2012-01-16 DESD WGM Minutes

HL7 DESD Agenda Location: Magnolia		Date: 2012-01-16 Time: 7:30-8:30 pm CST
Facilitator	Ed Tripp	Note taker(s)	Mead Walker

The list of attendees needs to be provided. Discussion

• Motion to change the composition of the steering division – add Clinical Genomics, drop Imaging Integration. Imaging Integration would like to leave. Q: what is the rationale. A: Imaging has close times to structured documents and OO. Clinical Genomics says they are not finding out about projects that are relevant to them. William wonders whether structured documents ought to be closer to the domain experts group – they are working with a lot of clinical stuff. Several people feel the need for more attention to joint projects across steering division boundaries.

Vote: Opposed: 0, Abstain 0, Approve: Everyone else.

• Use of the PBS metrics: (project, ballot, xxx) report card on work group health. These metrics are going to be used as part of the project approval process. If a group has a number of negative items, the group is going to be asked to address the reason before proceeding with any new project. Note if a project is past its dates, these can and should be pushed back to become more realistic. Anita notes that CIC has put off publishing some items that passed because a subsequent ballot is needed. We feel this is a reasonable explanation for the delay. Note, the work group is responsible for the time line for projects – it can change dates without seeking approval from another body. Discussion with PC – The WG feels that Care provision health concern, and care composition have been withdrawn – this should not be listed as unpublished.
• Presentation of GAS PSS: This is a new project to create a standard representation of vital signs and other physiological data, using CDA. The goal would be to create an implementation guide specifically for this part of the record. William feels that a vital signs RMIM has already been created and is in the ballot. GAS agrees that it will examine the existing RMIM (REPC_RM001300UV) and current detailed clinical model for heart rate as part of this project. Nancy Orvis notes the existence of a related project – the “black box” – in Massachusetts.

Motion to approve: William Gossen, second Jeff Carp Vote: Opposed: 0, Abstain 0, Approve: Everyone else.

• Work Group Health Review: Note, the SD has three committees in the healthiest category. There is a new emphasis on posting minutes. If no minutes, it will mean an automatic red score. In the future, more severe repercussions can be expected. Emergency wonders – how do they have 6 active projects? Ed notes that projects are created from the 3 year plan provided as well as being generated from project scope statements. (Send emergency a copy of the co-chair handbook.)
• Note, Clinical Genomics has two new project scope statements that have not been reviewed by the SD. We agree to go over them.
  • A project to define the domain analysis requirements for DNA sequencing. There has been a lot of activity in this area lately – institutions want to know what to do with this data. The WG wants to do a V2 message, CDA, and V3 CMET all from the same requirements. This is an extension of a current project. Question: why do they want to do all three data representation modes? Ans: we have emerging groups that like V3, but there are existing users of this data who are committed to V2.

Vote on DNA sequencing: Opposed: 0, Abstain 0, Approve: Everyone else.

• A project to address family history. It is currently a published standard. It will be updated to become release 2 based on feedback from ISO. In addition the representation of mutations will be made consistent with the representation in V2 and V3.

Vote on family history: Opposed: 0, Abstain 0, Approve: Everyone else.

Attendee	Name	Affiliation
?	Norman Daoust	Anatomic Pathology
?	Durwin Day	Attachments
?	Craig Gabron	Attachments
?	Jim McKinley	Attachments
?	Gayle Dolin	Child Health
?	Joy Kuhl	Child Health
?	Andrew Spooner	Child Health
?	Feliciano Yu	Child Health
?	Meredith Nahm	Clinical Interoperability Council
?	Anita Walden	Clinical Interoperability Council
?	Dianne Reeves	Clinical Interoperability Council
?	Suzanne Gonzales-Webb	Community Based Collaborative Care
?	Richard Thoreson	Community Based Collaborative Care
?	Max Walker	Community Based Collaborative Care
?	Mead Walker	Domain Expert Steering Division
?	Edward Tripp	Domain Expert Steering Division
?	Laura Heermann Langford	Emergency Care
?	Donald Kamens	Emergency Care
?	James McClay	Emergency Care
?	Peter Park	Emergency Care
?	Martin Hurrell	Generation of Anesthesia Standards
?	Terri Monk	Generation of Anesthesia Standards
?	Nancy Orvis	Government Projects
?	Mitra Rocca	Government Projects
?	Todd Cooper	Health Care Devices
?	John Rhoads	Health Care Devices
?	Patty Krantz	Health Care Devices
?	Helmut Koenig	Imaging Integration
?	Harry Solomon	Imaging Integration
?	Stephen Chu	Patient Care
?	William Goossen	Patient Care
?	Ian Townend	Patient Care
?	Klaus Veil	Patient Care
?	Kevin Coonan	Patient Care
?	D. Mead Walker	Patient Safety
?	Nick Halsey	Patient Safety
?	Hugh Glover	Pharmacy
?	Tom de Jong	Pharmacy
?	Melva Peters	Pharmacy
?	Alean Kirnak	Public Health Emergency Response (PHER)
?	Rob Savage	Public Health Emergency Response (PHER)
?	Joginder Madra	Public Health Emergency Response (PHER)
?	John Roberts	Public Health Emergency Response (PHER)
?	Edward Helton	Regulated Clinical Research Information Management (RCRIM)
?	Armando Oliva	Regulated Clinical Research Information Management (RCRIM)
?	John Speakman	Regulated Clinical Research Information Management (RCRIM)
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