MnM Minutes WGM 201405 Phoenix

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Sunday May 4 Q3 - Finalize Agenda/Review Hot Topics

Attendees

Woody Beeler, Lloyd McKenzie (Chair), Grahame Grieve, Austin Kreisler, Paul Knapp, Jim Marks (AGFA), Marie Swall (VA), Jean Duteau (Scribe)

Minutes

• Determine agenda for the week
  • Tuesday Q1 will be a discussion of the UDI pattern
  • Monday Q1 and Tuesday Q2 will be cancelled as we have no topics to discuss
• Discussion of Core Principles and the need for a R3
  • Negation Indicator Guidance projects are progressing
  • ISO has caused some changes that may result in changes in Chapter 5
  • There was a consideration for a new Core Principles project but we decided to delay until the Negation Indicators project progresses.
• Discussion of the BlockedContextConduction Hot Topic
  • After discussion, Woody will attempt to write up a resolution. There is a belief that tooling is not the problem with this topic.
• Value Sets Used in Data Types are Incorrect
  • Should be closed as it has been fixed

Tuesday May 6 Q1

Attendees

Jean Duteau (chair/scribe), Woody Beeler, Paul Knapp, Grahame Grieve (initial part of the meeting)

Minutes

• Review of Decision Making Practices
  • Decided to change the quorum from Co-Chair and three members to Co-Chair and two members.
  • MOTION: Accept the new Decision Making Practices with the change to quorum rules. Woody/Grahame 3-0-0
• Review of Workgroup SWOT (on the Wiki)
  • MOTION: Accept the new SWOT as modified on the Wiki. Paul/Woody VOTE to be taken via e-vote process
• Review of Mission & Charter
  • MOTION: Accept the modified Mission & Charter. Woody/Paul VOTE to be taken via e-vote process
• UDI Proposal Discussion
  • Paul discussed the UDI proposal. We reviewed the patterns and the principles. We endorsed them and discussed the appropriate way to represent these in RIM-derived models. We will introduce the patterns and the proposed RIM changes at the Facilitator's Roundtable with a view to having formal harmonization of the pattern and changes in the next Harmonization cycle.

Tuesday May 6 Q3 - Joined Joint w/SD, ITS, V3 Pubs, Tooling

Attendees

Beeler Jr, George (Woody) (Beeler Consulting LLC)

Nothing of significance to MnM

Wednesday May 7 Q1 - Hosting Vocabulary, FHIR

Attendees

Baptist, Joseph (NICTIZ Nat.ICT.Inst.Healthc.Netherlands)

Beeler Jr, George (Woody) (Beeler Consulting LLC)

Bunker, Nathan (American Immunization Registry Association)

Couderc, Carmela (Siemens Healthcare)

de Moel, Ed (Hawaii Resource Group)

Fine, Steven (Cerner Corporation)

Hall, Freida (Quest Diagnostics, Incorporated)

Henket, Alexander (HL7 Netherlands)

Huang, Wendy (Canada Health Infoway Inc.)

Klein, William Ted (Klein Consulting, Inc.)

Lyle, Jay (Ockham Information Services LLC)

Macumber, Caroline (Apelon, Inc.)

McClure, Robert (MD Partners, Inc.)

McKenzie, Lloyd (Gordon Point Informatics (HL7 Canada))

McKinney, Frank (Frank McKinney Group LLC)

Millar, Jane (IHTSDO)

Narcisi, Jean (American Dental Association)

Parker, Craig (Intermountain Healthcare)

Reppen, Bertil (Apertura)

Shaver, Dave (Corepoint Health)

Trivedi, Prashant (NHS - UK)

Wednesday May 7 Q2 - Hosting Vocabulary, FHIR

Attendees

Baptist, Joseph (NICTIZ Nat.ICT.Inst.Healthc.Netherlands)

Beeler Jr, George (Woody) (Beeler Consulting LLC)

Bunker, Nathan (American Immunization Registry Association)

Couderc, Carmela (Siemens Healthcare)

Daniels, Reuben (National eHealth Transition Authority (NEHTA))

de Moel, Ed (Hawaii Resource Group)

Hamm, Russell

Henket, Alexander (HL7 Netherlands)

Huang, Wendy (Canada Health Infoway Inc.)

Klein, William Ted (Klein Consulting, Inc.)

McClure, Robert (MD Partners, Inc.)

McKenzie, Lloyd (Gordon Point Informatics (HL7 Canada))

Millar, Jane (IHTSDO)

Parker, Craig (Intermountain Healthcare)

Shaver, Dave (Corepoint Health)

Swall, Marie (U.S. Department of Veterans Affairs)

Trivedi, Prashant (NHS - UK)

Planning for Value Sets In Harmonization

Ted and Woody noted that they will spend time before July Harmonization to attempt to capture required Value Set definition data (primarily around governance)for value set definitions being added or updated in that Harmonization cycle. Further, they will explore methods for improving the establishment of "release dates" for existing Value Sets.

FHIR QA Rules on Value Sets

Lloyd presented the current definitional principals for Value Sets that will applied to existing FHIR content while preparing for DSTU 2 (between now and September).

FHIR-defined code systems

Discussion on the use of FHIR-defined code systems, in the context of Encounter resource for "CODE" attributes, specifically Encounter Type and AdmitSource and the "requirement" for a "readable" code in such types. Lloyd suggested these be taken back to MnM and others for the enhancement of the QA definitions.

Role of the HTA

HTA seeks to be responsive in this area, and is interested in any QA changes that are defined in the terminology space. Agreed the HTA should undertake to present a Webinar on "How to Discover the Good Vocabulary that is Out There (LOINC, SNOMED, etc.)" in order to follow HTA good practices - and the sooner the better.

Discussion of "incomplete"=

In the QA the term "incomplete" as a Code System, as a result of the binding/conformance requirements of FHIR. (It means "extensible" or bound CNE to people who struggled to learn HL7 terminology in the past.)

Role of Vocabulary WG in Update of Resources in FHIR around Vocabulary

In past FHIR Core did these resources and tried to keep Vocabulary informed. Question is does Vocabulary want to take a stronger role. Response, Vocab seems unlikely to have the band width to do this.

Other

Help Desk Terminology responses

Lloyd noted that there are a number of Help Desk "responses" from FHIR in the Terminology space, and the Vocabulary Work Group might consider reviewing these, either formally or informally.

Items on the FHIR Issues Tracker on Gforge

Lloyd presented and the group discussed a few of these. The results were tabulated as responses on Gforge.

Motion to make these changes/responses was made by Lloyd, seconded by Ted and passed unanimously.