2014-03-31 TSC Call Agenda

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HL7 TSC Meeting Minutes Location: call 770-657-9270 using code 985371# GoToMeeting ID: 273-848-837		Date: 2014-03-31 Time: 11:00 AM U.S. Eastern
Facilitator: Ken McCaslin		Note taker(s): Dave Hamill

Quorum = chair + 5 including 2 SD represented				yes/no
Chair/CTO		ArB		International Affiliate Rep		Ad-Hoc
X	Ken McCaslin	X	Tony Julian	X	Jean Duteau	regrets	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	X	Woody Beeler	X	Calvin Beebe	X	Freida Hall
X	John Roberts	X	Paul Knapp	.	Pat van Dyke	X	Andy Stechishin
ex officio		Invited Guests		Observers		HL7 Staff
.	Don Mon (HL7 Chair) w/vote	.	Kensaku Kawamoto	X	Brian Pech	regrets	Lynn Laakso
.	(Vice Chair) vote	X	Bryn Rhodes	.	obs2	X	Dave Hamill
.	Chuck Jaffe (CEO) vote	.		.	.	.

Agenda

Housekeeping

1. Introduction of visitors (including declaration of interests)
2. Agenda review and approval -
3. Approve Minutes of 2014-03-24 TSC Call Agenda

Management

1. Review action items –
   • develop formal definitions of backwards compatibility and dot-releases in the GOM.
   • WGM follow up on IP restrictions (Target date March 10)
     • Ken will follow up on whether to make available the reconciliation spreadsheet when it only contains snippets of the standard
     • Ken and John will need to discuss IP protection of V3 development content - not discrete documents e.g. IGs.
     • Ken and John to go back to the board with Woody's recognition of development material restrictions as a threat to the ability of the organization to do its collaborative work
2. Approval items:
   • Project approval request for CDS Knowledge Sharing Implementation Guide for CDS WG Of SSD SD cosponsored by CQI of DESD at Project Insight #931 and TSC Tracker 3069 Postponed to allow ITS to comment
   • DSTU update publication request for HL7 Implementation Guide: Clinical Decision Support Knowledge Artifact Implementations, Release 1.1 requesting name change to HL7 Version 3 Standard: Clinical Decision Support Knowledge Artifact Specification, Release 1 for CDS WG of SSD SD at Project Insight #931 and TSC Tracker 3104
3. Approvals from e-vote this week: approved 6/0/0 with Ad-Hoc, 2 Affiliate, ARB, DESD and T3SD voting.
   • DSTU publication extension request for for HL7 Version 2.5.1 Implementation Guide: S&I Framework Lab Results Interface, Release 1- US Realm for OO of SSD SD at Project Insight #792 and TSC Tracker 3082
4. Approvals for e-vote next week:
   • 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
5. Discussion topics:
   • Determine the next 2-4 profiles for Conformance Testing (candidate topics: LRI, CDA R2, EHR-S FM, EHR-S FPs). Help Desk expansion topics include: FHIR, V2.x OO, V2.x ADT, V2.x Meaningful Use
   • Web based tool supporting implementation of Version 2; potential for member benefit having query capabilities using Frank's platform, licensed through HL7. Ask Frank to attend a call and present even some slides if not a demo and answer questions
   • HL7 Essential Requirements peer review (closes 2014-04-10)
     • WI1401003 Discontinue standards project: align HL7 ER with current edition of ANSI ER
     • WI1401004 Post WG minutes within two weeks: align GOM with current practice as stated in Co-chairs Handbook and DMP
     • WI1401005 Revise name of ArB: Update ArB to Architecture Review Board (ARB) and allow ad hoc voting members
     • WI1401006 PIC under T3SD: remove PIC from §10 as it is now a WG under the T3SD and elects its own co-chairs
   • Interim Work Group Health review
6. Reports: (attach written reports below from Steering Divisions et al.)
   • Congratulations to the Security WG for their request for normative publication of HL7 Version 3 Standard: Privacy, Access and Security Services; Security Labeling Service, Release 1 (SLS) at Project Insight #1046 and TSC Tracker 3083
7. Open Issues List

Minutes

Minutes/Conclusions Reached:
Approved Minutes of 2014-03-24 TSC Call Agenda

Project approval request for CDS Knowledge Sharing Implementation Guide for CDS WG Of SSD SD cosponsored by CQI of DESD at Project Insight #931 and TSC Tracker 3069 Postponed to allow ITS to comment

• Bryn Rhodes reviewed the PSS.
• The PSS is out of date, so the CDS WG will submit an updated PSS to Dave Hamill and Ken McCaslin
• Paul: ITS has agreed to co-sponsor this document. It's not an implentation guide but rather a specification guide

• Freida: The GOM has naming conventions, leave as is for now, and then change when they take it Normative. The section in the GOM is 12.0.2.0.2.
• Paul: Motions to approve with the caveats that Paul indicated. Andy seconded. Approved unanimously

• ACTION: Bryn to issue an updated PSS with the ITS co-sponsor approval date.
• Expect an updated PSS. The PSS does not need to contain the cavaet.

Naming Conventions

• At this Friday's TSC planning call, discuss the need to add Document Naming Conventions as a future agenda item, to be discussed at a TSC WGM meeting. The section in the GOM is 12.0.2.0.2.

DSTU update publication request for HL7 Implementation Guide: Clinical Decision Support Knowledge Artifact Implementations, Release 1.1 requesting name change to HL7 Version 3 Standard: Clinical Decision Support Knowledge Artifact Specification, Release 1 for CDS WG of SSD SD at Project Insight #931 and TSC Tracker 3104

• Paul: Again, this is a specification guide rather than an Implementation Guide
• Ken: What impacts would result if approval of this publication request would occur after the WGM.
• Ken raised this as he is unsure of what to name this guide.

• Bryn: Would need to check with the CDS WG of the impacts of having the publication request occur after the WGM

• Dave to check with Don and Karen to be sure that this name follows HL7 standard naming convention if the TSC approves the motion to HL7 Version 3 Standard: Clinical Decision Support Knowledge Artifact Specification, Release 1

• Paul motions the name change. Freida seconds if Don/Karen approve the name change
• Paul withdraw motions. Freida withdraws her second.
• The plan will be to bring it back to the TSC on the April 7, 2014 call based on feedback from Don and Karen regarding the name change

• Ken to bring forth this name change to the US Realm Task Force on their call on Tuesday, April 1, 2014.
• The PSS in the above agenda item can continue to move forward.

Determine the next 2-4 profiles for Conformance Testing (candidate topics: LRI, CDA R2, EHR-S FM, EHR-S FPs). Help Desk expansion topics include: FHIR, V2.x OO, V2.x ADT, V2.x Meaningful Use

• Melva: Add to the list of candidates: Expand on the Immunization topic.
• Some of the candidates are too large as a whole to be a topic. We need to identify a subset of the items within these areas.

• Lorraine: We need to pick a specific implantation guide that is restrained instead of an entire topic. This is why FHIR isn't a good candidate.

• Ken: So we understand what we shouldn't do. What should we do for the next profiles.
• Lorraine: With the last time, the TSC provided their feedback and the CTO made the final decision.

• Melva: We got lucky that PHER was able to engage with the Immunization work, but we should insure that the Work Group has the bandwidth to take on support of the development of the future profiles

• John is meeting with the CDC on April 8th and he would like to see if they're willing to take the responsibility of defining the constraints.

• Ken: Keep this item on the agenda for April 14th.

• Freida: Would like to suggest a 'rule out'…and indicate which ones should not be recommended.

• Jean: Would like to have Mario attend the TSC meeting to demonstrate Conformance Testing. Jean to confirm with Mario on having him join the April 21, 2014 call.

Web based tool supporting implementation of Version 2; potential for member benefit having query capabilities using Frank's platform, licensed through HL7. Ask Frank to attend a call and present even some slides if not a demo and answer questions

• Ken would like Frank to attend the TSC call and will reach out to Frank to schedule this.
• Brian Pech: Would like to have Frank do a demonstration of his tool so the TSC has an understanding of what the tool can and cannot do
• Melva: We need to understand what support will be available for the tool if we are going to provide it as a member benefit. Have this part of Frank's presentation to the TSC.
• Andy: The tooling work group has a set of criteria, including evaluation of support. Tooling has not looked at Frank's tool. Perhaps have Frank review the tooling criteria and include that assessment for his TSC presentation. Andy will send Ken the link to the tooling criteria, but still have Frank come to the TSC whether he has reviewed the criteria or not.

Interim Work Group Health review

• No major issues were brought forth.
• Woody: Lynn joined his Steering Division to address any questions. She also joined the T3SD.

HL7 Essential Requirements peer review (closes 2014-04-10)

• WI1401003 Discontinue standards project: align HL7 ER with current edition of ANSI ER
• WI1401004 Post WG minutes within two weeks: align GOM with current practice as stated in Co-chairs Handbook and DMP
• WI1401005 Revise name of ArB: Update ArB to Architecture Review Board (ARB) and allow ad hoc voting members
• WI1401006 PIC under T3SD: remove PIC from §10 as it is now a WG under the T3SD and elects its own co-chairs

• Comments about the peer review:
  • 004, 005, 006 originated from the TSC.
  • 006 - When the Steering Divisions were created, PIC was not under a Steering Division

Woody submitted reqrets for next week's call.

Adjourned 11:55 am Eastern Time

Please don't forget to hang up from the conference call (VOIP users)

Next Steps

Actions (Include Owner, Action Item, and due date) Bryn to send an updated PSS with the ITS co-sponsor approval date - DONE Dave to check with Don and Karen to be sure that CDS' name change follows HL7 standard naming convention: HL7 Version 3 Standard: Clinical Decision Support Knowledge Artifact Specification, Release 1 Jean to confirm with Mario about having him join the April 21, 2014 TSC call. Ken to reach out to Frank Oemig for him to attend a TSC call to present and demonstrate his web based tool supporting implementation of Version 2 Dave to update the April 7 agenda to reflect Woody submitted reqrets for it

Next Meeting/Preliminary Agenda Items 2014-04-07 TSC Call Agenda.

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