2012-06-25 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: 2012-06-25 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	regrets	Helen Stevens
x	John Quinn	x	Ron Parker	regrets	Giorgio Cangioli
Domain Experts		Foundation and Technology		Structure and Semantic Design		Technical and Support Services
x	Ed Tripp	x	Woody Beeler	regrets	Calvin Beebe	regrets	Freida Hall
x	Mead Walker	x	Tony Julian	x	Pat van Dyke	.	Patrick Loyd
ex officio		Invited Guests		Observers		HL7 Staff
.	Don Mon (HL7 Chair) w/vote	x	Ken Pool and Lura Daussat	.	.	x	Lynn Laakso
.	Bob Dolin (Vice Chair) vote	x	Scott Robertson	.	obs2	.
.	Chuck Jaffe (CEO) vote	x	Andy Stechishin	.	.	.	tba	.	.	.

Agenda

Agenda Topics

1. Introduction of visitors (including declaration of interests)
2. Agenda review and approval - Austin Kreisler
3. Approve Minutes from 2012-06-18 TSC Call Agenda
4. Review action items –
5. Approval items:
   • Approve *final* the project scope statement for TSC, cosponsored by ArB, of Risk Assessment and Governance for HL7 Architecture Program, at Project Insight #901, TSC Tracker #2292
   • Approve the withdrawal and closure of the project Risk Assessment and Governance for SAIF Architecture Program superseded by the previous, at Project Insight #828
   • Tabled Motion: Approve project scope statement for HL7 Version 2.6 Implementation Guide for the Messaging of Newborn Screening using pulse oximetry devices for Critical Congenital Heart Defects (CCHD), Release 1 DSTU, , for PHER of DESD, cosponsored by Health Care Devices at Project Insight #897, TSC Tracker #2288
   • Tabled Motion: Approve project scope statement for HL7 Version 2.6 Implementation Guide for the Messaging of Early Hearing Detection and Intervention (EHDI), Release 1 DSTU, for PHER of DESD, cosponsored by Health Care Devices at Project Insight #898, TSC Tracker #2289.
   • 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.
6. Discussion topics:
   • FHIR Governance Task Force
     • FHIR Governance Board (FGB) and FHIR Management Group (FMG) organizing documents (terms of reference)
     • FHIR NIB approval
   • CMET balloting
7. Reports: (attach written reports below from Steering Divisions et al.)
   • Orders and Observations of SSD SD has submitted HL7 Version 2.7.1 Messaging standard for Normative publication (does not require TSC approval).
   • SSD SD reports the have approved an updated Mission and Charter Statement for Clinical Decision Support
8. Open Issues List

Supporting Documents

• See links

Minutes

Minutes/Conclusions Reached:
Call to order 11:03 AM

1. Introduction of visitors (including declaration of interests) Ken Pool/Lura for PHER, Andy on CMET, and Scott on Pharmacy
2. Agenda review and approval - Austin Kreisler; FHIR documents have associated slideshow on Governance Framework but Charlie has to leave at the half hour so may need to address in separate meeting; first address tabled motions then governance, then return to approvals.
3. Tabled motions first
   • Tabled Motion: Approve project scope statement for HL7 Version 2.6 Implementation Guide for the Messaging of Newborn Screening using pulse oximetry devices for Critical Congenital Heart Defects (CCHD), Release 1 DSTU, , for PHER of DESD, cosponsored by Health Care Devices at Project Insight #897, TSC Tracker #2288
   • Tabled Motion: Approve project scope statement for HL7 Version 2.6 Implementation Guide for the Messaging of Early Hearing Detection and Intervention (EHDI), Release 1 DSTU, for PHER of DESD, cosponsored by Health Care Devices at Project Insight #898, TSC Tracker #2289.
     • Ken apologized for missing last week's call for time zone confusion. He addresses the UV realm vs US. UV realm was perceived due to worldwide programs in place and the practice involved in screening, and the devices that generate the data being transmitted are used for the same purpose globally. Universal data provided on the programs' activities internationally are common to all domains. There may be some realm-specific uses at the future but this is intended to be a common guide in UV realm. They didn't feel they needed someone from each realm on the project team. Woody asks if these become normative specifications on messaging a specific set of data there is an implication that affiliates must use this standard. Woody further asks John about the implications of a DSTU to Normative track standard for an implementation guide. He notes that IGs are more prescriptive than our standards in providing optionality. Ken notes that such a normative standard would not preclude a realm-specific IG developed from this as the base. Austin notes that realm-specific implementations typically have associations to vocabulary such as SNOMED or LOINC. Ken notes they are working on allowing flexibility for different vocabularies in the IG. Woody moves and Ed/John second approval of both items.Vote: 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.
     • Questions on joint balloting with NCPDP and joint copyright on IP. Scott discusses the coordinated balloting. Reconciliation is done in HL7 with input from NCPDP. As this is anticipated to become more frequent with NCPDP it will be addressed in ORC with changes to the SOU. Others may be following.
     • NCPDP had joint copyright on the mapping project from some years ago and recently on other joint projects. Neither side has been charging for access to the prior standards. As this is not an EHR FP that is freely available that will need to be worked out. NCPDP is fine with holding these as private documents between the two organizations while this is worked out. John notes that the past SOUs are not specifically addressing this issue.
     • Vote: unanimously approved.
4. Discussion topics:
   • FHIR Governance slide deck review; need to separate management and methodology from governance tasks. Woody would like us to get these going and then tweak them later. Ron notes that these represent managed and transparent processes for identifying what resources need to be developed and when. Setting the criteria of what constitutes well formed is an important understanding, but that understanding will evolve within the HL7 organization. Austin notes that the FGB appears to be about setting criteria as well as making decisions about resources but not the projects that are creating them. Mead feels the oversight group is part of getting FHIR off the ground in a short period of time. Woody adds that once these get off the ground and most of the questions are answered it becomes a maintenance task.
     • Austin notes that we could have the TSC join the existing time slot on Wednesday at 5 PM EDT on the TSC call line to discuss this week. Lloyd is unavailable this week. Woody will host GTM and send info to Lynn.
   • FHIR Governance Task Force
     • See emailed copies of FHIR Governance Board (FGB) and FHIR Management Group (FMG) organizing documents (terms of reference)
5. Approval items:
   • Approve *final* the project scope statement for TSC, cosponsored by ArB, of Risk Assessment and Governance for HL7 Architecture Program, at Project Insight #901, TSC Tracker #2292
     • Motion: Woody moves approval and Ravi seconds. Vote: Unanimously approved.
   • Approve the withdrawal and closure of the project Risk Assessment and Governance for SAIF Architecture Program superseded by the previous, at Project Insight #828
     • Motion: Pat moves and Woody seconds withdrawal of the project. Vote: Unanimously approved.
6. Return to Discussion topics:
   • CMET balloting
     • Woody describes the NIB submitted for 8 releases of CMETs internally. The first 2 went to ANSI. Reconciliation of certain negatives on certain CMETs needed work to address paperwork for submission. It's been resolved that the whole package should be submitted to another normative ballot by the membership. They will be offered unchanged from their prior forms other than bound to abstract data types R2. Woody shows the NIB information.
     • Austin asks if there is any collision with current work on new CMET work, e.g. Specimen. CPM is in this ballot which is outside this scope - these are COCT. Austin suggests that the WGs involved be cosponsors of the project and share responsibility for reconciliation.
     • They have to submit a project for this. The project ID used for the NIB is 710 but did not include balloting in its scope. Austin recommends a new project for it. Woody notes we have 4 weeks to complete the project scope approval and MnM will proceed with it. HL7 versions 3, 4, 5, 6, 7, and 9 will be ANSI R3. Ravi asks if anything is retired because of this - Woody notes that none of them are retired. Andy has a draft of the PSS to go.
     • FHIR NIB approval - submitted as draft for comment, would like to have TSC approval. Under Project Need change equations to applications. Vote: Approved by general consent.
7. Reports: (attach written reports below from Steering Divisions et al.)
   • Orders and Observations of SSD SD has submitted HL7 Version 2.7.1 Messaging standard for Normative publication (does not require TSC approval).
   • SSD SD reports the have approved an updated Mission and Charter Statement for Clinical Decision Support

Adjourned at 11:59 AM EDT

Next Steps

Actions (Include Owner, Action Item, and due date) Woody will host GTM and send info to Lynn.

Next Meeting/Preliminary Agenda Items 2012-07-02 TSC Call Agenda Approve Minutes from 2012-06-18 TSC Call Agenda and 2012-06-25 TSC Call Agenda. Approve Terms of Reference documents for FHIR FGB and FMG

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