20170511 US Realm SC WGM

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US Realm Steering Committee Call Agenda/Minutes Location: Borox (Level E)		Date: 2017-05-11 Time: 1:30 PM
Co-Chairs	Ed/Brett	Note taker(s)	Anne

Attendee / Name
x	Calvin Beebe		Keith Boone	x	Hans Buitendijk
x	Lorraine Constable		Johnathan Coleman	x	Ed Hammond
x	Tony Julian	x	Paul Knapp	x	Austin Kreisler
Regrets	Brett Marquard	x	Ken McCaslin		Nancy Orvis
	Brian Pech	x	Wayne Kubick		Christol Green
	Sandra Stuart	x	Pat Van Dyke	.	Craig Parker
x	Danielle Friend	x	Eric Haas	x	Jenni Syed
	Steve Posnak	.	David Susanto	.
Visitor/ Name
x	Mary Kay McDaniel	x	Brian Postlethwaite	x	Grahame Grieve
x	Matt Rahn
Quorum: Chair + 7

Agenda

Administrivia

• Agenda review
• Review notes from 20170502_US_Realm_SC_Call
• Action Items
• Review items
  • FHIR Healthcare Directory Information Exchange Implementation Guide
• Discussion Topics
  • How to Grow US Core

Minutes

• • FHIR Healthcare Directory Information Exchange Implementation Guide
    • Brian Postlethwaite reviews with group. Need someone else to be publishing facilitator besides Lynn. ONC is primary contributor. Similar project in Australia that will also contribute, as well as Argonaut materials. Would like to have US Realm and international output. Want to make sure if we need to make changes to base spec that’s international; the approaches and techniques we’d like to remain international; do need to have US realm bindings to US terminologies. Ed: We have US core – is this contributing into that? Brian: Current work is at requirements stage drilling through what they expect to need; once we start applying that into the standards specifications, we hope to get that content into US core. Hans: Clarification – given the list of implementers, is this intended to satisfy and support the US act that asks for a national digital provider index? That would be very helpful to know. Brian will check on that. Mary Kay: Got involved with MITA technical committee; their first proof of concept will be a provider directory for Medicaids. They’re saying that the data that they need is not supported by FHIR. Do we bring them into this? Lorraine: Are you intending to produce a universal spec with US constraint? Brian: Yes, that’s my intent. Bob Dieterle thinks that’s going to slow it down. Calvin: We might want to consider this as two separate projects. Hans: If we split it up, there needs to be strong pre-requisite section stating dependencies.
    • Discussion over how to split if it’s going to be split into US and international. PA wasn’t comfortable doing both. Hans notes they could clearly identify the separate aspects with tight dependencies. Ed states the problem with two is synchronizing them. Hans states it would be better to have two outputs. Decision to talk more about it later in the review.
    • Discussion over inclusion/definition of care teams and groups in this context.
    • Ed would like to see FDA representation.
    • Lorraine: How confident are you in September ballot? Brian: I would be surprised if that is achieved.
    • Tony: So there will be two IGs – an international one and then another with US restrictions.
    • Lorraine notes that there should be one box per cosponsor indicating level of involvement.
      • MOTION to approve the PSS with the addition of the US Realm Steering Committee as a cosponsor with periodic project updates: Lorraine/Calvin
      • VOTE: All in favor
      • Hans states we should go back to other projects to determine if we need additional level of involvement.
      • Brian will look into FDA and CDC involvement.
      • On US Core side, are we going to put the elements in? Lorraine notes it would test our process for adding items.
• Adjourned at 2:30 pm

Meeting Outcomes

Actions

Next Meeting/Preliminary Agenda Items 20170524 US Realm SC Call Tuesday at 1 PM ET

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