2018-02-09 CDAMG Conference Call

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HL7 CDAMG Minutes Location: Conference Call		Date: 2018-02-09 Time: 2:00 PM (ET)
Facilitator	Brett	Note taker(s)	Lisa

Attendee	Name
X	George Dixon
	Jean Duteau
X	Rick Geimer
	Kai Heitmann
X	Brett Marquard
X	Linda Michaelsen
	Dale Nelson
X	Lisa Nelson
	Andrew Statler
Quorum: Chair +3

Agenda & Minutes

• Welcome Guest: Austin Kreisler (Note: Call was not listed on the HL7 Conference Call Calendar)
• Agenda review
• Approve Minutes of 2018-01-29_CDAMG_WGM
  • No changes requested; Approved by consensus
• Review items
  • CDA R2.1 Style Sheet Creation PSS
    • Motion to approve (Lisa/Rick) 0-0-4
  • CDA FHIR HAI PSS
    • Discussed the need to have the Transforms from FHIR to CDA IG will eventually be needed in the FHIR IG
    • Before the FHIR IG can be considered complete, the mappings between FHIR and CDA should go through ballot. Mapping spreadsheets need to be included as an informative resource.
    • Rick expressed concern about mappings getting "locked down" and not allow for easy modifications
    • Austin suggested we consider the production of the transforms as an additional component of the project for future consideration
    • Brett wants to add, "When transforms are developed, they will be publically available for review."
    • Austin - will take the question back to the CDC to see if they would be open to including this adjustment to the Scope Statement.
    • Motion to approve with caveat that Scope will be modified to include making transforms publically available (Rick/Lisa) 0-0-4
• Discussion Topics
  • SWOT
    • Reviewed the SWOT
    • Any updates as a result of activity at the WGM?
    • Did we add: How do we manage quality problems for IG's that have already been published? Add as a Weakness list in SWOT.
      • A Project has to be initiated to re-affirm an existing IG to extend it for an additional 5 years. CMG could identify low quality IGs and notify WGs that the quality bar has been raised, so issues would need to be addressed prior to re-affirmation.
      • Austin suggested we may want to identify low quality CDA IG's now so that workgroups could be notified of the future need
    • Can we add: Threat and Opportunity - Trend toward mapping/developing FHIR and CDA interchange guidance simultaneously. Opportunity is to coordinate these efforts for consistency. Threat is decreased interoperability if not many simultaneous efforts produce divergent in inconsistent solutions - YES. Added
    • George asked that we add an Opportunity to create an IG to address the USCDI plans for upcoming data classes - Notes and Data Provenance are up next
    • Austin explained that Affiliates do not need to bring PSSs to HL7. CMG is International + US focused.
  • Asset List - Status, and ongoing management.
    • Linda asked if it was ok to add rows for IG's identified by CQI as missing from the asset list. Answer:Yes!
    • Discuss Status/Development toward CDA Template Interchange Format
    • Discuss Status of CDA Template Registry
    • What actions remain to be completed?
      • Review progress on CMG Wiki changes - what's left to be completed?
  • Discuss need for & Development of overall CDA Product Roadmap
    • Roadmap needs to address questions like:
      • Envisioned "superceeding" of CDA R2.0 with CDA R2.1 what it means to ANSI and HL7 Publishing and Implementer Use
      • Expectation for CDA R2.0 after CDA R2.1 is released?
        • Would we require new IGs to be implemented on CDA R2.1 rather than CDA R2.0?
        • Austin suggested the CMG may need to decide this or decide when this would take place.
        • Austin - actRelationship codes may need to be reconsidered if C-CDA were revised on the CDA R2.1 standard
        • Austin mentioned the modeling of the C-CDA Templates would be needed
        • Brett asked: Will CDA R2.1 include a complete "delta" view that could be included in the published CDA R2.0
      • What happens to C-CDA if CDA R2.0 is superceeded by R2.1?
      • Strategies for aligning C-CDA with FHIR?
  • Discuss Actions to be taken to solidify "check list procedure" for CMG members to use when reviewing PSSs, Document CMG PSS Review process to be followed (Jean)
    • Review minutes from 2018-01-29.
    • Is our plan sufficiently clear and actionable? Do we need to document the procedure(s) we will follow regarding where CMG approval is being injected into the HL7 approval processes?
    • Learned from Anne Wizauer that the CMG is only responsible for approving PSSs and Publishing Requests.
    • In leiu of having a formal check-list, CMG will simply read and review each PSS and PubReq submitted for review
  • Discuss Request to add a new member to CMG representing the Quality perspective (Lisa)
    • We would need to have a discussion with SGB to make this request
    • Does anyone think adding a representative from QRDA would not be a good idea?
    • Austin asked if we have current members who are not participating now?
    • Brett noted the Friday late afternoon time makes the meeting hard to attend for EU participants
    • Lisa asked - how would we ask SGB for this additional role? Austin said we would need to write up the request and submit it to SGB
      • Motion to take this up with SGB (Lisa/George) 0-0-4
  • Discuss C-CDA Value Set Maintenance situation - what role needed from CMG? (Lisa)

Meeting Outcomes

Actions Approved the minutes from 1/30/2018 Approved the CDA R2.1 Stylesheet Creation PSS Approved the CDA/FHIR HAI PSS with caveat to make transforms between FHIR and CDA publically available when they are developed--goal is transparency for cross-standard transformations Approved making a request of SGB to add a member to the CDA Management Group that represents the Quality Use Case for CDA

Next Meeting/Preliminary Agenda Items TBD

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