2013-05-05 TSC WGM SDO Activities Minutes

TSC Sunday Q4 Agenda - 2013 May WGM, Atlanta GA USA

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TSC HL7 activities with other SDOs Meeting Location: Capitol North		Date: 2013-05-05 Time: Sunday Q4
Facilitator	Austin Kreisler	Note taker(s)	Lynn Laakso
Opportunity for HL7 WGM attendees to review activities in collaboration with other SDOs such as IHE, OMG, and the JWG and JIC, and provide comment.
Attendee list

Agenda

Welcome and Introduction - Austin

Attendees may present liaison reports verbally

Links to SDO liaison reports

Attached reports:

• HL7 activities with AHIP: John Quinn
• HL7 activities with ADA: Pat Van Dyke
• HL7 activities with CDISC: Becky Kush
• HL7 activities with CEN TC 251: Mark Shafarman
• HL7 activities with Continua: Chuck Jaffe
• HL7 activities with DICOM: Helmut Koenig
  • Harry Solomon reports they continue development of web-based access mechanisms in collaboration with FHIR, meeting Thursday with DICOM WG-27 the web services group. They are also having vocabulary cleanup in the dental realm.
• HL7 activities with DSMO: Durwin Day
• HL7 activities with GS1: Chuck Jaffe
• HL7 activities with IEEE (11073): Todd Cooper
• HL7 activities with IHE: Chuck Jaffe, Keith Boone
• HL7 activities with IHTSDO: Russ Hamm provides this report -
  • IHTSDO Workbench Activities
    • The Vocabulary and Tooling Workgroups are developing the evaluation criteria and SOW for the approved project to load a subset of content from the vocabulary MIF and represent it in the Workbench. This content representation will be used as pilot content to verify the functional capabilities of the Workbench in performing HL7 Vocabulary Harmonization update operations and the ability of the Workbench to represent all of HL7 vocabulary entities. It is anticipated that this would need to be a funded project effort.
  • U.S. SNOMED CT® Content Request System (USCRS)
    • The IHTSDO has begun to use the USCRS that was produced by the NLM. The USCRS provides users the ability to request basic changes to SNOMED CT via a web interface and allows for those requests to be analyzed and triaged by the vocabulary maintenance team. USCRS has potential to streamline the HL7 Vocabulary Harmonization process by providing an interface to manage HL7 Vocabulary Harmonization requests and move away from the current MS Word Harmonization submission format. The Vocabulary WG has a project underway to obtain the software for USCRS vial the NLM, establish an instance of the USCRS tool and analyze the capabilities of the USCRS tool to determine what functional gaps exist in the USCRS tool that would need to be addressed for the tool to be integrated into the HL7 Vocabulary Harmonization process. This project would serve to align HL7 vocabulary tooling with that of the IHTSDO and the NLM.
  • John reports that the core 20 people that also attend IHTSDO. Spring meeting is the smaller meeting. CIMI meeting occurred immediately following. Their modeling efforts were described. KP is very involved and intends to build UML micro-models.
  • Jim would augment the SNOMED report with changes to editing moved from CAP now done in-house at IHTSDO. They replaced their request submission system from CAP with a USCRS system. Policy changes on submission privileges. SIRS is the IHTSDO version that will only accept requests from national release centers. HL7 is not that type of organization so will have some affect. The HL7 Terminology Authority will have some affect on that. Bernd notes that there are some areas such as Germany that don't have a national release center and has an individual membership and access. They are hiring three editors.
  • Jim adds another program is a consultant terminologist program for a year long program to accept nominees to train with the chief terminologist on large- and small-scale terminology changes. Modeling and design of the terminologies also learned. Once completed they are certified terminologist and can edit in the work bench national release.
  • Don asks what responsibilities remain with CAP? All SNOMED related activity is hosted at IHTSDO.
  • Mark S also notes that SNOMED has created an implementation advisors group, creating another channel for communication.
  • Jim adds there will be an implementation showcase at their conference in October, and encourages folks to come to DC.
  • Ann W. notes the UK terminology center implementation forum and they have published webinars that are publicly available.
• HL7 activities with IRISS: Ed Tripp
• HL7 activities with ISO: John Quinn reports that there are also the same 20 that attend other SDO meetings that attend ISO, e.g. Ted, Woody, Alan. He is trying to coordinate between these other areas to generate reporting from what might be loosely termed an 'HL7 delegation'. He has been working to get access to all the ISO Work Groups' documentation instead of selected ones like 1, 2, and 6. SKMT domains described and referred to this morning's presentation to the International Council.
  • Bernd adds that he has access to several areas in ISO but unlimited access to SKMT for editing is risky. He also reports they have worked on establishing of work space to manage tooling for SNOMED. They continue working towards mapping from SNOMED CT to other terminologies and classification systems, such as ICD-10 which has been released. The WorkBench and implementation guidance for SNOMED environment is also in process.
• JIC - Richard D-H notes that John has been at a number of meetings to facilitate collaboration. He offers a set of slides TBD; JIC now has 7 members, from HL7/ISO TC215/ CEN now includes CDISC, GS/1, most recently added IHE. Met half-day 4/21 and progressing some strategic initiatives. They will also update their charter and bylaws soon and anticipate repositioning the way they do business. Joint Work Program being reviewed and management process evaluated. HL7 maintaining a website for it. They have made progress in the low- and medium- income countries. Particularly the Public Health Task Force report from TC215 committee has a number of recommendations and some related to standardization in those countries. IMIA (International Medical Informatics Association) collaboration opportunities are emerging also. Role of IMIA and SDOs described. Looking for ways to represent HL7/ISO in the industry groups and may look at HIMSS.
  • He comments on EHR-SFM, AIDC GS/1 project, BRIDG having a breakthrough on momentum. EHR Clinical Research FM seeking project resources. ContSys for continuity of care should be informing the modeling of framework of terms and concepts through all healthcare.
  • ISO changes to WG structure completed, new business plan and restatement of scope. Devices community working with them on their scope. Todd Cooper and Sherman Eagles representing HL7 admirably. Software as a medical device at issue to the IEC committee. Next ISO meeting in Sydney in October just before the IHIC event.
    • Mark S asks if ContSys should be linked in to HL7 vocabulary work; Richard adds that SKMT also needs to be harmonized.
    • Richard adds that there was a trade delegation in Mexico and generated discussion
    • Ann cautions that ContSys is about concepts not terminology. It's also not an information model. Mark clarifies that it might be an ontology structure and suggests the IHTSDO workbench might be used to manage it. Bernd notes that ContSys came from CEN and was initially an academic work; its purpose was to establish principles to design and present concepts but not an instance generator. Ann disagrees.
    • Ted adds that he and Woody are fostering a project in ISO for using core principles for binding of terminology with ISO 21090 data types. It promotes using HL7 normative mechanism for terminology binding to datatypes.
  • John adds that in WG1 there is an unusual lunar alignment that allows EHR-S FM R2 to ballot simultaneously in HL7 and ISO WG1.
• HL7 activities with NCPDP- Margaret Weiker
• HL7 activities with NQF: Chuck Jaffe
• HL7 activities with NUCC: Nancy Wilson-Ramon
• HL7 activities with OASIS: Elysa Jones reports they have developed MOU with HL7 for Tracking of Emergency Patients (TEP) standard in process as well as a transform document and TEP transform to HL7 V2 or V3 messages. They hope to have the transform document balloted in the next cycle. They will also be bringing in Hospital Availability or HAD into HL7 as a project.
• HL7 activities with OMG: Ken Rubin
• HL7 activities with Regenstrief/LOINC: Ted Klein describes this report
  • Jim Case reports that final signed version for LOINC/IHTSDO Collaborative agreement (SNOMED) is pending a few days instead of weeks. Vital sign ontology and document ontology are primary areas of initial focus.
• HL7 activities with SCO: John Quinn or Chuck Jaffe
• Hl7 Activities with The Health Story Project: Joy Kuhl
• HL7 Activities with TIGER: Pat Van Dyke
• HL7 activities with W3C: John Quinn
• HL7 Activities with WEDI: John Quinn
• HL7 Activities with X12: John Quinn

Review of each JIC-sponsored event having HL7 engagement

Latest JIC report

• BRIDG: Ed Tripp -
• IDMP: Tim Buxton
• CTRR: Ed Helton
• DataTypes: Grahame Grieve
• EHR-S FM:
• PHR-S FM:

Minutes

Links to SDO liaison reports

Attached reports:

• HL7 activities with AHIP: John Quinn
• HL7 activities with ADA: Pat Van Dyke
• HL7 activities with CDISC: Becky Kush
• HL7 activities with CEN TC 251: Mark Shafarman
• HL7 activities with Continua: Chuck Jaffe
• HL7 activities with DICOM: Helmut Koenig
  • Harry Solomon reports they continue development of web-based access mechanisms in collaboration with FHIR, meeting Thursday with DICOM WG-27 the web services group. They are also having vocabulary cleanup in the dental realm.
• HL7 activities with DSMO: Durwin Day
• HL7 activities with GS1: Chuck Jaffe
• HL7 activities with IEEE (11073): Todd Cooper
• HL7 activities with IHE: Chuck Jaffe, Keith Boone
• HL7 activities with IHTSDO: Russ Hamm provides this report -
  • IHTSDO Workbench Activities
    • The Vocabulary and Tooling Workgroups are developing the evaluation criteria and SOW for the approved project to load a subset of content from the vocabulary MIF and represent it in the Workbench. This content representation will be used as pilot content to verify the functional capabilities of the Workbench in performing HL7 Vocabulary Harmonization update operations and the ability of the Workbench to represent all of HL7 vocabulary entities. It is anticipated that this would need to be a funded project effort.
  • U.S. SNOMED CT® Content Request System (USCRS)
    • The IHTSDO has begun to use the USCRS that was produced by the NLM. The USCRS provides users the ability to request basic changes to SNOMED CT via a web interface and allows for those requests to be analyzed and triaged by the vocabulary maintenance team. USCRS has potential to streamline the HL7 Vocabulary Harmonization process by providing an interface to manage HL7 Vocabulary Harmonization requests and move away from the current MS Word Harmonization submission format. The Vocabulary WG has a project underway to obtain the software for USCRS vial the NLM, establish an instance of the USCRS tool and analyze the capabilities of the USCRS tool to determine what functional gaps exist in the USCRS tool that would need to be addressed for the tool to be integrated into the HL7 Vocabulary Harmonization process. This project would serve to align HL7 vocabulary tooling with that of the IHTSDO and the NLM.
  • John reports that the core 20 people that also attend IHTSDO. Spring meeting is the smaller meeting. CIMI meeting occurred immediately following. Their modeling efforts were described. KP is very involved and intends to build UML micro-models.
  • Jim would augment the SNOMED report with changes to editing moved from CAP now done in-house at IHTSDO. They replaced their request submission system from CAP with a USCRS system. Policy changes on submission privileges. SIRS is the IHTSDO version that will only accept requests from national release centers. HL7 is not that type of organization so will have some affect. The HL7 Terminology Authority will have some affect on that. Bernd notes that there are some areas such as Germany that don't have a national release center and has an individual membership and access. They are hiring three editors.
  • Jim adds another program is a consultant terminologist program for a year long program to accept nominees to train with the chief terminologist on large- and small-scale terminology changes. Modeling and design of the terminologies also learned. Once completed they are certified terminologist and can edit in the work bench national release.
  • Don asks what responsibilities remain with CAP? All SNOMED related activity is hosted at IHTSDO.
  • Mark S also notes that SNOMED has created an implementation advisors group, creating another channel for communication.
  • Jim adds there will be an implementation showcase at their conference in October, and encourages folks to come to DC.
  • Ann W. notes the UK terminology center implementation forum and they have published webinars that are publicly available.
• HL7 activities with IRISS: Ed Tripp
• HL7 activities with ISO: John Quinn reports that there are also the same 20 that attend other SDO meetings that attend ISO, e.g. Ted, Woody, Alan. He is trying to coordinate between these other areas to generate reporting from what might be loosely termed an 'HL7 delegation'. He has been working to get access to all the ISO Work Groups' documentation instead of selected ones like 1, 2, and 6. SKMT domains described and referred to this morning's presentation to the International Council.
  • Bernd adds that he has access to several areas in ISO but unlimited access to SKMT for editing is risky. He also reports they have worked on establishing of work space to manage tooling for SNOMED. They continue working towards mapping from SNOMED CT to other terminologies and classification systems, such as ICD-10 which has been released. The WorkBench and implementation guidance for SNOMED environment is also in process.
• JIC - Richard D-H notes that John has been at a number of meetings to facilitate collaboration. He offers a set of slides TBD; JIC now has 7 members, from HL7/ISO TC215/ CEN now includes CDISC, GS/1, most recently added IHE. Met half-day 4/21 and progressing some strategic initiatives. They will also update their charter and bylaws soon and anticipate repositioning the way they do business. Joint Work Program being reviewed and management process evaluated. HL7 maintaining a website for it. They have made progress in the low- and medium- income countries. Particularly the Public Health Task Force report from TC215 committee has a number of recommendations and some related to standardization in those countries. IMIA (International Medical Informatics Association) collaboration opportunities are emerging also. Role of IMIA and SDOs described. Looking for ways to represent HL7/ISO in the industry groups and may look at HIMSS.
  • He comments on EHR-SFM, AIDC GS/1 project, BRIDG having a breakthrough on momentum. EHR Clinical Research FM seeking project resources. ContSys for continuity of care should be informing the modeling of framework of terms and concepts through all healthcare.
  • ISO changes to WG structure completed, new business plan and restatement of scope. Devices community working with them on their scope. Todd Cooper and Sherman Eagles representing HL7 admirably. Software as a medical device at issue to the IEC committee. Next ISO meeting in Sydney in October just before the IHIC event.
    • Mark S asks if ContSys should be linked in to HL7 vocabulary work; Richard adds that SKMT also needs to be harmonized.
    • Richard adds that there was a trade delegation in Mexico and generated discussion
    • Ann cautions that ContSys is about concepts not terminology. It's also not an information model. Mark clarifies that it might be an ontology structure and suggests the IHTSDO workbench might be used to manage it. Bernd notes that ContSys came from CEN and was initially an academic work; its purpose was to establish principles to design and present concepts but not an instance generator. Ann disagrees.
    • Ted adds that he and Woody are fostering a project in ISO for using core principles for binding of terminology with ISO 21090 data types. It promotes using HL7 normative mechanism for terminology binding to datatypes.
  • John adds that in WG1 there is an unusual lunar alignment that allows EHR-S FM R2 to ballot simultaneously in HL7 and ISO WG1.
• HL7 activities with NCPDP- Margaret Weiker
• HL7 activities with NQF: Chuck Jaffe
• HL7 activities with NUCC: Nancy Wilson-Ramon
• HL7 activities with OASIS: Elysa Jones reports they have developed MOU with HL7 for Tracking of Emergency Patients (TEP) standard in process as well as a transform document and TEP transform to HL7 V2 or V3 messages. They hope to have the transform document balloted in the next cycle. They will also be bringing in Hospital Availability or HAD into HL7 as a project.
• HL7 activities with Regenstrief/LOINC: Ted Klein describes this report
  • Jim Case reports that final signed version for LOINC/IHTSDO Collaborative agreement (SNOMED) is pending a few days instead of weeks. Vital sign ontology and document ontology are primary areas of initial focus.

Austin adds that the Monday Q3 session is in Conference room 131 for planning the next Activities with Other SDOs session.