2012-03-19 TSC Call Agenda

TSC Agenda/Minutes

Meeting Info/Attendees

HL7 TSC Meeting Minutes Location: call 770-657-9270 using code 985371# GoToMeeting ID: 165-215-206		Date: 2012-03-19 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	x	Charlie Mead	.	Ravi Natarajan	x	Helen Stevens
x	John Quinn	x	Ron Parker	x	Giorgio Cangioli
Domain Experts		Foundation and Technology		Structure and Semantic Design		Technical and Support Services
x	Ed Tripp	x	Woody Beeler	.	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	.	Ken McCaslin	.	Brian Pech	x	Lynn Laakso
.	Bob Dolin (Vice Chair) vote	x	Elaine Ayres, PC	.	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 2012-03-12 TSC Call Agenda
4. Review action items –
5. Approval items:
   • Motion: Approve withdrawal request for Pharmacy WG of DESD: HL7 Version 3 Standard: Pharmacy; Patient -Related Device Query, Release 1, at Project Insight # 246, TSC Tracker # 2210.
   • Motion: Approve withdrawal request for Pharmacy WG of DESD: HL7 Version 3 Standard: Pharmacy; Patient -Related Medication Query, Release 1, at Project Insight # 247, TSC Tracker # 2215.
   • Motion: Approve project scope statement for Education WG of T3SD: Education Webinars, at Project Insight # 871, TSC Tracker # 2214.
   • 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.
   • May 2012 Ballot Review - seeking review 2012-03-12 and approval 2012-03-19 at TSC Tracker #2209 (Reconciliation deadline is 2012-03-18)
     • 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Unique Ballot ID: ARDEN_V29_N1_2012MAY; Arden: This material was slated to appear in the last two ballot cycles but was withdrawn both times.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
       • 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
       • 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
     • 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 negative voters not yet notified of disposition 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
       • withdrawn 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
     • Continuing DSTU Ballots
       • HL7 Version 3 Standard: Pharmacy - Identification of Medicinal Products - Creation and Maintenance Messages, Release 1 (January 2012) negative voters not yet notified of disposition from 2012Jan ballot
       • HL7 Version 3 Standard: Clinical Statement, Release 1 (U2) last ballot 2011May

6. Discussion topics:
   • Strategic Initiatives TSC Dashboard: from 2012-03-05 TSC Call Agenda, Ken will get together with Patrick and Mead and come back with further recommendations on SI TSC Dashboard.
7. Reports: (attach written reports below from Steering Divisions et al.)
   • Harmonization participation report
8. Open Issues List

Supporting Documents

• See links

Minutes

Minutes/Conclusions Reached:

1. Introduction of visitors (including declaration of interests) - Elaine Ayres joins for PC to discuss PC DSTU extension. Brian Pech also observing.
2. Agenda review and approval - Austin Kreisler; PC DSTU extension; move this to top of approval items.. Austin adds that a mobile group webinar is being conducted this afternoon and he recommends attendance as a new WG may form out of it. He welcomes Giorgio Cangioli the new International Affiliate representative.
3. Approve Minutes of 2012-03-12 TSC Call Agenda - Helen and Ron abstain; ArB vote carried by Charlie Mead. Passed 7/0/1.
4. Review action items –
5. Approval items:
   • 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.
     • Austin reviews the item's discussion history. When will the project for the normative content be completed? Elaine Ayers notes the project team has reviewed the available models including the current RMIM from 2007. The plan is a scope statement pending cosponsorship approval, a DAM, some use cases with SMEs. The Informative ballot of the DAM is anticipated for September. The RMIM would be updated to support the use cases and the normative ballot would follow. Austin asks if the normative ballot will be ready in one year - Elaine feels not. They wish to preserve what they have if there's value in it; to preserve the RMIM as a DSTU if it helps. Austin notes that the extension is for support of those who are currently implementing the existing material. Elaine confirms they are not aware of any implementations of the current RMIM. The materials stay in HL7's SVN repository and are still available to be brought forward into new material. Elaine notes they would not be able to bring new material to ballot for a DSTU extension. We'd prefer to see a DSTU withdrawal request come forward with the new project scope statement for approval to close out the old project and ballot. Elaine will follow up with Patient Care to see how they wish to proceed with withdrawing the motion for the extension, withdrawing the DSTU, or proceeding with an update. Return to Table
   • Motion: Approve withdrawal request for Pharmacy WG of DESD: HL7 Version 3 Standard: Pharmacy; Patient -Related Device Query, Release 1, at Project Insight # 246, TSC Tracker # 2210.
   • Motion: Approve withdrawal request for Pharmacy WG of DESD: HL7 Version 3 Standard: Pharmacy; Patient -Related Medication Query, Release 1, at Project Insight # 247, TSC Tracker # 2215.
     • Woody moves approval, Helen seconds. Vote: unanimously approved.
   • Motion: Approve project scope statement for Education WG of T3SD: Education Webinars, at Project Insight # 871, TSC Tracker # 2214.
     • Freida describes the project. Helen asks if these are paid webinars - Patrick confirms they would be paid. Patrick also confirms these are universal realm, not US-centric. Helen is concerned about the distinction between these and the Ambassador Briefings; Patrick agrees that such a discussion will be needed. One item is that competencies and skills being defined in a different project are outcomes of the paid webinars as compared to the informational nature of an Ambassador Briefing.
     • Vote: unanimously approved.
   • May 2012 Ballot Review - seeking review 2012-03-12 and approval 2012-03-19 at TSC Tracker #2209 (Reconciliation deadline is 2012-03-18)
     • Arden 2.8 was recently published as Normative and has been accepted by ANSI on 2012-03-14.
     • Publication request for EHR-S FM R1.1 normative post recirculation is being prepared by Pat.
     • Delayed opening of PC ballots Care Provision DIM is actually closing May 7, and Publishing WG is okay with the schedule.
     • Motion: Helen moves we disallow the DSTU CDA R2 IGs alternate closing date and allow all ballots to close on the standard closing date. Ed seconds. Unanimously approved.
     • Name approvals - Pat notes that EHR-S FM R2 is balloted as HL7 as the joint ballot with JIC five-way balloting requiring additional coordination with the name identification. John looks forward to seeing it before the next JIC meeting.
     • Motion: Ed moves to accept the ballot items and names as listed, seconded by Woody. Unanimously approved.
     • Review of items not meeting reconciliation deadline - pending notification of negative voters for PA Patient Encounter and IDMP. Woody suggests we leave that to Publishing as they can be pulled at the last moment if that's not done.
     • Helen leaves the call.
6. Discussion topics:
   • ArB topic from Charlie Mead - Does the TSC want the recently-balloted SAIF CD (DSTU) to be published in the next Normative Edition? Woody notes that the Normative edition is typically V3 stuff and this is sort of beyond the V3 realm - there were no strong opinions either way. Lynn suggests they submit a DSTU publication request so that it should be available on the DSTU site. Charlie notes that the ArB is committed to giving us something to publish but they will work towards the May deadline and not the NE2012 deadline.
   • Strategic Initiatives TSC Dashboard: from 2012-03-05 TSC Call Agenda, Ken will get together with Patrick and Mead and come back with further recommendations on SI TSC Dashboard.
     • Mead reports that Ken and Patrick talked, and Patrick and he talked, but not all three together. Ken sees the SI as changing; Mead feels they are more general and difficult to collect dashboard items for them. In the next iteration we should think about how the initiatives would be measurable as the new initiatives come up for review. Austin notes that the current project is about identifying criteria based on the initiatives as they stand; some criteria has already been proposed. Ken was the initial lead of the effort but not the keeper of the metrics - specific measures for Industry Responsiveness and easier implementation are still needed. John and Austin are currently on the hook with these but all the TSC SD members are part of the Strategic Initiatives Task Force. Need to get the specific criteria nailed down and approved so we can collect measurements. Ken's concern earlier was for receiving multiple requests to ES for dashboards and wanting to find a solution that would work for multiple groups. However, not all of these measures are in regards to the status of a project and cannot be maintained in Project Insight. Need to determine who will evaluate the criteria on a regular basis to track progress towards the criteria, even though the criteria may change in the Strategic Initiative development cycles. Some may be ready to start being measured and some will need more work but once the ballot opens we need to spend some time evaluating. John asks if Mead could have something in time for this Friday's SI call.
7. Reports: (attach written reports below from Steering Divisions et al.)
   • Harmonization participation report - Austin reports from Harmonization last week. Attendees self-nominate their representation of certain Work Groups. Woody didn't think the new metric affected participation one way or the other. Austin thinks it will likely have an impact next cycle. They deprecated one item, talked about several others previously deprecated and others that might be deprecated and Austin felt concern over Work Groups that might be affected by them and should be represented.
   • Austin reminds all to join today's HL7 Mobile Health Webinar

Adjourned 11:59 AM EDT

Next Steps

Actions (Include Owner, Action Item, and due date) Mead will look at drafting specific measures for Industry responsiveness and easier implementation.

Next Meeting/Preliminary Agenda Items 2012-03-26 TSC Call Agenda.

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