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TSC will hold a Conference Call at 11AM Eastern time, each Monday except during scheduled face-to-face Working Group Meetings unless otherwise noted.

Zoom meeting: https://zoom.us/j/946185906
For those without access to microphone/speakers:
+1 646 558 8656 US (New York)
+1 669 900 9128 US (San Jose)
+1 647 558 0588 Canada
+39 020 066 7245 Italy
Meeting ID: 946 185 906

Alternate FCC Meeting Coordinates (in the event of Zoom failure):
Join the online meeting: https://join.freeconferencecall.com/anne498
Dial-in number (US): (712) 451-0423

Access code: 935633#
International dial-in numbers: https://fccdl.in/i/anne498
Online meeting ID: annd498

HL7 TSC Meeting Minutes 

Location: https://zoom.us/j/946185906

Date: 2020-04-20
Time: 11:00 AM U.S. Eastern
Facilitator: Austin KreislerNote taker(s): Anne Wizauer
Quorum = chair + 5 including 2 SD representedyes/no
Chair/CTOArBInternational Affiliate RepAd-Hoc
xAustin KreislerxTony Julian
Jean Duteau

xWayne KubickxLorraine ConstablexGiorgio Cangioli

ClinicalInfrastructureAdministrativeOrganizational Support
xMelva PetersxPaul KnappxMary Kay McDanielxSandra Suart
xDavid PykexRob McClureRegretsRiki Merrick
Virginia Lorenzi
ex officioInvited GuestsObserversHL7 Staff
xWalter Suarez (HL7 Chair) w/vote



xAnne Wizauer

Chuck Jaffe (CEO) vote



x

Lynn Laakso







xReed Gelzer






xRachel Foerster






xMichael Brody






xGary Dickinson

Agenda

  1. Housekeeping
    1. Introduction of visitors (including declaration of interests)
    2. Agenda review and approval -
    3. Approve Minutes of 2020-04-13 TSC Agenda/Minutes
    4. Alternative to TSC face to face meeting - format, timing
      1. What are the essential topics?
      2. SD meetings
    5. TSC retreat update
      1. Add retreat/alternative May WGM topics to this page
    6. Next 90 minute call: 2020-05-11
  2. Review action items 
  3. Approval items from last week's e-vote referred for discussion:
    1. Normative Publication Request by the EHR WG of the Administrative SD for HL7 Electronic Health Record System Functional Model, Release 2.1 at Project Insight 1381
    2. STU Extension Request from the Public Health WG of the Clinical SD for HL7 CDA® R2 IG: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, R1, DSTU Release 1.1 - US Realm at Project Insight 1069 for 12 months
    3. Project Approval Request by the EHR WG of the Administrative SD for Lower Extremity Skin Wound Assessment FHIR IG at Project Insight 1610
    4. Standards Lifecycles - Draft from SGB
  4. Approval items from last week's e-vote approved:
    1. STU Extension and Unballoted STU Update Request by the Public Health WG of the Clinical SD for HL7 Version 2.6 Implementation Guide: Vital Records Birth and Fetal Death Reporting, Release 1 STU Release 2 at Project Insight 816
  5. Approval items for this week:
    1. Missed TSC Approval Deadline Appeal by the Security WG of the Infrastructure SD for Share with Protections Project Scope Statement at Project Insight 1566
    2. Proposed policy for QA of publications containing FHIR content from FMG
  6. Discussion topics:
    1. Out of Cycle Ballot Request by the Mobile Health WG of the Infrastructure SD for HL7 FHIR® Implementation Guide: mHealth ADE Assessment Framework, Release 1 at Project Insight 1599
    2. April 30 Cochair webinar topics
      1. Alternative to gold stars for WG Health
    3. COVID 19 FHIR Profile Library IG
    4. Succession planning/WG quorum availability
  7. Parking Lot

Minutes

  1. Housekeeping
    1. Introduction of visitors (including declaration of interests)
    2. Agenda review and approval -
    3. Approve Minutes of 2020-04-13 TSC Agenda/Minutes
      1. Approved via general consent
    4. Alternative to TSC face to face meeting - format, timing
      1. Should we have an 8 hour session? Extend all of our May calls? Melva: We could identify relevant topics and dedicate individual calls to those topics. Discussion over having an extended call on a Saturday or two Saturdays.
      2. What are the essential topics?
        1. Add topics here: TSC Alternative May WGM Topics
      3. SD meetings
    5. TSC retreat update
      1. There is unlikely to be travel in July
    6. Next 90 minute call: 2020-05-11
  2. Review action items 
  3. Approval items from last week's e-vote referred for discussion:
    1. Normative Publication Request by the EHR WG of the Administrative SD for HL7 Electronic Health Record System Functional Model, Release 2.1 at Project Insight 1381
      1. MOTION to approve: Paul/Lorraine
      2. VOTE: All in favor
    2. STU Extension Request from the Public Health WG of the Clinical SD for HL7 CDA® R2 IG: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, R1, DSTU Release 1.1 - US Realm at Project Insight 1069 for 12 months
      1. Clarification that extensions don't need product briefs. Need to separate these requests in the future. 
      2. MOTION to approve: Paul/Melva
      3. VOTE: All in favor
    3. Project Approval Request by the EHR WG of the Administrative SD for Lower Extremity Skin Wound Assessment FHIR IG at Project Insight 1610
      1. Melva is concerned that it didn't get review by clinical WGs. Lorraine: Seems to be the wrong place to do a FHIR IG. ARB's other concerns is that we have a skin wound assessment and a lower skin would assessment. Are we going to have an upper extremity skin wound assessment? Reed notes this is a joint effort with CIMI, built specifically for conformance testing with a specification, which is an extension of the CIMI work. CIMI has been very supportive of this development path. We're adding an accuracy and authenticity layer to the concept of a clinical content payload. The work translated into the CIMI model originated with and was stewarded by Patient Care. Lorraine: So why isn't Patient Care involved? Reed: Because their part of the work is already done. This doesn't create new clinical content. The addition to this is in a sense in the administrative realm. Dr. Brody notes this started with a podiatry profile. An item they found that wasn't in the functional model was the ability to document wounds in a standardized manner and the ability to share that information. Needed to point to a reference on what should be shared and how it should be shared. The team who worked on it include practicing clinicians. Austin: Was this implementation guide balloted through HL7? Dr. Brody: It was developed as part of the PSS for the podiatry profile of the EHR functional model. Lorraine: It doesn't sound like the Patient Care WG has even been consulted. Decision that EHR should approach Patient Care about being a cosponsor to review the application of their work.
      2. Lorraine: That doesn't address the granularity question - is this appropriate as a more granular project of the more general skin and wound assessment? Jean counters that the implementer community decides if that's something they need.
      3. Dr. Brody states that they did not originate clinical content - the content came from Patient Care and they will follow up with them.
    4. Standards Lifecycles - Draft from SGB
      1. Reviewed comments
      2. Need to determine requirements - are we going for tidy, or functional? Discussion over varying abilities and factors around assessment of implementation, for example.
      3. If you say it's stable, should implementers use it? If it's retired, it suggests people shouldn't implement it and use a newer version.
      4. Paul: Since this is coming from SGB, it's trying to specify the governance over this as opposed to the management process.
      5. Need to be careful on how we publish these. Need to include implementation guidance when this goes out ot the WGs. 
        1. Add this topic to alternative WGM meeting
      6. De Facto: Discussion over if this means it was previously published as an STU? Would we do this for an informative? Decision that no, we wouldn't have an informative become De Facto. Criteria will be defined by the TSC.  Will be clear that the item did not meet Normative requirements, but we don't want to keep going through the extension process. 
      7. Reviewed comments from Thom and Rik. Need to put this in a better format for implementation.
    5. Approval items from last week's e-vote approved:
  4. Approval items for this week:
    1. Missed TSC Approval Deadline Appeal by the Security WG of the Infrastructure SD for Share with Protections Project Scope Statement at Project Insight 1566
    2. Proposed policy for QA of publications containing FHIR content from FMG
  5. Discussion topics:
    1. Out of Cycle Ballot Request by the Mobile Health WG of the Infrastructure SD for HL7 FHIR® Implementation Guide: mHealth ADE Assessment Framework, Release 1 at Project Insight 1599 TSC-88 - Getting issue details... STATUS
      1. Missed the content deadline. We told them they could put a request in for an OOC ballot and this is that request. Content has been submitted. Ballot can be opened today if this request is granted.
        1. MOTION to approve: Sandy/Paul
        2. VOTE: All in favor
    2. April 30 Cochair webinar topics
      1. Alternative to gold stars for WG Health
      2. Canonical identifer requests for external code systems
  6. Carry forward:
    1. COVID 19 FHIR Profile Library IG
    2. Succession planning/WG quorum availability
  7. Adjourned at 12:00 pm Eastern

1 Comment

  1. One topic to consider for the cochair webinar is the process, which is just being confirmed and the tools perhaps created, for canonical identifier requests for external code systems - See here.