20160111 FGB WGM

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HL7 TSC FGB Meeting Minutes

Location: Plaza International Ballroom J

Date: 2016-01-11
Time: 7:00 AM U.S. Eastern
Facilitator: Note taker(s): Anne W.
Quorum = Chair plus 2 yes/no
Co-Chair/CTO Members
Woody Beeler x Lorraine Constable x Grahame Grieve David Hay
x Dave Shaver x Ewout Kramer Cecil Lynch (ArB) x Lloyd McKenzie (FMG)
John Quinn x Calvin Beebe .
observers/guests x Mary Kay McDaniel
x Anne W., scribe


  • Roll call -
  • Agenda Review
  • Discussion Topics:
    • FHIR.org
    • FHIR Foundation
    • Custom Resources: the notion that people should be able to define their own resources, but have never really addressed the need and decided how that would work, including technology support. Under what governance terms and conditions would we facilitate the process?
    • Chair
    • Reappointments


  • Woody opens meeting
  • Anne confirms that the TSC voted to reappoint existing members whose terms were up at the end of 2015 for new two-year terms.
  • Reviewed minutes from 2016-01-04 meeting
    • MOTION by Lloyd to accept minutes; Lorraine seconds
    • VOTE: all in favor
  • FHIR.org
    • Grahame reports that it doesn’t exist yet. FHIR Foundation does not yet exist yet either. It will be an implementation community as opposed to standards development. Formal relationship between HL7 and these groups is as of yet unclear. Grahame is in discussions with HL7 regarding the details. Chuck will announce this morning that Grahame will be appointed as FHIR Product Director and one of his duties will be to stand up FHIR.org and the FHIR Foundation. Woody: will FHIR.org be supporting the FHIR Foundation? Grahame – no, it will support the implementers. Calvin: clarity has been lacking at the board as to what these things were. Information was conflicting; glad to hear meeting with EC took place and communications are getting straightened out. Woody: is there further action for FGB? Grahame states that his new role will replace the CTO position on FGB. Woody notes that John Quinn will be stepping down from CTO role.
      • MOTION by Lloyd that FGB recommend to TSC that the FGB M&C be amended to have the FHIR Product Director substituted into the role of TSC ex-officio previously held by the CTO. Second by Dave.
      • VOTE: Grahame abstains. Remaining in favor.
    • Lorraine: does that mean we have an empty position we need to fill now that Grahame is moving into a new role? Group agrees. Is a non-specific role representing core team, so replacement could come from core team.
  • Custom resources:
    • There is a strong view that fostering people to create custom resources is a fundamental erosion of the value proposition of FHIR, yet there is a movement to do so. What governance do we need to have in place that would support the standards development process in the FHIR community if we started fostering the development of custom resources. We currently state that it’s only FHIR if it’s resources we’ve created. Woody: part of the governance would have to be dependent on the industry scope of the custom resources. You can’t stop one person from doing it, but if you want to dissuade a community, there should be a way to communicate the implications. Calvin: There are some areas where the FHIR standard would benefit from resources being developed, but governance is needed. Grahame: We’ve typically gone with a sliding scale of governance. We see the drive in the community but also the risks. Lloyd: We still want to retain the hammer of saying if you come up with your own custom resource because you don’t like the HL7 resource, you’re not conformant. We have to retain that hammer. Calvin: Do you want the methodology and tooling having its identity with a model set that is outside of the FHIR brand? Grahame: Our mission is to help people do what they want to do. Why would we say you can’t do that? Calvin: There is an opportunity here to take the work that’s been done and divide it for use in other industries. Does it need to be something separate in concept from FHIR? Woody: if we find the appropriate classification we may be able to define governance for each. Do we wish to add this notion of custom resources and its implications to our future agendas? Grahame: Yes, it’s something that we can’t avoid any longer. Lorraine: whether we take a position or not it’s going to start happening, so taking a position is useful. Lloyd: What we’re said to date is custom resources are not conformant. As we get to the end of the DSTU period we will need to craft formal rules around governance of these things. Calvin was wondering if we could start defining what we want to happen and what we don’t want to happen. What do we want to cause or not cause? We should use this as the basis of the rules. Grahame: I want everybody to use FHIR, bring the people who use it into the community, and want it to be clear that the use of FHIR is interoperable. Calvin: We need to have those kinds of concepts documented. We should go back to the community to help define what their interests are. Lorraine: when you talk about the transition from DSTU, content will be at variable levels of maturity. Woody: So we want to renew this discussion, starting with analyzing objectives and goals for FHIR in general, and be prepared to come up with definitive proposals during the next cycle relative to what we think would benefit the governance of those communities. How do we contact the community to get them involved? Lloyd: We did something similar with FHIR precepts. Implementers skype channel, email list, Twitter.
  • Chair
    • Woody states that his involvement has not gotten to the level that he expected. While he wants to remain involved, he feels it’s reasonable to replace his chair position. Lloyd states there wasn’t a desire to replace him, but to have a backup co-chair so we can be more frequently quorate. Group agrees they’re happy to have Woody stay on as co-chair, we just need backups.
      • MOTION by Lloyd to appoint Lorraine as backup co-chair with permission from TSC to add a cochair. Second by Calvin.
      • VOTE: all in favor
  • Grahame would like to add code of conduct to future agenda
  • No meeting on 2016-01-18; next call on 2016-01-25.
  • Adjourned at 8:10 am

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