20140325 US Realm TF Call

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US Realm Task Force Call Agenda/Minutes Location: call 770-657-9270 using code 985371# https://global.gotomeeting.com/join/414809453		Date: 2014-03-25 Time: 1 PM Eastern
Facilitator	Ken/JohnQ	Note taker(s)	Lynn

Attendee	Name
x	Calvin Beebe
	Woody Beeler
	Keith Boone
	Joe Bormel
regrets	Lorraine Constable
	Julie Crouse
x	John Feikema
	Freida Hall
	Ed Hammond
	Tony Julian
x	Paul Knapp
x	Austin Kreisler,
x	Lynn Laakso
x	Anna Langhans
x	Ken McCaslin
x	John Quinn
x	Mark Roche
no quorum definition

Agenda

Administrivia

• Agenda review
• Review notes from 20140311_US_Realm_TF_Call
• Action Items
  • PSS on Standards 101 for ONC Contractors -John will have a draft after HIMSS
  • KenM will send a note to Ted, Rob and Heather to check on source of truth for value sets status and meeting schedule and let the group know by email
  • KenM and JohnQ to recommend a convention for storing near-production version S&I material to not violate HL7 IP issues. Feik and Ken to work on an interim draft as a starting point for Board discussion at the Board retreat.
• Ken - how to use the PSS to identify realm/Affiliate review; review an updated presentation from a few years ago from Project Services on managing affiliate projects to include the US Realm Task Force role.
  • Criteria for US Realm TF review before they come to the TSC: - Ken will incorporate into the above presentation for the 25th. Freida and Dave will review again with PSC.
  1. any US Realm project,
  2. publication requests
  3. other project related requests

Discussion:

• S&I ballots targeted for the September cycle (Anna Langhans)

Initiative/Project	Work Product	Sponsoring Workgroup
EU-US Cooperation	International CCDA-based Template (Universal Realm)	Structured Documents –unconfirmed
CDC Cancer Registry	CDA-based Cancer Registry IG	Public Health and Emergency Response – confirmed /PSS approved
Structured Data Capture	FHIR Profile IG (for form-based structured data capture)	Structured Documents, Electronic Health Records –unconfirmed/need guidance on WG
Data Provenance	TBD	TBD – options include MnM, EHR, Security
Data Access Framework	TBD	TBD – FHIR?
Blue Button	Blue Button +	TBD – options include SD, Attachments
LRI/LOI/eDOS	EHRs Functional aRequirements IG	O&O primary sponsor, EHR co-sponsor
CQFI	TBD	CQI

• Review of any outstanding issues

Minutes

Ken convenes 1:04 PM and will turn over to John at the half hour

• Agenda review - no updates
• Review notes from 20140311_US_Realm_TF_Call no comments; 3/18 did not have a facilitator.
• Action Items
  • PSS on Standards 101 for ONC Contractors -John Q will have a draft after HIMSS
  • KenM will send a note to Ted, Rob and Heather to check on source of truth for value sets status and meeting schedule and let the group know by email
  • KenM and JohnQ to recommend a convention for storing near-production version S&I material to not violate HL7 IP issues. Feik and Ken to work on an interim draft as a starting point for Board discussion at the Board retreat.
• Ken - how to use the PSS to identify realm/Affiliate review; review an updated presentation from a few years ago from Project Services on managing affiliate projects to include the US Realm Task Force role. - Ken is not ready to present this; postpone to next meeting.
  • Criteria for US Realm TF review before they come to the TSC: - Ken will incorporate into the above presentation for the 25th. Freida and Dave will review again with PSC.
  1. any US Realm project,
  2. publication requests
  3. other project related requests

Discussion:

• S&I ballots targeted for the September cycle (Anna Langhans)

Initiative/Project	Work Product	Sponsoring Workgroup	Discussion
EU-US Cooperation	International CCDA-based Template (Universal Realm)	Structured Documents –unconfirmed	discussed at the January WGM and the scope has changed; will be confirming scope and vote in SDWG. Change for targeting a white paper/translation type document to developing a template for international use including ISO adoption. They are still developing the PSS. Lynn notes they might consider involving the Templates WG. As an application of templating to a domain SDWG is appropriate notes Austin - Templates WG is more about the definition of templates infrastructure. Other cosponsors may also emerge.
CDC Cancer Registry	CDA-based Cancer Registry IG	Public Health and Emergency Response – confirmed /PSS approved PI# 1069	this one has an approved PSS
Structured Data Capture	FHIR Profile IG (for form-based structured data capture)	Structured Documents, Electronic Health Records –unconfirmed/need guidance on WG	Starting to develop a FHIR profile for SDC. They should work with the FHIR liaison for the sponsor WG. EHR is more profile and function based but not on data capture notes Austin. She should check with the FMG on how to proceed once they know what kind of data is to be captured. If it's a questionnaire versus the capture of allergy information would change how the profile development should be directed. ACTION ITEM: Paul will notify the FMG they should start thinking about how they wish to have such work initially directed: to the US Realm TF, or the domain group first or to the FMG to be routed.
Data Provenance	TBD	TBD – options include MnM, EHR, Security	This is still very early stages and the work product is not well defined. Johnathan Coleman is leading that work and hopes to leverage the DS4P.
Data Access Framework	TBD	TBD – FHIR?	Feik notes from the Cambridge meeting he gave an overview of DAF and what they're doing. They have been active in IHE and are publishing a white paper. Artifacts and profiles from IHE would be low-hanging fruit. However gaps exist that HL7 would be well suited to address, such as RESTful based transports, data element exchanges and population based queries. Paul notes that Tuesday Q2 or Q4 in Phoenix ITS will address transports and data elements as well as InM in exchange and behaviors, hosting FHIR. This would be a good place to socialize this. The FMG does managing, not necessarily do-ing so these would be the groups to approach…
Blue Button	Blue Button +	TBD – options include SD, Attachments	BlueButton is not currently an HL7 standard, but we have a transform tool for CCD into BlueButton, notes Austin. What will be brought to HL7? Anna suggests that it might be an IG, but Austin notes that if the standard is not an HL7 standard then it's not an HL7 IG. Calvin adds that it might be an iteration of the BlueButton tool for the new IG. If they did a RESTful approach that would be an ITS, notes Austin, not an IG. Anna agrees to bring this back to discuss further later accompanied by representatives from the contracting group working on the project.
LRI/LOI/eDOS	EHRs Functional Requirements IG	O&O primary sponsor, EHR co-sponsor	Feik notes that S&I lab group spent time with EHR WG as well as O&O and its lab specificity makes it a better fit in O&O and the PSS will be coming forward.
CQFI	TBD	CQI	Led by CMS, discussed at HL7 in CQI and with Keith, with white paper developed. QDM Harmonization came into play in this development. She will provide more information as it is received.

Austin notes that this is a large packet of work to get into the September cycle. Paul notes that September ballot means the project has to be written and approved and submitted for ballot right after the WGM in May. Intense development over the summer might be hard to accomplish with summer schedules. He further suggests that if the work products can be tied into regulatory timelines or releases (e.g. MU4) would be helpful so that we can better work backwards on when these products need to be available to support regulatory citation.

Feik asks about email exchange recently of CCDA 2 backwards compatibility to CCDA 1.1 and will this be discussed in Phoenix. For example the long term care group has been discussing and it was discussed between Bob Dolin and Keith Boone on the preferred approach. Anna notes there is an entry on Keith's blog about it. Austin and Keith are not aware of this on the SDWG agenda. Considerations of migration planning and resource estimation discussed.

Adjourned 1:59 PM

Meeting Outcomes

Actions Paul will notify the FMG they should start thinking about how they wish to have such work initially directed: to the US Realm TF, or the domain group first or to the FMG to be routed

Next Meeting/Preliminary Agenda Items 20140401 US Realm TF Call Tuesday at 1 PM ET

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