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Meeting recordings/transcript

In attendance:

• Rich Bloch (recording)
• Sonia
• Robert Coli
• Steven
• Mikhail Elias (by phone)
• Marissa (by phone)

• Rich presented an introduction/overview regarding the state of this subgroup (now disbanded), but noting that we should be able to re-engage members interested in an EHR subgroup in the future using the proposed SIG/subgroup structure
  • Mikhail confirmed that this should be the case, and that a process should be developed to make this more formal
  • Sonia will be speaking with Bilal tomorrow (WE) on this topic
• Sonia walked the team through the current set of slides (noting that those presented were out of date)
  • Proposal is that organization should be broken into technical and non-technical subgroups
• Steven presented his proposed charter (presented in email, but moved to Google Docs for future editing)
  • Focus on interoperability within a consortium (and not necessarily across)
  • Do we focus on a single episode of care?
  • Need to stay focused: how to put data on the blockchain
  • Grow with minimal set, and add to it as needed (if identity is needed, then add it to the process)
  • External stakeholders (clinical informatics people, HL7, HSPC) very interested in participating in this proposed group and becoming advisors
  • How do we work through integrating FHIR in an interoperable way?
  • Need to remain very focussed on the mission statement of this subgroup
• Are we understanding the bigger picture as cross-cutting?
• Some terminology confusion
• Perhaps interoperability is contextual here
• Infrastructure architecture an alternate definition (proposed by Mikhail)
• Marissa noted some concern on how existing subgroups fit into this new proposed architecture
  • Mentioned that Ursa is a shared library project, perhaps this is the model we want to follow?
  • How does the Donor Milk Project fit into this?
• We don't want to reinvent the work being done by other SIGs or WGs
  • Need people who are bridging the higher level general tools/frameworks and wed them with the expertise within the healthcare-specific domain, but can be used by many users within the healthcare industry
• Need an updated set of slides to visually represent the proposed structure
• Sonia indicated that there is an updated set of slides available
• Sonia “the balls already rolling” with existing subgroups, so need to be sensitive to this
• Rich, need to understand the bigger picture, what's the story from the top down?
  • Expectation is that existing subgroups may need to pivot slightly
• Sonia, relationship piece to the larger SIG not there yet
• Note that we don't want to be specific about calling out technical implementation details (e.g, FHIR)
• Marissa, where does everything fit, across subgroups?
  • Mikhail, an interoperability diagram would be helpful here (visual process flow)
• Rich mentioned that there is work planned to establish communications across SIGs
  • Contacted HL leadership about developing some mechanism for this (David, Silona, et al.)
  • We want to share what we do with other SIGs and WGs (and vice versa)
  • Need to define some service layer (Mikhail) to align their work with each other
• Sonia, going forward steps
  • Don't have a subgroup, so how to proceed?
  • Need to write a charter, how to proceed?
    • Rich, use the new HL Charter as a model
  • Rich, concerned that we don't yet have a clear understanding of what's getting proposed
  • Sonia, do we continue to meed ad hoc?
  • Open call to Steven, Mikhail, and Bob
    • All, happy to continue to work in an ad hoc forum
    • Bob, need to “crystalize” the idea
    • Steven expressed some ongoing concern about confusion about focus:
      • “There's so much here that it's we just don't understand between ourselves…”
      • Willing to work through it
• Need to have a “crystalline” (Bob's comment) understanding of our proposal going forward
• We are a very passionate group of talented people :)