20180911 US Realm SC Call

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US Realm Steering Committee Call Agenda/Minutes Location: https://global.gotomeeting.com/join/929752237]		Date: 2018-09-11 Time: 1 PM Eastern
Co-Chairs	Ed/Brett	Note taker(s)	Anne

Attendee / Name
x	Calvin Beebe		Keith Boone	x	Hans Buitendijk
x	Lorraine Constable	Regrets	Johnathan Coleman	x	Ed Hammond
x	Tony Julian		Paul Knapp	x	Austin Kreisler
x	Brett Marquard		Ken McCaslin	x	Nancy Orvis
	Brian Pech	x	Wayne Kubick	x	Christol Green
Regrets	Sandra Stuart	.	Pat Van Dyke	x	Craig Parker
Regrets	Danielle Friend	x	Eric Haas	Regrets	Jenni Syed
x	Steve Posnak	.	David Susanto	x	John Roberts
Visitor/ Name
Quorum: Chair + 7

Agenda

Administrivia

• Agenda review
• Review notes from 20180821_US_Realm_SC_Call
• Action Items
  • Anne to create/publicize attendance spreadsheet
  • Define US Realm committee member roles
    • Determine if we should have representation on TSC
  • Discuss ideal call schedule

Discussion:

• Re-opening US Core Tracker Items
  • 15053: All that is needed is to know that it is not known it the patient is Male or Femail. - 2018-Jan US-Core #35 (Kathy Walsh) In Person Persuasive
  • 15054: All that is needed is to know that it is not known it the patient is Male or Femail. - 2018-Jan US-Core #36 (Kathy Walsh) In Person Persuasive
  • 15043: Review Birth Sex Value Set - 2018-Jan US-Core #11 (Freida Hall) Not Persuasive with Mod

Minutes

Administrivia

• Agenda review
• Review notes from 20180821_US_Realm_SC_Call
• Action Items
  • Anne to create/publicize attendance spreadsheet
  • Define US Realm committee member roles
    • Determine if we should have representation on TSC
  • Discuss ideal call schedule

Discussion:

• Re-opening US Core Tracker Items
  • 15053: All that is needed is to know that it is not known it the patient is Male or Femail. - 2018-Jan US-Core #35 (Kathy Walsh) In Person Persuasive
  • 15054: All that is needed is to know that it is not known it the patient is Male or Femail. - 2018-Jan US-Core #36 (Kathy Walsh) In Person Persuasive
  • 15043: Review Birth Sex Value Set - 2018-Jan US-Core #11 (Freida Hall) Not Persuasive with Mod

Meeting Outcomes

Administrivia

• Agenda review
• Review notes from 20180821_US_Realm_SC_Call
• Action Items
  • Anne to create/publicize attendance spreadsheet
    • Reviewed sheet. Discussed those who have not attended at all this year. Should probably remove Ken because he was in the group because he was TSC chair. Keith was an original member of the pre-cursor to this group. Austin notes that there were 16 positions noted in the GOM and we have more than 16. The expansion wasn’t brought back into the GOM. Need to update it to support what we need to do. Hans: Need to come up with GOM change proposal. Ed notes ad-hoc members can be chosen by the chair and approved by the TSC. Reviewed wording in the GOM.
      • ACTION: Ed will contact people formerly on as a result of a role they’re no long holding and ask if they want to be removed.
  • Define US Realm committee member roles
    • Determine if we should have representation on TSC
  • Discuss ideal call schedule
    • Ed proposed moving to an every other week schedule. Concern about project approval schedules. Could conduct e-votes.
      • MOTION to continue to reserve weekly meetings; require submissions to have a 7 day lead time: Wayne/Brett
      • VOTE: All in favor
        • ACTION: Anne to draft notification to cochairs and send to Austin/Wayne for review before sending
• Discussion:
  • Ed states that Steve Posnack contacted him about balloting IGs through Da Vinci, etc. How much formality would we like to request about their process? We should have a PSS and expect them to come back for balloting and go through all the regular processes such as dealing with negatives. Hans: If the intent is having an HL7 stamp on a document, then they should follow all the same rules as any other document. Da Vinci, Argonaut aren’t part of HL7; they have a relationship with HL7. Steve: The challenge perception wise is that the outside accelerators such as Da Vinci have an affiliated relationship that, to other people, appears that it’s an HL7 work product. But it’s operating differently and there’s an awkward handoff process going on. Ed: They’re missing the opportunity of having additional experts look at their work. We need a definition of the appropriate process for these groups.
  • Wayne: There is insufficient transparency, and they need input well before ballot. TSC also shouldn’t allow people to get PSSes approved as they’re going to ballot.
  • Hans: The opportunity for others to participate earlier in the process is a much larger conversation – what is the relationship between HL7 and these initiatives is what needs to be cleared up. How do we want to manage/work with these orgs and initiatives? What are the boundaries? This goes beyond US Realm. Steve: When we have back and forth between closed groups and HL7, that’s when tension arises. **Eric: Is there a special concern about Da Vinci? Has done work with Da Vinci and did a tremendous amount of retooling as a result of HL7 feedback. Austin: Concerns were raised by certain members of the Financial Management WG about lack of transparency. There is a lack of consistency. Need to look post-ballot at how many comments were submitted against Da Vinci projects to gauge acceptance by HL7 balloters.
    • Tony departs
  • Brett: Where is the logical place for this discussion to continue? Ed: It will go to the Board, maybe the TSC first. Wayne: I think it’s both Board and TSC. TSC needs to work on the mechanics. Hans: The FHIR Foundation should also be involved. John: In Public Health, we’ve had opportunities to work on several of these types of projects, but they required so much time and effort that we couldn’t keep up with the speed at which paid consultants from other communities were doing the work. Items went to ballot with little input from us.
• Re-opening US Core Tracker Items
  • 15053: All that is needed is to know that it is not known it the patient is Male or Femail. - 2018-Jan US-Core #35 (Kathy Walsh) In Person Persuasive
  • 15054: All that is needed is to know that it is not known it the patient is Male or Femail. - 2018-Jan US-Core #36 (Kathy Walsh) In Person Persuasive
  • 15043: Review Birth Sex Value Set - 2018-Jan US-Core #11 (Freida Hall) Not Persuasive with Mod
    • MOTION to re-open: Austin/Calvin
    • VOTE: All in favor
    • MOTION to dispose of these as un-related: Eric/Calvin
    • VOTE: All in favor
• Adjourned at 1:38 pm Eastern

Actions

Next Meeting/Preliminary Agenda Items 20180918 US Realm SC Call Tuesday at 1 PM ET

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