2018-08-20 TSC Call Agenda

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HL7 TSC Meeting Minutes

Location: GoToMeeting ID: 426-505-829

Date: 2018-08-20
Time: 11:00 AM U.S. Eastern
Facilitator: Austin Kreisler Note taker(s): Anne Wizauer
Quorum = chair + 5 including 2 SD represented yes/no
Chair/CTO ArB International Affiliate Rep Ad-Hoc
. Austin Kreisler . Tony Julian . Jean Duteau . John Roberts, GOM Expert
. Wayne Kubick . Lorraine Constable . Giorgio Cangioli . Ken McCaslin
Clinical Infrastructure Administrative Organizational Support
. Melva Peters . Russ Hamm . Austin Kreisler . Andy Stechishin
. Floyd Eisenberg . Paul Knapp . Mary Kay McDaniel . Sandra Stuart
ex officio Invited Guests Observers HL7 Staff
. Calvin Beebe (HL7 Chair) w/vote . . obs1 . Anne Wizauer
. Chuck Jaffe (CEO) vote . . . obs2 .


. . . . .

Agenda

  1. Housekeeping
    1. Introduction of visitors (including declaration of interests)
    2. Agenda review and approval -
    3. Approve Minutes of 2018-08-13 TSC Call Agenda
  2. Review action items
    1. Austin to research where to document guidance on time limits for withdrawing negatives
  3. Approval items from previous weeks referred for discussion:
    1. Review/Approve Mission and Charter Template for Steering Divisions
      • Referred by John Roberts: Need to specifically state that a Steering Division mission is to identify and resolve any scope gaps or redundancies between the Working Groups of the Steering Division and between the Steering Division and other Steering Divisions.
      • Referred by Clinical Steering Division: Need comments from other Steering Divisions. Need to determine if SAIF statement is appropriate for Steering Division.
      • Referred by Organizational Support Steering Division
    2. Review/Approve DMP for Steering Divisions
      • Referred by Clinical Steering Division: Need comments from other Steering Divisions
      • Referred by Organizational Support Steering Division
  4. Approval items from last week's e-vote approved 5-0-0 with Giorgio, Architecture Review Board, Clinical Steering Division, Jean, Organizational Support Steering Division, and John Roberts voting:
    1. Project Approval Request by the BR&R WG of the InfraSD for Patient Reported Outcomes at Project Insight 1433 and TSC Tracker 17646
    2. Project Approval Request by the CDS WG of the Clinical SD for Contextualized Potential Drug-Drug Interaction Clinical Decision Support at Project Insight 1405 and TSC Tracker 17673
    3. STU Extension Request by the Public Health WG of the Clinical SD for HL7 Version 2.6 Implementation Guide: Vital Records Death Reporting, Release 1 STU Release 2.1 at Project Insight 1208 and TSC Tracker 17626
    4. Informative Publication Request by the Patient Care WG of the Clinical SD for HL7 Cross Paradigm Specification: Allergy and Intolerance Substance Value Set(s) Definition, Release 1 at Project Insight 1272 and TSC Tracker 17627
  5. Approval items for this week:
    1. Project Approval Request by the CIMI WG of the Infrastructure SD for Technical Reference Domain Analysis Model (RDAM) Mapping at Project Insight 1413 and TSC Tracker 17700
    2. Project Approval Request by the CDA Management Group for Collaborative C-CDA R2.1 Template Review at Project Insight TBD and TSC Tracker 17701
    3. Project Approval Request by the CIMI WG of the Infrastructure SD for CIMI Analysis Normal Form (ANF) Project at Project Insight 1430 and TSC Tracker 17702
    4. Approval of updated DMP Addendum at TSC Tracker 17703
  6. Discussion topics:
    1. 2018Sep Ballot items
      • Request for reconsideration of postponement of HL7 FHIR® Implementation Guide: Breast Cancer Data Logical Model and FHIR® Profiles
      • FHIR name updates - US Realm
        • HL7 FHIR® Implementation Guide: Common Data Model Harmonization for Research (CDMH), Release 1 -US Realm
        • HL7 FHIR® Implementation Guide: Coverage Requirements Discovery, Release 1 - US Realm
        • HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures, Release 1 - US Realm
        • HL7 FHIR® Implementation Guide: Bidirectional Services eReferrals (BSeR), Release 1 - US Realm
        • HL7 FHIR® Profile: Occupational Data for Health (ODH), Release 1 - US Realm
        • HL7 FHIR® Implementation Guide: Breast Cancer Data, Release 1 - US Realm (delayed)
        • HL7 FHIR® Implementation Guide: Patient Reported Outcomes (PRO), Release 1 - US Realm (delayed, requesting ballot open 2018-09-05)
        • HL7 FHIR® Implementation Guide: Women’s Health Technology Coordinated Registry Network (CRN), Release 1 - US Realm (delayed)
      • FHIR request for delayed opening
        • HL7 FHIR® Implementation Guide: Structured Data Capture (SDC), Release 2
        • HL7 FHIR® Implementation Guide: Patient Reported Outcomes (PRO), Release 1 - US Realm
    2. ARB Definition of External Content
    3. Recommendation from SGB to reappoint Brian Pech and Brian Postlethwaite to FMG
    4. WGM Planning
  7. Open Issues List/Parking Lot

Minutes

  1. Housekeeping
    1. Introduction of visitors (including declaration of interests)
      • Visitors here for the appeal on the Breast Cancer IG
    2. Agenda review and approval -
      • No additions
    3. Approve Minutes of 2018-08-13 TSC Call Agenda
      • Minutes approved via general consent
  2. Review action items
    1. Austin to research where to document guidance on time limits for withdrawing negatives
  3. Approval items from previous weeks referred for discussion:
    1. Review/Approve Mission and Charter Template for Steering Divisions
      • Referred by John Roberts: Need to specifically state that a Steering Division mission is to identify and resolve any scope gaps or redundancies between the Working Groups of the Steering Division and between the Steering Division and other Steering Divisions.
      • Referred by Clinical Steering Division: Need comments from other Steering Divisions. Need to determine if SAIF statement is appropriate for Steering Division.
      • Referred by Organizational Support Steering Division
    2. Review/Approve DMP for Steering Divisions
      • Referred by Clinical Steering Division: Need comments from other Steering Divisions
      • Referred by Organizational Support Steering Division
  4. Discussion topics:
    1. 2018Sep Ballot items
      • Request for reconsideration of postponement of HL7 FHIR® Implementation Guide: Breast Cancer Data Logical Model and FHIR® Profiles
        • Mark Kramer explains that this is the second comment ballot. They balloted in May. They resolved their comments 3 or 4 weeks ago. Austin notes that the withdrawals don’t actually count because they weren’t processed correctly. Mark agrees. Lorraine states that they managed the resolution of the comments within gforge but didn’t use the ballot desktop. Mark agrees – they didn’t understand they needed to use both gforge and the ballot desktop. They are here today to request going forward now that they understand and did complete the process. Austin asks why they’re going back to draft for comment again? Mark: We expanded the scope. Lorraine: There are several others who didn’t make the reconciliation deadline, and I’m concerned about allowing one and not all. Mark: We in many ways did meet the deadline, we just didn’t document it the right way. Lorraine: If you didn’t post the spreadsheet, you didn’t make the deadline. Austin: my level of concern is reduced somewhat given that it’s draft for comment. They have made due diligence as much as possible to follow the guidelines now that they know them.
        • MOTION: Given that it is a draft for comment, recommend approval to go to ballot: Paul/Floyd
          • Lynn notes that because it was withdrawn, it won’t have a full 30 days for enrollment. Wayne: Given the ambiguity, this may not be the only group who is confused. Anne displays FHIR ballot process documentation. Communication of the process is likely the problem. Need mandatory training for new project teams. Rute Martins states that they will put together lessons learned but is concerned that there are multiple sources of truth.
            • UPDATED motion to approve with delayed opening to account for 30 day enrollment period: Paul/Floyd
            • VOTE: ARB opposed. Giorgio abstains. 4 in favor (ISD, Wayne, CSD, and OSSD)
              • ACTION: Request project services to put together a basic training program for any project lead that must be performed before they can engage in leading an HL7 project. Ken notes that he and Dave Hamill worked on this previously. Reach out to Dave.
      • FHIR name updates - US Realm
        • HL7 FHIR® Implementation Guide: Common Data Model Harmonization for Research (CDMH), Release 1 -US Realm
        • HL7 FHIR® Implementation Guide: Coverage Requirements Discovery, Release 1 - US Realm
        • HL7 FHIR® Implementation Guide: Data Exchange for Quality Measures, Release 1 - US Realm
        • HL7 FHIR® Implementation Guide: Bidirectional Services eReferrals (BSeR), Release 1 - US Realm
        • HL7 FHIR® Profile: Occupational Data for Health (ODH), Release 1 - US Realm
        • HL7 FHIR® Implementation Guide: Breast Cancer Data, Release 1 - US Realm (delayed)
        • HL7 FHIR® Implementation Guide: Patient Reported Outcomes (PRO), Release 1 - US Realm (delayed, requesting ballot open 2018-09-05)
        • HL7 FHIR® Implementation Guide: Women’s Health Technology Coordinated Registry Network (CRN), Release 1 - US Realm (delayed)
          • ACTION: Austin to mention in co-chair dinner the importance of indicating realm on the NIB
          • MOTION to approve these name changes: Lorraine/Paul
          • VOTE: All in favor
      • FHIR request for delayed opening
        • HL7 FHIR® Implementation Guide: Structured Data Capture (SDC), Release 2
        • HL7 FHIR® Implementation Guide: Patient Reported Outcomes (PRO), Release 1 - US Realm
          • Lynn reports they are requesting ballot opening on 9/5, a two-week delay. It means that the NIB site for Jan 2019 can’t open until the WGM is almost over, which caused some headaches last time. Discussion over granting a one-week delay. Reviewed the request email from Lloyd; BR&R may also be requesting a delay for the CRN project.
            • MOTION to approve a one-week delay because of downstream impacts on all other ballots next cycle: Lorraine/Floyd
            • VOTE: All in favor
      • Infrastructure SD has approved the CIMI ANF PSS, which notes a comment ballot in September. They have not submitted a NIB. Paul will amend their dates and send to Anne for e-vote.
      • Lynn notes that 1277 submitted content on a non-HL7 managed site. Grahame will have to work with them to get the content in an appropriate place. Lynn to check with Grahame.
      • Paul: Parts of CDS Hooks are hosted outside of HL7 on CDSHooks.org.
        • ACTION: Paul to follow up
    2. ARB Definition of External Content
      • Carry forward
    3. Recommendation from SGB to reappoint Brian Pech and Brian Postlethwaite to FMG
      • MOTION that TSC reappoint them both for two-year terms: Lorraine/Floyd
      • VOTE: All in favor
        • Austin: need to think about how to bring new people into the mix occasionally for fresh perspectives. Paul: The challenge is that we’re then bringing in people who don’t understand the processes, so it is a balancing act. Improved education for cochairs and project leads could make that better. Wayne: Similar dilemma in HTA. Perhaps Wayne/Austin/other TSC members should do a review of some of these groups’ memberships.
    4. WGM Planning
      • Please send ideas to Austin regarding what we should be looking at for agenda items

Next Steps

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


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