Minutes
Open Health Tools, Inc.

Meeting of the Board of Stewards
Chicago, Illinois United States
April 9, 2009

The Board meeting was called to order at on April 09, 2009.at 10:00 AM (Central Time zone). The location was Four Points by Sheraton Chicago Illinois (USA)

Introduction of new members

The following applicants for membership were approved for Membership in Open Health Tools.

  • John DeStefano - Hartford Hospital
  • Roger Maduro - Lxis
  • Hamid Majidy - YouMed, Inc.

Attendees

The following organizations and individuals attended the Board Meeting.

First Name Last Name Organization Telephone
Brandon Ulrich B2International ###
Mary Miller CollabNet  
Victor Harrison Computer Sciences Corp. #
Mark Kneidinger Computer Sciences Corp. #
Robert Cruz CPSI  
Howard Lewis DiscoveryMachine ###
Hugh Creedon DSS Inc.  
Ian Skerrit Eclipse Foundation  
Timo Itδlδ Finland ###
Dan Sears Friends of eHealth  
John DeStefano Hartford Hospital  
Corey Smith Health Language ###
John Quinn HL7  
Ken Rubin HSSP  
Rich Rogers IBM  
Scott de Deugd IBM ###
Don Jorgenson Inpriva  
Boris Kapitanski ITG ###
Graham Grieve Kestral Computing ###
Roger Maduro Lxis  
James Buntrock Mayo ###
Wenzhi Li Misys  
Tim Elwell Misys PLC  
BrianTim Minaji Mohawk College ###
Kenneth Buetow NCI/CBIIT  
Charlie Meade NCI/CBIIT  
Andy Bond NeHTA ###
Husnu Huner NexJ Systems, Inc.  
David Shepherd NexJ Systems, Inc.  
Ken Lunn NHS Connecting for Health ###
Ravi Natarajan NHS Connecting for Health  
Richard Soley Object Management Group  
Brian Barry OHT CTO  
Skip McGaughey OHT Executive Director  
Jane Curry OHT Parliamentarian  
Joel Selzer Ozmosis ###
Richard Li Redhat  
Colleen Brooks Singapore MOH Holdings Pte. Ltd. #
David Carlson U.S. Department of Veterans Affairs  
Nelson Hsing Veterans Affairs  
Hamid Majidy YouMed, Inc.  
Mike Radu YouMed, Inc.  

# visitor
### indicates participation via phone

Skip gave an overview of the stage of development of OHT. We are beyond the initial stage which is geared toward getting projects approved and beginning to deliver code. We are now in the second phase of proliferation of projects and participation. At this stage typically introduces administrative committees to help operate OHT. The committees will report to the Board using the same Boca and Arrow charts that the code production projects produce. There was general agreement that Skip will solicit leads and participants for the proposed Financial, Strategic Planning, Membership, and Marketing committees.

Technical Projects

Project Reports introduce by Brian Barry and reported on by the project representative.

  • NHS Static Model Designer delivered .6 version and acquiring resources for phase 2.
    BocaArrow_HL7Tooling Ravi Natarajan 2009_04_09.ppt
  • VA/IBM UML MDT project - project critical success factor for this and all the other modeling project is to have access to a terminology service to check vocabulary constraints through a shared API.
    BocaArrow__ModelingMDT 2009_04_09.ppt
  • IBM- IHE Profiles test suite delivered to support the HIMSS connectathon
    Presentation_IHEProfiles 2009_04_09.pdf
    BocaArrow IHEProfiles 2009_04_09.ppt
  • NextJ – OHT Platform Project – on track
    Presentation_NexJ 2009_04_09.pdf
    BocaArrow_Platform 2009_04_09.ppt
  • IHTSDO – SNOMED Terminology Workbench Project. Intend to harmonize the existing IHTSDO Workbench API and the proposed CTS II API.
    BocaArrow_TerminologySnomedCTTooling 2009_04_09.ppt
  • Canadian EHRS Reference Implementation on track to demonstrate the IHE connectathon at the Canadian e-Health conference in June.
    BocaArrow_CanadianEHRS 2009_04_09.ppt
  • OHT CollabNET – increased to 30 projects and 360 users and activity is increasing. Discussion for project pricing to offset some of the infrastructure costs. Proposal to be based on # of committers and whether or not there is a run time environment for testing – especially for integration of code from a number of projects. Current Collabnet license is bare bones service and will continue as not charge until an alternate strategy is in place. Interest in entering into the discussion with some of the interested projects with the result of a proposal coming back to the Board. NCI, NHS, NextJ, Infoway and HL7 will be part of the conversation.
    BocaArrow_CollabNetCDE 2009_04_09.pdf
  • VUHID – Unique ID Project on track to produce actual product. Particularly interested in working with Medical Device Manufacturers for joint projects.
    BocaArrow_UniqueID_VUHID 2009_04_09.ppt
  • openPASS – Critical dependency on HL7 PASS project. Audit and Access Control requirements stabilized and expected to go to HL7 ballot this fall. Reference implementations can then be built. Project plans being developed in the next weeks. Critical dependency on resources. Call for participation and resource commitment.
    BocaArrow openPASS 2009_04_09.ppt
  • Connected Device Interoperabillity – Device integration project moved from Eclipse Foundation project. Continua consortium participated. Demonstrated at HIMSS.
    Presentation_ConnectedDeviceInteroperability 2009_04_09.ppt
    BocaArrow_ConnectedDeviceInteroperability 2009_04_09.ppt
  • Supply Chain Tooling – Development of reference implementation pilot successful. Enhancement iterations underway. Industry participation solicited.
    BoardReport_SupplyChainTooling 2009_04_09.pdf
    BocaArrow_SupplyChainTooling 2009_04_09.ppt
  • Healthcare UI – Ken Lunn - bringing prototype work done in the NHS, making the Standard User Interface design material internationally available. Reference implementations in UK in place with the intent to make the reference implementations available as open source components and stimulate the open source software market. Target Mar 2010 to have open source components available.
    BocaArrow_HealthcareUIs 2009_04_09.ppt
  • Misys Open Source Solutions – IHE server side. Being adopted by CCHIT and potential to be used by NIST. Intent to merge with IHE Profiles project to collaborate. Existing tool and license use are barriers. XDS development is planned. OHT IHE Profile library to be used. Not seeking approval as an independent project unless can’t find a way to merge.
    BocaArrow IHE Profiles Server.ppt
  • vxVistA DSS, Inc. –vxVistA Move VistA from VA to Open Source – vxVistA under OHT with a EPL. Opportunity to include other open Vista sources because the EPL license is attractive to the ecosystem. Requesting approval in principle. Approved.
    BocaArrow_vxVistATooling 2009_04_09.ppt

The following is the list of projects and their status:

Project Sponsor/Lead Status
HL7 Tooling NHS Approved
OpenPASS Inpriva Approved
IHE Profiles IBM Approved
Modeling MDT VA/IBM Approved
Academic Outreach Oracle Approved
Connected Device Interoperability IBM Approved
OHT Platform NexJ/Ocean Approved
Terminology Snomed CT Tooling IHTSDO Approved
Canadian EHRS Mohawk Approved
OHT Platform Architecture NCI Approved
CollabNet CDE CollabNet AIP
Supply Chain Tooling ITG AIP
OHT Conformance Tools Infoway AIP
Healthcare UIs NHS AIP
IHE Server Components Misys AIP
VxVista Tooling DSS AIP
Unique ID – VUHID VUHID Proposed
Deployment OHT Discussion
Publishing Tools OHT Discussion
Health Information Interoperability Oregon HIE AIP - Suspended
AIP is Approved in Principle

The following presentations were given by visitors and members:

    • Singapore – MOH Holdings – presentation on drivers from Singapore and their plans to achieve a health summary level electronic health records by 2010 with the expectation to move to semantic interoperability health records to use for both clinical and secondary data use for system health management as a second phase.
    • New OHT member - YouMed – pay for performance software services to support PfP programs. Intend to bring Business Intelligence and Data Warehousing capabilities to OHT.
      Presentation_YouMed 2009_04_09.ppt
    • OHT member - Hartford Hospital – Large tertiary care hospital with a long history of systems integration and home grown applications using Open Source components. Virtual Care Community project started in 2008 using IHE Profiles – beginning to use Misys Open Source on governance and technical infrastructure. Interested to contribute to projects and potentially to become a demonstration site.
      Presentation_hartford_hospita 2009_04_09.ppt

The Architecture Project which represents a strategic direction for OHT was Presented: Architecture Project provided an update and a presentation on their work. Charlie Mead presented and described the teams work. The team worked via teleconferences and 2 F2F meetings. They produced a charter, architecture principles, Boca and Arrow charts and started work on how to classify tools with an interest in interoperability among tools. Charlie Mead also presented the ideas from behind a specification stack and its history from HL7 SAEAF. The project is asking for approval as a project. Approved. The OHT Architecture Project site will become open for any interested party to join.
BoardReport_Architecture 2009_04_09.ppt
BocaArrow_Architecture 2009_04_09.ppt

Static Model Designer; IHE Profiles; UML Modeling Tools and NextJ Platform project committers participated in a workshop and presented the opportunities to collaborate and what potential interdependencies there are and how to ensure compatible interoperable tools result. One idea that emerges was to develop a simple use case and each tools can describe how they can contribute to solving. A mailing list will be developed under the Architecture Project to continue the conversation.
Presentation_Modeling_Tools_ for_ Healthcare 2009-04-08.ppt

Rich Rogers provided a deeper look at Connected Device Interoperability project – opportunities for integration and new OHT projects. The idea of using a specific scenario to illustrate potential integration points and therefore tool interoperability was used.
Presentation_ConnectedDeviceInteroperability 2009_04_09.ppt

Marketing Projects

The following status reports on Marketing projects were presented:

  • Public Relations

Membership Report

Membership 2009_04_01 .ppt

Finance Report

Skip McGaughey reported that OHT did not have general, administration, or operational funds at this time and OHT was continuing to operate with voluntary contributions. The change to the by-laws enabling member contribution would significantly relieve the cash flow shortage. In addition, he did not see a need to change the business model for OHT.
FiscalReport 2009_04_01 .ppt

Richard Sears and Dan Sears of Friends of eHealth provided a funding Friends of eHealth report

The Board Meeting was adjourned at 4:50 PM.