20160913 US Realm SC Call

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US Realm Steering Committee Call Agenda/Minutes Location: 929-752-237		Date: 2016-09-13 Time: 1 PM Eastern
Co-Chairs	Ed/Brett	Note taker(s)	Anne

Attendee / Name
x	Calvin Beebe		Keith Boone	x	Hans Buitendijk
Regrets	Lorraine Constable	Regrets	Johnathan Coleman	x	Ed Hammond
x	Tony Julian	x	Paul Knapp	x	Austin Kreisler
x	Brett Marquard	Regrets	Ken McCaslin		Nancy Orvis
	Brian Pech	x	Wayne Kubick		Mark Roche
Regrets	Sandra Stuart	.	Pat Van Dyke	x	Anne Wizauer
Regrets	Danielle Friend	.	Eric Haas	x	Jenni Syed
x	Steve Posnak	x	David Susanto	.	Craig Parker	Visitor / Name
x	Craig Newman	x	John Roberts	x	Genny Luensman
x	Stacey Marovich	x	Lori Reed-Fourquet	.
no quorum definition

Agenda

Administrivia

• Agenda review
• Review notes from 20160906_US_Realm_SC_Call
• Update on Previous Review Item
  • EHR System Immunization Functional Profile Release 2
    • This item was recommended to be changed to Universal. Project now has participation from Brazil, the Netherlands, and Spain.
• Review Items
  • Occupational Data for Health Elements and Structure in HL7 V2 Messaging and FHIR
  • HL7 Version 2.8.2 Implementation Guide: Immunization Messaging, Release 1 STU (US Realm)

Discussion:

• Proposed extension review process

Agenda

Administrivia

• Agenda review
• Review notes from 20160906_US_Realm_SC_Call
• Update on Previous Review Item
  • EHR System Immunization Functional Profile Release 2
    • This item was recommended to be changed to Universal. Project now has participation from Brazil, the Netherlands, and Spain.
• Review Items
  • Occupational Data for Health Elements and Structure in HL7 V2 Messaging and FHIR
    • Genny Luensman presents project. This is to express ODH in V2 and FHIR structures. Have been to WGs but have struggled to find a sponsoring WG. Recently attempt was with Patient Care but they were unsure that they had appropriate expertise. Need a home for the proposal. Wayne mentions that a process states that US Realm should make the decision. Should it be PHER? Unsure if PHER was the right place as the scope is beyond public health - also touches clinical decision support. Ed: Seems that the TSC ought to help us understand what the requirements for picking primary and secondary sponsors. Need better instructions. Austin: Is this an IG on 2.x or are we trying to change the underlying standard? Genny: Ultimately we'd like to change the standard but understand our path may be an IG. Wayne: It strikes me as a domain issue but it fits in between. Austin: What parts of 2.x does it apply to? That should help to decide. Lori: some of the characteristics are similar to other public health projects and it seems appropriate for PHER. Was not formally discussed with PHER up to this point. Ed: Next step would be to ask PHER if they would be primary sponsor. Austin: Some of the outputs will specific change requests to WGs responsible for 2.x chapters; should update to reflect. Central place where the work happens would be PHER. Paul: The groups listed as cosponsors should actually be interested parties.
      • MOTION to make suggested updates and contact PHER to be primary sponsor: Paul/Calvin
      • VOTE: all in favor
      • Group will bring back to US Realm when updates have been made.
  • HL7 Version 2.8.2 Implementation Guide: Immunization Messaging, Release 1 STU (US Realm)
    • Craig Newman presents project. Discussion over timeline. Steve: There are other CDC public-health oriented IGs in the V2/public health reporting world that were created outside of the HL7 process and we should expect others to come back to HL7 like this one.
      • MOTION to approve: John/Austin
      • VOTE: all in favor

Discussion:

• Proposed extension review process
  • Brett presents draft of extension process. Reviews collection options, extension types, and ideas for review. Discussion over the word "International" in extension types...should it be Universal instead? Decision to add Universal in parentheses. Discussion over Argonaut registry. Wayne: FHIR Foundation has a goal to establish a repository. Still collecting requirements and hammering out details for registries, etc.
  • Brett walks group through proposed flow. Discussion over adding decision point over whether or not it's a FHIR core extension. Paul: There is a process underway to work out a registry process and we should harmonize this exercise with that one. Brett will connect with Bob Dieterle. Brett will add feedback loop re: core extension and interface with existing project. Discussion over adding review and harmonization after publishing. What is the difference between core and international? Do we change extensions? Make them disappear? Move things from being US Realm into being International? Brett states this is just meant to be a first step. Paul: maybe we could add a notation that it will be reviewed over time. Add US Realm to diagram heading.
  • Next steps: Add to WGM meeting US Realm agenda and have FMG look at it.
• DAF-Core Naming Issue:
  • Hans proposed the name DAF-CCDS as one that would be less confusing and create a direct relationship with the data set it intends to represent. Discussion over keywords
  • Brett asks for this to be on the agenda for Thursday and invite people from the involved WGs.

Meeting Outcomes

Actions

Next Meeting/Preliminary Agenda Items 20160927 US Realm SC Call Tuesday at 1 PM ET

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