20160517 US Realm SC Call

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US Realm Steering Committee Call Agenda/Minutes Location: 929-752-237		Date: 2016-05-16 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	x	Johnathan Coleman	x	Ed Hammond
	Tony Julian	x	Paul Knapp	x	Austin Kreisler
x	Brett Marquard	x	Ken McCaslin		Nancy Orvis
	Brian Pech	x	Wayne Kubick		Mark Roche
Regrets	Sandra Stuart	.	Pat Van Dyke	x	Anne Wizauer
x	Danielle Friend	.	Eric Haas	Regrets	Jenni Syed
	Steve Posnak	.	David Susanto	.
Visitor / Name
	Avinash Shanbhag, ONC
no quorum definition

Agenda

Administrivia

• Agenda review
• Review notes from 20160512_US_Realm_SC_WGM
• Action Items
  • US Realm Input document
• Review Items
  • Review HL7 CDA® R2 Periodontal Attachment Implementation Guide: Exchange of C-CDA Based Documents, Release 1 – US Realm
  • Review Allergy and Intolerance Substance Value Set(s)Definition Informative Document

Discussion:

• Moving to VOIP

Minutes

• Action Items
  • US Realm Input document
    • Grahame has made suggestions regarding concerns and activities for this group. Moves us into affiliate-type activities.
    • Management tasks: Need to add FDA, Vocab, etc. Paul suggests HTA. Ed states HTA is international. We should talk to them and perhaps need a representative from HTA. It's hard to distinguish. Need to flesh out list further and get contact with appropriate individuals. Hans: Do we want this only to be a US government perspective? If not we need to reach out further. Ed agrees. Ken: Agrees that we should reach out further like Clincial Laboratory Standards Institute. Will put a list together. Agrees with Paul regarding HTA. Need facilitators for each of these different WGs and outside orgs. Ed asks group to email him with suggestions. Lorraine: First bullet of management tasks makes sense. Wonders if coordinating content of US Realm standards to be consistent is really appropriate for this group. Ed: If we can talk about what has to be done, then we can understand who can best do it. We can identify who should be doing it and have them take responsibility for it. Lorraine: So we would coordinate action when it's not appropriate for us to take action ourselves. Ed: We really need to communicate what groups are doing and eliminate redundancies.
    • Technical tasks: Ed asks who is responsible for DAF? Johnathan is the initial coordinator for the DAF project. Cautions against limiting it to DAF profiles - there are other ONC projects related to meaningful use. Also, DAF isn't just doing things within HL7; some resides within IHE, etc. Instead of saying DAF profiles here, perhaps say ONC profiles. Ed: So we're looking at creating a US Realm profile set. Johnathan: Yes, the concept is a good one and DAF would be one stakeholder in that. Discussion over how reporting, requests, etc. would work. Ed: We need to expose what we're doing to the international community, especially with issues like race. If we create US realm profiles there might be takeup from the international community. Johnathan agrees and adds that the US has a very distinct policy landscape (privacy, etc.) and we should include that in the US Realm set.
    • Ed: The next step is to take this document and flesh it out. He will combine suggestions and comments from members of the group and distribute by Monday. Paul: documenting what the US does has benefits internally and externally.
      • ACTION: All to review, consider, and email Ed with suggestions and comments
• Review Items
  • Review HL7 CDA® R2 Periodontal Attachment Implementation Guide: Exchange of C-CDA Based Documents, Release 1 – US Realm
    • Paul: what makes this US Realm? Driven by payer group. Hans notes success criteria should be 2018; Jan 2017 DSTU ballot, normative 2nd quarter of 2018. Also fix DSTU. Austin: Still need to approach Structured Docs as a co-sponsor. Wayne: It's US Realm because of American Dental Association and CMS. Periodontal incorrect in the title of the document.
    • MOTION to approve with suggested changes by Hans. Second by Austin.
    • VOTE: All in favor
      • ACTION: Anne to contact group with recommendations/decision
  • Review Allergy and Intolerance Substance Value Set(s)Definition Informative Document
    • Austin: Many boxes checked in product type. Are they developing all those specifications with this or suggesting what may be developed in the future? Need to clarify. Hans: This is indicating to create an informative document but is developing value sets, so it should be part of STU document.
      • ACTION: Anne to get rep here next week to answer questions

Discussion:

• Moving to VOIP
  • This call will move to VOIP next week. Anne will send out updated information.

Meeting Outcomes

Actions

Next Meeting/Preliminary Agenda Items 20160524 US Realm SC Call Tuesday at 1 PM ET

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