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groups:healthcare:2018_12_18_ehr_hcwg [2018/12/16 22:59] Rich Bloch created |
groups:healthcare:2018_12_18_ehr_hcwg [2018/12/18 19:00] Rich Bloch |
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* [[https://tinyurl.com/HL-antitrust-slide|Hyperledger Antitrust Slide]] | * [[https://tinyurl.com/HL-antitrust-slide|Hyperledger Antitrust Slide]] | ||
* **Discussion: request for note-taking for this meeting** | * **Discussion: request for note-taking for this meeting** | ||
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+ | <WRAP box> | ||
+ | [[https://drive.google.com/open?id=1ikmMBoojvSF4XLK6XlDfe73YypLGR8O8|Meeting recordings/transcript]] | ||
+ | </WRAP> | ||
+ | |||
+ | <WRAP box> | ||
+ | In attendance: | ||
+ | * Rich Bloch (recording) | ||
+ | * Sonia | ||
+ | * Robert Coli | ||
+ | * Steven | ||
+ | * Mikhail Elias (by phone) | ||
+ | * Marissa (by phone) | ||
+ | </WRAP> | ||
===== Introductions ===== | ===== Introductions ===== | ||
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* ** Discussion: a continuing discussion on the future direction of HLHC-SIG subgroups** | * ** Discussion: a continuing discussion on the future direction of HLHC-SIG subgroups** | ||
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+ | <WRAP box> | ||
+ | * 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+ | * Sonia walked the team through the current set of slides (noting that those presented were out of date) | ||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 :) | ||
+ | |||
+ | </WRAP> | ||
===== Next Meeting ===== | ===== Next Meeting ===== |