20160531 arb minutes

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ARB - Meeting (Date in Title)


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  1. Call to order
  2. Roll Call
  3. Approval of Agenda and WGM Minutes
  4. Governance
  5. Methodology (60 minutes)
    • CIMI Proof of concept
      • Is this a new product? Family? Where does it fit?
    • SAIF super light
      • We are asked to prepare an explanation of the ISM, and how to use it
  1. Other business and planning
    • Conformance Testing for ONC
  2. Adjournment

Meeting Information

HL7 ArB Work Group Meeting Minutes

Location: Telcon

Date: 20160531
Time: 4:00pm U.S. Eastern
Facilitator Julian, Tony Note taker(s) Julian, Tony
Attendee Name Affiliation
X Bond,Andy NEHTA
X Constable, Lorraine Constable Consulting Inc.
. Dagnall, Bo HP Enterprise Services
. Hufnagel, Steve ?????
. Hyland, Mario AEGIS
X Julian, Tony Mayo Clinic
X Knapp, Paul Pknapp Consulting
X Kubick, Wayne HL7 CTO
. Loyd, Patrick ICode Solutions
X Lynch, Cecil Accenture
X Milosevic, Zoran Deontik Pty Ltd
X Stechishin,Andy CANA Software and Service Ltd.
. Nelson, Dale Accenture
. Grow, Richard U.S. Department of Veterans affairs
X Present
. Absent
R Regrets
Quorum Requirements (Co-chair + 3) Met: Yes


  1. Approval of Agenda and WGM Minutes
    • Motion to approve (Lorraine/ Paul)
    • Vote 7-0-0
  2. Governance
  3. Methodology (60 minutes)
    • CIMI Proof of concept
      • Is this a new product? Family? Where does it fit?
      • Lorraine: Using existing CIMI models - trying to map to Patient Care DAM, and how they would fit in the models. Providing direction on modeling, and relation across out standards.
      • Cecil: It is new - and it lack definition. Assume 'existing clinical requirements' : they dont say the requirements are the same. Guess they are from the V3 DAM. New ? models: If CIMI models they are a new product.
      • Paul: Output is models.
      • Wayne: Applied to any of the standards.
      • Lorraine: Generate FHIR profiles.
      • Paul: Not a different product
      • Lorraine: I went to the CIMI CQI project:
      • Cecil: How much of the EHR is ported to CIMI?
      • Lorraine: modeling to QICORE. Orthogonal to the rest of HL7 model. Suggest tht threads be gathered and coordinated.
      • Cecil: It is not new if it is a singular model, different if it crosses product families.
      • Paul: Not a new thing: Isnt the DAM across families?
      • Lorraine: Yes - one just finished ballot.
      • Paul: DAMS across families
      • Wayne: In Section 4 it appears that this would be logical models.
      • Andy B: There are fundamental different reference models from openehr. FHIR is a different model. The importance is the relationship to the DAMs. It is now HL7 work. What is the thread that brings the models under the HL7 Banner. It comes from a different modeling universe. FHIR is in an HL7 universe. It is a new variety of HL7 Model. The trick is to create legitimization, create Governance and consistency to bring it together.
      • Paul: More conceptual or concrete
      • Zoran: More concrete.
      • Paul: Can it be rendered into a family? Is it process for model, or rendering into content? How can these artifacts be rendered into families? Can we do so algorithmically?
      • Lorraine: Another project generating FHIR profiles - rule based, automatable
      • Paul: Elements mapped to FHIR models, consistency of meaning? Coming up with the models.
      • Lorraine: Relating models to DAMS, another project generating concrete content. Should we be involved for consistency? What is our position?
      • Paul: CIMI model definition or statement of ownership?
      • Wayne: Just a model - can be rendered in any family.
      • Cecil: I can render FHIR in multiple ways, but its still FHIR. Purpose to have decision support models.
      • Wayne: I hadnt heard of decision support.
      • Lorraine: They are working with CQI. Should we be involved, or let it run on its own.
      • Paul: Makes sense to observe - it might go off into its own space unnecessarily.
      • Lorraine: ARB monitor for coherence.
      • Wayne: Invite CIMI to a meeting.
      • Motion ARB be co-sponsor of the project, with periodic reports on progress what they are doing and where they are going.
      • Zoran: On this PSS only? Need to clarify bullet point "Demonstrate relationship between information models and logically computable expressions"
      • Motion to table (Paul/Lorraine)
      • Vote 7-0-0
      • Tony will invite CIMI representatives to the next call.
    • SAIF super light
      • We are asked to prepare an explanation of the ISM, and how to use it
      • Lorraine: We have material, but not consumable by others?
      • Lorraine will dig through what we have, and find the gaps!.
      • Zoran: In doing so you will leverage your experience with ODL.
      • Zoran will help.
  4. Other business and planning
    1. Finish Substantivity
    2. Finish withdrawal with PIC
    3. CIMI
      • Engage with Grahame on CIMI on FHIR
      • Engage Harold, Stan, or Jay on CIMI
      • Evaluate CIMI architecture
  5. Adjournment