20120513 arb face to face

ARB - Meeting HL7 Spring Working Group Meeting

Sheraton Wall Centre Vancouver, BC, Canada

May 12-18, 2012

Agenda

Sunday

1. Q1
   1. Call to order
   2. Roll Call
   3. Approval of Quarters Agenda
   4. Approval of WGM agenda
   5. Approval of Minutes
   6. Report from TSC (Charlie/Ron)
   7. Report to the TSC for Sunday Night TSC meeting
   8. Discuss Report to Co-Chair meeting Monday Night
   9. Review joint meetings to ensure coverage
   10. Adjournment
2. Q2
   1. Call to Order
   2. Approval of Quarters Agenda
   3. Substantivity???
   4. SAIF-CD??? aftershocks
   5. Adjournment
3. Q3
   1. Call to Order
   2. Approval of Quarters Agenda
   3. Strategic Initiatives
   4. DAM discussion from TSC
   5. Report from Architecture Project
   6. SAIF IG involvement.
   7. What is next for ArB
   8. Item 1
   9. Item2
   10. Adjournment

Thursday

1. Q3
   1. Call to Order
   2. Aproval of Quarters Agenda
   3. Impact of Thomas Erl's presentation
   4. Substantivity???
   5. HL7 Business Architecture
2. Q4
   1. Maturity of HL7 and the Customer Base(Zoran/Andy)
   2. FHIR discussion
3. Other business and planning
   1. Conference calls will not resume until 2nd week after WGM- May 31, 2012. Will re-validate during WGM.
4. Adjournment

Meeting Information

HL7 ArB Work Group Meeting Minutes Location: Sheraton Wall, Vancouver, BC Canada		Date: 20120513 Time: 9:00am Pacific
Facilitator	Parker, Ron	Note taker(s)	Julian, Tony
Attendee	Name	Affiliation
X	Bond,Andy	NEHTA
X	Constable, Lorraine	Constable Consulting Inc.
X	Curry, Jane	Health Information Strategies
.	Dagnall, Bo	HP Enterprise Services
X	Grieve, Grahame	Health Intersections Pty Ltd
X	Hufnagel, Steve	U.S. Department of Defense, Military Health System
X	Julian, Tony	Mayo Clinic
X	Loyd, Patrick	ICode Solutions
.	Lynch, Cecil	Accenture
X	Mead, Charlie	National Cancer Institute
.	Milosevic, Zoran	NEHTA
.	Ocasio, Wendell	Agilex Technologies
X	Parker, Ron	CA Infoway
.	Quinn, John	Health Level Seven, Inc.
.	Guests
X	McKenzie, Lloyd	HL7 Canada
X	Stechishin,Andy	CANA Software & Services Ltd.
.	Legend
X	Present
.	Absent
Quorum Requirements Met: Yes

Minutes Q1

• Report from TSC:
  • Charlie: Unresolved points from TSC: Austin and John Quinn both committed to notion that SAIF architecture, Fast Healthcare Interoperability Resources (FHIR), and strategic initiatives connecte via SAIF. There is no SAIF-IG for HL7. The leading resource is Lloyd McKenzie, who is working on FHIR.
  • ArB proposed to take over SAIF-IG from MnM. There was angst, concluded when Austin declared that TSC owns the SAIF-IG.
  • LLoyd: there should be a SAIF-IG for V3, V2, FHIR.
  • Charlie: Will start with a single SAIF-IG, with branch points. There will be a discussion Sunday night of the notion of FHIR governance vs FHIR management vs FHIR architecture.
  • Ron and Charlie discussed the TSC meeting. Helen Stevens brought up the vertical/vs horizontal in the SAIF-IG.
  • Ron: The metrics are pointing out the lack of consideration of HL7 priorities in the current projects.
• Report to the TSC for Sunday Night TSC meeting
  • Grahame: FHIR SAIF-IG - I want the FHIR SAIF-IG to be the methodology guide, and I intend to write it. FHIR is only a partial methodology - not enventing anything new, just a different way to deploy existing methodology. The FHIR imformation model is borrowed from somewhere else.
  • FHIR proposes REST out of the box - which limits the dynamic model. FHIR puts together a flexible lightweight messaging model that matches those of version 2. If you cannot meet your needs by using REST or messaging, define a service yourself.
  • Jane: Documents?
  • Grahame: Yes, out of the box, but not necessarily CDA-R3.
  • Lloyd: you can have the charistics of a document that you can exchange using the same dynamic model as other content.
  • Jane: Same as V2 passing CDA?
  • Grahame: Actually better than MDM.
  • Lloyd:Documents in V2MDM are imbeded, FHIR documents are exposed.
  • Governance:
    • Grahame: FHIR is posted on HL7 servers, so is now HL7 IP. Until the first full normative version it will be freely available from the HL7 website at [| hl7.org/fhir].
    • Grahame: I propose that the TSC owns FHIR, and the FHIR governance board(FHIRGB) reports to the TSC. FHIRGB -Consists of persons who provide time commitements or money.
    • Ron: FHIR creates a defacto footprint, which wil allow other value propositions for the business of HL7.
    • Grahame: Derivative works are possible.

• • Ron: We need to discuss actioning. Charlie asserted that you cannot talk about governance unless you think of it from risk management.
  • Charlie: Do you have any sense as to how someone can claim conformance to the dynamic portion?
  • Steve: You can set the allowable states
  • Jane: Detail the roles - which are human, and which are automated at the conceptual level. If you dont, you have people guessing. Triggers in a more global sense, e.g. time conditions, something that triggers something to occur, with logical precedence (you cant cancel what you did not order).
  • Steve: You can define that a medication order has different behaviour from a lab order.
  • Ron: Patterns are emerging - elevating and layering. Properly dicomposing the services can be very powerful.
  • Jane: You can have a generic pattern that then forks with the complexity.
  • Ron: Told clinicians that a referal is an order fullfilment pattern - to which they objected.
  • Grahame: The clinicians argue about the requirements of the referal. It is appropriate to say that any specification that claims conformance to the DAM must explicitly express the conformace to the DAM.
  • Andy: This is emerging- in the end whatever you write down is a constrained pattern.
  • Ron: One of the measures of success will be external groups asserting their position on HL7.
• Report to co-chairs Meeting Monday Night
  • Ron: Morning slides will discuss our topics
  • Ron: ArB is doing stuff - why do I care?
    • Jane: Strategic Initiatives(SI) are marching orders from Board to TSC. We need to discuss alignment with the SI.
    • Ron: Semantic web and the impact to HL7 - IBM is adding RDF to rational.
    • Jane: there may be alignment opportunities

 For call, discuss Wikipedia page for SAIF

---

Minutes Q2

1. Q2
   1. Call to Order
   2. Approval of Quarters Agenda
   3. Architecture of templating
   4. Substantivity???
   5. SAIF-CD??? aftershocks
   6. Adjournment

---

1. Q3
   1. Call to Order
   2. Approval of Quarters Agenda
   3. Strategic Initiatives
   4. DAM discussion from TSC
   5. Report from Architecture Project
   6. SAIF IG involvement.
   7. What is next for ArB
   8. Item 1
   9. Item2
   10. Adjournment

Thursday Meeting Information

HL7 ArB Work Group Meeting Minutes Location: Sheraton Wall, Vancouver, BC Canada		Date: 20120517 Time: 1:45pm Pacific
Facilitator	Charlie Mead/ Parker, Ron	Note taker(s)	Julian, Tony/????
Attendee	Name	Affiliation
.	Bond,Andy	NEHTA
.	Constable, Lorraine	Constable Consulting Inc.
.	Curry, Jane	Health Information Strategies
.	Dagnall, Bo	HP Enterprise Services
.	Grieve, Grahame	Health Intersections Pty Ltd
.	Hufnagel, Steve	U.S. Department of Defense, Military Health System
.	Julian, Tony	Mayo Clinic
.	Loyd, Patrick	ICode Solutions
.	Lynch, Cecil	Accenture
.	Mead, Charlie	National Cancer Institute
.	Milosevic, Zoran	NEHTA
.	Ocasio, Wendell	Agilex Technologies
.	Parker, Ron	CA Infoway
.	Quinn, John	Health Level Seven, Inc.
.	Guests
.
.	Legend
.	Present
.	Absent
Quorum Requirements Met: Yes

Minutes

1. Q3
   1. Call to Order
   2. Aproval of Quarters Agenda
   3. Impact of Thomas Erl's presentation
   4. Substantivity???
   5. HL7 Business Architecture
2. Q4
   1. Maturity of HL7 and the Customer Base(Zoran/Andy)
   2. FHIR discussion
   3. Architecture of templating
3. Other business and planning
   1. Conference calls will not resume until 2nd week after WGM- May 31, 2012. Will re-validate during WGM.
4. Adjournment