Architecture+6-20+Minutes

Date: 6/20/2011
 * LRI Architecture/IR Meeting Minutes **

Time: 2:00PM-3:00PM EDT Time:

Dial-in: 1-408-600-3600| Passcode: 666 597 679

Rob Allen, Nagesh Bashyam, Tom Boal, David Burgess, Steven Cason, Joan DuHaime, Cynthia Levy, Bob Lutolf, Nam Nguyen, Rob Snelick, John Stinn, Jonathan Tadese, Bob Yencha
 * Attendees **


 * > # ||> Action ||> Owner ||
 * > 1 ||> Provide job description and post request for memebers on the Wiki. ||> Bob Lutolf ||
 * > 2 ||> Update Policy and Service Identification document for consensus next week. ||> Rob Allen ||
 * > 3 ||> Update RI Architecture Overview document with changes. ||> Cindy Levy ||
 * > 4 ||> Review and comment on RI Architecture Overview document. ||> All ||
 * > 5 ||> Review and comment on Policy and Service Identification document. ||> All ||
 * > 6 ||> <span style="color: black; font-family: 'Verdana','sans-serif'; font-size: 13px;">Coordinate with Jitin on a request for participation in order to add additional resources. ||> Jonathan Tadese ||

<span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Agenda Items

 * 1) <span style="color: black; font-family: 'Verdana','sans-serif'; font-size: 13px;">Review existing RI products.
 * 2) <span style="color: black; font-family: 'Verdana','sans-serif'; font-size: 13px;">Discuss ways to reach out to LIS and EHR vendors and get them involved.
 * 3) <span style="color: black; font-family: 'Verdana','sans-serif'; font-size: 13px;">Reach out to software architects within our WG.

<span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Meeting Notes

 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Bob Lutolf had discussions with Jitin Asnaani regarding 3 topics on Friday at the Face-to-Face:
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Architecture documents- Regarding documents on future pilots.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Transformation services- ELINCS or HITSP guide? Which one will we go with?
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Jitin’s idea of products that assist in expanding validation to include Implementation Guide.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">For today the group will go over validation and transformation as well as go over documents.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">RI Architecture Overview
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Architecture Overview and Implications
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Policy and Service Identification
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Validation
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Rob Snelick is setting up a meeting this week to discuss the role of validation with Jitin Asnaani. Not much else to report.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Put the topic of validation on this week’s agenda and we will revisit next week.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Transformation services- HITSP or ELINCS as the guide?
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Not many people have implemented HITSP.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">A lot more people have implemented ELINCS.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">If few people implement parent guide, then there is no value in doing transformation services.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">We will revisit transformation services next week.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">The WG right now is focused on harmonizing Implementation Guide. Once we get past that point, initiative interest and support will grow.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">We need to put in a participation request. Put together a tab description. Natalie to escalate to Erik.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Jonathan Tadese- The way we do that is to send out mass emails, discuss with coordinator. Jonathan can help do that.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">By Friday, will have post on WiKi discussion tab inquiring about vendors who may want to get involved.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Group will provide the job description.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Reviewed RI Architecture Overview document from Cindy Levy.
 * //<span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">LRI Reference Implementation Assumptions. //
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">There may be additional requirements if we were to fully implement Implementation Guide.
 * //<span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">LRI Reference Implementation Architecture Description. //
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Not sure if there will be Clinical Information Model. Cindy Levy will have to edit second bullet down in this section regarding Clinical Information Model, unless she hears differently.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">If ToC were to use test result data element, would that be something that ToC would be able to use, and it would be the same data element used in an HL7 LRI message?
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Out of scope. It is not what we are supposed to be doing right now.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Cindy Levy will add in architecture picture that is similar to Transitions of Care.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Need people to review and make comments.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Reviewed the Architecture Overview and Implications document to see if there is anything that needs to be edited by Rob Allen.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Reviewed Bi-directional flow chart.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Bi-directional means receiving document acknowledgement and non acknowledgement. No further changes to ‘Updated Sequence Diagram to Show Bi-Directional Flow’.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Looking at Bi-directional flow chart- Make sure we have appropriate language definitions of what is in and out of scope; we can make use of what is in the IG.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Deployment Modelsare no longer applicable.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Policy and Service Identification
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">The group reviewed the first three notes, under the ‘ **<span style="color: black; font-family: 'Verdana','sans-serif'; font-size: 13px;">Needed Policies/Regulations to Support the LRI/EHR interactions’ **<span style="color: black; font-family: 'Verdana','sans-serif'; font-size: 13px;">column. It was agreed that the first three notes were good and required no further edits.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">‘Auditable Event’- What does it mean to this table? Need to add text for clarification.
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Also need clarification on certification criteria for EHR Systems
 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Need to comment on Policy and Service Identification document and do consensus next week.


 * <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Reference Materials: **
 * 1) <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Policy and Service Identification
 * 2) <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">RI Architecture Overview
 * 3) <span style="font-family: 'Verdana','sans-serif'; font-size: 13px;">Architecture Overview and Implications