Vancouver, BC, Canada
International Council Meeting
Sunday, May 13, 2012
Attendees:
Affiliate / Role / Name / Attendance RecordCo-Chair, Secretary / Helen Stevens / Attending
Co-Chair, HQ Liaison / Philip Scott / Attending
Co-Chair, Affiliate Liaison / Catherine Chronaki / Attending
HL7 Board of Directors
IC Representatives / Diego Kaminker / Attending
Catherine Chronaki / Attending
Members of the Council
HL7 Austria / Stefan Sabutsch / Attending
HL7 Argentina / Diego Kaminkler for Fernando Campos (Q1, Q2)
Fernando Campos (Q3) / Attending
HL7 Australia / Richard Dixon-Hughes / Attending
HL7 Bosnia & Herzegovina / Samir Dedovic
HL7 Canada / Melva Peters / Attending
HL7 Czech Republic / Libor Seidl / Attending
HL7 China / Li Jingjing for Baoluo Li Professor
HL7 Colombia / Fernando Portilla
HL7 Croatia / Darko Gvozdanovic for Miroslav Koncar / Attending
HL7 Finland / Catherine Chronaki for Juha Mykkanen / Attending
HL7 France / Nicolas Canu / Attending
HL7 Germany / Kai Heitmann / Attending
HL7 Hellas / Catherine Chronaki for Alexander Berler / Attending
HL7 Hong-Kong / Chung Ping Ho
HL7 India / Suptendra Sarbadhikari / Attending
HL7 Italy / Georgio Cangioli for Stefano Lotti / Attending
HL7 Japan / Ken Toyoda for Michio Kimura / Attending
Hl7 Korea / Byoung-Kee Yi / Attending
HL7 Luxembourg / Bernd Blobel for Stefan Benzschawel / Attending
HL7 New Zealand / David Hay / Attending
HL7 Norway / Ogvind Aassve for Espen Moeller / Attending
HL7 Pakistan / Hafiz Farooq Ahmad
HL7 Puerto Rico / Julio Cajigas / Attending
HL7 Romania / Florica Moldevenue
HL7 Russia / Catherine Chronaki for Tatyana Zarubina / Attending
HL7 Singapore / Colleen Brooks / Attending
HL7 Spain / Carlos Gallego Perez
HL7 Sweden / Gustav Alvfeldt
HL7 Switzerland / Beat Heggli / Attending
HL7 Taiwan / Chih-Chan (Chad) Yen / Attending
HL7 The Netherlands / Robert Stegwee / Attending
HL7 Turkey / Ergin Soysal
HL7 UK / Philip Scott / Attending
HL7 Uruguay / Selene Duarte
HL7 USA / Ed Hammond / Attending
Lapsed Affiliates (non-Voting)
HL7 Brazil / Marivan Santiago Abrahão
HL7 Chile / Sergio Konig
Guest Speakers (non-Voting)
Rene Spronk / Presenting HL7 Marketing Committee Update / Attending
Rosemary Foster / Presenting eHealth Programs in South Africa Report / Attending
Charlie McCay / Presenting Semantic Healthnet Project Overview Project / Attending
Austin Kreisler / TSC Chair – Presenting Chief Technology Officer Report / Attending
Minutes
Opening Session / Helen Stevens1. Opening Announcements & Call to Order
· Recognition of HL7 Canada – host affiliate.
· Mother’s Day - Blue Whale Room, 3rd Floor Concourse / Helen Stevens
2. Introductions Round Table
· Statement of Proxies& Quorum
Proxy Held By: / For: / Affiliate:
Li Jingjing / Baoluo Li / HL7 China
Darko Gvozdanovic / Miroslav Koncar / HL7 Croatioa
Bernd Blobel / Stefan Benzschawel / HL7 Luxemburg
Diego Kaminkler / Fernando Campos / HL7 Argentina
Georgio Cangioli / Stefano Lotti / HL7 Italy
Catherine Chronaki / Alexander Berler / HL7 Hellas
Catherine Chronaki / Tatyana Zarubina / HL7 Russia
Catherine Chronaki / Juha Mykkanen / HL7 Finland
Ogvind Aassve / Espen Moyer / HL7 Norway
· Statement of Quorum
· Current Membership = 34 Members (need 18)
· Quorum for Decisions (40%), Directions (33%), Financial Decisions (51%)
· Quorum Achieved / Helen Stevens
Reports / Helen Stevens
3. Secretary Report
· Review / Adjustment / Approval of Agenda
· Action Item Review
· Approval of Minutes from San Antonio WGM Jan 2012
· http://www.hl7.org/Special/committees/international/minutes.cfm
· Statements of e-Vote Motions approved
· Motion to approve the Affiliate Agreement v14
· E-Vote Election Results
· HQ Liaison & Financial Report / Helen Stevens
4. HL7 Board Report & Welcome
· ISO / HL7 Agreement
· International WGM Direction
· Affiliate Agreement Status Update
Further discussion on the business plan will occur later in the week. Molly Bressen will be assuming the role of Director of Education for HL7 on the 6th of June. She has a strong background in education and liaison and will action the international strategic plan.
There is a new member type of Caregiver - the link to those who actively provide care as a liaison to their professional societies and those who are reliant upon HL7 for their information exchange.
A new work group - Mobile Health begins its activities this week. This arose through inquiries from other organisations globally to develop specifications to support mobile computing in healthcare. The scope and limits of this group are still being clarified.
they have developed a host of materials with international offices. They are developing tools and participating in development of business plan communications.
There is a new logo for use for EHR - labeled care connected by….HL7
Kai Heitman was congratulated on his development of a significant magazine for HL7 Europe.
Economics of interoperability is an eHealth initiative in Europe. There is growing interest in this area and HL7 are seeking contributions from those interested in pursuing or engaging with this initiative.
HL7 Genomics is seeking to work with other standards organizations to assist in the rapid developments occurring in this area around the world.
Trifolia provides a library of templates for CDA, the ability to re-use the CDA templates and a tool for template creation. Trifolia availability as an open product is yet to be finalized but attempts to move it in that direction are occurring. Anyone who has access to the HL7 HIT web site can currently gain access to these tools.
FHIR, developed by Graeme Grieve will be made open source and tutorials are available today.
Pharma is working in collaboration with CDisk and other regulatory agencies. The regulatory bodies are becoming more interested in HL7 in order to connect systems and provide care more seamlessly.
The Joint Initiative Council met last week and continues to seek mutual ways of progressing standards.
In the USA the SCO the SDO (Standards Development Organizations) Collaborative Organization has similar objectives to the JIC and may offer additional models for collaboration and coordination.
Catherine Chronaki reported
New Members of the international council:
· Mexico - Pablo Ceballos Yanez
· Canada: Melva Peters
· Argentina: Fernando Camos
· Bosnia Herzegovina : Samir Dedovic
JIC - profile for clinical research
African initiative: public health task force work to assist developing countries.
The next chair will be Chris Chute - ISO
Lapsed Members: HL7 Brazil and Chile
New applications for members: Philippines and Malaysia
Expressions of interest from Slovenia, Denmark and Bangladesh
A slide deck is available on How to become an HL7 Affiliate - this like deck is to be updated.
HL7 Board of Directors have achieve agreement / Chuck Jaffe (15m)
Catherine Chronaki (10
5. CTO Report specific to Affiliates
· TSC Report
· Introduction of Giorgio Cangioli – IC TSC Representative
· Joint Initiative Council Activities
Austin Kreisler presented an update from the TSC
· 29 projects approved since the last meeting (7 less than the previous time)
· 10 projects withdrawn (5 more than previously) which indicates that projects and their utility are being reviewed
· 8 standards have been published (this is 1 more than at the last meeting)
· 0 standards withdrawn
· 40 standards were balloted (this is 21 more than previously)
· Government Projects working group has been dissolved and EHR work group has taken on the activities of this group.
The backlog of projects continues to grow, but it is not growing so quickly. There are 252 active projects (257 at the last meeting) most are standards, but not all.
A new project scope template will require all steering divisions to review the health of individual projects.
TSC members include: Giorgio Cangioli (affiliate), Ravi Natarajan (Affiliates) Ed Tripp, Mead walker, George Beeler, Tony Julian, Calvin Beebe, Pat Van Dyke, Patrick Loyd, Frieda Hall, Charlie Mead Ron Parker Helen Stevens and Don Mon.
The TSC is working on the SAIF Implementation Guide - services aware interoperability framework is being rolled out across the organisation. This will tell how HL7 will use SAIF to develop standards going forward. The volunteers working on this have moved on to FHIR so the OO Composite Order project is wanting to pilot SAIF behaviour framework but need the implementation guide to assist them to do this. CDA Release 3 is another project involved in the SAIF architecture project.
Strategic projects include SAIF methodology to show how various HL7, IHE and OMG immunization related artifacts can be deployed to satisfy immunization interoperability use cases - Cross - Paradigm Interoperability implementation Guide for Immunizations.
INM Wrappers
Active Tooling Projects
· Model automated exchange (MAX) - this is about the exchange of the models themselves, rather than exchange of the instances of the models - formats for exchanging the models themselves.
· Template interchange pilot - is a format for exchanging templates - funding is being sought on this topic
· HL7 will participate in an Open Healthcare Tooling project
· Gforge replacement project - is currently on hold. The current service provider will be reviewed after this meeting.
· HL7 was working on a tooling challenge but postponed while they coordinate with SPARX on funding of the challenge.
· Tooling =workgroup continues to engage with working groups which need tools and are endeavouring to increase non-tool developers' active participation in tooling projects. Call for participation in tooling to assist in building and specifying tools
· Fast Healthcare Interoperability Resources. The original idea came from Grahame Grieve. This work has come into HL7 and the technical artifacts are now hosted by HL7. TSC is working with Grahame and the AFHIR team on the processes for further development and HL7 balloting of FHIR. FHIR Tutorials taking place today and a number of meetings hosted by Modeling & Methodology. Details of FHIR are available at http://www.hl7.org/implement/standards/fhir / Austin Kreisler for
John Quinn
Discussion Topics / Helen Stevens
6. HL7 Education Workgroup Report
· HL7 International Strategic Education Plan Report
· International Webinars
For projects for education
· Enhanced certification program
· Webinars
· Electronic certification testing
· Tutorial database
eLearning Course
· 250+ students in international edition
· 60 students in HL7 Canada (affiliate run)
· 14 students in HL7 Pakistan (run form HL7 elc)
· 90 students in LatAm (spanish)
India and Austria have run special programs as has Italy and Brazil is translating into portugese. / Diego Kaminker
7. HL7 Marketing Committee Update
· Phases of an Affiliate Presentation
· African Affiliates Discussion
Session was canceled as Rene was not present. Deferred to next meeting. / Rene Spronk
8. International Council Marketing Communications Plan
HL7 international council want to highlight the breadth and value of the work done.
Draft stakeholder analysis has been undertaken. Key messages include Affiliate legal and constitutional constraints, Affiliate HL7 is the territory
Advisory policy needs to face a range of policy priorities and demands from around the world, not just the USA.
Marketing council - US centric approach turns off stakeholders and the money making approach to education and initiatives does not go down well with the broader community. / Philip Scott
9. eHealth Programs in South Africa
National systems and a national committee with each of the provinces health governments, medical research council and other invited people meeting every two months.
Coordination of activities in the provinces and to apply standards. Systems which are running nationally across the country include district health information - aggregated data for a national indicator data set. There are 60 indicators. ETR.net is an electronic register which collects information about patients with TB.
Anti-retroviral treatment (Tiered monitoring program - from simple collection to database and their 3 as a full EHR system.
In the western cape province there is an electronic medical record system, connected to a central patient master index. 2 years ago the minister for health proposed a moratorium on public sector eHealth as there was no standardization, too many failed projects. They were unable to proceed without an eHealth strategy which is due for publication in the next week or so. The provinces have a wide range of software used and no significant continuity of vendors. Many of the systems are self-built systems.
EHealth is seen as the umbrella of vital registration systems, knowledge management, consumer health informatics, telemedicine, her and routine health information management systems with M-health as part of the enabling infrastructure.
The eHealth sector negotiated service delivery agreement has a 10 point plan, including health insurance, and rolling out a national EMR system for anti-retroviral treatment (ART) and a proposed national EHR system.
Expected deliverables and others
increasing life expectancy
Decreasing maternal and child mortality
Combat HIV
Strategic priorities - ongoing proof to those who make decisions that this is the appropriate way forward. / Rosemary Foster
10. Semantic Healthnet Project Overview
This work has been looking at a virtual organization to support healthcare interoperability in Europe, to maintain specifications and testing conformance. There is work looking at an ontology based tool to maintain this work.
Related European topics include semantic health and Calliope as a roadmap. epSOS is a project for sharing prescriptions and patient summaries. The European interoperability framework is largely looking at IHE, continua profiles. They are looking for feedback on the epSOS IHE profiles.
Hl7's input is to collaborate and contribute CDA templates. There is of course the issue of which templates and what other specifications are relevant. How is semantic coherence managed across different areas and what should the quality metrics be.
Process issues identified so far, include the need to work out engagement with relevant committees and the IP issues related to the specifications used. The value to HL7 is that this engagement is at EU level engagement. This is quite a challenge to work out how to do this and how to provide feedback. Much of what HL7 are doing is opaque and needs to be much clearer. / Charlie McCay
Break
11. Thursday Agenda Topics
· Lunch
· Introductions & Secretary Report (Helen)
· Budget 2012 Report (Philip)
· IC Communications Strategy Discussion (Philip)
· Q3
· Business Plan – In-Camera session
· Q4
· Reports from Committee Liaisons
· International WGM Assessment Committee Discussion
· International Membership and Affiliate Task Force Discussion
· Fresh Look Task Force Discussion
· Conference Reports (EFMI STC 2012, MIE 2012)
· 13th International HL7 Interoperability Conference (IHIC 2012
· Project Reports
· Special Interest Topic for Sept 2012
· Agenda reorganization
· Action item review / Helen Stevens
International Special Interest Topic / Philip Scott
12. Affiliate Political Realities
· France
· Australia
· UK
Refer to presentations attached. / Nicolas Canu
Richard Dixon-Hughes
Philip Scott
HL7 Around the World Regions / Philip Scott
13. Regional Reports
· Europe / Catherine Chronaki
· Latin America / Diego Kaminker
· Discussion regarding other regions that may be appropriate for future meetings. / Philip Scott
Lunch
HL7 Around the World Affiliates / Catherine Chronaki
14. Reports from HL7 Affiliates
· HL7 Austria / Stefan Sabutsch
· HL7 Argentina / Fernando Campos
· HL7 Australia / Richard Dixon-Hughes
· HL7 Canada / Melva Peters
· HL7 Croatia / Darko Gvozdanovic
· HL7 France / Nicolas Canu
· HL7 Germany / Kai Heitmann
· HL7 Hellas / Catherine Chronaki
· HL7 India / Suptendra Sarbadhikari
· HL7 Italy / Georgio Cangioli
· HL7 Japan / Ken Toyoda
· Hl7 Korea / Byoung-Kee Yi
· HL7 Luxembourg / Bernd Blobel
· HL7 New Zealand / David Hay
· HL7 Norway / Ogvind Aassve
· HL7 Puerto Rico / Julio Cajigas
· HL7 Singapore / Colleen Brooks
· HL7 Switzerland / Beat Heggli
· HL7 Taiwan / Michael Chiang
· HL7 The Netherlands / Robert Stegwee
· HL7 UK / Philip Scott
· HL7 USA / Ed Hammond
Closing Remarks / Catherine Chronaki
15. Closing Remarks / Catherine Chronaki
Break
International Council Meeting (Vancouver, May 13, 2012) 1