2013-05-20 TSC Call Minutes

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HL7 TSC Meeting Minutes Location: call 770-657-9270 using code 985371# GoToMeeting ID: 273-848-837		Date: 2013-05-20 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	.	Ron Parker	x	Ravi Natarajan	.
x	John Quinn	.	Lorraine Constable	regrets	Jean Duteau
Domain Experts		Foundation and Technology		Structure and Semantic Design		Technical and Support Services
regrets	Melva Peters	x	Woody Beeler	regrets	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	Keith Boone	x	Lori Fourquet	x	Lynn Laakso
.	Bob Dolin (Vice Chair) vote	.	Hans Buitendijk	x	Brian Pech	x	Karen Van
.	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
   • 2013-05-08 SAIF AP Mtg at 2013MayWGM Weds Q4
   • HL7 Product Line Architecture Meeting Weds Q3
   • 2013-05-08_TSC_WGM_Agenda - Wednesday Luncheon Meeting
   • 2013-05-06_TSC_WGM_Agenda - Monday Co-Chairs Meeting
   • 2013-05-06 TSC Activities with Other SDOs Part II Monday Q3
   • 2013-05-05_TSC_WGM_Agenda - Sunday Evening Meeting
   • 2012-05-05 TSC Activities with Other SDOs Sunday Q4
   • 2013-05-04 TSC WGM Agenda, Saturday Meeting
   • 2013-04-29 TSC Call Agenda

Governance

1. Approval items:
2. Discussion topics:

Management

1. Discussion topics:
   • IHE Balloting in HL7 (15 minutes)
   • Co-Chair Handbook Information wiki page for review (Melva, Freida)
2. Review action items –
   • Ballot quality - set up a conference call to review plans for:
     • "Rochester group" will mine ballots/reconciliations across multiple types of ballots (group of 2.x IG, CDA IG, V3 standard, DAM, EHR FP , the EHR-S FM and a Service (e.g. RLUS)) to just see if there are statistics that can be identified.
     • Mead, Austin and Jean will review the same six with subjective Likert scale (5 point score) on what their quality is. Austin signs up for the subjective group, as does Mead and Jean.
   • ANSI/GOM Task Force to develop detailed TSC recommendation of a GOM change to remove closed ballot pools, and all pools remain open- this does not apply to recirculation ballots.
   • Pat will draft a PSS and have Calvin review it to work with Electronic Services to extend the dstucomments site functionality to normative and informative standards as well as the DSTUs but excluding comment-only. see TSC Tracker 2633.
   • Andy will address with Don the NIB form change to include a spot to identify CMETs.
   • TRAC needs to revisit scope and deliverables PI# 901 Risk Assessment and Governance for HL7 Architecture Program project for ongoing work.
   • Melva volunteers to refine the list of draft metrics for mid-tier governance and management group health for clearer wording, or specialized versions for steering divisions as compared to non-overseer group
   • everyone: suggest constructive ways to address improving awareness of architectural rules, precepts and structures via email.
   • Need to get the intent from CGIT of what is intended by the conformance facilitator role. See conformance facilitator wiki page
3. Approval items: referred to discussion from e-vote this week - (15 minutes)
   • Project Approval Request for OOWG of SSDSD: V2.8.1 cosponsored by Publishing WG of T3SD and InM and CGIT of FTSD at Project Insight #1000 and TSC Tracker # 2617
   • Out of Cycle ballot request for HL7 Version 2 Implementation Guide: Laboratory Test Compendium Framework, Release 2 for OO of SDWG at Project Insight #973 and TSC Tracker # 2619
   • Out of Cycle ballot request for HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Orders from EHR, Release 1 for OO of SDWG at Project Insight #922 and TSC Tracker # 2620
   • Out of Cycle ballot request for HL7 Version 2.8.1 for OO of SDWG at Project Insight #1000 and TSC Tracker # 2621
4. Approval items: from e-vote this week -

   Projects

   • Project Approval Request for PHER of DESD: Create an implementation guide which is the specification for transforming messages between OASIS Tracking of Emergency Patients (TEP) and HL7 V3 at Project Insight #971 and TSC Tracker # 2579
   • Project Approval Request for PHER of DESD cosponsored by Patient Care of SSD SD: Create an implementation guide which is the specification for transforming messages between OASIS Tracking of Emergency Patients (TEP) and HL7 V2.7.1 at Project Insight #970 and TSC Tracker # 2581
   • Project Approval Request for RCRIM of DESD: Annotated ECG Release 2 at Project Insight #721 and TSC Tracker # 2615
   • Project Approval Request for Tooling WG of T3SD: Tooling Work Group Education Requirements and Plan for Tooling WG of T3SD cosponsored by Education WG of T3SD at Project Insight #922 and TSC Tracker # 2616
   • Project Scope change Approval Request for CS WG of SSDSD: Clinical Statement Model Cosponsored by Orders & Observations, Structured Documents, Patient Care, Public Health and Emergency Response, Pharmacy at Project Insight #266 and TSC Tracker # 2627
   • Project Approval Request for Reaffirmation of HL7 EHR Behavioral Health Profile, Release 1 for EHR of SSD SD at Project Insight #984 and TSC Tracker # 2628

   Publications

   • Informative Publication Request for AWG of DESD: HL7 CDA R2 Implementation Guide - Supplement to Consolidated CDA for Attachments, Release 1 at Project Insight #805 and TSC Tracker # 2622
   • DSTU Publication Request for OOWG of SSDSD: HL7 Version 3 Standard: Blood, Tissue, Organ; Donation, Release 1 at Project Insight #312 and TSC Tracker # 2595
   • DSTU Publication Request for PA of SSDSD: HL7 Version 3 Standard: Patient Administration; Person Registry, Release 1 at Project Insight #576 and TSC Tracker # 2612 for 12 months
5. Approval items: for e-vote next week
   • Project Scope statement for Trauma Registry Data Submission CDA for CIC of DESD and cosponsored by SDWG of SSD SD at Project Insight #1001 and TSC Tracker # 2629
   • Project Scope statement for HL7 CDA® Implementation Guide for National Medical Care Surveys for PHER WG of DESD and cosponsored by SDWG of SSD SD at Project Insight #1002 and TSC Tracker # 2630
   • Project Scope statement for Reaffirmation of HL7 EHR Child Health Functional Profile, Release 1 for EHR WG of SSD SD and Child Health WG of DESD at Project Insight #985 and TSC Tracker # 2632
6. Reports: (attach written reports below from Steering Divisions et al.)
   • HL7 Version 3 Standard: XML Implementation Technology Specification - V3 Structures, Release 2 at Project Insight #316 is eligible for normative publication.
   • HL7 Version 3 Standard: XML Implementation Technology Specification R2; ISO-Harmonized Data Types, Release 1 at Project Insight #484 is eligible for normative publication.
   • Attachments WG, Emergency Care WG, Health Care Devices WG and RCRIM WG of DESD have updated their Mission and Charter statements
7. Plenary Meeting themes/topics sought - suggestions to http://www.surveymonkey.com/s/SQDD36K
8. Open Issues List

Minutes

Minutes/Conclusions Reached:
CAN has Memorial Day holiday and Lorraine on vacation, Jean is sick
Convened at 11:07 AM when quorum reached.

1. Introduction of visitors (including declaration of interests) Brian Pech observing, Keith Boone to address IHE balloting. Lori Fourquet representing IHE profile project in PHER, and Karen also attending.
2. Agenda review and approval - Austin Kreisler; approved by general consent
3. Approve Minutes of WGM - Ravi abstains from block vote to approve. Approved 6/0/1

Management

1. Discussion topics:
   • IHE Balloting in HL7 (15 minutes)
     • Austin offers background on HL7 work with IHE. Last 7-8 months Chuck Jaffe has been working with IHE to ballot IHE profiles in HL7. One particular profile from IHE is proposed as project for PHER. Mechanics of balloting of discussion by email thread last week prompted agenda item.
     • Keith outlines agreement to pilot balloting of IHE content. They would like to have HL7 balloting comments go to IHE public comment process during concurrent comment periods.
     • Proposals for draft for comment require looser resolution of comments. Informative or DSTU comment reconciliation rigor is anticipated. Triage of comments not through HL7 Workgroup would not work for informative/DSTU. IHE needs to resolve the comments in a manner timely enough to accommodate IHE publication. HL7 PHER resolution of comments would put their timeline at risk. The rigor of a later informative/DSTU ballot would have to be accommodated in the WG. Participation by HL7 WG in IHE meetings/webex/tcon would be welcomed.
     • Pat asks about "public comment" - open to anybody and everybody for IHE. Timeline is 30 day announcement, 30 day comment, one week long meeting for comment reconciliation expecting completion. Comment period is on a fixed schedule.
     • Ravi asks about the pilot - one off activity or precedent for something else in the longer run. Lori clarifies that the intent of this particular project is not to produce an HL7 product.
     • IP considerations for draft for comment require at least a copyright statement, notes Karen. Joint copyright or IHE copyright? Keith states IHE copyright. Ravi clarifies that IHE using HL7 balloting process to collect comments on their own material.
     • Austin suggests we stand up a task force to look at the process. From the publishing perspective, Woody comments that if the IHE cycle does not align with our balloting cycle, they will be reconciling before HL7 even opens a ballot. The timing is very tight and would need to know in the next couple of days, notes Keith.
     • Draft for comment does not have the same 30 day announcement burden, it's only two weeks. IHE comment period must open by June 22nd. It could start as soon as June 15th. Need HL7 comment period to close by July 22nd. Austin suggests Karen, Keith, John and himself, for a task force. Pat and Lori volunteer.
     • Austin asks Keith if there are others coming soon. Keith confirms that there is only one pilot in the pipeline. Karen, Lori and Keith leave.
2. Approval items: referred to discussion from e-vote this week - (15 minutes)
   • Project Approval Request for OOWG of SSDSD: V2.8.1 cosponsored by Publishing WG of T3SD and InM and CGIT of FTSD at Project Insight #1000 and TSC Tracker # 2617
   • Regarding the OOC requests; most corrections for 2.8 have dispositions and the negative balloter wishes to see the text modified for the corrections before he withdraws the negative vote. Careful scope declaration for 2.8.1 can avoid some of these types of comments as "not related". Final publishing of 2.8.1 must at least occur simultaneously or following publication of 2.8. Motion: Freida moves and Pat seconds approval of the three OOC ballot requests. Vote: Unanimously approved.
     • V2.8 ballot recon (from Jan 2013) posted last week. Risk still exists that a recirculation ballot might be required of V2.8 while 2.8.1 is in ballot. Only three negatives remain and one in process to withdraw. 2.8.1 risks the same negatives from the 2.8 balloters. Objection to format and presentation for automated database processing is anticipated by a particular voter in any V2 ballot.
     • Separate from the question of when it will ballot is the approval of the project.
     • Some features of this release are being pre-adopted into implementation guides for 2.5.1 for MU.
     • Motion: Tony moves and Freida seconds approval of the project. Vote: Unanimously approved.
   • Out of Cycle ballot request for HL7 Version 2 Implementation Guide: Laboratory Test Compendium Framework, Release 2 for OO of SDWG at Project Insight #973 and TSC Tracker # 2619
   • Out of Cycle ballot request for HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Orders from EHR, Release 1 for OO of SDWG at Project Insight #922 and TSC Tracker # 2620
   • Out of Cycle ballot request for HL7 Version 2.8.1 for OO of SDWG at Project Insight #1000 and TSC Tracker # 2621
   • Co-Chair Handbook Information wiki page for review (Melva, Freida) - TSC members to review; should we delegate maintenance of certain windowpanes and review annually. Specific suggestions for reviewing categories (panes) to discuss in two weeks (2013-06-03). Edit permissions left open for now; you can always revert back to a previous version.
3. Next week's meeting: UK bank holiday, US Memorial Day conflicts. May not have quorum but can have discussion. At least report on progress of IHE task force
4. Review action items –
   • Ballot quality - ACTION ITEM: set up a conference call to review plans for:
     • "Rochester group" will mine ballots/reconciliations across multiple types of ballots (group of 2.x IG, CDA IG, V3 standard, DAM, EHR FP , the EHR-S FM and a Service (e.g. RLUS)) to just see if there are statistics that can be identified.
     • Mead, Austin and Jean will review the same six with subjective Likert scale (5 point score) on what their quality is. Austin signs up for the subjective group, as does Mead and Jean.
   • ANSI/GOM Task Force to develop detailed TSC recommendation of a GOM change to remove closed ballot pools, and all pools remain open- this does not apply to recirculation ballots. Pick this up on May 28th.
   • Pat will draft a PSS and have Calvin review it to work with Electronic Services to extend the dstucomments site functionality to normative and informative standards as well as the DSTUs but excluding comment-only. see TSC Tracker 2633.
   • Andy will address with Don the NIB form change to include a spot to identify CMETs. Don on vacation for two weeks; revisit later.
   • TRAC needs to revisit scope and deliverables PI# 901 Risk Assessment and Governance for HL7 Architecture Program project for ongoing work. Meeting this week 10 am EDT
   • Melva volunteers to refine the list of draft metrics for mid-tier governance and management group health for clearer wording, or specialized versions for steering divisions as compared to non-overseer group; International Council has chosen not to participate at this time. Need to refine metrics for governance groups, "overseer" synonym consideration, versus groups that don't govern anything.
   • everyone: suggest constructive ways to address improving awareness of architectural rules, precepts and structures via email. Need to address context of this action item.
   • Need to get the intent from CGIT of what is intended by the conformance facilitator role. See conformance facilitator wiki page Filling roles defined on PSS is increasingly challenging. Assign to FTSD co-chairs
5. Approval items: from e-vote this week - passed 5/0/0

   Projects

   • Project Approval Request for PHER of DESD: Create an implementation guide which is the specification for transforming messages between OASIS Tracking of Emergency Patients (TEP) and HL7 V3 at Project Insight #971 and TSC Tracker # 2579
   • Project Approval Request for PHER of DESD cosponsored by Patient Care of SSD SD: Create an implementation guide which is the specification for transforming messages between OASIS Tracking of Emergency Patients (TEP) and HL7 V2.7.1 at Project Insight #970 and TSC Tracker # 2581
   • Project Approval Request for RCRIM of DESD: Annotated ECG Release 2 at Project Insight #721 and TSC Tracker # 2615
   • Project Approval Request for Tooling WG of T3SD: Tooling Work Group Education Requirements and Plan for Tooling WG of T3SD cosponsored by Education WG of T3SD at Project Insight #922 and TSC Tracker # 2616
   • Project Scope change Approval Request for CS WG of SSDSD: Clinical Statement Model Cosponsored by Orders & Observations, Structured Documents, Patient Care, Public Health and Emergency Response, Pharmacy at Project Insight #266 and TSC Tracker # 2627
   • Project Approval Request for Reaffirmation of HL7 EHR Behavioral Health Profile, Release 1 for EHR of SSD SD at Project Insight #984 and TSC Tracker # 2628

   Publications

   • Informative Publication Request for AWG of DESD: HL7 CDA R2 Implementation Guide - Supplement to Consolidated CDA for Attachments, Release 1 at Project Insight #805 and TSC Tracker # 2622
   • DSTU Publication Request for OOWG of SSDSD: HL7 Version 3 Standard: Blood, Tissue, Organ; Donation, Release 1 at Project Insight #312 and TSC Tracker # 2595
   • DSTU Publication Request for PA of SSDSD: HL7 Version 3 Standard: Patient Administration; Person Registry, Release 1 at Project Insight #576 and TSC Tracker # 2612 for 12 months
6. Approval items: for e-vote next week
   • Project Scope statement for Trauma Registry Data Submission CDA for CIC of DESD and cosponsored by SDWG of SSD SD at Project Insight #1001 and TSC Tracker # 2629
   • Project Scope statement for HL7 CDA® Implementation Guide for National Medical Care Surveys for PHER WG of DESD and cosponsored by SDWG of SSD SD at Project Insight #1002 and TSC Tracker # 2630
   • Project Scope statement for Reaffirmation of HL7 EHR Child Health Functional Profile, Release 1 for EHR WG of SSD SD and Child Health WG of DESD at Project Insight #985 and TSC Tracker # 2632
7. Reports: (attach written reports below from Steering Divisions et al.)
   • Austin reports an XML representation of an IG that smacks of an ITS coming from CDS that needs ITS to cosponsor. Andy will follow up with ITS. Pat has not seen it come to the SD yet.
   • HL7 Version 3 Standard: XML Implementation Technology Specification - V3 Structures, Release 2 at Project Insight #316 is eligible for normative publication.
   • HL7 Version 3 Standard: XML Implementation Technology Specification R2; ISO-Harmonized Data Types, Release 1 at Project Insight #484 is eligible for normative publication.
   • Attachments WG, Emergency Care WG, Health Care Devices WG and RCRIM WG of DESD have updated their Mission and Charter statements
8. Plenary Meeting themes/topics sought - suggestions to http://www.surveymonkey.com/s/SQDD36K
9. Open Issues List

Adjourned 12:02 PM EDT

Next Steps

Actions (Include Owner, Action Item, and due date) Set up task force on IHE balloting process with Austin, Karen, Keith, John, Pat and Lori F set up a conference call to review plans for "Rochester group" and reviewers to mine ballots/reconciliations across multiple types of ballots suggest constructive ways to address improving awareness of architectural rules, precepts and structures via email. Need to address context of this action item.

Next Meeting/Preliminary Agenda Items 2013-05-27 TSC Call Agenda. 2013-05-22 TRAC resumes Weds 7 AM PDT/10 AM EDT 2013-05-28_TSC_ANSI/GOM_Task_Force_notes Specific suggestions for reviewing Co-Chair Handbook Information categories (panes) to discuss in two weeks (2013-06-03). Andy will address with Don the NIB form change to include a spot to identify CMETs in two weeks.

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