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Difference between revisions of "20170913 US Realm SC WGM"

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|                                                                          |
 
|                                                                          |
 
========================================================================--->
 
========================================================================--->
| colspan="2" align="left" style="background:#f0f0f0;"|'''US Realm Steering Committee WGM Agenda/Minutes''' <br/>
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| colspan="2" align="left" style="background:#f0f0f0;"|'''US Realm Steering Committee Call Agenda/Minutes''' <br/>
'''Location: TBD
+
'''Location: https://global.gotomeeting.com/join/929752237]
  
| colspan="2" align="left" style="background:#f0f0f0;"|'''Date: 2017-09-13'''<br/> '''Time: 7:00 AM'''
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| colspan="2" align="left" style="background:#f0f0f0;"|'''Date: 2017-09-26'''<br/> '''Time: 1 PM Eastern'''
 
|-
 
|-
 
| colspan="1" align="right"|'''Co-Chairs'''
 
| colspan="1" align="right"|'''Co-Chairs'''
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===============================================================================--->
 
===============================================================================--->
 
|-
 
|-
|x || Calvin Beebe || ||Keith Boone|| || Hans Buitendijk
+
| x|| Calvin Beebe || ||Keith Boone||x || Hans Buitendijk
 
|-
 
|-
| ||Lorraine Constable || ||Johnathan Coleman|| ||Ed Hammond
+
|Regrets ||Lorraine Constable || ||Johnathan Coleman||x ||Ed Hammond
 
|-
 
|-
| ||Tony Julian||x ||Paul Knapp||x ||Austin Kreisler
+
|x ||Tony Julian||x ||Paul Knapp||x ||Austin Kreisler
 
|-
 
|-
|x ||Brett Marquard|| ||Ken McCaslin|| ||Nancy Orvis
+
|x ||Brett Marquard|| ||Ken McCaslin|| x||Nancy Orvis
 
|-
 
|-
 
|  ||Brian Pech|| ||Wayne Kubick||x ||Christol Green
 
|  ||Brian Pech|| ||Wayne Kubick||x ||Christol Green
 
|-
 
|-
|  ||Sandra Stuart||. ||Pat Van Dyke||x|| Craig Parker
+
Regrets||Sandra Stuart||. ||Pat Van Dyke||. || Craig Parker
 
|-
 
|-
|x ||Danielle Friend||x||Eric Haas||x || Jenni Syed
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|Regrets ||Danielle Friend||x ||Eric Haas||Regrets || Jenni Syed
 
|-
 
|-
 
|  x||Steve Posnak||. ||David Susanto||. ||  
 
|  x||Steve Posnak||. ||David Susanto||. ||  
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| border="1" cellpadding="2" colspan="6" align="left"|'''Visitor/ Name'''
 
| border="1" cellpadding="2" colspan="6" align="left"|'''Visitor/ Name'''
 
|-
 
|-
|x ||Floyd Eisenberg|| x|| John Loonsk||x ||Mary Kay McDaniel
+
| x|| Daniel Pollack||x || Rick Geimer|| ||<!-- name 3-->
|-
 
|x ||Ken Lord|| ||    || ||   
 
 
 
 
|-
 
|-
 
|colspan="6" style="background:#f0f0f0;"|
 
|colspan="6" style="background:#f0f0f0;"|
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Administrivia
 
Administrivia
 
*Agenda review
 
*Agenda review
*Review notes from [[20170905_US_Realm_SC_Call]]
+
*Review notes from [[20170913 US Realm SC WGM]]
*Action Items
 
 
*Review Items
 
*Review Items
**US FHIR Core - updated PSS
+
**[https://gforge.hl7.org/gf/download/trackeritem/13951/15756/HL7%20Project%20Scope%20Statement%20v2017_C-CDA%20R2%201%20Supplemental%20Templates%20for%20Nutrition%202.docx HL7 CDA R2 IG: C-CDA R2.1 Supplemental Templates for Nutrition, Release 1 (US Realm)] PSS
**Electronic case reporting - FHIR standard
+
**[https://gforge.hl7.org/gf/download/trackeritem/13952/15757/2017-09%20HL7%20PSS%20XDoc%202.docx XDoc] PSS
**Updates on joint project plan with X12
+
**[https://gforge.hl7.org/gf/download/trackeritem/13955/15766/Project%20Scope%20Statement_C%20CDA%20Infectious%20Disease%20Data%20Additions_v%204.docx C-CDA R2.1 Supplemental Templates for Infectious Disease] PSS
 
+
*Discussion:
+
Discussion:
**Review of any outstanding issues
+
*Review of any outstanding issues
  
 
===Minutes===
 
===Minutes===
*Agenda review
+
*Agenda review
 +
*Review notes from [[20170913 US Realm SC WGM]]
 
*Review Items
 
*Review Items
**US FHIR Core - updated PSS
+
**[https://gforge.hl7.org/gf/download/trackeritem/13951/15756/HL7%20Project%20Scope%20Statement%20v2017_C-CDA%20R2%201%20Supplemental%20Templates%20for%20Nutrition%202.docx HL7 CDA R2 IG: C-CDA R2.1 Supplemental Templates for Nutrition, Release 1 (US Realm)] PSS
***Updates have been made to include Structured Docs and PA. Floyd notes that CQI is interested as well. Decision that things need to be in tracker by October 1st to be considered.  
+
***Rick describes. Will expand the templates for nutrition that will hopefully be included in future versions of C-CDA. Ed asks why it's not universal realm; Rick responds that it is mostly because it uses SNOMED codes.
***MOTION to approve: Eric/Jenni
+
****MOTION to approve: Brett/Paul
***VOTE: All in favor
+
****VOTE: All in favor
***ACTION: Anne to send to FMG, then TSC
+
**[https://gforge.hl7.org/gf/download/trackeritem/13952/15757/2017-09%20HL7%20PSS%20XDoc%202.docx XDoc] PSS
**Electronic case reporting - FHIR standard
+
***Rick Geimer here to review. Would create templates to send a native CDA document with a simple XML body using US Realm header. Ed would like to see an example of what it would look like, and wonders how it differs from structured document capture. Rick states the use case is something you can display using the CDA style sheet, which has been difficult with unstructured content. Brett states it would be good to add content on why unstructured documents are the use case. Discussion over contribution to interoperability. Hans asks why we would use an unstructured doc? Need to describe the value proposition. Brett states they should also describe when to choose this and why. Rick will update scope and need. Ed also suggests updating the name. Calvin states it could be a C-CDA narrative document.  
***John Loonsk here to present project. Main focus is case reporting through FHIR representations. Floyd recommends CDS/CQI would be helpful as cosponsors. John agrees. Austin: Should involve the WGs that own the resources that you’re going to be profiling. John states that they will not be constraining or changing. Austin states they should have a choice whether or not to participate – PA, Pharmacy, OO – the biggies that own the bulk of the resources. Calvin: If you’re looking at profiling with extensions then that’s a signal that you would want to coordinate with the domain resource. If you’re just referencing then it’s okay. John states it’s their intent to use payload resources in unchanged form to the greatest extent possible. Part of the scope of the process is to discover exactly what’s needed. Eric: I will take to PC and OO. Craig suggests bringing up at the facilitator’s roundtable. Floyd: Would be good if we all looked at it the same way instead of going off and doing things a different way – creates too many silos. Danielle: What benefits does FHIR have to EICR? John: Opportunities in CDS Hooks, CQL to better manifest decision logic for reporting. Hope that the breadth of activities and data represented in FHIR will expand and advance. Travel history is not manifested in C-CDA, for example. Public Health agencies are chronically underfunded and if they can develop more rapidly, it will be to their benefit. There are over 2400 public health jurisdictions; states have statutes on what is reported and it’s not the same in every jurisdiction. Floyd: Would there be a consideration of moving this to international realm eventually? John: The package of data in the initial case report was blessed by a panel of experts in public health that has specific meaning in HIPAA; but we also think there we can advance the case resource  to universal in the future.  
+
****MOTION to approve subject to suggested changes with resubmission for review: Calvin/Austin
***MOTION to approve: Eric/Calvin
+
****VOTE: All in favor
***VOTE: All in favor
+
**[https://gforge.hl7.org/gf/download/trackeritem/13955/15766/Project%20Scope%20Statement_C%20CDA%20Infectious%20Disease%20Data%20Additions_v%204.docx C-CDA R2.1 Supplemental Templates for Infectious Disease] PSS
***ACTION: Anne to add to SGB agenda – guidance on large cross-organizational project scope statement buy-in review and approvals
+
***Austin describes project. Purpose is to try to raise the bar on the quality of data exchanged during transfers of care regarding infectious disease - both treatment data and laboratory results, etc. Still lining up cosponsors. Driven out of a position statement by epidemiologists who called for this improvement.
**Updates on joint project plan with X12
+
****MOTION to approve: Austin/Calvin
***Paul: There are eclaims messages in V2 and V3 used mostly outside the US. As we develop those things in FHIR, interest has evolved to use them in the US. Haven’t done a mapping from eclaims to X12. Need to produce a single mapping to reduce barrier to implementation and improve safety/consistency. Have reached out to X12 informally as we can’t do it without their participation. Will need face to face participation as it is a large piece of work. Can’t start without X12 participation as well as people committed to do the work. There is an X12 meeting week after next where it will be discussed. Mary Kay: According to MOU we have to have a joint project plan. In the past there have been some hard feelings from X12 about encroaching on their turf. We are really being careful about this as we move forward. Calvin encourages to use the HL7 liaison to X12, which Mary Kay confirms is being done. The intent is to work respectfully, carefully, and cooperatively. Calvin suggests discussing with EC and perhaps even higher, at least to provide advance notice.  
+
****VOTE: All in favor
**Further discussion on Electronic case reporting. Steve asks how travel history will be incorporated. Will likely live as another profile based off US Core.
+
***Ed asks if we're going to end up with a few hundred templates? Can we begin to start bringing some of these together for generalization? Dan replies that we don't want disease=specific templates; we want generalizable templates that can be use regardless of the disease or condition. Goal is not to come up with a discrete set of templates for this and that disease. Broad categories of data that are specified through the templates are 1) the diagnostic or carrier state, 2) the antimicrobial treatment course that has been completed or is in progress, and 3) the microbiology results that are pertinent to either or both of the prior categories. Hans: Sounds like the work that CIMI is trying to do. Are they a cosponsor? Austin states they haven't approached them.  
*Adjourned at 8:03 AM
+
**Ed asks if there will be FHIR documents associated with this and the nutrition project? Austin: Ultimately yes, but these are focused on C-CDA.  
 +
*Adjourned at 1:41 pm Eastern
 +
 +
Discussion:
 +
*Review of any outstanding issues
 +
 
  
  
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| width="100%" align="left" style="background:#f0f0f0;"|'''Actions''' ''
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|-
 
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|width="100%" |'''Next Meeting/Preliminary Agenda Items'''<br/>
 
|width="100%" |'''Next Meeting/Preliminary Agenda Items'''<br/>
  
*[[20170926 US Realm SC Call]] Tuesday at 1 PM ET
+
*[[20171003 US Realm SC Call]] Tuesday at 1 PM ET
  
 
|}
 
|}

Revision as of 18:03, 26 September 2017

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US Realm Steering Committee Call Agenda/Minutes

Location: https://global.gotomeeting.com/join/929752237]

Date: 2017-09-26
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 Johnathan Coleman x Ed Hammond
x Tony Julian x Paul Knapp x Austin Kreisler
x Brett Marquard Ken McCaslin x Nancy Orvis
Brian Pech Wayne Kubick x Christol Green
Regrets Sandra Stuart . Pat Van Dyke . Craig Parker
Regrets Danielle Friend x Eric Haas Regrets Jenni Syed
x Steve Posnak . David Susanto .
Visitor/ Name
x Daniel Pollack x Rick Geimer
Quorum: Chair + 7

Agenda

Administrivia

Discussion:

  • Review of any outstanding issues

Minutes

*Agenda review
  • Review notes from 20170913 US Realm SC WGM
  • Review Items
    • HL7 CDA R2 IG: C-CDA R2.1 Supplemental Templates for Nutrition, Release 1 (US Realm) PSS
      • Rick describes. Will expand the templates for nutrition that will hopefully be included in future versions of C-CDA. Ed asks why it's not universal realm; Rick responds that it is mostly because it uses SNOMED codes.
        • MOTION to approve: Brett/Paul
        • VOTE: All in favor
    • XDoc PSS
      • Rick Geimer here to review. Would create templates to send a native CDA document with a simple XML body using US Realm header. Ed would like to see an example of what it would look like, and wonders how it differs from structured document capture. Rick states the use case is something you can display using the CDA style sheet, which has been difficult with unstructured content. Brett states it would be good to add content on why unstructured documents are the use case. Discussion over contribution to interoperability. Hans asks why we would use an unstructured doc? Need to describe the value proposition. Brett states they should also describe when to choose this and why. Rick will update scope and need. Ed also suggests updating the name. Calvin states it could be a C-CDA narrative document.
        • MOTION to approve subject to suggested changes with resubmission for review: Calvin/Austin
        • VOTE: All in favor
    • C-CDA R2.1 Supplemental Templates for Infectious Disease PSS
      • Austin describes project. Purpose is to try to raise the bar on the quality of data exchanged during transfers of care regarding infectious disease - both treatment data and laboratory results, etc. Still lining up cosponsors. Driven out of a position statement by epidemiologists who called for this improvement.
        • MOTION to approve: Austin/Calvin
        • VOTE: All in favor
      • Ed asks if we're going to end up with a few hundred templates? Can we begin to start bringing some of these together for generalization? Dan replies that we don't want disease=specific templates; we want generalizable templates that can be use regardless of the disease or condition. Goal is not to come up with a discrete set of templates for this and that disease. Broad categories of data that are specified through the templates are 1) the diagnostic or carrier state, 2) the antimicrobial treatment course that has been completed or is in progress, and 3) the microbiology results that are pertinent to either or both of the prior categories. Hans: Sounds like the work that CIMI is trying to do. Are they a cosponsor? Austin states they haven't approached them.
    • Ed asks if there will be FHIR documents associated with this and the nutrition project? Austin: Ultimately yes, but these are focused on C-CDA.
  • Adjourned at 1:41 pm Eastern

Discussion:

  • Review of any outstanding issues


Meeting Outcomes

Actions
Next Meeting/Preliminary Agenda Items


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