2014-04-07 TSC Call Agenda

TSC Agenda/Minutes

Meeting Info/Attendees

HL7 TSC Meeting Minutes Location: call 770-657-9270 using code 985371# GoToMeeting ID: 273-848-837		Date: 2014-04-07 Time: 11:00 AM U.S. Eastern
Facilitator: John Quinn		Note taker(s): Lynn Laakso

Quorum = chair + 5 including 2 SD represented				yes
Chair/CTO		ArB		International Affiliate Rep		Ad-Hoc
2nd half	Ken McCaslin	x	Tony Julian	.	Jean Duteau	x	Austin Kreisler
x	John Quinn	x	Lorraine Constable	x	Giorgio Cangioli	.
Domain Experts		Foundation and Technology		Structure and Semantic Design		Technical and Support Services
x	Melva Peters	Regrets	Woody Beeler	regrets	Calvin Beebe	x	Freida Hall
x	John Roberts	x	Paul Knapp	x	Pat van Dyke	x	Andy Stechishin
ex officio		Invited Guests		Observers		HL7 Staff
.	Stan Huff (HL7 Chair) w/vote	.		.	obs1	x	Lynn Laakso
.	Don Mon (Vice Chair) vote	.	.	.	obs2	.
.	Chuck Jaffe (CEO) vote	.		.	.	.

Agenda

Housekeeping

1. Introduction of visitors (including declaration of interests)
2. Agenda review and approval -
3. Approve Minutes of 2014-03-31 TSC Call Agenda

Governance

1. Approval items:
2. Discussion topics:
   • DIM discussion - next step on conformance criteria to a DAM (Lorraine)

Management

1. Review action items –
2. Approval items:
   1. Project approval request for V2.x Tutorial Workshop Development for Education WG cosponsored by Tooling WG of T3SD atProject 1060 and TSC Tracker 3133.
3. Approvals from e-vote last week: approved 7/0/0 with Ad-Hoc, Affiliate, ARB, CTO, DESD, SSD SD and T3SD voting
   • DSTU publication request for HL7 Version 3 Standard: Virtual Medical Record for Clinical Decision Support (vMR-CDS) Logical Model, Release 2 for CDS WG of SSD SD for 24 months at Project Insight #1017 and TSC Tracker 3101
   • DSTU publication request for HL7 Version 3 Standard: Virtual Medical Record for Clinical Decision Support (vMR-CDS) Templates, Release 1 for CDS WG of SSD SD for 24 months at Project Insight #1030 and TSC Tracker 3102
   • DSTU publication request for HL7 Version 3 Standard: Virtual Medical Record for Clinical Decision Support (vMR-CDS) XML Specification, Release 1 for ITS WG of FTSD for 24 months at Project Insight #1016 and TSC Tracker 3106
   • DSTU publication request for HL7 Version 3 Standard: Patient Administration; Patient Encounter, Release 1 for PA of SSD SD for 24 months at Project Insight #1029 and TSC Tracker 3054
   • DSTU update publication request for HL7 Implementation Guide: Decision Support Service, Release 1.1 for CDS WG of SSD SD at Project Insight #1018 and TSC Tracker 3103
   • Infomative publication request for HL7 Domain Analysis Model: Harmonization of Health Quality Artifact Reasoning and Expression Logic for CDS WG of SSD SD at Project Insight #1049 and TSC Tracker 3110
   • DSTU update publication request for HL7 Implementation Guide: Clinical Decision Support Knowledge Artifact Implementations, Release 1.1 for CDS WG of SSD SD at Project Insight #931 and TSC Tracker 3104
     • Pending request for name change to HL7 Version 3 Standard: Clinical Decision Support Knowledge Artifact Specification, Release 1
4. Discussion topics:
   1. Rumor has it that the ONC has a substantial amount of work for the September WGM in Chicago
   2. Action item for the US Realm Task Force:
      1. Feedback from the US Realm Task Force of their review of the modified Affiliate Project Approval Process and how best to include the modifications into the US Realm Task Force role Project Approval Process Document With Comments For US Realm Task Force
   3. Ken has reviewed Frank Oemig's V2 product proposal with Karen; Ken needs to reach out to Frank to have Frank join a future TSC call
5. Reports: (attach written reports below from Steering Divisions et al.)
   • Congratulations to the Security WG for requesting normative publication of HL7 Healthcare Privacy and Security Classification System (HCS) Release 1 at Project Insight #798 and TSC Tracker 3134
   • Congratulations to the CIC WG of DESD for requesting normative publication of HL7 Implementation Guide for CDA® Release 2 – Level 3: Emergency Medical Services; Patient Care Report, Release 1 – US Realm at Project Insight #677 and TSC Tracker 3135
   • Congratulations to the CS WG of SSD SD for requesting normative publication of HL7 Version 3 Standard: Clinical Statement, Release 1 at Project Insight #266 and TSC Tracker 3136
6. Open Issues List

Minutes

Minutes/Conclusions Reached:

1. Introduction of visitors (including declaration of interests) - none identified
2. Agenda review and approval - Austin suggests we review the thread on XSLT for SDWG and FHIR. Board call at noon, must finish at five-to. Approved by general consent
3. Approve Minutes of 2014-03-31 TSC Call Agenda Melva moves and Pat seconds approval; unanimously approved

Governance

1. Discussion topics:
   • DIM discussion - next step on conformance criteria to a DAM (Lorraine) Lorraine is not on the call - defer to next week.

Management

1. Review action items – none to review today
2. Approval items:
   1. Project approval request for V2.x Tutorial Workshop Development for Education WG cosponsored by Tooling WG of T3SD atProject 1060 and TSC Tracker 3133.
      • Melva adds there may be budget implications, they may need to find an open source interface engine for workshop development but that is part of the requirements gathering. Melva moves approval seconded by Andy. Austin asks when we would expect the budget to be developed - Melva replies that it would occur after the decision point in September. Lynn will include on the TSC agenda for the plenary meeting to review. Unanimously approved.
3. Approvals from e-vote last week: approved 7/0/0 with Ad-Hoc, Affiliate, ARB, CTO, DESD, SSD SD and T3SD voting
   • DSTU publication request for HL7 Version 3 Standard: Virtual Medical Record for Clinical Decision Support (vMR-CDS) Logical Model, Release 2 for CDS WG of SSD SD for 24 months at Project Insight #1017 and TSC Tracker 3101
   • DSTU publication request for HL7 Version 3 Standard: Virtual Medical Record for Clinical Decision Support (vMR-CDS) Templates, Release 1 for CDS WG of SSD SD for 24 months at Project Insight #1030 and TSC Tracker 3102
   • DSTU publication request for HL7 Version 3 Standard: Virtual Medical Record for Clinical Decision Support (vMR-CDS) XML Specification, Release 1 for ITS WG of FTSD for 24 months at Project Insight #1016 and TSC Tracker 3106
   • DSTU publication request for HL7 Version 3 Standard: Patient Administration; Patient Encounter, Release 1 for PA of SSD SD for 24 months at Project Insight #1029 and TSC Tracker 3054
   • DSTU update publication request for HL7 Implementation Guide: Decision Support Service, Release 1.1 for CDS WG of SSD SD at Project Insight #1018 and TSC Tracker 3103
   • Informative publication request for HL7 Domain Analysis Model: Harmonization of Health Quality Artifact Reasoning and Expression Logic for CDS WG of SSD SD at Project Insight #1049 and TSC Tracker 3110
   • DSTU update publication request for HL7 Implementation Guide: Clinical Decision Support Knowledge Artifact Implementations, Release 1.1 for CDS WG of SSD SD at Project Insight #931 and TSC Tracker 3104
     • Pending request for name change to HL7 Version 3 Standard: Clinical Decision Support Knowledge Artifact Specification, Release 1
     • Pending further review by US Realm Task Force
4. Discussion topics:
   1. Rumor has it that the ONC has a substantial amount of work for the September WGM in Chicago
      • JohnQ has learned from ONC staff that there is a great deal of work. Paul and Austin note that the US Realm Task Force has seen a preview and they are looking to submit items for the September ballot so they will be surfacing soon. They expect a flurry of PSSes in Phoenix anticipating getting work done and submitting for ballot within weeks of the WGM notes Austin.
      • [US Realm TF minutes] reviewed with the initiatives identified. Andy notes that DAF and CQI items are already in progress. Paul notes that TSC can help manage expectations with WGs that have resource demands coming from these initiatives.
      • Lorraine joins - DIM discussion - next step on conformance criteria to a DAM (Lorraine) she and Calvin and Jean have not met in a while; defer for two weeks.
   2. Action item for the US Realm Task Force:
      1. Feedback from the US Realm Task Force of their review of the modified Affiliate Project Approval Process and how best to include the modifications into the US Realm Task Force role Project Approval Process Document With Comments For US Realm Task Force
      2. Lorraine notes the Task Force is still reviewing and may have comments after tomorrow's meeting.
   3. Ken has reviewed Frank Oemig's V2 product proposal with Karen; Ken needs to reach out to Frank to have Frank join a future TSC call; defer until results of correspondence with Karen and Frank available.
5. Reports: (attach written reports below from Steering Divisions et al.)
   • Normative publication items provided as informative to the TSC as the NE2014 deadline was last Friday.
   • Congratulations to the Security WG for requesting normative publication of HL7 Healthcare Privacy and Security Classification System (HCS) Release 1 at Project Insight #798 and TSC Tracker 3134
   • Congratulations to the CIC WG of DESD for requesting normative publication of HL7 Implementation Guide for CDA® Release 2 – Level 3: Emergency Medical Services; Patient Care Report, Release 1 – US Realm at Project Insight #677 and TSC Tracker 3135
   • Congratulations to the CS WG of SSD SD for requesting normative publication of HL7 Version 3 Standard: Clinical Statement, Release 1 at Project Insight #266 and TSC Tracker 3136
6. Open issues
   • Austin notes that Keith Boone raised an issue with XSLT that affects CDA as well as FHIR. A transform allowed executable code to be inserted. It was addressed by John Moehrke on the lists with respect to following the security cookbook. Josh Mandel first raised the issue.
     • Ken joins
     • Austin adds that it's being raised at the Board and he wanted the TSC to know that the Board is potentially going to address with preemptive action without TSC reaction.
     • Paul describes the ongoing problem with the tooling and schema for the standards that use text fields. Lorraine adds it occurs with xslt transform for rendering a document for readability when it has not yet been validated. Active content in a narrative text field that allows HTML is hard to distinguish. Austin adds that CDA does not use HTML but has its own markup.
     • Ken asks what the TSC reason was for declining to adopt the Risk Assessment Cookbook process - Austin notes there was a lack of interest. Lorraine adds that it was feared to be stepping into a space outside definition of interoperability.
     • Austin describes the impact of enforcing a risk assessment on each standards project. There is no enforceability for implementers of the standards to adhere to the risk assessment considerations. Lorraine adds that they would have looked at this on the implementation effort.
     • What is the advice from the TSC to the Board regarding this issue, Ken asks. Freida notes we could have a disclaimer on publication cover sheets that prior to implementation they conduct a Security Risk Assessment. We could also add to the PSS template to ask if that disclaimer is needed. It's not the standards developer's job to do this, but the implementer.
     • Paul notes that there are instances where active content could be included in our messages too; what must be done explicitly to preclude it at the standards level? Lorraine feels if we provide an xslt for display for human readability we should address it in the transform.
     • Ken recaps that we don't want to retrain all the cochairs to address security issues but may want to include in the PSS and/or in the publication documents to state that as an implementer you must evaluate your own security risks. Lorraine adds that where we provide tools that we must also address in those tools and transforms. Ken asks Andy to take on that effort in Tooling.
     • JohnQ notes that Josh and JohnM have come to some agreement on the email threads just during the call.
   • Paul notes that there is also an issue with FHIR publication as well. Austin reports that Grahame performed an unauthorized DSTU update.
     • JohnQ describes the issue with FHIR governance and management processes bringing the structure into the TSC from outside efforts. In discussion with Chuck they agree that TSC needs to do what it feels it must to bring FHIR into the mainstream management processes as quickly as possible with minimal collateral damage. The agreements with Grahame don't prohibit this effort.
     • Lorraine notes another patch will be required to address this security issue as well, but feels they should be following the defined DSTU update process.
     • Austin asks if we will be demanding they roll back and then follow the defined process? Lorraine notes she and Paul were in favor of doing so but others on the FMG did not agree.
     • JohnQ recommends that this should be discussed on tomorrow morning's FGB call.
     • HQ not ready to take on publication, notes Paul, so we cannot in reality take it on.
     • Austin moves they roll back FHIR to the DSTU version and expect FMG to follow the process for DSTU update. Paul seconds. Paul adds that if we're not able to stand up the necessary sites to support this and they need a list of the changes and a staging site for what the DSTU will look like with the changes applied in order for them to do peer review. We need support from HQ even if it is in advance of an approved PSS. Ken notes we need to have requirements document. Lorraine asks if there is a deadline date Austin wishes. He would like it done immediately or it becomes a fait accompli. Vote: unanimously approved. JohnQ will be on the call for both FGB and FMG.

Adjourned 11:59 AM

Next Steps

Actions (Include Owner, Action Item, and due date) .

Next Meeting/Preliminary Agenda Items 2014-04-14 TSC Call Agenda.

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