AC Mtg HL7 WGM Koln
[pic] | |HL7 Working Group Meeting
April 29 – May 4, 200, Cologne (Germany)
| |
|Affiliates’ Council Meeting |
|Sunday, April 29, 2007, 09:00-17:00 |
|Minutes (Draft) |
Opening
Introductions
• The meeting was called to order at 09:10.
• Kai suggested that due to the size of the group that no round-table introductions are made and that the attendees introduce themselves to each other informally during breaks and lunch.
Approval of Draft Minutes of Affiliates Council plenary meeting and Affiliate Chairs Lunch meeting from January WGM
• Motion made by Yun-Sik Kwak; seconded by Beat Heggli.
o Outcome: Minutes from January 2007 WGM approved unanimously.
Approval / Adjustment of Agenda
• Addition of:
o International Mentors Group presentation
o EHR TC - Brief Update (John Ritter)
o T3F (Charlie McCay and Bernd Blobel)
Information / Liaison Reports
Implementation Report (Charlie McCay) [deferred until 10:30]
• Tuesday - Q3 Meeting and Implementer’s Lunch
• New Work Item: DSTU testing - which merges well with the work of the Conformance SIG.
• Implementation Guide: Being led by Sarah Ryan – looking at producing a set of Implementation Guides and guidance about how to develop IGs
• Wednesday – Case Studies Workshop. Attendees need to register for that session; still a few places left.
Activities of the Implementation Committee (Tim Benson) [deferred until 10:35]
• e-Learning Project – content deficit
• Curriculum Project
• Certification update – CDA release 2 certification is now available
Q. (Bernd Blobel) – Regarding certification, how far are certification activities and processes harmonised?
A. (Tim Benson) – This differs as relates to resources (human)
ISO TC215 Progress Report (.01) (Yun-Sik Kwak). For further information, please refer to the “Documents” section of the Council’s webpage.
• HL7 Projects in ISO TC 215 in WG 2
o ISO 17113, Health Informatics – Exchange of information between healthcare information systems – development of messages (based on HL7 v3) is in press
o ISO 27931, Health Informatics - HL7 v2.5 Messaging Standard is in DIS Stage
o ISO 27932, Health Informatics – Clinical Document Architecture (Release 2) is in DIS stage
o ISO 21090, Health Informatics – Harmonised data types for information interchange is up for MNWIP ballot.
o ISO 27951, Health Informatics – Common Terminology Services, Release 1 in is in DIS Stage
• HL7 Projects in ISO TC 215 in WG 6
o ISO NWIP, Health Informatics – Pharmacovigilance –Individual Case Safety Reports is up for NWIP ballot (VA and ISO lead)
o ISO NWIP, Health Informatics – Pharmacovigilance – Structures and Controlled Vocabularies for Laboratory Test Units for the Reporting of Laboratory Results is up for NWIP ballot (VA and ISO lead)
o ISO NWIP, Health Informatics – Identification of medicinal products – Data elements and structures for the exchange of regulated product information for the drug dictionaries is up for NWIP ballot (VA and ISO lead)
o ISO NWIP, Health Informatics – Identification of medicinal products - Structures and Controlled Vocabularies for Pharmaceutical Product Identifiers(PhPIDS) is up for NWIP ballot (VA and ISO lead)
o ISO NWIP, Health Informatics – Identification of medicinal products - Structures and Controlled Vocabularies for Ingredients is up for NWIP ballot (VA and ISO lead)
o ISO NWIP, Health Informatics – Identification of medicinal products - Structures and Controlled Vocabularies for Units f Measurement is up for NWIP ballot (VA and ISO lead)
o ISO NWIP, Health Informatics – Identification of medicinal products - Structures and Controlled Vocabularies for Pharmaceutical Dose Form, Units of Presentation and Routes of Administration is up for NWIP ballot (VA and ISO lead)
o ISO NWIP, Health Informatics – EHR System functional model is up for NWIP ballot
• Other Items of Interest
o ISO/CN 13606-1,2,3,4, Health Informatics – Electronic Health Record Communication are being processed (separate update to be given by Mark Shafarman)
o ISOTS 27790 NWIP, Health Informatics – Document Registry Framework is up for NWIP ballot (Note: ebXML base CDA registry and collaboration with IHE)
o TF e-Business will continue
- ebXML (Frans will provide update)
- Smart card in healthcare
- EDI in healthcare
o TF Multi-disciplinary clinical
- Technical Report
- Promote clinician involvement
o ISO/TC 215 Plenary meeting held Mar 26-29, 2007, in Montreal, Canada
o 3rd GHITSS (Global Health Information Technology Standards Summit) held March 25, 2007 in Montreal, Canada
o 2nd GHITSS held in Geneva, Oct 8th, 2006
o 1st GHITSS held in Hamamatsu, Japan, Sept 19th, 2006
o 1st HIMSS-Asia Pacific is to be held in Singapore. May 15th-18th, 2007
• Engagement in ISO/TC 215
o ISO TC 215 Structure (see diagram, slide 14)
o ISO TC 215 Membership, Member Bodies, Leadership (see slides 15-24)
• ISO TC 215 Liaison Organizations (see slide 25)
• ISO TC 215 Partnership Organizations
o CEN/TC 251 (VA Agreement)
o Health Level 7
o IEEE
• ISO TC 215 Liaison Organizations (see also slide 27)
o ICH
o CDISC
• ISO TC 215 Liaison Committees (see slides 28,29)
• CEN, ISO, HL7 Agreement on Collaboration, Cooperation and Coordination
o Outcome of GHITSS 1,2: HIT Standards are not sufficient to develop and deploy EHR, there are duplications
o MoU from 2000
o CEN/TC251, ISO/TC215, HL7 Agreement on Collaboration and Cooperation and Charter (see slides 33-36)
o Charter – Joint Initiative on SDO Global Health Informatics
• Standards and work in Progress
o The ISO/TC215 is requesting HL7 experts’ participation to meet the expectations of stakeholders and members worldwide!
o
Note: For additional information about the CEN, ISO, HL7 Agreement and the Charter please refer to slides 38-58 in this presentation and to the documents posted on the Affiliates Council website.
Comment (Charlie McCay) – One of the challenges has been to get sensible visibility between organisations and the way work is moving through the approval(s) processes. This encompasses what every mirror panel needs - if we can collaborate on that aspect, it will make a difference!
Q. (Kai Heitmann) - Is there consensus about writing the short 10-page summary that was suggested previously?
A. (Yun Sik-Kwak) – There are CEN/ISO copyright issues to consider, but we can work out these.
Comment (Mark Shafarman) – I’d just like to remind everyone and anyone who is interested in the ongoing CEN/ISO/HL7 Sunday night meetings (7:30 – 9:30 pm).
Comment (Ed Hammond) – For the information of the attendees here, I am the person responsible for moving information from HL7 to ISO. All Affiliate Chairs will have received a copy of the Charter, and Affiliates will be informed of relevant information in advance.
Comment (Charlie McCay) – I’d just like to reinforce the importance of, and the requirement to get, a universally identifiable set of standards agreed at the international level.
Comment (Yun Sik-Kwak) – I need to refresh everyone about the ISO working process – and of the requirement to participate as Member Bodies.
Comment (Bernd Blobel) – Our methodology and development frameworks need to be taken into account along with all our models, processes etc
Follow Up Report: ISO TC215 ebXML Study (.02) (Frans van Bommel) For further information, please refer to slides posted on the “Documents” section of the Council’s webpage. [9:50 am]
• ISO TC215: Parameters for the ebXML Study
o TC215 is member of the MoU Management Group (ISO, ITU, UN CEFACT, OASIS…)
o In 2006 (at the JeJu Meeting) TC215 decided to initiate a study for ebXML in the healthcare domain
o Chairman: Dr. Yun-Sik Kwak
o Members: Frans van Bommel, Audrey Dickerson and members of the TC215 working groups
o Results to be presented in the TC meeting in Montreal (March 2007)
• Target audiences for the ISO ebXML Study:
o HL7 WGM, San Diego
o ISO TC215 meeting. Montreal
o Recommendations for the future of the ebXML Task Force
o Liaison with HL7 - the next step
o Create awareness
o Discover the benefits of ebXML - refer to MoU for the ISO activities in Health
o How can ISO TC215 support the activities of ebXML (Patient Administration, Insurance, Health Cards)
o Provide recommendations for future collaboration (at Montreal 2007 meeting)
• Electronic Business XML (ebXML):
o The best of 2 worlds combined
o W3C (internet)
o OASIS (industry, infrastructure)
o UN CEFACT (Users: TBG groups, semantics)
o Health: eBES eg9/TBG10 Europe, TBG10
• ebXML: Focus Areas
o Semantic Framework
o Interoperability
• ebXML: Results
o Knowledge of OASIS (experts meet with HL7 and OASIS at San Diego WGM; the UN formalized the ISO 15000 family of standards
o A Framework for Awareness and Legislation
o The CCTS with a growing repository of Core Components
o Implementations: UBL in many languages, XBRL
o In the future: more tools and international and inter-sectorial use
• ISO 15000 standards
1. Collaboration protocol profile and agreement spec. (ebCPP)
2. Message service specification (ebMS)
3. Registry Information Model
4. Registry Services Specification
5. Core Component Technical Specification (CCTS) (Building Blocks)
• ebXML in Health: Expert meeting with HL7 and OASIS in San Diego
o The same approach (UML, syntax independent ...)
o HL7 uses some of the technical parts (ebMS)
o Ride project in Europe (roadmap, ebBP with IHE)
o UN CEFACT TBG10: Core components project based upon HL7 CMETS and CEN GPICS; Datatypes….
o ISO registry framework of CDA
o E-Invoicing, e-Procurement, payment
o Messaging; Insurers, HCP,…….
o ebMS/CPA for emergency alerting, NIST, UK, …
• Questionnaire - Questions (Preparation advice from ISO, CEN, HL7, UN CEFACT, OASIS, EEG9, TBG10)
o Representing which sector?
o Benefit of using ebXML for TC215/HL7?
o Which parts of ebXML are of interest?
o Which areas in healthcare can use ebXML as it is?
o Can TC215 support ebXML?
o Liaisons, WG, Task Force?
o Target of a new group?
• Questionnaire - Answers
o Better integration - health and business sector(s)
o ebXML has a sound technical base useful for health
o Medical know-how should be involved
o TC215 Profiles are missing
o ISO/HL7 should support the development of Core Components
o Should use all the payload independent standards
o Should work together for the semantics (including Data Types)
o TC215 should develop use-cases
o Document Handling
o Electronic Healthcare billing
o Smartcard relation (ID and Health Insurance Check)
o Organization: Step by step, e.g. join WG
o Continue awareness activities
• Combined Answers OASIS
o Encouraged about working with TC215 and HL7
o TC215 could provide use cases and needs
o Open and proven standards - ISO 15000 range of standards, ebMS as a baseline
o Architecturally horizontal across domains
o Accounting, reimbursement, document sharing
o Organization: Liaison (A)?
o Oasis profiles ratification as ISO standard?
• Conclusions
o The use of ebXML is growing
o We can learn from each other
o There is some awareness and use in Healthcare, but the focus is on Medical purposes and not enough on e-Business
o We can use the technical parts of ISO 15000
o For the semantic part we can collaborate and perform use cases and user needs
o There is a need to continue the study group as a Task Force
• Working program for the ebXML Task Force (TF)
o Awareness (improved participation of the TC215 WG’s)
o Discover where ebXML fits in the existing TC activities
o Liaise with OASIS for the technical parts
o Liaise with UN CEFACT for the semantics (Core Components and Datatype project…)
o Liaison with HL7 for input, harmonization and technology
o E-Business in the medical domain (including reimbursement, document handling)
o Advice for the future organization (at TC meeting in 2008)
• Resolution 1 (Task Force)
o ISO/TC215 accepts the presented working program of the Task Force
o ISO/TC215 agrees to continue the ebXML Task Force for at least 1 year
• Resolution 2: Liaisons
o ISO/TC215 decided to establish a formal liaison with the HL7 SIG XML (renamed as “HL7 ITS Implementable Technology SIG”)
o ISO/TC 215 decided to establish formal A-liaisons with OASIS and UN CEFACT
• Follow-up Activities: Arising from Montreal meeting
o OASIS (in contact, use of ebBP…)
o UN CEFACT (contact next month)
o Canada Health Infoway (White Paper Web Services)
o Germany Health Insurer: Message handling automation with ebXML (MS)
• HL7 Liaison discussion
o XML SIG ITS
o ebMS
o Alignment of datatypes projects
o Input Core Components
o Others items
o Contact persons …
• Comment (Richard Dixon-Hughes) – Is there a “mis-match of momentum”? It seems there is a genuine problem regarding how that communication is going to work; how the environment will integrate.
• Answer (Frans van Bommel) – There are more organisations involved. i.e. UN CEFACT is working on behalf of all the sectors especially as there are not enough experts in the TG10 group.
• Q. (Kai Heitmann) – Is a profile available of what skills these experts need/should have?
• Comment (Ann Wrightson) – I see a need to make the commercial benefits much clearer.
• Comment (Tim Benson) – My suggestion is akin to a “bulls-eye” – zones are “relevant”, “possibly relevant”, and ”not relevant”.
• Q. (Charlie McCay) - What can be done to help HL7 Affiliates work with the national mirror panels?
• Q. - How can the Affiliates engage in the pipeline of HL7 specifications being prepared for submission to ISO?
CEN TC215 Status Report (.03) (Kees Molenaar) [10:15] For further information, please refer to slides posted on the “Documents” section of the Council’s webpage.
• Topics:
o Mandate from European Commission
o Contract with European Commission
o New work items
o Highlights from activities of our Working Groups
o SDO harmonization
• Photo from Geneva, 1992
• Photo of Dedication Plaque to Kees Molenaar
• Mandate from the EC
o Have an official mandate - M403
o CEN, CENELEC and ETSI need to accept it in May
1. Phase 1: work plan - 1 year
2. Phase 2: execution of the work plan - 3 years
o Requires ESO harmonization
1. Draft to be discussed in Brussels, May 2, 2007
• Impact of the mandate
o Focal point for ESO work plans
o Focal point for CEN/TC 251’s participation in global developments
o Guidance for national standard bodies
1. Standstill according to directive
2. Bring forward national initiatives
o ESO´s are forced to liaise with international consortia
• Opportunities arising from the mandate
o Bring forward national solutions
1. Either HL7 or proprietary
o Align ESO harmonization with global developments
• Contract
o CEN has a contract with the EC
1. eHIC, Health Insurance Card
- CEN workshop agreement
2. Coding of body tissue
- CEN workshop agreement
3. ICH messages
- EN through TC251
- Afternoon session on RPS
• News from the TC
o WG relationships - refer to slide 13 for structure and details
• TC meeting in Vienna
o Subject: Reinstallation of prEN 13606-5 rev Health informatics – Electronic health record communication – Part 5: Interface specification (formerly titled "Exchange models")
- having considered the proposal for a new work item as documented in CEN/TC 251N06-087 NWIP for Reinstallation of prEN 13606-5 rev Health informatics – Electronic health record communication – Part 5: Interface specification;
- having considered the Guidance – Adoption of a new work item in a CEN Technical Committee, as documented in the BOSS;
- confirming that the new work item falls within its scope;
- confirming that the new work item corresponds to real market needs;
- confirming that the resources to complete the work as described below are available;
- decides to register the work item described below in its active program of work.
o Subject: Decision on the future of prEN 12967 Health informatics – Service architecture parts 1, 2 & 3 after CEN enquiry
- considering the table of decisions and the formal written proposals as distributed after the comments resolution meeting;
- considering the CEN/CENELEC Internal Regulations - Part 2, clause 11.2.3;
- considering Resolutions BT 34/2002, BT 42/2003 and related document BT N 6962 concerning timeframes for the development of ENs;
- decides to launch the formal vote on prEN 12967 Health informatics – Service architecture parts 1, 2 & 3 (target date stage 45.00: 2007-03)
o Subject: CEN/TC 251 – Request for Vienna Agreement regarding to ISO/TC 215 ISO/PWI 21090 Health informatics – Data types for use in healthcare interchange
- request to ISO/TC 215 to establish Vienna Agreement with ISO lead regarding to WI 35646 ISO/TC 215 ISO/PWI 21090 health informatics – Data types for use in healthcare interchange since CEN/TC 251 believes that the development of a coherent set of data types is necessary.
- This WI would fall under the work program of CEN/TC 251/WG I 'Information models'.
o Subject: Decision on the future of prEN 14463 Health informatics – A syntax to represent the content of medical classification systems - ClaML after CEN enquiry
- considering the table of decisions and the formal written proposals as distributed after the comments resolution meeting;
- considering the CEN/CENELEC Internal Regulations - Part 2, clause 11.2.3;
- considering Resolutions BT 34/2002, BT 42/2003 and related document BT N 6962 concerning timeframes for the development of ENs;
- decides to launch the formal vote on prEN 14463 Health informatics – A syntax to represent the content of medical classification systems - ClaML (target date stage 45.00: 2008-03)
o Subject: Decision on the future of prEN 15521 Health informatics – Categorial structure for terminologies of human anatomy after CEN enquiry
- considering the table of decisions and the formal written proposals as distributed after the comments resolution meeting;
- considering the CEN/CENELEC Internal Regulations - Part 2, clause 11.2.3;
- considering Resolutions BT 34/2002, BT 42/2003 and related document BT N 6962 concerning timeframes for the development of ENs;
- decides to launch the formal vote on prEN 15521 Health informatics – Categorical structure for terminologies of human anatomy (target date stage 45.00: 2008-06
o Subject: CEN/TC N06-055 "Health informatics – Risk evaluation and management in the implementation and use of health software (REMIUHS)";
- having considered the Guidance – Adoption of a new work item in a CEN Technical Committee, as documented in the BOSS;
- confirming that the new work item falls within its scope;
- confirming that the new work item corresponds to real market needs;
- confirming that the resources to complete the work as described below are available;
- decides to register the work item described below in its active program of work.
• Medical devices
o A 4-way joint meeting all this week
- HL7 DEV-SIG
- ISO TC215 WG7 Devices,
- CEN TC251 WGIV
- IEEE 11073
o Continues a fifteen-year old co-operation
o In the last year this co-operation has expanded to engage with Continua Alliance who have requested the group to define standards to personal health devices
o IEC TC62 to address risk management of networks that incorporate medical devices (meeting next week in Leipzig)
o IHE where the HL7 V2.x Observation Reporting Interface forms part of the work tested at the Connect-a-thon and demonstrated at HIMSS
o As we see increasing convergence of technologies so we can see that the co-operative coexistence of ‘medical' and information' devices is being requested.
o The devices group are jointly working with various SIGs, TCs and SDOs to achieve interoperable convergence as the boundaries extend to embrace fitness, self-management and independent living
• SDO Harmonisation, Letter to the TC
o Geneva
- In September 2006 the chairs of CEN/TC 251, ISO/TC 215 and HL7 signed an agreement to further advance shared plans to coordinate and collaborate in delivering global standards that enable interoperable capabilities in the healthcare domain. Since then the chairs or representatives have met in Washington, San Diego and Montreal.
o Charter to be circulated [Charter is posted on the “Documents” section of the Affiliates web page with the Business Presentations for this WGM].
o Continuous support
- Next "Joint Initiative" meeting will be in August during the ISO/TC215 JWG meeting in Brisbane. Would appreciate confirmation of your support before the end of May. It is clear from the CEN and ISO consultative meetings that, perhaps uniquely in this sector, both vendors and users of health informatics systems expect global coherence of standards in order to achieve both market choice and interoperability.
o Start working
- Glad with the progress we have made, but at the same time anxious to get things done. So far we tackled the bureaucracy, now we need to tackle problems. Two items are top of our list.
1. Solving the HL7 V3 – EN13606 implementation dilemma, starting with uniform data types
2. Meeting the requirements of our contract with the EC to achieve a set of global standards regarding Regulated Product Submission; the ICH messages
o Bridging gaps
- Your support is welcome here as well. Bridging national gaps between National Standard Bodies and HL7 Affiliates will help identifying the real needs that must be addressed.
o The Charter helps
- We do not need the charter in order to make progress on these topics, but the charter will help to prioritize work items and allocation of resources to resolve issues.
• Challenges for TC 251) - Please refer to slide 28
Comment (Kai Heitmann) – Exciting times! Think this sense of collaboration is great!
[BREAK - 10:35-11:10]
Post-break announcement (Kai Heitmann) - LUNCH is at “Rotisserie”
Q. (Bert Kabbes) – Pleased with new views CEN has taken - leaving competition behind; adjusting new work items, cooperation. EU countries know that this directive is formal. Two questions - Please clarify the role and direction of this initiative? Please confirm that I am correct in understanding that that CEN standards can arise/be from any place in world?
A (Kees Molenaar) – To answer the 2nd question first - Yes, the standard can be developed anywhere (can be HL7, can be ISO, can be another etc), although it has to meet a number of criteria. Regarding the first Q - If a European standard has been launched, you cannot start another standards work item; CEN cannot invoke a standstill.
International Mentors Group - Status report, current activities and action items, (.04) (Jim Leach, John Ritter, Cheryl Warner). ) For further information, please refer to slides posted on the “Documents” section of the Council’s webpage.
• Summary of Recent Activities
o Successful funding proposal for HL7 Mentoring Activities to the U.S. Trade and Development Agency
o Sponsored 8 Delegates from HL7 Brazil and HL7 Malaysia to attend WGM in San Diego
o Created Customized Training Program Tailored to the needs of each HL7 Affiliate
o Developed Country-Specific HL7 Action Plans
• Activities / Achievements Since San Diego WGM:
o Attending the WGM changed the perspective of the HL7 Brazil Delegation
o HL7 Brazil attended ISO meeting in Montreal Canada
o Joined ISO TC215 as observer
o HL7 Brazil held outreach meeting
o HL7 Brazil implemented a lab project using HL7 standards
• 5 IMC Delegates Attending the WGM in Cologne
o Lithuania: Vytenis Punys, Senior Researcher, Kaunas University of Technology
o Singapore: Hui-Nar Quek, Senior MI Consultant, Ministry of Health
o Steve Yeo, Digital Health Group, APAC, Intel
o Argentina: Diego Kaminker, HL7 Chair
o Austria: Stefan Sabutsch, Chairman, “HL7 Usergroup Austria”
• Mentoring Activities at the WGM In Cologne:
o Develop Country Action Plans
o Pairing experts and key resources with delegates’ needs
• Future Action Items
o Bring 10-30 delegates to HL7 Plenary Meeting in Atlanta, Georgia.
o Target Candidates:
- New HL7 Country Affiliates
- Potential Affiliate Countries considering HL7
o Translated Library of Key HL7 Affiliate Documents. Examples:
- Country Communication Guidelines
- Implementation Guidelines
- By-Laws
o Data Base of Affiliate Experience and Country Information
o Existing Affiliates:
- Maximize and Extend Ongoing Outreach Efforts
o New Affiliates:
- Minimize Learning Time by easy access to readily-available online resources
o Boiler Plate, High Level Presentations for New Affiliate Outreach Efforts
- Vendors
- Government
o Grant Writing Function
• A Team that Needs Your Help
o Identify Prospective Affiliate Countries and Individual Candidates for Mentoring
o Share Key Documents
o Share Country Experience and “Lessons Learned”
o Collaborate with Ruth Kidd (HL7 Communication co-chair) to profile each Affiliate's HL7 activities
o Identify 2-3 people from your HL7 affiliate to be interviewed
• Next IMC Meeting is Thursday, Q3 and Q4
• Send Prospective Affiliate Countries and Individual Candidate Names to:
o Jim Leach; jleach@computer-
o Kai Heitmann; HL7@kheitmann.nl
o John Ritter; john.ritter@
o Klaus Veil; Klaus@.au
o Cheryl Warner; CAWarner@computer-
EHR Technical Committee: Brief Update (John Ritter, Co-Chair EHR Committee)
• The WG is seeking international input for the Personal Health Record Functional Model
o PHRs need to be imported and exchanged
o Input needed to ensure PHR Functional Model includes all needed functions and is internationally acceptable
o We’d like to request that you feed any information you may have regarding PHR studies to myself or any of the other Committee Co-Chairs.
Discussions & Decisions
Strategic Initiative: Status Report (Chuck Meyer)
• Have reached consensus on structure – 4 General Directors, 2 Affiliate Directors; 3 Industry Directors.
• Nomination Process has been reviewed
o Committee is more representative and balanced
- 4 individuals to be elected by general membership, 2 from Affiliates; 3 from industry, etc.
o Criteria – support from nominating organisation
o All validated candidates will appear as “a pool” on the ballot
- Most votes = on ballot slate
o Specific candidates will be nominated for Officer positions (these are not part of the pool – i.e. Finance)
• US Affiliate
o Do not want to imperil current meeting schedules; do however want to be able to address US realm-specific issues
• Co-Chair Elections
o Perhaps re-structure so handled more effectively
o Chuck presenting to Board (Tuesday):
- Streamlined By-Laws; Impact on Policy & Procedure Manual – i.e. “Governance and Operational Manual” (GOM)
o HL7 Inc. is incorporated in New Jersey
o GOM opened processes to scrutiny at a level we do not want:
- Have moved away from GOM and back to Policies & Procedures and By-Laws
- P&P and By-Laws In preparation for administrative ballot
• Q. (Bert Kabbes) – The new Board has 4 Director representatives; if HL7 US is not an Affiliate, are they represented/how are they represented?
• A. (Chuck Meyer) - Yes; from General membership votes. The nominating committee is tasked to bring balance to the group of candidates; and establish a set of criteria so that slate mirrors our membership - there is some leeway.
CEO Report to Affiliates (Charles Jaffe) [11:45]
• Goals
o to craft a vision for organisation
- Elevator Pitch - “Why HL7” (in less than 1 minute)
o Increase funding for organisation (reach out)
o improve organizational effectiveness
- Reconstitution of the Board will assist in that process (simplified not complicated; ensuring represent
o Energise the decision-making process
- Developing a CTO position?
- Sharpening role of TSC?
Q. (Jane Curry) – What does the future HL7 look at? Does it remain an ANSI organisation (US) or is there an intention to move to an international SDO and have US interests represented by a US representative?
A. – Understand and recognise your concerns; that is a Board level decision.
T3F Report: Transitional Technical Task Force or From T3F to TD (Technical Directorate) (.05) (Charlie McCay, Bernd Blobel). For further information, please refer to slides posted on the “Documents” section of the Council’s webpage
• Woody Beeler (Foundation & Technology Representative, T3F Chair), Bernd Blobel (Affiliate Representative), Hans Buitendijk (HL7 Board Liaison), Jim Case (Domain Experts Representative), Virginia Lorenzi (Board Appointed Member), Charlie McCay (Affiliate Representative), Craig Parker (Structure & Semantic Design Representative)
• Background:
o Transitional Technical Task Force (T3F) formed last 2 months of 2006
o Composition:
- Three representatives elected from TCs & SIGs
- Two representatives by Affiliate Council
- Two members appointed by Board, one at-large, one liaison
o One of the early objectives of this effort will be a refinement in the organization of the existing TC/SIGs leading to greater communication and coordination of effort and ultimately, to more streamlined standards production.
o “... the T3F will start with … questions such as:”
- Harmonization of work products – process & management
- How will T3F (and future Technical Directorate) work with TSC and ARB and how will TSC and ARB change?
- When to create new vs. constrain existing spec?
- When to use messaging and when to use a service oriented architecture?
- When to use a message and when to use a document?
• Set Meetings
o Two conference calls before Jan 2007 WGM
o Conference call each week since then
o Established to document our efforts
o Set active liaisons with: TSC, ARB, Project Life Cycle team, among others
• Early Decision
o Wanted a clear, “forward step” as our objective for Spring 2007 WGM
o Observed that any of the “sample starter questions” could consume all of our time during 3-1/2 months available
o Several questions are important, but need collaborative effort of TD, TCs SIGs, to accomplish
- Harmonization of work products – process & management
- When to create new vs. constrain existing spec?
- When to use messaging? SOA? Documents?
o One, central question can be addressed by T3F is fundamental to making a transition, and establishes the legitimacy of the future decisions:
- “How will the T3F (and future Technical Directorate) work with the TSC and ARB and how will the structure and function of the TSC and ARB change to meet the objectives of the ORC and SITF??”
o This is where T3F focused its efforts this winter
• Recommendations from T3F
o (Self-) Management of Working Group:
- Technical Directorate
- Steering Divisions (4)
- Committees & SIGs
- TSC becomes “Plenary Meeting” of Co-chairs
- ARB remains an independent committee to be appointed by Technical Directorate
o Technical Directorate
- Final arbiter of committee & project formation, harmonization, etc.
- Delegates to & works through Steering Divisions
• Committees & Steering Divisions
o Committees
- Technical Committees & SIGs –
▪ Remain same for now
▪ Formed through petition and approval
o “Board-appointed” – many become TD-Appointed
o Steering Divisions
- Committee of the Co-chairs of the committees and SIGs within the SD
- Committees elect SD Co-chairs (and representative to TD)
- First-level decision maker:
▪ committee & project formation,
▪ harmonization,
▪ issue resolution
• Technical Directorate
o Ten voting members (renewable 2-year terms)
- Four representatives elected by committees of SDs
- Two representatives elected by Affiliates
- Two board appointments – Chief Technical Officer and Liaison
- Two TD appointments – ARB rep, and ad hoc
o Elects own chair
o Responsible for Architecture, Principles of committee and project management, Processes for harmonization & issue resolution
o Final arbiter of project & committee formation, harmonization, issue resolution, etc
• Core Objectives of Technical Directorate (see slide 10)
• Foundation & Technologies SD (see slide 11)
• Structure & Semantic Design SD (see slide 12)
• Technical Domain Experts SD (see slide 13)
• Technical & Support Services SD (see slide 14)
• Board Recommendation
o Review the proposed Technical Directorate:
- Composition
- Method of selection
- Proposed operation
o Approve formation of Technical Directorate
- Elections this summer
- Allow initial meetings of TD and SDs in Atlanta in September
• Tentative Election Schedule (see slide 16)
• HL7 Working Group
o Technical Directorate
- 6 elected voting representatives, 4 appointed voting members
- TD-elected Chair
o Foundation & Technologies Steering Division
- 9 existing TCs and SIGs
- 2 Elected SD Co-Chairs plus Co-Chairs of TCs & SIGs in SD
o Structure & Semantic Design Steering Division
- 10 existing TCs & SIGs
- 2 Elected SD Co-Chairs plus Co-Chairs of TCs & SIGs in SD
o Domain Experts Steering Division
- 17 existing TCs and SIGs
- 2 Elected SD Co-Chairs plus Co-Chairs of TCs & SIGs in SD
o Technical & Support Services Steering Division
- 9 TD-appointed Committees (7 formerly Board-appointed, 2 new)
- 2 Elected SD Co-Chairs plus Co-Chairs of committees in SD
- TSC – plenary of Working Group Co-chairs
Q. (Chuck Meyer) - Would the “CTO” be charged with managing this TD?
A. (Charlie – The idea is that the relationship between the TD and CTO is comparable to that of the CEO and the Board.
Q. (Ed Hammond) – What would be the overlap between the 2 groups?
A. (Charlie McCay) – Different - for a TD would provide different services.
Comment (Hugh Glover) – Arbiter statement seems to be moving from an “enabler” to a “do-er”
A. (Charlie McCay) – I say that the effort would happen; TD would identify type of questions – i.e. we must have a plan in place to harmonise; we do need to identify the crucial questions – believe that the Steering Committees will be important in answering some of questions.
Q. (Tim Benson) – There are now 4 groups - originally it was 3. What is the difference? What are the changes in the last 6 months?
Comment (Jane Curry) – Just a minor point – “implementation” appears twice - do you see Implementation coming out of this group?
Comment (Charlie McCay) – That was probably was a mistake – we need to do to some tidy-up.
Comments (Bernd Blobel) – There were two different aspects to this work - one was the structural and organizational aspect; the other was guidance from the Board and identification and dealing with content with respect to architecture and the architectural approach; we have started to develop that content and fill in some details from the implementation group, with some advice from the Board and expertise from others. The most important point is a Project Plan for HL7 Architecture as part of the T3F deliverable to the Cologne Meeting.
Discussion on “One member One Vote” (.06) (René Spronk). For further information, please refer to slides posted on the “Documents” section of the Council’s webpage
• One motion came out of the discussions at the last WGM; supported by 2 Affiliates on the list
• Refer to PowerPoint slide for initial wording. Slide included in Business Presentations “zip” file uploaded to “Documents” section of Affiliates webpage.
o Decide
- no variation in the value of a vote from someone in one country to someone in another country
o Investigate
HL7 Canada made a preliminary motion that the document be accepted, HL7 UK seconded the motion.
Comment (Ed Hammond) – From a Board perspective, we would like to see some more detail.
Q. (Bill Braithwaite) – Are there any financial aspect/implications to this?
A. (René Spronk) - No, it is related to democratic representation and streamlining.
Comment (Charlie McCay) – It’s important to us all that we get the buy-in for global standards while retaining membership schemes to allow us to retain the members required.
Q. (Klaus Veil) - I wonder how this relates to the findings of the T3F?
Q. (Hugh Glover) – Are we losing the distinction between corporate votes and also members?
Q. (Board Member) – Do we want a reduction in dues for voting rights, or, are we willing to pay full dues for voting rights?
Comment (Tim Benson) – Currently if you are a member of an Affiliate, you do not have full voting rights.
Comment (Ed Hammond) – I think it’s important to have some discussion among the Board and among the Affiliates …. I don’t think though that if we did this, that it would change anything. Process of making standards depends less on the number of votes, but more on the quality of work. A sense of “belonging” and of being a member of a “community” is also important, though.
Comment (Chuck Meyer)) – I think the Board meeting is the forum to discuss this further. Guests are welcome to attend.
Comment (Anne Wrightson) – I think that we should request the Board consider this.
Comment (Charlie McCay) – I suggest amending the wording to ….“request that Board consider the introduction of”…
Comment (Klaus Veil) – I don’t hear a lot of push- back to the idea that a Task Force drawn from this group be set up with a time limit to work on details of this proposal with the Board.
Kai Heitmann asked HL7 Canada and HL7 UK to indicate if they accepted the friendly amendments. Both Affiliates accepted the friendly amendments.
Kai Heitmann restated the motion as “the Affiliates Council asks the Board to establish a group of people (“task force”) to work to establish “One Member One Vote” ...
Result of Vote: 13 - in favour; 1 – against; 2 abstentions. Motion passed.
LUNCH [12:30 – 1:30]
Discussions & Decisions (continued)
Canadian (Infoway) Standards Collaborative (.07) - NOT PRESENTED (Grant Gillis) Slides available on “Documents” section of Affiliates website
Status report on the forecasted financial results of the Cologne WGM (.08) (Mark McDougall) Slides available on “Documents” section of Affiliates website
• Agenda:
o Recap of the lessons learned from the May 2005 WGM in The Netherlands (actual slides from 2005)
o Preliminary financial results for Cologne WGM
o Financial viability of the tentatively planned May 2009 WGM in Kyoto, Japan
o Next steps
• Recap of the lessons learned from the May 2005 WGM in The Netherlands (same slides from 2005, see slides 3-5 )
• Impact of 2005 lessons learned on preparations for Cologne WGM
o Contracted with a German-based destination management company (DMC) whose role has been invaluable. Unfortunately, it has also added 10% to many of our expenses.
o Meeting venue centrally located in Cologne, which provides attendees with convenient access to many nearby attractions and other hotels.
Hypothesis: Locate meeting near other hotels reduces sleeping room block needs, reducing exposure to attrition penalty.
Reality:
(1) Both hotels required HL7 to guarantee sleeping room blocks in order to rent their meeting rooms; based upon experience in 2005 in the NL, the blocks were reasonable.
(2) Unfortunately, we have lower attendance, & more attendees are staying at other hotels. (3) We currently face a $24k attrition penalty.
• Preliminary financial results of the May 2007 WGM in Cologne, Germany
o Fewer people registering than anticipated. In fact, we are projecting 362 meeting attendees, which is 69 less than we attracted to The Netherlands in May 2005, and 183 less than our average attendance at the last 4 WGMs.
o In comparison to the build-up for the May 2005 WGM in The Netherlands, we had 106 fewer attendees, of which there are 38 fewer from the US and 68 fewer from other countries.
• Which countries are the pre-registered attendees from? (see slide 10)
• Forecast worse than budget
o As compared to the May 2005 WGM in The Netherlands, we are currently 110 below, and expect to end up with 69 fewer attendees.
o Anticipating revenues of $69k less than budgeted.
o Facing HL7's 1st sleeping room attrition penalty ever; while it might be reduced, currently totals $24k
o Expenses are being forecasted as being $38k over budget, though most of that is from the unexpected sleeping room attrition penalty.
• Summary of forecasted Cologne WGM finances (see slide 12)
• Comparing expected 362 attendees to recent WGMs (see slide 13)
• Comparing forecasted $80k loss to surpluses from recent WGMs (see slide 14)
• EC and FC Discussions
o As the disappointing attendance build-up and financial forecast unfolded, we convened EC and FC conference calls to discuss details.
o Concluded that additional research (e.g. surveys) are needed to better assess why fewer people came to Cologne than expected.
o Convened a FC call with Michio to alert him of the situation and to discuss possible funding options for May 2009 in Kyoto.
• Financial viability of the tentatively planned May 2009 WGM in Kyoto, Japan
o Preliminary forecast of May 2009 Kyoto WGM finances
| | |Preliminary Forecast |
|Revenues | |$250k |
|Expenses | |$398k |
|Net income (loss) | |-$148k |
• Following FC calls, and suggestions from Michio, identified more opportunities to improve financial forecast…
o Reduce number of expected attendees to 300.
o Reduce size of meeting rooms, reduce A/V and support staff, and select less expensive menu options.
o Only provide wireless in general session room if fully sponsored. Otherwise, wireless is limited to lobby area in convention center (and hotel).
o Attendees are on their own for securing hotel rooms.
o More active promotions and financial support from HL7 affiliates in the region and organizations (e.g., JAHIS).
• Updated forecast of May 2009 Kyoto WGM finances
| |Preliminary Forecast |Updated Forecast |
|Revenues |$250k |$250k |
|Expenses |$398k |$326k |
|Net income (loss) |-$148k |-$76k |
• Finance Committee:
o The FC does not support producing WGMs at any venue/city/country that is expected to lose money.
o The FC recommends to the Board to NOT execute the contract with the Kyoto convention center unless we are able to secure assurances that the meeting will at least breakeven.
o Should such assurances not materialize, the FC recommends to the HL7 Board that staff be directed to seek a different venue that is expected to produce a positive net surplus.
o One possible exception: the HL7 Board determines that producing this WGM meeting in Kyoto merits the expected loss, which is to be treated as an investment with a clearly defined return on investment that is expected.
• Next Steps: Seeking your insight & recommendations…
o Please provide your opinions on why fewer attendees came to this WGM in Cologne.
o What can we do differently to attract more attendees to such international venues?
o What can we do to make such international venues more financially viable for HL7 WGMs?
o Email your specific comments and suggestions to meetingtips@
• Next Steps for May 2009 WGM
o Consolidate feedback on suggestions for attracting more attendees to our non-US WGMs and making them more financially viable
o Unless the HL7 Board determines that producing the WGM meeting in Kyoto merits the expected loss (investment), we will explore other venues for the May 2009 WGM that would be expected to generate a positive net surplus
o HL7 Board will consider all options and make a decision in August.
• Email your specific comments and suggestions to meetingtips@HL7.og
Q. – How did you account for fluctuating exchange rates to USD and Yen; how did you take that into account?
A. (Mark McDougall) – We used the exchange rate current at the time the forecasting was done.
Q. (Grant Gillis) – How does this event compare with respect to sponsorship to other WGMs?
A. (Mark McDougall) - Believe level of sponsorship is less for this WGM.
Q. Is the level of sponsorship proposed in discussion with Michio included in these estimates?
A. (Mark McDougall) – No, I don’t believe so.
Q. (Helen Stevens Love) – I was not able to get the discount rate at either hotel, even though I tried to do that – and it was before the discount date expired.
Comment (Beverly Knight) – I could have booked it over the internet for less, although I didn’t.
Comment: (Mark McDougall) - Make sure you’re comparing “apples to apples”; the rate included breakfast and internet access.
Comment (Ann Wrightson) – There seems to be a strong presumption of a continuation of the same climate …
Comment (Michio) – For this WGM, our airfare costs are almost double than usual – therefore that is one main reason why there are a low number of Asian attendees. The Asian attendance at other WGMS is very high (e.g. from Korea, Taiwan, Japan, China etc). Regarding USD vs. Yen – the Yen will appreciate.
Q. (Yun-Sik Kwak) - What is the breakeven point based on this level of attendance?
A. (Mark McDougall) – We may need another 100.
Note: Unclear if that response related to another hundred staying at the conferences hotels, registrations (walk-in or other), etc.
Comment (Klaus Veil) – I’m hearing conflicting themes, so think we should break down the costs further. We would all like this or any WGM to at least break even.
Comment (Mark McDougall) - Looking at the Vancouver meeting next year – the venue is the Sheraton in Vancouver – we can use the model we are familiar with – i.e. if we fill 80% of our sleeping block we will get free meeting space.
Comment (Charlie McCay) – Perhaps each Affiliate can provide estimates of how many will come and perhaps even make some guarantees re number of attendees.
Comment (Patrick Mitchell-Jones) – Comment not captured
Comments (Miroslav Koncar) - May 1 is a holiday in Europe; so perhaps May is not the best time to have WGMs in Europe. Regarding room rates - my company is not prepared to pay this level of rates. There is a limit and it differs for each country. For Germany it is 90 Euro’s per night.
Comment (Mark McDougall) – We had not planned to guarantee a sleeping block for this WGM, but we ended up having to do so.
Comment (Julie James) – I and (I am certain others) often come at our own expense – however I would ask that we please look at the cost and implications at “not doing meetings” abroad.
Comment (Mark McDougall) – I want us to do this – but our HL7 Board must be onboard – key metric is not only cost …Please send tips to the email address – meetingtips@HL7.og
Comment (Kai Heitmann) - It was not my expectation that we would have more attendees than any other WGM; suggestions are welcome; the NL event was an exception – probably as it was the first one. I do think though we can find ways to make this work.
Information / Liaison Reports (cont’d)
Datatypes Ballot ISO/CEN (Ed Hammond, Charlie McCay)
• Many felt there was a pathway to move this forward
• Ballot has also been submitted to ISO and CEN; it’s expected that all comments will come back to HL7.
• Approach is that where everyone is in agreement, that content will become normative – other would be informative.
Comment (Charlie McCay) – Now going through the resolution of comments – DTs plus 13606 and Clinical Statements will be extremely valuable.
“Joint Initiative on SDO Global Health Informatics Standardization”
- Charter (.09) (Ed Hammond). For further information, please refer to document posted on the “Documents” section of the Council’s webpage.
• Charter for agreement between ISO TC215, CEN and HL7. (final, v7 March 30, 2007) – “Joint Initiative on SDO Global Health Informatics Standardization”
• In-build constraints with each party
• Leverage work plans of each organisation but develop a single work plan
o Simultaneous balloting, simultaneously publication etc
• Joint Initiative Council
o maximum of 3 representatives per SDO
• Joint Working Group
Comment (Klaus Veil – I’d like to suggest a motion that the Affiliates Council support this motion and send it to the Board. The Motion was seconded by Willem Goosen.
Comment (Tim Benson) – The UK supports this
Comment (Bert Kabbes) – HL7 The NL supports this
Result of Vote: For – 15; Against – None; Abstentions - 1
ICH/CEN and HL7 regulation standards (Ed Hammond), Regulated Product Submission R1 Ballot (10) (Kees, Jason, Randy). For further information, please refer to slides posted on the “Documents” section of the Council’s webpage.
• Topics:
o Brief history
- What is ICH
- Involvement of HL7
- Involvement of CEN
o Contract with the European Commission
o Joint Initiative to solve issues
- Vienna agreement
- MoU’s with HL7
o Getting things done
• Contract with the European Commission
o EMEA contacted European Commission (EC)
- HL7 “is US”
- Is there a threat?
o EC contacted CEN
- CEN’s advice:
▪ Try to get HL7 working solutions to the ISO level
▪ Make them Vienna Agreement work items to secure a EU status
o Therefore: a contract between EC and CEN
• EC contract is 3 years; lot can be accomplished in that timeframe
• What Needs to be Done?
o The objective is to review six message specifications and to prepare them for formal adoption as European standards.
- The Electronic Common Technical Document;
▪ The scope of the ICH specification for general purposes;
▪ The EU Module 1 for regional specificities;
o The Product Information Management (PIM) Data Exchange Standard;
o The latest version of the E2B message for Individual Case Safety Reports (ICSRs) and Suspected Unexpected Serious Adverse Reactions (SUSARs);
o The Medicinal Product Identifier;
o The Controlled Vocabulary Message;
o The Application Form.
• Relationship with HL7 standards (see slide 9)
• Status of R1 ballot (see slides 10, 11)
Q. (Mead Walker) – I have been involved in Adverse Event Reporting – how does this work interact with that?
A. (Kees Molenaar) – Directly - for one of the six messages.
Comment (Julie James) – I’m very pleased to see this development.
ESC - Electronic Services: Web Strategy Status Update (11) (Ken McCaslin, Patrick Lyod). For further information, please refer to slides posted on the “Documents” section of the Council’s webpage. [3:15]
• Agenda:
o Success Criteria
- Aesthetics – Global look and feel
- General Content – standard look and feel across most pages
- Document Management – Role based rights based
- General Web Management – Role based functionality,
- On-line collaboration
- Affiliate communications
- Site performance
o Timeline
- Award of RFP: July 31
- Review of proposed web site: September 4
- Project completion: November 15
o Next steps
- RFP will be finalized this week
- First preview is targeted for August 2007
- Follow-up preview by next WGM
- Migration to new web site Mid November 2007
o More info
- ES conference calls –
▪ 11am ET - Weekly
▪ All Documents posted to the web
- This week:
▪ Wed Q3: RFP review
▪ Wed Q4: RFP review + Ballot site requirements (4pm)
Communication Liaison Co-Chair Report (Ruth Kidd) [3:55)
• No report available this time
• Current work ties in with work of the IMG.
New Affiliates / Status Changes / Short Updates, Affiliates and the Due Diligence Process
• Status of the Affiliates (Kai Heitmann)
o 16 Affiliates with outstanding reports or fee payments; each Affiliate was contacted individually.
Action Item: Review the Process, Policies and Procedures regarding Affiliates at the next Affiliates Council Meeting
• Status of HL7 Austria – report to be given later in meeting by Stefan
• New petition from HL7 Singapore
9th International HL7 Interoperability Conference IHIC (Chris Peck) For further information, please refer to slides posted on the “Documents” section of the Council’s webpage.
• Venue in 2007 is Auckland (New Zealand) the “City of Sails”, in conjunction with IMIA’s Med Info 2007 in Brisbane (Australia), beginning Friday August 31st and Sept 1st (2 days)
• Venue – Sky City Convention Centre directly adjoins a choice of hotels
• Call for proposals for IHIC 2007; 1-2 pg abstract, close date is June 18th, 2007
• Target is 2-3 submissions per Affiliate Group
• Themes:
o Seamless interoperability through HL7 V3.0: Sharing international experiences
o HL7 V3.0 Messaging and CDA in Action – Real World Experience
• Workshops
• Specifications, implementation guides
• New Zealand Showcase – site visits
• .nz/IHIC. Send abstracts to - Send abstracts to admin@.nz
• IHIC Ctte Members
o Committee Chairs & Co-Chairs
- Martin Entwisle (NZ), Stephen Chu (NZ), Kai Heitmann (DE)
o Committee Members
- International: Klaus Veil (Australia), Liora Alschuler (USA), Prof Michio Kimura (Japan), A/Prof Chien-Tsai Liu (Taiwan), Thomas Norgall (Germany), More to be added…
- New Zealand: Chris Peck, Mike Mair, Magazhan, David Hay, Dave Aarons
• Additional Contact: Chris Peck - c.peck@auckland.ac.nz
10th International HL7 Interoperability Conference IHIC (Catherine Chronaki, HL7 Hellas). For additional information, see slides combined with HL7 Hellas Affiliate Status Update Report.
• Proposed venue for 2008 is Greece – Crete
Q. William Goosen – any ideas of possible dates, yet?
A. and Comment: ISO meeting in Istanbul in October, may make sense to try to coordinate with those dates
Q. (Kai Heitmann) - Do we have enough material, information to take a vote on whether HL7 Hellas is the venue for IHIC 2008
Motioned (Bernd Blobel) and seconded.
Result of Vote: In favour - 17, no objections, no abstentions
Budget/Planning for International Committee projects
• No (New) Funding requests for 2007 received by Kai Heitmann
HL7 Around the World – Reports from HL7 Countries
New Zealand (Chris Peck)
• Referral/Discharge Summary Reporting in v2.4 and Pathology & Radiology v2.4 orders and reporting
• IHIC
Hellas (Catherine Chronaki) For further information, please refer to slides posted on the “Documents” section of the Council’s webpage.
• HL7 Hellas website
• HL7 Hellas in 2006
o established as an HL7 affiliate in 2002
o 24 full members in 2006
- 14 companies in health ICT
- 8 Universities & research centers
o Honorary Members
- Ministry of Health as a honorary member
- Information Society SA
- Healthcare organizations
• Healthcare Organizations
o Ministry of Health and Social Solidarity (honorary member)
o 6 Regional Health Systems
- A’ Attica, C’ Attica, Crete, W Macedonia, Ionian Islands, Peloponnesus, W Greece
• Hospitals
o Metaxa, Evaggelismos, GH Agion, GH Amaliadas, GH Larisas, GH Eleusinas, GH Thebes, GH Athens Polyclinic,GH Peraeous Tzanion
• Information Society (ΚτΠ ΑΕ)
• Research Institutions
o Biomedical Technology Laboratory of the NTUA
o Institute of Informatics at CTI Patras
o Institute of Health Informatics, Department of Nursing, UAthens
o Institute of Biomedical Technology at U of Patras
o Department of Medicine, at the DU of Thrace
o Institute of Computer Science, FORTH
• Management Committee
• Standardisation Activities
o HL7 seminars in conferences
o Educational seminars towards Healthcare Organizations
o YGEIAS Protypon a GSRT project on standards
- Training on the use of standards
o OpenECG an affiliated network
- a portal with services on ECG interoperability standards
• ΥΓΕΙΑΣ ΠΡΟΤΥΠΟΝ or standard for health
• Open ECG
• HL7 HELLAS Symposium 2007 - “HL7: Interoperability in Practice”
• HL7 IHIC in Greece – Crete?
Singapore (petition to become an HL7 Affiliate filed; Hui-Nar Quek, Senior Medical Informatics Consultant, Ministry of Health). For further information, please refer to slides posted on the “Documents” section of the Council’s webpage.
• Singapore - Small and high-density urban setting means patients can access and choose from healthcare providers anywhere
• iN2015 Healthcare & Biomedical Sciences (iN = Intelligent Nation)
• National EMR Vision
• Healthcare IT Standards
• HL7 in Singapore
o Use of v2.x messaging within hospitals & clusters
o Use of v3 RIM in development of cluster EMR system
o Formation of HL7 Singapore Affiliate
o Explore use of CDA/CCD to support information exchange across the continuum of care
• From this WG meeting…
o Learn about the set-up of the different country affiliates & create a HL7 Singapore action plan
o Understand the different countries’ implementation plans & experiences with the CDA/CCD
• .sg
Q. (Bernd Blobel) – Are their relations with other countries in the region to harmonise standards?
A. – Yes, mainly in educational area.
Comment (Bernd Blobel) – Next to the NHS, Malaysia and Singapore are spending the next highest amount on national programs
Austria (Stephan)
• similar to German system
• 1st application is electronic health record system (ELGEHR?)
• HL7 RIM and CDA release 2
• Need/want to collaborate with those with experience in CDA
• Frank Oemig inspired and sponsored formation of Affiliate
• 2 TCs; small number of members - terminologies are a possible future TC
• Acceptance quire recently by Austria Standards Institute
Argentina (Diego Kaminker). For further information, please refer to slides posted on the “Documents” section of the Council’s webpage.
• Year 2006/7 report
o Still developing e-Claims Implementation Guide for v2.6 ch16. Some early implementations working.
o 2006 Courses
- Jointly developed workshops with HL7 Spain
• Regional Efforts
o Helping to establish HL7 Columbia
o Will participate in first “standardized medical informatics” congress in Montevideo, Uruguay – end of may 2007
• Year 2006/7 efforts
o Improved web site: opened new forums
o HL7 Argentina Working Groups
o Education
o Slowly increasing membership and income, second change of HL7 ARG authorities
• Education
o Focus on a new edition of our ‘virtual’ course.
o First edition in October 2006 had 42 participants.
o New Edition (began Apr 19, 2007 has 95 participants!)
o Open to all spanish-speaking audience.
o Jointly with HL7 Spain and all latin american HL7 affiliates wanting to participate.
Spain (Joseph) For further information, please refer to slides posted on the “Documents” section of the Council’s webpage.
• Membership
• Interoperability Workshops
• e-Learning HL7
• HL7 v2 Certification
• Seminars
• HL7 Spain – Actions
o Meeting coordination with IHE Spain
o Meeting coordination with SEIS
o Publication of “HL7 Spain News Bulletin” to disclose the actions at the national level
o Agreements with Spanish Healthcare Authorities
• Technical Committee
• Contacts:
o
o secretaria@
Germany (Bernd Blobel). For further information, please refer to slides posted on the “Documents” section of the Council’s webpage.
• Membership stable by about 280
• Continuation of active involvement in national project for specifying and implementing a health telematics platform
• Implementation guide for Message Profiles Release 2.1 in analogy to the IHE XDS Integration Profile
• Foundation of the Terminology TC ( Organization of a LOINC tutorial
• Continuation of conformance specification (profiling), conformance testing and certification
• HL7 was presented with a booth to the ITeG 2007 in connection to the eHealth Week 2007 in Berlin, a joint event of the European Commission and the German government under the German EU Presidency (16-19 April 2007) with well attended presentations.
• ICMCC 2007 presentation on EHR standards covering HL7, CEN and ISO
• Meetings with German vendor organisations
• Routine activities
o Monthly board phone conference
o Regular TCs Meetings
o News
o Board Retreat 16-17 July
Canada (Michael vanCampen). For further information, please refer to slides posted on the “Documents” section of the Council’s webpage.
• Overview:
o FY 2006-2007 Membership Results
- FY 2006-2007 – Our Membership Grows!
o HL7 Canada Transition & Integration into the Standards Collaborative
- Michael Van Campen, Chair of HL7 Canada & Head of Delegation
- Lloyd McKenzie, HL7 Canada Technical Representative
- Garry Cruickshank, HL7 Canada Clinical Representative
o 2007 HL7 Canada Spring Plenary, Calgary, Alberta May 16-18th, 2007
- Keynote Speaker: Dr. Charles Jaffe, CEO HL7 Inc.
o 2008 HL7 Annual Plenary in Vancouver: Dates to remember- Sept 14-19th in Vancouver, Canada
- Sheraton Wall Centre Hotel
• standards@infoway-inforoute.ca
UK (Patrick Mitchell-Jones). For further information, please refer to slides posted on the “Documents” section of the Council’s webpage.
• Membership - Relatively stable (217)
• Meetings
o Regular (5x2 day)TC meetings targeting specific issues
o 3 Seminars round the UK - “Healthcare Systems Interoperability” starting in June.
• National Involvement
o Exploratory meetings with Scotland and Wales
• Continue with HL7 UK Profile (V3GB)
• Update to Website underway
• Contracted for development of Communications and Marketing Strategy
• Connecting for Health
o Targeting CDA
o Looking to use the HL7UK Lab profile
o Element of frustration with tooling progress
Australia (Klaus Veil). For further information, please refer to slides posted on the “Documents” section of the Council’s webpage.
• Klaus Introduced Oleg and Surgey from Russia who are at an HL7 WGM for the 1st time
• .au
Sweden
• Similar to population to NY city; 4x size of NY state
• Version 3 is the focus
• Organisation is owned by county councils - has produced a common guideline for how to work on interoperability and also for archetypes;
• 3 largest councils and Ministry of Health are working collaboratively
• Working on v3 CMETS from construction to implementation
• How to handle identifiers? Who is responsible? How do you administer? How to work with vocabularies especially SNOMED CT?
• Radiology and Lab results, v3
• Looking to share/learn from those with experience with identifiers and localizations and CDA
Finland (Timo)
• Law in place for e-Rx's, national insurance company runs the system;
• e-Rx ballot previously failed, but success anticipated this time;
• EHR records – new law effective July 2007;
• CDA release 2 and web services
• National framework definition is ready – will take some years for every hospital to join national system
• IGs for CMETS
• v2.3 is in use – migrate to v3
Japan (Michio)
• 2011 target, CDA level 3 – to be reported on further at IHIC this summer
• HIPPA regulations (Japanese style)
France (Nicholas Canu)
• CDA WG published templates for DMP program (suspended)
• Training courses for implementers of CDA for ~40 attendees; beyond CDA l
• Plans to produce additional training sessions – perhaps SNOMED CT
Closing remarks
Jane Howarth motioned the meeting be adjourned; seconded by Jari.
Meeting minutes/transcript by Jane Howarth, Co-Chair, Affiliates Council.
Special announcement to all Affiliate Chairs, or their designated representatives
Please note:
As in previous WGMs, there will be an Affiliates’ Council Working Lunch on Thursday of the working group meeting week. Salon 6 - Siebengebirge
All Affiliates Chairs or their representatives are invited to attend. If you have not already done so, please register for the lunch at the list that can be found near the registration desk / other announcements.[pic]
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