD at Project Insight # 982 and TSC Tracker 2522.
   • Unanimously approved- Project Approval Request for Develop FHIR resources for Patient Administration by for Patient Administration of SSD SD at Project Insight # 925 and TSC Tracker 2526.
   • Unanimously approved- Project Approval Request for Form Definition Document by SDWG of SSD SD at Project Insight #976 and TSC Tracker 2524.
   • Unanimously approved- Project Approval Request for Questionnaire Response Document by SDWG of SSD SD, at Project Insight #977 and TSC Tracker 2525.
   • Unanimously approved- Project Approval Request for CDA Implementation Guide for HIV/AIDS data set report by SDWG of SSD SD at Project Insight #969 and TSC Tracker 2527
   • Unanimously approved- publication request approval of HL7 Implementation Guide for CDA® Release 2: Genetic Testing Reports, Release 1 as a DSTU for 24 months, for the Clinical Genomics WG of SSD SD at at Project Insight # 460 and TSC Tracker # 2489
   • Approved 4/0/1 - Project approval request for HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health, Release 2 (US Realm) for PHER of DESD and cosponsored by OO of SSD SD and CGIT of FTSD at Project Insight # 737 and TSC Tracker # 2518
   • Unanimously approved- normative intent to ballot approval for Context Aware Knowledge Retrieval (Infobutton), SOA Implementation Guide for CDS of SSD SD at Project Insight # 507 and TSC Tracker # 2491.
   • Unanimously approved- normative intent to ballot approval for HL7 Implementation Guide for CDA Release 2 - Level 3: Personal Healthcare Monitoring Reports, Release 1 for SDWG of SSD SD at Project Insight # 209 at and TSC Tracker # 2519.

   For e-vote this week:

   • DSTU Publication Request for Medication Statement Service Profile, for SOA of FTSD and Pharmacy of DESD, at Project Insight #838 and TSC Tracker 2493.
   • Informative Publication Request for HL7 Version 2 Implementation Guide: Clinical Genomics; Fully LOINC-Qualified Genetic Variation Model, Release 2 for Clinical Genomics WG of SSD SD at Project Insight #692 and TSC Tracker 2529 and registration with ANSI as a Technical Report.
   • Out of Cycle Meeting Request for Pharmacy of DESD at TSC Tracker 2530
3. Discussion topics:
   • PBS Metrics team review of the 2013May NIB submissions - Lynn to identify those that passed previous ballot and are reballoting. Received Clinical Statement PSS for normative and will add to the evote.
4. Reports: (attach written reports below from Steering Divisions et al.)

Next Steps

Actions (Include Owner, Action Item, and due date) Jean will work with Dave on what the number of cycles for the rolling average on which the improvement threshold is measured. Dave and Lynn will look for surveymonkey data on 2011Sept San Diego data. Austin and Calvin will take a look at some draft metrics for mid-tier governance and management groups. Austin and Woody will draft language for a recommendation on HTTP non-compliance for ONC EHRs for character set display. Lynn will add Clinical Statement PSS for normative to the evote.

Next Meeting/Preliminary Agenda Items 2013-03-04 TSC Call Agenda.

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