HL7 Working Group Meeting Boston, MA. May 18-21, 1993 General Session Minutes Wednesday, May 19 Morning Session Meeting called to order at 8:35 AM @ Mark McDougall reviewed general comments - Sept 21-24 meeting will be at Infomart (Loews-Anatole hotel) - Jan 18-21 meeting will be in New Orleans (Doubletree Hotel) - May 1994 in Seattle, WA - October 1994 in Milwaukee, Cincinnati or ? -Turned meeting over to John Quinn @ John Quinn welcomed the group to Boston; welcomed new members; reviewed general format of meetings @ Approximately 190 registered participants - largest Working Group meeting ever in HL7 history @ Review of MSDS Joint Mtg (Woody Beeler) - Discussion re: how the committees can work together - Development of a draft meta-model (consistent with Mead Walker@s framework for version 3.0) - Will take a report to MSDS re: a data model @ John Quinn asked for volunteers for a number of positions: - Co-chair for ADT/Finance Committee - Technical Secretary @ Responsible for taking minutes at general mtgs & Technical Steering Committee @ Responsible for putting together diskette of minutes @ Position is on the HL7 Executive Committee (four meetings per year) @ Responsible for the Glossary @ Inter-Enterprise Tech Committee will be meeting on Wed AM in addition to Thurs mtgs @ ADT/Finance (Jim Demetriades) - Review of 2.2 issues - Will work on 3.0 modelling @ Pt Care SIG (Kathy Milholland) - Mead Walker to review encounter & object-oriented model - Will be reviewing work from last meeting @ Tutorials - Case Studies (Linda Valenti - BAHS) - Modelling (Jim Fry) @ Joint Working Groups - ASTM Observation Reporting joint working group (Clem McDonald) @ Will focus on modelling @ CEN TC251 (George Demoor-chair) will be represented - Will review CEN model for lab results to find if it can be used - ACR-NEMA Diagnostic Imaging joint working group (Dean Bidgood-ACR-NEMA) @ Will be joined by representatives for Dentistry (ADA & Maxilofacial Surgeons) @ American Society for Clinical Pathologists will be represented @ Want to review a trial DICOM/ACR-NEMA & HL7 interface - Will be at the McCormick Center in Chicago in November - Asked for more participants from the vendor community Meeting was adjourned at 9:11 AM Afternoon Session Meeting called to order at 1:14 PM @ HL7 @s new Internet e-mail address: HQ@HL7.WIN.NET @ Mark McDougall reported: - Currently 180 organizational members, up from 30 a year ago - Five benefactors, up from three @ Ed Hammond (Past Chair) presented awards to the five benefactors: - Five benefactors, up from three - IDX Corporation, Andersen Consulting, Ernst & Young, Spacelabs and DEC - Presented a thank you plaque to DEC for hosting the May 1993 meeting Interim Progress Reports: @ ADT/Finance (Jim Demetriades) - Reviewed 2.2 - Motion was forwarded to create a new segment to support UB92; would delay 2.2 somewhat, in that it will require re-balloting; this will be discussed @ MSDS (Clem McDonald) - Getting a presentation from the CEN groop @ Diagnostic Imaging (Dean Bidgood) - Reached common interest in forwarding color imaging into the standard - Want proposal for ACR-NEMA to review by SCAMC time @ Pt Care SIG (Kathy Milholland) - Reviewed encounter model with Mead Walker; developed a plan to present the view of encounter at the September meeting - Karen Keeter will be the new co-chair of the SIG @ Tutorials (Diane Kravec) - How to Write HL7 Interfaces @ Control/Query (Mark Shafarman) - Will discuss encoding schemes and event structures (Version 3.0 topics) Meeting adjourned at 1:34 Thursday, May 20 Morning Session Meeting called to order at 8:30 AM @ Control/Query (Mark Shaferman) -BNF (syntax only language-part of UNIX) was reviewed as a manner to parse HL7 information; will be included in the implementation guide @ ADT/Finance (Jim Demetriades) -Will be including a UB92 segment in Version 2.2; will send comments directly to the chair (bypass committee ballot), and then include for the general 2.2. ballot @ IETC (?) - IETC and ADT/Finance will be merged, to address scheduling and other transactions @ HISPP MSDS Update (Clem McDonald) - MSDS = ACR/NEMA (diagnositc imaging), NCPDP (pharmaceutical transaction data transmission), X.12 (messaging format), ASTM (manages over 3,000 standards; inplace since late 1800s; astm 1238 is a subset of HL7 (OBR & OBX transactions); multiple committees that deal with healthcare informatics; E3115 - ARDEN syntax; E3116 - ECG/EKG transmission), IEEE MIB (Medical Information Bus) and Medix (object data modelling), HL7 (ADT/Finance, Orders, etc.) @ Medical Records SIG (Wayne Tracy) - Draft proposal advanced to Tech Steering Committee to move from a SIG to a full chapter committee; will vote today to decide if formal request should be filed - May change the name to @Information Management@, to match the JCAHO and AHIMA naming for medical records now Meeting adjourned at 9:10 AM Afternoon Session Meeting called to order at 1:05 PM @ Executive Committee update (Sue Campbell) - Formed a Finance Subcommittee to better manage funds; want to install an annual audit process - Balloting process for 2.2 - want to distribute ballot before next Plenary meeting - Received formal approval for the HL7 logos; will be distributing a licensing agreement to all organizational members - Executive Committee will have a retreat in June in Santa Fe, New Mexico to discuss how HL7 can address health care reform (June 21-22) - Will send out a similar letter to that which AMIA sent out (to the HC Reform Informatics Committee) - has been endorsed by CHIM, CPRI and other organizations as well - Issue of whether the standard should be charged for, or be free will be placed on the agenda @ Issue of tables (John Quinn) - Tables should not be taken out of the documentation @ Wes Rishel updated the group on Internet access - Request that all Internet users send their e-mail addresses to the List Server for publication by HL7 @ Each committee chair discussed the work for this afternoon - Chapter 4 is out to ballot; chapter 7 will be out shortly - The event/trigger mechanism will be extended for version 2.x, instead of waiting for 3.0 - The Medical Records SIG will vote on a proposal for growth into a formal chapter Meeting adjourned at 1:45 PM Friday, May 21 Morning Session - Final Meeting Meeting called to order at 8:41 AM @ Each committee chair summarized progress for this meeting - Med Recs voted YES on a proposal for growth into a formal chapter; a formal request, with explicit scope and mission statement, will be forwarded to the Technical Steering Committee - QA Group discussed CASE tool selection - partial to Systems Architect @ Will contact ASTM and Medix to coordinate selection and purchase; will reach consensus within the group and present a proposal to the Tech Chair @ Will be working to create a structure to address modelling issues; will ask Tech Comm to charter a Modelling Committee to create a high-level model @ The QA Committee will review 2.2 for semantics and completeness - Control/Query formed a task group to investigate character sets; ISO has a new standard that includes both 16 & 32 bit character sets @ Will try to put together a BNF appendix of all message types for 2.2; won@t hold up 2.2 - ADT/Finance/IETC put together proposal for resource scheduling interfaces; will present a proposal to the overall group in next four weeks - Mark Mcdougall requested of all chapter chairs: @ Agenda items and meeting times for Working Group portion at the Plenary meeting in September 21-24 in Dallas (need by June 15) @ Update items for the mid-June newsletter @ Deadline for newsletter articles is Friday, May 28 - Version 3.0 Task Force will meet this AM and PM @ Discussion of Version 3.0 structure; European efforts Meeting was adjourned at 9:16 AM