Page History

Attendance:

Agenda (with Integrated Minutes)

STANDING BUSINESS

• Quorum attained
• Attendance Review
• Approve Minutes of 2020-09-09 Meeting Notes 

<input type="checkbox" id="minutesID" name="minutes" value="Approved" style="font-size:20px">
<label for="minutesID" style="font-size:20px">Minutes Approved by Consensus</label><br>

• Approval Request(s):
  • Publication extension for HL7 Digital Signature - Request for Approval
    • Need to add links for the Publication Request (also add to Document Approval Log)
    • Tabled until discussion with FM and PIE tomorrow.
  • CDA Web IG Publishing PSS - review of draft PSS
    • Link to draft document: CDA Web IG Publishing
    • Additional thoughts
      • How to handle Companion Guides
      • Eliminate unused templates
      • Supplemental Templates could be their own IG
      • Can publisher generate a list of what IG's are dependent on a specific IG, i.e. what IG's use CDA IG
      • Question - should validation be a consideration?  Didi stated it is very important - required fields, nulls allowed, vocabulary bindings.  Allowing for further constraint by other entities
      • Schematrons will no longer exist with Structure Definition profiles; will be reliant on other tooling like IG Publisher, FHIR Validator (java)
    • Open issue - need a path forward for CDA Core R2.1 - may need to be done manually in FHIR model
  • CDA R2.1 errata coming - will work with SD this week and add back to agenda at a later time
  • CDA Pilot on FHIR Structured Document Resources - phase 1 worked on Allergies, Meds, Problems, Results and Vital Signs .  All of Volume 1 has been brought in and is looking good in web.  Some validation QA errors from FHIR Publisher; Graham is working on them.  Until resolved will not be able to validate using FHIR Validator and IG.  Phase 2 is for the rest of the resources - up for HL7 review; currently no funding/anticipated to know in 2 weeks/have approval on current grant.  Pilot is to end in February - affects when it goes to ballot
    • Link to current build: https://build.fhir.org/ig/HL7/cda-ccda-2.2/index.html
    • Do we have a Plan B?  Allow publishing as html but not via FHIR publisher possibility (suggested by Giorgio)  Requires manual management of the changes
      • No "show stoppers" at this point, roadblock has been fixing issues to IG Publisher
      • IPS is in Art Decor FHIR Structure Definition
• Administrative Updates:
  
  • Summarize Review of Mission and Charter (2020.09.21 Update Comments), and Decision Making Principles (2020.09.21 Update Comments)
    • Comments and questions have been escalated to SBG and CTO
      • Questions around confluence, how to nominate CDA MG team members, etc  - follow-up after this week if no action this week.
  • Process documentation for communication about product issues deemed "significant"
    • Stylesheet issue discovered last week 
    • Need a way to categorize the level of risk and have appropriate action plans based on assessed level of risk.
      • How do we characterize/define low, moderate, high levels of risk?
        • Need to solidify how we document the level of risk/severity and how it is to be addressed. 
        • Notification is the most urgent process.  Wayne will send out notification in the next couple of days.  
        • Stylesheet not incorporated in standards
      • Does the FMG have definitions or process defined in this area yet?
    • Fix has been implemented in the CDA R2.0/R2.1 Stylesheet version 4.0.2 beta 8. CDA R2.0/R2.1 version 4.0.2 (beta)
      • Steps:
        • Confirm the fix is ready for release (how will we do this?)
        • Create communications that HQ can use to report the problem within the Community
          • Wayne is working on this
        • Devise a plan to address and changes needed to put the fix in place 
          • Stylesheet has bee included in the download page for CDA products published on HL7.org
            • How to identify and work with Lynn to remove from packages/readme
          • All CDA product downloads need to be reviewed, and re-issued with old stylesheet removed and a new READ.ME file added which points to the CDA_SDTC  schema, and CDA R2.0/R2.1 Stylesheet
            • Documentation of what needs to be in each READ.ME file needs to be improved/created (see new Quality Plan)
    • Need to add to quality criteria that there should be a readme and stylesheets should not be included.

NEW BUSINESS

• Quality Plan and Roadmap Planning (Lisa) 
  • Quality Plan 
    • Link: 

      Google Drive Live Link
      url https://docs.google.com/document/d/17HFKjLXgVcKIl3rShZldFuLFixbyDBqLUJ_Vg_MKazs/edit?usp=sharing

    • No comments after review by Lisa
  • CDA Product Roadmap:  

    Google Drive Live Link
    url https://docs.google.com/document/d/11d8Ntj-I3qKBYj12WpuMJkMs3-V2r-dx/edit

    • Reviewed current plan
    • Look at multiple year plan, define next three years
    • Each year, refine the next year more and add another year so any one year you only have to add one more year and refine existing ones.
    • USCDI updates should be considered - link: https://www.healthit.gov/isa/united-states-core-data-interoperability-uscdi
    • Errata done quarterly -  validators will wait until new spec is published (may delay validator updates)  - will add notes if take in an errata before full CCDA update
      • Will be applied to CCDA at least annually
      • See documentation 

• Next Meeting:  Wednesday October 7 1-2pm ET
  • Meetings will be moving to use Zoom - Watch for an updated Outlook Invite, and HL7 Calendar update
• No Meeting on Wednesday October 21 (due to C-CDA IAT)

Adjourned: 5:38 pm

PROJECT REPORT OUTS: 

Scheduled Reviews:

ADDITIONAL TOPICS 

• KEY GOALS BEFORE September WG
  • JIRA Migration Plan communication of roll-out
  • Quality Plan Creation and Communication of Roll-Out
  • Roadmap update
• CMG Membership and interest in participation - update CMG objectives and Home Page content
• Annual items:
  • Term voting, Co-chair confirmations  - July
  • Current member term renewal pattern
    • Even Years: Brett, Jean, Raychelle, Yan, Emma, Giorgio 
    • Odd Years: Lisa, Linda, Rick, 

Meeting Outcomes

Action items