Orders & Observations Conference Call s3

Orders & Observations Conference Call 10 September, 2015 +1 770 657 9270, Passcode: 398652#

Attendees:

Name Organization 1 Lorraine Constable Constable Consulting 2 Perri Smith 3 Hans Buitendijk Cerner Corporation 4 Austin Kreisler Leidos / CDC 5 Cindy Johns Lab Corp 6 Dmytro Rudd Roche 7 Kathy Walsh Lab Corp 8 Rob Hausam Hausam Consulting 9 Diego Lopez McKesson 10 Bonnie McAllister Iatric Systems 11 Riki Merrick Vernetzt LLC / APHL 12 Margaret Dittloff The CBORD Group 13 Ed Hammond Duke / ONC 14 Bob Yencha RTY LLC 15 Rita Altamore Washington State Department of Health 16 Ron van Duyne CDC 17 David Burgess Lab Corp 18 Dan Rutz Epic 19 20 21 22 23 24 25

Co-Chair: Hans Buitendijk Scribe: Riki Merrick Agenda/Minutes:  Agenda Review

 Meeting Minutes o September 3 – Revisions applied from Cindy. . Motion to accept as updated. Riki Merrick, Cindy Johns  Against: 0; Abstain: 0; In Favor: 13  Ballot Reconciliation Update o V2.8.2:

. Published

. The pdf version is available now, while the word version will be there shortly.

o eDOS:

. 100% ballot, 100% of negatives.

. Awaiting final value set naming decisions and then can be finalized.

. Publication request voted on August 13, 2015.

o LOI:

. ~89% with some negative minors to address outside value sets.

. Publication Request

 This draft will be picked up as soon as LOI is close enough to publication, hopefully next week. Please review in the meantime.

o LRI: . 100% ballot, 100% of negatives.

. Value set review is complete, but we need overall format approval and a few edits still outstanding.

. Plan is to publish next week

. We need 45 affirmative votes and are 54 right now. We expect that many of the remainder will withdraw soon as Cerner and LabCorp are working on their withdrawals. We need to ask Ken and Freida to resolve the negative votes from Quest.

. Release 1 DSTU Release 1 Extension Request

 It ran out and need to extend the current LRI IG.

 It is not clear whether it needs to be extended for the 2014 Edition. Struc Doc has a similar situation with C-CDA 1.1 and some argued not to extend it.

o C-CDA has two newer version published, while LRI does not have a replacement quite yet (in a couple of weeks it should). That may make a difference.

o There should be a discussion in the US Realm task force on what is necessary to be done. Ed will put it on the agenda.

o There will be representation from ONC to help clarify whether a specification must be in force.

 Additionally, one can only extend for 12 months per GOM, which would be short of when the 2014 Edition may be superceded by the 2015 Edition.

 Motion to approve the extension. Austin Kreisler, Bob Yencha

o Against: 0; Abstain: 1; In Favor: 14

. Release 1 DSTU Release 2 Publication Request

  Request is for 24 month.

 While there are substantive changes from the ballot, the workgroup can vote to proceed without requiring further review by ballot or peer review.

 The 2015 Edition FR went to OMB, which has up to 90 days now to review – at minimum 30 days.

o It went to OMB on 9/2/2015

o We can still have them update the correct title if it was included.

o We will not know whether it is included or not until it is officially published.

 Motion to request publication of LRI IG R1 DSTU R2 as soon as final edits applied, and updated the form with latest dates and tally. Riki Merrick, Bob Yencha

o Against: 0; Abstain: 0; In Favor: 17 o EHR-S FR: . 92% complete, 87% of negatives . Very few have been applied to the document yet. o CPM: . Affirmative: 23; Negative: 25; Abstain: 22; No Vote: 15. Need 36 affirmative to pass, but all negatives must be withdrawn to publish. o SDC: . Ballot Reconciliation Posting Request   Motion to approve posting the ballot reconciliation to the ballot site and request withdrawal. Lorraine Constable, Margaret Dittloff o Against: 0; Abstain: 4; In Favor: 11 . Publication Request  Would like a motion to approve publication.  Currently SDC did not pass DSTU threshold yet - still have 23 to withdraw before we can actually publish.  Need to wait until enough negatives have been withdrawn before we can vote this into publication (without having to go down to zero either).  We will revisit to take a vote next week.  Will inform FMG (Hans) that we’ll revisit next week.

 October WGM Agenda: http://wiki.hl7.org/index.php?title=OO_WGM_Agenda_September_2015 o Lorraine updated her availability times o Pharmacy was going to send Rep to OO for Tuesday Q1 – Dan to find out what for o V2.9 may go for January ballot cycle so want to complete review by the end of the workgroup meeting just in case o Tuesday Q2 will be a full room – need to reach out to SD; HIS reps also plan on attending

 V2 Tables issues o o HL70121 – need to get person assigned to volunteer to create new definitions – Response Flag used in chapter o Determine list of tables that need work and may be someone could review the topics and prepare for voting at the WGM . Team of folks to work on that – Rob will be part of the team; Riki will help, so will Hans . Rob to send documents to the small team . Others are welcome to join as well. o May be adjust WGM to have 2 quarters to be safe

 FHIR: Not discussed

 V2.9 Proposals – Not discussed