2012-10-22 TSC Call Minutes

TSC Agenda/Minutes

Meeting Info/Attendees

HL7 TSC Meeting Minutes Location: call 770-657-9270 using code 985371# GoToMeeting ID: 165-215-206		Date: 2012-10-22 Time: 11:00 AM U.S. Eastern
Facilitator: Austin Kreisler		Note taker(s): Lynn Laakso

Quorum = chair + 5 including 2 SD represented				yes
Chair/CTO		ArB		International Affiliate Rep		Ad-Hoc
x	Austin Kreisler	x	Charlie Mead	x	Ravi Natarajan	.	Melva Peters
x	John Quinn	x	Ron Parker	x	Giorgio Cangioli
Domain Experts		Foundation and Technology		Structure and Semantic Design		Technical and Support Services
x	Ed Tripp	x	Woody Beeler	x	Calvin Beebe	x	Freida Hall
x	Mead Walker	x	Tony Julian	x	Pat van Dyke	.	Patrick Loyd
ex officio		Invited Guests		Observers		HL7 Staff
.	Don Mon (HL7 Chair) w/vote	.	Jean Duteau, Affiliate Representative-elect	x	Brian Pech	x	Lynn Laakso
.	Bob Dolin (Vice Chair) vote	x	Andy Stechishin, co-chair-elect	.	obs2	.
.	Chuck Jaffe (CEO) vote	.		.	.	.

Agenda

Housekeeping

1. Introduction of visitors (including declaration of interests)
2. Agenda review and approval - Austin Kreisler
3. Approve Minutes

Governance

1. Approval items:
2. Discussion topics:
   • Product line definition discussion - see draft document

Management

1. Review action items –
   • Austin will take the issue of Facilitator training tutorials as webinars to Education
   • Calvin to contact rep from Qualibria on CCOW WG participation interest.
   • Tony will address with InM on absorbing CCOW.
   • Austin and Freida will draft proposed changes in wording to the GOM for TSC attendance at WGMs and bring it back to the TSC for review at another date.
   • Austin will do a draft RACI chart for People/Roles for the WGH Precept
2. Approval items:
   • Proposed motions for withdrawal of ANSI project cleanup at TSC Tracker #2365

   For e-vote next week:

   • Project Approval request for CDS Knowledge Sharing Implementation Guide, for Clinical Decision Support WG of DESD, cosponsored by Arden Syntax, at Project Insight # 931, and TSC Tracker #2387
   • Project Approval request for Clinical Oncology Data Standards, for Structured Documents WG of SSD SD, at Project Insight # 921, and TSC Tracker #2388
   • Withdrawal request for Additional Information Specifications 0000, 0001, 0003, 0004, 0005, 0006: Update to CDA Release 2, at Project Insight # 135, and TSC Tracker #2390 for Attachments WG
   • Withdrawal request for Additional Information Specification 0010: Drug Prior Authorization Attachment, Release 1 - Based on the HL7 Clinical Document Architecture, Release 1.0 , at Project Insight # 282, and TSC Tracker #2391 for Attachments WG
3. Discussion topics:
   • Disambiguation of naming HL7 Architecture Program from SAIF Architecture Program
4. Reports: (attach written reports below from Steering Divisions et al.)
5. Open Issues List

Supporting Documents

• See links

Minutes

Minutes/Conclusions Reached:
Call to order 11:05 am

1. Introduction of visitors (including declaration of interests) - Andy is a guest and Brian is an observer
2. Agenda review and approval - Austin Kreisler; approved by general consent
3. Approve Minutes of 2012-10-15 TSC Call Agenda; unanimously approved.

Governance

1. Discussion topics:
   • Product line definition discussion - see draft document
     • Not to dive into detailed discussion this week but start review for next week.
     • Ron introduces the concepts of product family/line along the perspectives of producer/consumer. TSC members please review and be prepared for discussion next week. This distinction is critical towards the development of the BAM.

Management

1. Review action items –
   • Austin will take the issue of Facilitator training tutorials as webinars to Education - Austin has no update
   • Calvin to contact rep from Qualibria on CCOW WG participation interest. Calvin has no update.
   • Tony will address with InM on absorbing CCOW. Will be addressed this afternoon.
   • Austin and Freida will draft proposed changes in wording to the GOM for TSC attendance at WGMs and bring it back to the TSC for review at another date. Austin reports that Freida did her part but he has not moved it forward.
   • Austin will do a draft RACI chart for People/Roles for the WGH Precept - Austin has no update
2. Approval items:
   • Proposed motions for withdrawal of ANSI project cleanup at TSC Tracker #2365
     • Woody notes we need to be clear about what we're saying about these things. We want to communicate that if we withdraw R2 projects we need to step up to refresh the R1 standard. If we had an R1 and notified that we were working on an R2 that never got going, the initial standard has lapsed with ANSI.
     • Ravi asks what the impact is on these standards - Woody notes they may not be standards with ANSI but they can still be standards. Woody is not clear on what happens with the expired standard.
     • Motion: Ravi moves withdrawal of the ballots in the first (pink section) of the document, seconded by Woody. Vote: unanimously approved.

     
     

Standard	Last Balloted	Responsible WG	Motion approved:
HL7 Version 3 Standard: Clinical Genomics; Genetic Variation, Release 1	Balloted Sept 2008 as N1; Jan 2009 at For comments – not ready for prime time	Clinical Genomics	Withdraw No response from Work Group.
HL7 Version 3 Standard: Claims and Reimbursement; Predetermination – Authorization Interactions, Release 1	May 2006 (committee 1)	Financial Management	Withdraw
HL7 Version 3 Standard – Master File/Registry Infrastructure, Release 2	Sept 2008 (as DSTU); R1 not reaffirmed	INM	Withdraw
HL7 Version 3 Standard: Abstract Transport Specification	Jan 2007 (committee 2)	INM	Withdraw
HL7 Version 3 Standard: Message Control Act Infrastructure, Release 2	Sep-08	INM	Withdraw
HL7 Version 3 Standard: Message Control Query Infrastructure, Release 2	Jan 2008 (DSTU1)	INM	Withdraw
HL7 Version 3 Standard: Common Observation, Release 1	Jan 2008. Has been well over a year since the last BSR8 form was submitted and no extension has been requested	Orders and Observations	Withdraw
HL7 Version 3 Standard: Observation Request, Release 1	January 2008 (as membership 1 ballot)	Orders and Observations	Withdraw
HL7 Version 3 Standard: Orders; and Request Pattern, Release 1	Jan 2008 (membership 1)	Orders and Observations	Withdraw
HL7 Version 3 Standard: Orders; Composite Order, Release 1	May 2009 as DSTU1	Orders and Observations	Withdraw
HL7 Version 3: Care Provision; Care Plan, Release 1	Jan-07	Patient Care	No response from Work Group.
HL7 Version 3: Care Provision; Clinical Document, Release 1	Has never balloted but is on the books (withdrew during the ballot cycle in which it was supposed to ballot)	Patient Care	Withdraw No response from Work Group.
HL7 Version 3 Standard: Service Functional Model Specification – Entity Identification Service (EIS), Release 1	Last balloted in 2009 as normative ballot. Is an expired DSTU. Way more than a year since the last ballot with no requested extension	SOA	Withdraw

• The second section (blue) are Structured Documents' ballots. The Neonatal Care Report they wish to pursue as DSTU. Motion: Calvin moves approval of the second set of suggested motions with the exception of the NCR. Ed seconds. Vote: unanimously approved.

  
  

DSTU IG	Last Balloted	Responsible WG	Motion approved:
HL7 IG for CDA Release 2: NHSN Healthcare Associated Information (HAI) Reports, Release 1	Published DSTU in 2008. Expired in 2010. Suggest we withdraw as committee not working on this. This is up to release 9 and I have no idea how we have 9 different releases of a DSTU.	Structured Docs	Withdraw
HL7 IG for CDA Release 2: History and Physical (H&P) Notes, Release 1	Published DSTU in 2007, Now expired	Structured Documents	Withdraw
HL7 IG for CDA R2: Care Record Summary, Release 2: Discharge Summary, Release 1	Published DSTU in Dec 2009; DSTU expired Dec 2011	Structured Documents	Withdraw
HL7 IG for CDA R2: Unstructured Documents, Release 1	Published DSTU Sept 2010; DSTU expired Sept 2012	Structured Documents	Withdraw
HL7 IG for CDA R2: Operative Notes, Release 1	Published DSTU Mar 2009; DSTU expired March 2012	Structured Documents	Withdraw
HL7 IG for CDA Release 2: Consultation Notes, Release 1	Last balloted in 2007. Published DSTU in 2008; now expired. If we continue development, will this be a normative standard?	Structured Docs	Withdraw

• Motion: Woody moves withdrawal of the ANSI project for common clinical product model, leaving the project intact. Mead seconds. Vote: unanimously approved.

  
  

HL7 Version 3 Standard: Common Clinical Product Model, Release 1	January 2009 – Has been over a year since the last BSR8 form was submitted and no extension has been requested.	Orders and Observations	Withdraw

1. • • Ed suggests we request a recommendation from the Work Group on their responses in the purple section for "suggest we do something with these immediately" and review next week.
     • Problem is the instances where DSTUs are treated as a permanent state; they have to go normative at some point. Ed asks what do we need to do as both a process and a governance standpoint to address. John notes that there are Work Groups whose capacity versus work in progress is consumed by ONC. Austin notes we need to address sustainability on these Work Groups for UV realm - may have to address separate US Realm WGs?

   For e-vote next week:

   • Project Approval request for CDS Knowledge Sharing Implementation Guide, for Clinical Decision Support WG of DESD, cosponsored by Arden Syntax, at Project Insight # 931, and TSC Tracker #2387 - Austin notes that it is tied to S&I ONC work but is labeled UV realm.
   • Project Approval request for Clinical Oncology Data Standards, for Structured Documents WG of SSD SD, at Project Insight # 921, and TSC Tracker #2388
   • Withdrawal request for Additional Information Specifications 0000, 0001, 0003, 0004, 0005, 0006: Update to CDA Release 2, at Project Insight # 135, and TSC Tracker #2390 for Attachments WG
   • Withdrawal request for Additional Information Specification 0010: Drug Prior Authorization Attachment, Release 1 - Based on the HL7 Clinical Document Architecture, Release 1.0 , at Project Insight # 282, and TSC Tracker #2391 for Attachments WG
   • Woody moves approval of a project and waiver of advance requirements for participation in the ballot, from InM which will fast-track ballot for January on the wrappers situation. Second by Calvin. Unanimously approved.
2. Discussion topics:
   • Disambiguation of naming HL7 Architecture Program from SAIF Architecture Program
     • John moves we name it "HL7 Product Line Architecture", Ed seconds. Discussion of product line versus product family and the external perspective ensued. Vote: unanimously approved. PSS to be amended for the new name and Austin will work with Dave Hamill to disambiguate references on the wiki.

Adjournment 11:51 AM

Next Steps

Actions (Include Owner, Action Item, and due date) request a recommendation from the Work Group on their responses in the purple section for "suggest we do something with these immediately" and review next week. Austin will work with Dave Hamill to disambiguate references to HL7 Product Line Architecture on the wiki

Next Meeting/Preliminary Agenda Items 2012-10-29 TSC Call Agenda further Product line definition discussion - see draft document

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