20150514 FGB WGM

HL7 TSC Joint FGB and FMG Meeting Minutes Location: Administration Office		Date: 2015-05-14 Time: 3:35pm-5:07pm
Chair: Lloyd McKenzie :		Scribe: Dave Shaver

Attendees

• Hans Buitendijk Cerner Corporation
• Lorraine Constable HL7 Canada
• Grahame Grieve Health Intersections Pty Ltd
• David Hay HL7 New Zealand
• Paul Knapp Knapp Consulting Inc.
• Ewout Kramer HL7 Netherlands
• Cecil Lynch Accenture
• Joshua Mandel Boston Children's Hospital
• Mary Kay McDaniel Cognosante, LLC
• Lloyd McKenzie Gevity (HL7 Canada)
• Tim McNeil Surescripts
• John Moehrke GE Healthcare
• Brian Postlethwaite HEALTH CONNEX
• Dave Shaver Corepoint Health
• Kevin Shekleton
• Marten Smits Furore

Agenda

• 'Round table' updates
• General discussion points

Minutes

Convened

3:35pm by Lloyd

General Updates

Grahame

New FHIR-Educators mailing list created for those using FHIR to teach healthcare informatics

Collaboration Update

• Continuum
  • Brief update re: devices
• Telecom
  • Services with secure, reliable, delayed, QoS-driven message/data delivery
  • Opportunity to meet with them re-REST semantics
• IHE
  • Certification of IHE FHIR profiles; tooling needed; Gazelle use desired
  • Gazelle likely too heavyweight to use at connectathons
  • IHE can help beef-up tooling
  • Atlanta test-run for terminology server certification; real certification likely to follow at next meeting

John

• Single consent resource approved

Ewout

• Connectathons: Future focus on testing use cases with multiple work flows and actors

Lloyd

• ArcRIM
  • They would like to try a trail of a data model
  • They might map existing content onto FHIR; expect deeper feedback on existing resources; may require new resources.

Paul

• US Realm Task Force has gone through charter process and is now a Board Committee
  • Goal is to have them own US-centric vocabularies

David

• Clinical connection tooling well received

General Discussions

FHIR Maturity Model

• More concrete focus by content committees on connectathon
• Result is likely more streams at connectathons
  • e.g., scheduling, appointments, work flow, providence, security, devices
  • Room size in Atlanta will likely drive choices
  • The ability to have stream coordinators/core team focus also drives scaling of stream count

Out-of-cycle connectathons

Each mentioned in brief

• Australia
• Korea
• Cleveland
• Kenya

Ballots

Feedback due by end of May. We can't publish until we've acted on all ballot comments. One possible action is to defer to future consideration.

Must reach 60% affirmative.

Early feedback:

• Hans
  • OO: Observation at the top of list for comments.
  • By end-of-July, challenging time frames
  • One hour per week dedicated to FHIR discussions; throttled by time to make decisions
• Lloyd
  • Likely OK: Rx, PA, Sec, CCDO, II, Clinical Genomics, IHE (in SD)
• Paul
  • FM: Unclear without block votes to defer

Ballot Reconciliation

• Grahame: gForge work flow starting with 'who made the comment' does not work well; must revert to spreadsheet
• Hans: Some items require multiple motions; difficult to record in gForge
• Paul/Grahame: Combined issues between network drop off and gForge slow less was an issue
• Lloyd: Exposing submitting likely a strong help?
• Loraine: Risk points. Centralized authentication.
• Lloyd: Will gather input to drive gForge replacement project; continued discussions over next two weeks

Planning for Atlanta

• Lloyd will manage work group registrations
• FGB: Q0 on Monday as Plenary will be on-going
• Goals:
  • We will have completed publication of DSTU 2.0 (due by end-of-July or at least "summer 2015")
  • Content creation on-going for DSTU 2.1 (maybe to be named 3.0)
  • Do we need a 1/2 day virtual meeting in August? Alternative is active email discussion.
  • Monday Q3/Q4: Very big room for work flow request/response management. (OO, MM, Rx, SOA, InM, FM, FHIR, PA, Patient Care, etc)

August 10-11; joint CIMI and FHIR meeting

• Day 1: Methodology / infrastructure meeting
  • How does content migrate automatically from CIMI into FHIR
• Day 2: More open; clinical modeling engagement
  • How do we prepare for FHIR's trough of disillusionment?

Adjourned

5:07pm by Lloyd

Next Steps

Actions (Include Owner, Action Item, and due date) Hans to request 'big room' for Atlanta multi-WG meeting

Next Meeting/Preliminary Agenda Items Next joint FMG/FGB face-to-face meeting in Atlanta

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