HL7 PC Co-Chair Open Meeting – [December] [12] [2016]

Current WG Co-Chairs: Stephen Chu,Laura Heermann-Langford, Jay Lyle, Michelle Miller, Emma Jones, Michael Tan

Present –Emma Jones,Stephen Chu, Michael Tan, Jay Lyle,Evelyn Gallego, Michelle Miller,

Previous minutes notes are here:

  1. Move to Approve: Stephen Second: Jay

AGENDA

  1. Roll Call and Review Agenda –
  2. Agenda items
  1. San Antonio WGM
  2. WGM Agenda Updates
  3. Actions:
  4. Stephen will confirm rooms with Lillian.
  5. ONC need updates on care plan implementation– the ONC interoperability proving grounds is a way to track active interoperability projects. We will discuss during the WGM
  6. FHIR STU3 – Care Plan outstanding items
  1. High level discussion on New PSS submissions [If Any]
  2. Updates on:
  3. Current Topics
  4. PC Ballots
  5. PC Projects Status
  6. Co-Sponsored Projects Status
  7. From TSC ?

Current Topics

  1. Allergy Intolerance Topic:
  2. FHIR: Michelle would like to coordination a call with all interested parties. Discussion about pulling reaction out to the resource. Reached out to Russ, Rob M, Rob H. Stephen for Dec 15th.
  3. Updates: No New Updates
  4. Care Plan Topics
  5. ONC Types of ‘Care Plan’ Work
  6. Content
  7. Structural
  1. Care TeamDefinition Project [with ONC]
  2. Content
  3. Structural
  1. IHE: New Care Team Management Profile proposal
  2. Emma reported back to PCWG with summary and meeting info.
  3. Proposal can be found here

Discussions:

  1. Stephen provided Care Plan slide deck that can be used as a beginning discussion. Evelyn will use the information to inform the interoperability standards and will inform the care plan topics for ONC. Date is set for Dec 7
  2. Care Plan multiple activities – Wayne has started a review of activities to streamline HL7 WG projects and activities. Suggest inviting him to the next co-chair call to answer questions and take suggestions from PC. Care Plan is an excellent example.Russ made introductions and Emma invited Wayne to the next PC co-chair call – so far no response from him.
  3. Updates: Stephen will update the Slide deck on the ONC site. Emma will use Stephen’s slide deck for the care team document

PC Ballot updates

  1. Assessment Scale (Michael):
  2. Per Michael – we are quite stretched for conf calls. Can work via email
  3. Nothing new. Standing still. Looking bad. Questionable if there are interest. Will get in touch with William. Keep open for now.
  4. Actions: Need to do ballot reconciliation at the WGM
  5. FHIR Clinical Resources (Michelle): Need all recon done by nov 20.
  6. Deadline is still the same. Hoping the timeline is pushed for a few months. Have a bunch that requires discussion.
  7. FHIR Resources – Work group responsibility [Michelle]
  8. Timeline – have until November 27 to have all substantive changes.
  9. Can log ballot issues if we still have QA work to do.
  10. – has the FHIR timeline.
  11. Updates: Worked on the outstanding CarePlan related items
  12. gForge 12090 – completed and voted on
  13. New deadline is Sunday Feb. 5 Ballot reconciliation deadline
  14. - All ballot comments must be reconciled, tracker issue report must be clean
  15. 40 unresolved tracker items (36 ballot + 4 high maturity resource non-ballot comments)
  16. * 18 requested input from vocab (value set related ballot comments)
  17. * 7 waiting for input
  18. * 3 waiting to be scheduled (joint with OO or in person requests)
  19. * 12 ready for discussion during our weekly conference call
  20. Sun. Feb. 19 Publication substantive resource freeze
  21. 20 Resolved - Change Request tracker items
  22. 18 ballot or high maturity resource (+ 2 non-ballot, non-priority resource)
  23. * 7 are substantive (+ 13 are non-substantive)
  24. ** 5 related to new extensions/profiles
  25. ** 1 workflow pattern
  26. ** 1 populate structure

PC Projects Status Updates

  1. FHIR bindings – Jay [Remove from our agenda] – relates to Graham blog.
  2. Action: Jay will send out link to the slides. We need more info and have follow-up discussion before we decide on what PC need to do.
  3. FHIR technical designers were making terminology decisions which need requirements SME involved.
  4. Maturity levels – may need workgroup review criterias that should be considered
  5. TQA sub group project (meet QOMon at noon EST – met 08/01/2016) – has reps from all the different areas. Will be able to get point across. Jay will attend.
  6. Vocab and valueset bindings – michelle will give her list to Rob
  7. Lisa – CCDA valuesets and FHIR valueset bindings that are the same are not being aligned. We need to be mindful of this during design. Rob – we need to figure this out. Lisa will send Rob a spreadsheet where she’s been work on valueset mappings. Where things don’t line up need to make sense. Lisa working with Brett. Jay –Suggest we need requirements rather than mapping spec A to Spec B should there not be a common vocab to map to. Lisa – need like a concept domain. But we are working as we fly.
  8. FHIR is working with ITSDO about this. We may need to retire this. Jay will confirm
  9. Updates: No new updates

Co-sponsored projectsUpdates

  1. SDWG – CCDA 2.1 companion guide ballot
  2. Point persons: Elaine, Lisa
  3. Lisa - Working thru the ballot comments. Some comments require discussion that will happen via SDWG. Plan to re-publish in Jan.
  4. Updates:No new updates
  5. International Patient Summary Document – Decided to leave with SDWG (HSI co-sponsoring). Content part is still in the project scope which means more involvement for PC. PC need to contribute up-front. Encourage PC members to join calls– not just co-chairs. Need content SMEs.
  • Action: Rob
  • Will start project page when fully approved.
  • Will send out a poll: Stephen: email with rob. He’s trying to coordinate call times that will work. Looking forward to the first call.
  • Rob: meeting last week – JIC meeting updates. Project coordination meeting with HL7. IHTSDO coordination. Continue to move ahead. Will continue to work jointly with CDA on FHIR. Working on the minimal data needed for a useful set.
  • Updates: No new updates
  1. PC - CIMI POC
  2. PC and CIMI co-sponsoring. Involves MnM. Rob Hausam and Susan Matney participating. Modeling comes from CIMI. Anticipate finishing this summer. Resulting artifact is a CIMI model and analysis. No ballot.
  3. Updates:No new updates
  1. PC/FHIR – Negation
  2. Rob and Jay lead
  3. See spreadsheet – look at column D and if you have a scenario that is missing, email Jay.
  4. Plan on getting to something that’s ready to publish with plan for May 2017 informative ballot
  5. Updates:No new updates
  1. CIMI/FHIM Investigative Study
  2. Updates:No new updates
  1. PC/JET - Allergy
  2. Substance terminology harmonization (JET project – analysis of the list and regeneration of use frequency list.)
  3. Up for Jan ballot
  4. Updates: No new updates
  1. PC/FHIR - Care Plan
  2. Care Plan Harmonization
  3. Stephen: Next steps is a Care Plan harmonization project looking at harmonizing the DAM and the Care Plan FHIR resource. Laura started a spreadsheet. Stephen sent out the spreadsheet. Calls will be during the Bi-monthly care plan calls. Goal is to do high level analysis and proposed resolutions.
  4. Updates:No new updates
  1. PC/SOA - CCS Publication- Laura
  2. Located here -
  3. Sent email to Lynn to ask why not in the master grid. Notification of intend to publish done.
  4. Email from Lynn (Oct 24)that they have not received a publication request as yet.
  5. Enrique sent document to Stephen – Stephen will check it and follow up with Linda. Stephen will check the ballot stats and will send to HL7 HQ.
  6. Updates: Stephen will work on getting the document to Linda
  1. PC/SOA - PSS for "Scheduling Service" Specification
  1. Laura – Round 2 of CCS See
  2. PC is co-sponsor. SOA will do the heavy lifting
  3. Laura will review off line and update PC via email discussion
  4. Stephen – we need to be aware of how this contributes to PC care plan work
  5. Updates: No new updates
  1. PC/FHIR Updates
  1. Clinical Notes –
  2. Clinician-on-FHIR
  3. Plans for next steps
  4. Suggestions for overall approach next time around
  5. ClinFHIR tool use
  6. The clinical documentation piece will fold into the ED track
  7. Allergy intolerance to also fit in the ED workflow
  1. PC/SDWG - CCDA clinical status value set-
  2. Discussed during Care plan call – Stephen to do a write up. SDWG is awaiting an update. Stephen sent out slide deck. Will cast a wider net.
  1. Updates: No new updates
  2. Received feed-back from Russ and Michelle- need to discuss this as well.
  3. Actions: Need to discuss during the FHIR call (after ballot reconciliation work)No new updates – will discuss at WGM

Parking Lot

  1. Family member FHIR resource – Hackathon
  2. Elaine: NIH project thru NCBI – propose taking a look at FM history that will enable adding family tree information to FHIR resources. Genomic tool used for entering family history.
  3. Project postponed - will try again in Jan. 2017
  4. Adverse Event Resource –
  5. Owned by RCRIM (we are co-sponsoring).
  6. Updates: No new updates

Other Committee Business

Next PC WG Co-Chair call – January 23, 2017(4thMonday)

** Topics to discuss during this call

DESD Assignments:

  1. Anatomic Pathology – Stephen
  2. Anesthesia – Stephen
  3. Attachments – Jay
  4. BRIDG – JeanEmma
  5. Child Health – RussStephen
  6. Clinical Genomics – Laura
  7. CIC – Jay
  8. CQI – RussStephen
  9. CBCC – JeanLaura
  10. Emergency Care – Laura
  11. Devices – LauraMichelle
  12. Patient Care – Stephen
  13. Pharmacy – Michael, Michelle
  14. PHER –ElaineLaura
  15. RCRIM – Elaine Emma
  16. Learning Health Systems – Laura
  17. Triage Person: Emma (notice from Melva Peters)