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ARB 20090924 Q4minutes

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Architecture and Review Board Meeting Minutes

September 24, 2009 Q4

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Attendance

Name PresentWith AffiliationE-mail address
Boyd, Andy YesArB    
Curry, Jane Yes ArB Health Information Strategiesjanecurry@healthinfostrategies.com
Grieve, Grahame ? ArB Kestral Computinggrahame@kestral.com.au
Hall, Frieda YesGuest U.S. Department of Veterans Affairsnancy.hall@health-first.org
Julian, Tony Yes ArB Mayo Clinicajulian@mayo.edu
Koisch, John Yes ArB NCIkoisch_john@bah.com
Loyd, Patrick ?ARBGordon point Informatics LTD. patrick.loyd@gpinformatics.com
Lynch, Cecil Yes ArB ontoreason LLCclynch@ontoreason.com
Mead, Charlie Yes ArB Booz Allen Hamiltoncharlie.mead@booz.com
Nelson, Dale YesArb II4SMdale@zed-logic.com
Ocasio, Wendell ?ArBAgilex Technologieswendell.ocasio@agilex.com
Parker, Ron Yes ArB CA Infowayrparker@eastlink.ca
Peres, Greg YesGuest    
Quinn, John ? ArB Health Level Seven, Inc.jquinn@HL7.org
Shakir, Abdul-Malik ? ArB Shakir ConsultingShakirConsulting@cs.com
Singureanu, Ioana YesGuest Eversolve, LLCioana.singureanu@gmail.com
Wrightson, Ann YesGuestHL7 UK ann.wrightson@wales.nhs.uk

Call to order

The meeting was called to order at 3:30pm U.S. EDT by chair Ron Parker with Tony Julian as scribe. Quorum was attained.

Agenda approval

MMS to approve the agend below <name/name> Vote:(0-0-0)

  • Call to order
  • Thursday Bake-off
    • what does CDA-R3 look like?
    • What are the best way to go?
  • Thursday Q4 Governance
  • Conceptualize HL7 Projects (per JK).
  • Products portfolio contextualized in the SAEAF (per JK)
  • Timeline for the BF formalized acceptance by the ArB(per JK)
  • Other business, and planning for next meeting

Thursday Q4 Governance

Jane presented the Governance slide deck.

  • Definitions (9):

John Koisch: would you agree that some of these are definitions in general, some of metadata of the output as well as the instances of our work.

Jane Curry: Definitions are done in one place.

John Koisch: Love the definition, hate the example.

Jane Curry: Scope of jurisdiction changes Greg Peres: More characterizes, I am tracking against TOGAF.

Jane Curry: Multiple referenece to TOGAF, ODP, and others harvested in Canada by socializing. This is a synthesis of more than one source, but they are consistent.

Ron Parker: A lot of people have to wrap their head around this.

Jane Curry: People have to understand.

John Koisch: I will list definitions as meta-data in my contracts.

Jane Curry: The scope of your authority needs to be defined, as described on slide.

Ron Parker: Other topics need to reference the definitions.

Jane Curry: Will you define consumers/producers.

Ron Parker: will provide CCHDM to Jane. Andy Boyd: any reason you did not identify community?

Jane Curry: Define community

Ron Parker: Carefull - community is a self-identified jurisdiction. Andy Boyd: RDP does not distinguish.

Jane Curry: From jurisdictional perspective, understanding the source of the authority is needed. Andy Boyd: Intersection of communities E.G. Federal vs State vs Local privacy.

Jane Curry: ECCF describes that.

Cecil Lynch: We need a taxonomy or levels of jurisdiction.

Jane Curry: They become levels, often nested. Ann Wrightson: I am seeing these slides, thinking you need to simplyfy.

Jane Curry: Technical editor will make clean. This is coarse grained sorting into topics. It is a network of ideas. Greg Peres: Following any governance model?

Conceptualize HL7 Projects (per JK).

Products portfolio contextualized in the SAEAF (per JK)

Timeline for the BF formalized acceptance by the ArB(per JK)

John Koisch: Release of BF to ArB First of October, with all done by December 1, 2009.

Charlie Mead: Document for text of Sunday Tutorial

John Koisch: Struggle - There is a whole other piece - examples, implementation, etc.

Charlie Mead: should all examples be migrated to HDF.

John Koisch: No

Charlie Mead: Getting this into DITA, we can re-purpose.

John Koisch: Material will be ready.

Charlie Mead: Issue for Radar - we are expected in near future to review SAEAF book. I committed to John to edit. ArB needs to participate in the editing process.

Jane Curry: We need to answer questions from Karen next week. She is looking to primary author of ECCF to answer questions. One of the things is we have not defined profile, and where they need to be applied. We need a common definition.

Charlie Mead: I have that and will circulate.

Jane Curry: Karen needs to work out what structures things fit in, so she can recommend DITA structures. She has been very productive. AW: I would be happy to review since I am not part of the inner circle.

John Koisch: I keep hearing that their are governance requirements, things to cross our desk. HL7 may have to start acting like an enterprise, and will be looking to us.

Charlie Mead: At TSC the alpha projects would start with Embeded ArB, til the groups can do their own governance.

Grahame Grieve: Classic case in SD. The adopted. MnM and vocab have been making a list to operationalize.

Jane Curry: Do we need more quarters in January. AJ: Same as this meeting?

Jane Curry: Additional quarters for Governance? Alpha will have to declare jurisdiction.

Ron Parker: Too soon to tutorialize governance.

Charlie Mead: Marc Interface first.

Ron Parker: Tutorials suggest that we have made our decisions.

Charlie Mead: Can we meet Q2 & Q3 on Sunday?

Dale Nelson: We will butt into MnM.

John Koisch: Yes, but we need people in every meeting.

Ron Parker: Sunday for Strategy - with action on Thursday.

Grahame Grieve: we need to add value proposition to meetings

Ron Parker: On weekly calls we need to look for evidence of activity.

Cecil Lynch: It was amazing what Kieth had done to align SD.


Cecil Lynch: I talked to Charlie that I could not be effective with CDA-R3 without teeth - in order to organize the difference between clinical documents and structured documents, to consistently represent documents - I need DAM with every project scope statement. Charlie McCay agreed. It directly relatest to Grahame's position on the SD discussion.

Grahame Grieve: First, we need clearly annunciated agreement on the scope of Structured Documents. Second, we have done Enterprise Architecture, and re-oriented the organization - now it is time to think about clinical architecture.

John Koisch: I think that DCM is where the pain is realized. I agree with Grahame. Templates is in the solution space. If you have a DAM we can provide better static models.

Jane Curry: because of topology of components.

John Koisch: what is the folder hierachy for artifacts also comes down to clinical architecture. MnM genereated the structures before, but we are talking about a broader set of artifacts.

Ron Parker: When we talk about clinical architecture, it may be somewhere else.

Jane Curry: we have a group.

John Koisch: we need a crisp definition.

Grahame Grieve: We need to facilitate.

Ron Parker: technical persons need to get involved.

Cecil Lynch: My day job is doing these end-to-end clinical architecture models, the reason we have to push it, not define it, is that it is the core problem of our enterprise, is that there is more or less clinician input.

Ron Parker: The working group does not work well for this.

Cecil Lynch: We could be bottom up, like terminfo, but we should say that a clinical DAM is necessary - and get input from others to draft how to apply it to clinical expertise.

Ron Parker: This is big! We need to address the criticality of how to solve this problem?

Grahame Grieve: DAM in the sort term is not doable, we need strategy for the next meeting.

Ron Parker: The alphas will need it by next meeting. Greg Peres: we need this for our alpha.

Other business, and planning for next meeting

Two call times, alternating weeks. Prefered call from Austrailian is 6:00pm Eastern. Alternately 10:AM Eastern(european). In order to work, people HAVE to read minutes for the week they were not there. Thursdays.

 MMS 6:00pm Eastern. Alternately 10:AM Eastern(european)- people HAVE to read minutes for the week they were not there. Thursdays. First call 10:00am Co-chairs will alternate Charlie/Jane 9-0-0

No F-F at harmonization will be conducted as web links starting in 2010. Ron will touch base with Karen.

Charlie Mead: Without budget considerations, why would we meet F-F. If we had clearly focused agenda, that NCI could see mapping, they might fund a meeting. Why - what would we gain?

Charlie Mead: INC/ECCF: we crashed into 608, Wendell and Charlie harmonized ECCF with 608. They submitted their ECCF comments. Charlie proposes, that he handle the comments first pass, and Arb will review. Will be done by next call. Schedule for January

  • Sunday Q2 & Q3
  • Tuesday q4
  • Wednesday Q4 Alpha Projects to show artifacts
  • Thursday Q3, Q4
  • Adjournment

Present Dale, Cecil, Ron P, Tony, Charlie Mead, Joahn Koisch, Andy Boyd, Frieda Hall, Ann Wrightson,Ioana, Greg Peres