2017-05-31 FMG concall

HL7 TSC FMG Meeting Minutes Location: https://global.gotomeeting.com/join/279790597 (voice and screen)		Date: 2017-mm-dd Time: 4:00 PM U.S. Eastern
Chair:		Note taker(s): Anne W.

Quorum = chair + 4			yes/no
Co chairs		David Hay	x	Lloyd McKenzie
ex-officio		Lorraine Constable, Dave Shaver FGB Co-chairs	.	Wayne Kubick, CTO

Members		Members		Members		Observers/Guests
x	Hans Buitendijk	x	Brian Postlethwaite	x	Paul Knapp	x	Anne W., scribe
x	Josh Mandel	x	John Moehrke	x	Brian Pech
x	Grahame Grieve					x	Bob Thompson, Eric Haas, Chris Johnson, Craig Newman, Nathan Bunker

Agenda

• Roll Call
• Agenda Check
• Minutes from 2017-05-24_FMG_concall
• Action items
  • Grahame/Richard to look into getting more usage statistics during Connectathon.
  • David to reach out to QA reviewers to find out if they would be willing to assist in sample generation
  • Grahame/Wayne to formalize proposal on document naming confusion between IGs and US Core and take to TSC
  • Grahame will write up response for draft/STU FMM rationale for review and approval. Will talk about what was done as well was what will be done in the future
  • All: Review Conformance QA Criteria and come back next week/week after with suggested changes
  • Lloyd to put together a draft template for IG proposals and clean up some of the profile proposal template.
• Review Items
  • CDS for Immunizations FHIR IG
  • LOINC - IVD Test Code (LIVD) Mapping PSS
  • Exploration of FHIR resources to support of IDMP 11238 Substances
• Discussion Topics
  • Issue from David Pyke/CBCC: "We’re asking the FMG to clarify if a SecPriv resource having a patient care role and, if yes, should that be a set of profile or overloading the resource definition."
• Reports
  • Connectathon management (David/Brian)
  • FGB –
  • MnM –
  • FMG Liaisons –
• Process management
  • Ballot Planning
  • Ballot content review and QA process FHIR QA Guidelines
• AOB (Any Other Business)
• Parking Lot
  • Building Committee Involvement

Minutes

• Roll Call
• Agenda Check
  • Hans would like to determine if anyone is available for an eye care project. Paul indicates that he may be interested.
  • MOTION to approve: John/Grahame
  • VOTE: All in favor
• Minutes from 2017-05-24_FMG_concall
  • MOTION to approve: Paul/Hans
  • VOTE: Brian, John, Paul abstain. Remaining in favor.
  • John asks if IG vs. Profile proposals issue was brought to a close. What is the difference between the noun profile and the verb IG? Grahame: You profile something - you might profile the standard, a resource, etc. So it doesn't stand alone. Discussion over conflicting use in IHE. Community confusion as the equivalent here to an IHE profile is an IG. Lloyd: an IG is a package of stuff. A profile is a structure definition. Grahame: In a formal sense we should talk about profiles on resources, but just saying profile is informal. Lloyd: It's true that we shouldn't be using profile as a noun in the spec. Discussion over potential actions to take.
• Action items
  • Grahame/Richard to look into getting more usage statistics during Connectathon.
    • Remove from actions
  • David to reach out to QA reviewers to find out if they would be willing to assist in sample generation
    • Add for next week
  • Grahame/Wayne to formalize proposal on document naming confusion between IGs and US Core and take to TSC
    • Add for next week
  • Grahame will write up response for draft/STU FMM rationale for review and approval. Will talk about what was done as well was what will be done in the future
    • Add for next week
  • All: Review Conformance QA Criteria and come back next week/week after with suggested changes
    • Add for next week; also add vote on them to discussion
  • Lloyd to put together a draft template for IG proposals and clean up some of the profile proposal template.
    • Add for next week
• Review Items
  • CDS for Immunizations FHIR IG
    • Nathan Bunker here and describes the project. Not constraining to US terminologies. Brian Post asks if a similar project was done through SOA and HSSP? Determines it was the DSS project and it is not the same. Lloyd notes that an IG proposal template is being developed and he will send it on to them when it's completed. Discussion over relationship to CDS Hooks. John offers that the Security WG would happy to assist with security risks.
      • MOTION to approve: John/Hans
      • VOTE: all in favor
  • LOINC - IVD Test Code (LIVD) Mapping PSS
    • Hans describes the project. Group reviews.
      • MOTION to approve: Hans/John
      • Brian Post asks about Catalog resource; Hans states it is a dependency. This will help further inform that topic. Confirmation that Vocab is a cosponsor.
      • VOTE: All in favor.
  • Exploration of FHIR resources to support of IDMP 11238 Substances
    • Group reviews PSS. Lloyd notes that timelines don't speak to inclusion of this in the FHIR spec or profiling it. Confirms that it is a PSS-lite. Would like to see this involve cosponsorship with Pharmacy. Confirm that text in 3.j. is a copy/paste error or explain further. Same with ballot type in 5.a. - normative shouldn't be checked.
      • MOTION to approve if areas identified are cleaned up and Pharmacy is added as cosponsor with note that if they drift in scope beyond substances, then OO should be added as well: Hans/Josh
      • VOTE: All in favor
      • ACTION: Anne to relay decision to BR&R
• Discussion Topics
  • Issue from David Pyke/CBCC: "We’re asking the FMG to clarify if a SecPriv resource having a patient care role and, if yes, should that be a set of profile or overloading the resource definition."
    • John: This is related to forms of consent beyond privacy. These forms are seen as a Patient Care issue rather than Privacy; should the resource transfer from CBCC to Patient Care to handle the broader scope? Or is the content different enough that it's not the same resource? CBCC committee is unaware of how this info is handled by systems. Lloyd: Have they reached out to implementer community? Talked to Epic/Cerner/other EHR vendors? John: What he wanted to know is does FMG want them to continue to pursue this work or is it a patient care responsibility? Not a lot of support for CBCC being the owner of this. Lloyd: 1) should the scope of the resource be broader, or should there be a separate resource to handle the increase scope? 2) Should CBCC be the owner of the broader-scoped resource? Lloyd would encourage David to reach out to the implementer community on chat.fhir.org, and if there isn't engagement, Grahame can intervene to encourage responses. Need to find out if implementers deal with this in the same spot or different spots. John: The more compelling part of this discussion is a complete lack of expertise in the space beyond privacy.
• Reports
  • Connectathon management (David/Brian)
    • Sent out deadlines for proposal submission.
      • ACTION: Brian Pech to send out reminder one week before deadline.
  • FGB – no report.
  • MnM – no report
  • FMG Liaisons –
    • American Association of Opthamology has been working with IHE and want to explore how to express their data requirements and needs using FHIR. They got connected with OO and are drafting a PSS to move forward soon. They need resources to help through the basic navigation and are looking for assistance. Next meeting is 2017-06-07 - Lloyd can be there for part of the meeting. Hans will let them know to provide meeting details.
  • Reviewed Conformance QA Criteria for those who weren't on the call last time. Need to also review QA criteria grid.
• Adjourned at 5:16 pm Eastern

Next Steps

Actions (Include Owner, Action Item, and due date)

Next Meeting/Preliminary Agenda Items 2017-06-07 FMG concall

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