2014-02-10 TSC Call Minutes

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TSC Agenda/Minutes

Meeting Info/Attendees

HL7 TSC Meeting Minutes

Location: call 770-657-9270 using code 985371#
GoToMeeting ID: 273-848-837

Date: 2014-02-10
Time: 11:00 AM U.S. Eastern
Facilitator: Ken McCaslin Note taker(s): Lynn Laakso
Quorum = chair + 5 including 2 SD represented yes/no
Chair/CTO ArB International Affiliate Rep Ad-Hoc
x Ken McCaslin x Tony Julian . Jean Duteau x Austin Kreisler
regrets John Quinn regrets 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 x Pat van Dyke x Andy Stechishin
ex officio Invited Guests Observers HL7 Staff
. Don Mon (HL7 Chair) w/vote x Doug Fridsma x Robert Dieterle x Lynn Laakso
. (Vice Chair) vote x John Feikema x Brian Pech x Don Lloyd
. Chuck Jaffe (CEO) vote . . . .

Agenda

Housekeeping

  1. Introduction of visitors (including declaration of interests)
  2. Agenda review and approval -
  3. Approve Minutes of 2014-02-03 TSC Call Agenda
  4. US Realm Task Force
  5. Discussion topics: -->

Management

  1. Federal Initiatives for Quality Measures - Doug Fridsma
  2. Review action items –
    • Ken will talk to Dave (HQ) to see how we steer this tool selection for the help desk
    • Ken will solicit volunteers on Monday night at the cochairs dinner/meeting for the Help Desk task force -
    • 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
  3. Approval items from e-vote this week: approved 8/0/0 with 1 Ad-Hoc, 2 Affiliate, Arb, and all SDs voting
  4. Approval items for e-vote next week:
    • Normative Notification for HL7 Version 3 Standard: Patient Administration, DSTU Release 2; Person Registry Enhancement, Release 1 for PA of SSD SSD at Project Insight #576 and TSC Tracker 2941
    • Withdrawal Request for HL7 Clinical Context Management Specification (CCOW) Application Protection Package, Release 1, HL7 Clinical Context Management Specification (CCOW) Context Manager Protection Package, Release 1, and HL7 Clinical Context Management Specification (CCOW) User Authentication Protection Package, Release 1 for InM of FTSD at Project Insight #980 and TSC Tracker 2944
  5. Discussion topics:
  6. Reports: (attach written reports below from Steering Divisions et al.)
  7. Open Issues List

Minutes

Minutes/Conclusions Reached:

  1. Introduction of visitors (including declaration of interests), Brian Pech, Robert Dieterle and John Feikema observing.
  2. Agenda review and approval - Bob Dieterle asks about the Attachments OOC ballot. Place it up front.
  3. Ballot OOC timing. Typical ballot cycle is basis of ballot desktop. Ballot signup now needs to close when ballot opens for voting. Ballot signup moved to same as announcement for 30 days available. March 17 would be end of OOC ballot and March 18-27 ends the signup for regular ballot cycle pools. Bob reports that the delay if pushed to May cycle would be a problem. Don asks for one week to explore an alternate approach; can we revisit the issue on the 17th. Cannot open OOC earlier - it needs 30 day window for announcement. OOC ballot is to open Feb 14 for HL7 Implementation Guide for CDA® Release 2: Consolidated-CDA Additional Attachment Templates, Release 1.
    1. Don notes he can add the May pools to the Feb OOC ballot cycle when the ballot announcement goes out and re-name the ballot cycle. Austin moves and Woody seconds the approach. Unanimously approved. OOC ballot will proceed as scheduled and pools approved for May ballot will be added to this desktop cycle.

Management

  1. Federal Initiatives for Quality Measures - Doug Fridsma
    • Computable representation for quality measurement as well as tying to actionable efforts like CDS.
    • MOU signed with UK on quality measurement efforts.
    • Hope to create harmonized version of standards i.e. HeD, HQMF for example. HQMF needs human intervention to be computable. Separating metadata about quality from the expression logic is an approach to be considered.
    • Calvin notes that the existing projects are US Realm - do they need to be changed? With the timeframes as tight as they are Doug suggests that they remain so as they were initiated prior to the signing of the MOU.
    • HQMF data cannot be ingested into a tool without human interpretation. Woody asks if it's an issue of the content of the specification or the representation as a RIM-derived model. Sounds like it's the structure of representation within the specification Woody concludes.
    • Austin notes that HQMF is UV Realm and welcomes the fact that there will be broader international participation.
    • MOU with UK includes quality although MOU with EU also exists.
    • Draft standard through HL7 to receive feedback on normative track is Doug's preferred method though complicated with ISO and JIC. He doesn't think UK will object. They must first agree on what they want to measure and meanwhile HL7 can work on creating parsimonious technical infrastructure (e.g. datatypes issues). He hopes they will have something by September. He suggests periodic check-ins, perhaps monthly or more often as issues arise. Plan on second Monday of each month right now.
  2. Approve Minutes of 2014-02-03 TSC Call Agenda Tony moves and Melva seconds approval. Unanimously approved
  3. Review action items –
    • Ken will talk to Dave (HQ) to see how we steer this tool selection for the help desk
    • Ken will solicit volunteers on Monday night at the cochairs dinner/meeting for the Help Desk task force -
    • 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
  4. Approval items from e-vote this week: approved 8/0/0 with 1 Ad-Hoc, 2 Affiliate, Arb, and all SDs voting
  5. Approval items for e-vote next week:
    • Normative Notification for HL7 Version 3 Standard: Patient Administration, DSTU Release 2; Person Registry Enhancement, Release 1 for PA of SSD SSD at Project Insight #576 and TSC Tracker 2941
    • Withdrawal Request for HL7 Clinical Context Management Specification (CCOW) Application Protection Package, Release 1, HL7 Clinical Context Management Specification (CCOW) Context Manager Protection Package, Release 1, and HL7 Clinical Context Management Specification (CCOW) User Authentication Protection Package, Release 1 for InM of FTSD at Project Insight #980 and TSC Tracker 2944
  6. Discussion topics:
    • Release levels of documents (Ken)example
      • John Roberts notes that LOI, LRI, eLR and eDOS will be harmonized in the coming years.
      • Austin notes that the ELR R2 provides specificity that the first one did not. Ken notes that R2 does not include everything that was not in R1. Product brief presentation reviewed. Austin suggests PHER work with Don and Lynn on how it is presented on the page.
      • Ken asks if this is a product family/product line discussion as well? Austin notes that the other product families have not been formalized yet.
      • Don Lloyd describes the business logic of the page display elements and cautions careful consideration of changes across all artifacts.
      • R2 replacement (supersede) of R1 reviewed and regulatory citation and use in MU 2 vs MU 3. Austin describes the difference between jurisdictions in the way it is being implemented. Defer issue to PHER to sort out with HQ on representation. John Roberts accepts the action item.
    • US Realm Task Force - postpone
    • Discuss who needs to be aware of publishing artifacts that contain SNOMED CT content and the necessary terms and usage statement that needs to be made (Andy)- postpone
    • Review and endorsement of the ArB definition of a DAM - Tony - postpone
    • Review projects > 5 years old needing to update their PSS - see last status update
    • Project Approval AND Informative Publication request for HL7 Version 3 Detailed Clinical Models: Heart Rate R1 for Patient Care of DESD at Project Insight #320 and TSC Tracker 2943 - postpone

Being at time adjourned 11:58 AM.

Next Steps

Actions (Include Owner, Action Item, and due date)
  • .
Next Meeting/Preliminary Agenda Items


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