HL7SAIFPeerReviewCommentForm_CombinedV6_108-19-2010BASE-kgs_formatted

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					                                                                                     Peer Review Comment Form                                                                                   5/17/2012

                                           Comments:                                                                            To Be                  Disposition Comments
                                                                                                                                        Suggested
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1001   Ron       All   *                   Figure text needs to be in narrative - if not there,   C                       Ac    KS      Agreement      CLT - Style
       parker                              Karen needs to ask where to put it.                                            ce
                                                                                                                          pte
                                                                                                                          d
   7   Lloyd     Intr * 2                  I thought we were toasting the "Services Aware"    N Com                             NA      Answered       This is not SOA or web services. Reference made
       McKenzi   o                         bit. The framework is also "messaging aware" and     ment                                                   to Erl: "Principles of Service Design." Organization
       e                                   "document aware". Certainly being "services                                                                 needs education on services, and a glossary entry
                                           aware" was one of the objectives of developing the                                                          on the definition of "Services Aware". Quote
                                           framework, but calling out one of the three                                                                 Thomas Earl. Services is in the framework from a
                                           paradigms in the name is misleading and will                                                                marketing perspective.
                                           confuse potential readers as well as those within
                                           the HL7 organization. Why not just HL7
                                           Interoperability Framework - IF for short?
   8   Lloyd     BF    * 68                Missing word between "the" and "in"                        Typo                      KS      Agreement      Agreed
       McKenzi
       e
   9   Mead      BF    * 92   1, Line 92   What is quantitative about the unambiguous                 Quest                     NA      Answered       This is not a specification. It is a framework, like the
       Walker                              specification here?                                        ion                                              MIF, for producing specifications.



  10   Lloyd     BF    * 99                V3 is not "message-based". V3 can, and does,               Meth                      ArB     Answered       V3 is message based. It is, in fact, a platform all its
       McKenzi                             encompass message, document and services                   odolo                                            own.
       e                                   paradigms.                                                 gy
                                                                                                                                                       I feel like this one point is the sticking point in many
                                                                                                                                                       discussions. The v3 paradigm assumes certain
                                                                                                                                                       aspects of communication, certain graniularities of
                                                                                                                                                       communication, certain conventions in modeling,
                                                                                                                                                       certain conventions in code generation, and so on.
                                                                                                                                                       THat is not to say that you can / cannot transmit a
                                                                                                                                                       v3 message to a web service end point. You can.
                                                                                                                                                       The v3 messaging paradigm is one in which a)
                                                                                                                                                       accountability is shared between the
                                                                                                                                                       commiussioning and responsibile agents, b) which
                                                                                                                                                       assumes nearly context free communications, and
                                                                                                                                                       c) which assumes a certain granularity to the
                                                                                                                                                       message (what Lloyd refers to as the unit of work).
                                                                                                                                                       Services do not - de novo - make these same
                                                                                                                                                       distinctions, and in fact provide facilities to pull
                                                                                                                                                       these things apart into different solutions whil
                                                                                                                                                       maintinaing the same conformance layers




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1001 KS - In progress. Shortening figure captions and
     moving additional explanation to the surrounding
     text. Intro is done, BF and ECCF aren't done yet.

   7 KS - There is already a glossary entry for
     "services-aware." No other changes made. What
     is the exact wording of Erl's quote?




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  11   Mead      BF   * 106   1, lines 106- "Documentation of the definitional characteristics     Com                         KS      Agreement      Trying to say: "assign accountability between and
       Walker                 8             of the technological structures (for example,          ment                                               among deployed artifacts."
                                            components and interfaces) that assume roles
                                            within a deployed architecture" I found this                                                              this essential characteristic is what allows at least a
                                            confusing. Could the text simply indicate which                                                           theoretical conformance test of applications, as well
                                            RM-ODP view point it has in mind?                                                                         as rigorous proxying models.

  12   Lloyd     BF   * 125                HL7 cannot provide final endorsement or approval        Com                         LM      Answered       Governance instead of guidance
       McKenzi                             to any aspect of the ECCF without the                   ment
       e                                   accompanying implementation guides. Without                                                                JJK - the eccf is a framework to produce
                                           detailed guidance on exactly how each artifact will                                                        specifications. Additionally, none of this will work
                                           be captured, persisted, exchanged, maintained                                                              until we get the aspects of the behavioral framework
                                           and published, including information on the data                                                           into the MIF (or a mif-like structure) st that there is
                                           elements associated with each artifact and                                                                 some computable representation of the specification
                                           constraints on those artifacts, the ECCF can only
                                           be considered a theoretical "potential" architecture.
                                           It is through the detailed implementation guides
                                           that HL7 will be able to determine whether that
                                           theoretical architecture can be made practical in a
                                           healthcare standards development environment
                                           and can make an informed decision about whether
                                           the merits of the proposed architecture outweigh
                                           any of the costs in adopting it.

  13   Lloyd     BF   * 133                Presume these will be moved to an HL7 site prior        Publis                      AJ      Agreement      It would be logical for these models to exist in HL7
       McKenzi                             to adoption of the ECCF?                                hing                                               space, if for no other reason than permanence.
       e
  14   Lloyd     BF   * 164                The list of pre-requisites is large and will be         Com                         NA      Answered       How far do we go in structuring glossary, etc. We
       McKenzi                             daunting for most. Expecting a developer who's          ment                                               need to differentiate information for developers in
       e                                   implementing a CDA specification to know all of                                                            the Implementation Guide versus information for
                                           these things is a bit extreme, yet the audience lists                                                      architects in the frameworks.
                                           developers as a target audience. External pre-
                                           requisites (those documents not part of the ECCF
                                           itself) should be limited to those items that are
                                           "must know" for all target audience members to
                                           use the ECCF for their purposes. If only a tiny
                                           aspect of an external specification is required,
                                           consideration should be given to incorporating that
                                           aspect in the ECCF document directly. All other
                                           references should be identified as "recommended
                                           reading" or "background" rather than pre-
                                           requisites.




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  15   Lloyd     BF   * 190                What Is meant by "loosely coupled" here? The           Ques                        NA      Answered       SOA principle
       McKenzi                             information model and the behavioral model can         tion
       e                                   certainly be maintained separately, but the                                                               JJK - Loose coupling means that one thing may be
                                           semantics represented by the model are tightly                                                            implemented independently from another without
                                           bound to the definition of the behavior. For                                                              affecting the impolementation of the other. RLUS is
                                           example, a request to create a lab order can't send                                                       an example of a service that tightly defines behavior
                                           a payload consisting of prescription information.                                                         applicable to many information types.

                                                                                                                                                     While this is a desirable thing from the Services
                                                                                                                                                     POV, it is not necessarily true. IOW, behavior and
                                                                                                                                                     information feedback against each other to provide
                                                                                                                                                     a granularity

  16   Mead      BF   * 193   1.3 line 193 "the BF should ultimately provide a means to           Com                         MW      Answered       We have unfulfilled requirements, and used them
       Walker                 +            specify interactions between trading partners using    ment                                               for BF. Lloyd admits that the legacy dynamic model
                                           any of the HL7 (or other agreed-upon)                                                                     does not address the requirements.
                                           interoperability paradigms – messages,
                                           documents, or services." This is inadequate - the                                                         JJK - the point is valid, but impossible. In this
                                           current framework allows the specification of                                                             environment, our ciriticism of the DM was
                                           interactions. The point has to be that the current                                                        considered too vulgar. It is not worth it at this point
                                           framework does not do this adequately. Given that                                                         to go back and evaluate the requirements, when we
                                           perspective, it would be immensely useful to                                                              have evaluated them twice already (recall the MnM
                                           specify the inadequacies of the current framework.                                                        OO SOA req'ts for behavioral framework that drove
                                           With that list of inadequacies in hand, one would                                                         this ....)
                                           be able to see whether the proposed new
                                           framework does a better job then the old one.

  17   Lloyd     BF   * 194                This would require a redefinition of what HL7          Com                         KS      aGlossary      "Documents do not have explicit behaviour. They
       McKenzi                             means by "Document". At present, documents are         ment                                               do have constraints, and conformance." A
       e                                   supposed to exclude any behavioral aspects.                                                               document has a semantic profile in a SOA
                                           When behavior is brought in, "Documents" could                                                            interchange. The behaviour is in the functional
                                           be conveyed by messages or by services.                                                                   profile.
                                           "Document" is really a reflection of a set of
                                           constraints applied to how data is represented and                                                        JJK - I would say that "documents are a semantic
                                           the types of behaviors that may be invoked on it.                                                         profile." What is more, I would argue that we need
                                                                                                                                                     to constrain very tightly the context that they deliver.

  18   Lloyd     BF   * 232                Footnote isn't a sentence. Is it intended to say       Com                         KS      Agreement      The sentence has multiple meanings. Reword the
       McKenzi                             "can be expressed by" or "are expressed by". If        ment                                               footnote. The technology is asserted in the
       e                                   the latter, I'm nervous we're going to have a messy                                                       implementation guide(s). We should get
                                           hodge-podge. If the former, then at what point is a                                                       harmonization across implementation guides. E.g.
                                           technology selected? The implementation guide?                                                            "Reliable messaging is assured by x". X may be
                                                                                                                                                     WSI or other.
  19   Lloyd     BF   * 254                This looks odd. Previous bullets have already          Com                         KS      Agreement      Agreed - the title of the section needs to be clearer
       McKenzi                             listed Behavior, Interaction and Accountability.       ment
       e                                   Presume this is about linking the three. If so, then
                                           suggest re-wording to make that clear.
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  20   Lloyd     BF   * 260               Missing "the" between "is" and "identification"          Typo                         KS      Agreement      Agreed
       McKenzi
       e
  21   Lloyd     BF   * 267               The first example shows player and scoper. The           Com                          NA      Answered       Governance? Or conflation of HL7 IG?
       McKenzi                            remainder don't. If player and scoper are                ment
       e                                  important, then show how that applies everywhere.                                                            JJK - This section is intended to be a summary and
                                          If not, then leave it out.                                                                                   an overview, as opposed to an exhaustive
                                                                                                                                                       documentation of the BF. Part of Lloyd's point is that
                                                                                                                                                       there is ambiguity in what is intended to be a simple
                                                                                                                                                       explanation, which by defnition of simple definitions
                                                                                                                                                       will likely be ambiguous.

                                                                                                                                                       Two points: 1) we need to get past writing
                                                                                                                                                       summaries for the BF and write the HL7
                                                                                                                                                       specification , and 2) this document needs to be
                                                                                                                                                       refactored for audiences.
  22   Lloyd     BF   * 274   275-276     This seems a repetition of lines 260-262. Either         Com                          KS      aGlossary      Definitions need to go in the glossary, and not keep
       McKenzi                            distinguish the difference between the sentences         ment                                                re-defining things.
       e                                  so it doesn't sound like a repetition, or merge.


  23   Lloyd     BF   * 281               Presume "these terms" refers to "specific                Com                          KS      aGlossary      Agreed need to clarify.
       McKenzi                            behaviors, permissions, obligations . . .". If so,       ment
       e                                  consider reformatting. The vertical bar creates                                                              JJK - this is a formatting issue. What happened to
                                          enough separation that it's not obvious what's                                                               the glossary that was created for this?
                                          being referred to.
  24   Lloyd     BF   * 284               Graphics didn't render well. Quite jaggy. Try            Publis                       KS      Agreement      KS - We are in the process of exporting all the JPG
       McKenzi                            exporting in a vector format rather than BMP or          hing                                                and PNG graphics into vector format so that they
       e                                  JPG.                                                                                                         render better in the DITA output. AT the time of the
                                                                                                                                                       peer review, the BF document was still in Word
                                                                                                                                                       format and none of the BF graphics had been
                                                                                                                                                       exported to vector format. When I added the BF
                                                                                                                                                       info to the DITA document a couple weeks ago, I
                                                                                                                                                       had all of the BF EA diagrams exported to vector
                                                                                                                                                       format. However, the graphics with the stick figures
                                                                                                                                                       haven't been exported to vector format yet. Please
                                                                                                                                                       let me know if any changes need to be made to the
                                                                                                                                                       "stick figure" graphics depicting BF concepts.




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  25   Lloyd     BF   * 287               Again, if scoper is relevant, put it everywhere.           Com                          NA      Answered       See above on scoper
       McKenzi                                                                                       ment
       e                                                                                                                                                 JJK - this is a problem of the use of the word Role.
                                                                                                                                                         In RM-ODP, Roles are not characterized by two
                                                                                                                                                         entities, one in the player and one in the scoper
                                                                                                                                                         position. They are characterized (as pointed out in
                                                                                                                                                         the glossary) as "coherent sets of invokable
                                                                                                                                                         behaviors"

  26   Lloyd     BF   * 288               Why reference the RIM here? If it's because many           Com                          LM      Answered       This reference was included because it is not
       McKenzi                            readers won't know what a Person Management                ment                                                healthcare specific. Remove the RIM attributes
       e                                  System is, then substitute something else that will                                                            from the text. Expand text from figure into text.
                                          be more familiar. E.g. Lab Order Management
                                          System.                                                                                                        JJK - I think the point is that the RIM is, at the end,
                                                                                                                                                         a way to assign attributes to concepts, and that the
                                                                                                                                                         BF Roles expose some of those information types
                                                                                                                                                         within some context. This usage of the RIM is
                                                                                                                                                         important in its intent, if I read it correctly .... it is
                                                                                                                                                         saying that the RIM is not necessarily the way we
                                                                                                                                                         are defining the pieces and parts here. Those are
                                                                                                                                                         defined per types of accountability, which in turn
                                                                                                                                                         may use the RIM to precisely convey semantics

  27   Lloyd     BF   * 289               This is already stated in the preceding text. It           Com                          KS      Agreement      Text is in two places - body and figure. Figure
       McKenzi                            doesn't belong as part of figure definition text.          ment                                                legend is messed up. Correlate with text - also
       e                                                                                                                                                 picture needs update.
  28   Lloyd     BF   * 293               Does this include "potential" actions? As worded,          Com                          KS      Answered       It is all potential actions until comsumated? "All of
       McKenzi                            it sounds like the scope is limited to things that         ment                                                the potential actions related to a role."
       e                                  have happened or ongoing, not actions that a role
                                          might perform.                                                                                                 JJK - the word action and interaction are defined
                                                                                                                                                         precisely in the BF glossary. They are not to be
                                                                                                                                                         equated with Act. By definition, roles are collections
                                                                                                                                                         of invokable behaviors, which means that some
                                                                                                                                                         behaviors are not invoked and may never be
                                                                                                                                                         invoked.




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  29   Mead      BF   * 295   2.2. 295 -   "The BF is specifically concerned with the               Com                          KS      Answered       We don’t differentiate system design, we are talking
       Walker                 297          expressions that allow behavior to be abstracted         ment                                                about 'system' interoperability. We confuse
                                           so that systems can perform specific tasks                                                                   between systems design , and designing for
                                           repeatedly and unambiguously." This needs to                                                                 interoperability.
                                           linked to the supporting interoperability between
                                           systems, or else it is pointless - even if true.                                                             JJK - as a framework, the BF does exactly what the
                                                                                                                                                        text says … it allows behaviors to be abstracted into
                                                                                                                                                        interfaces that lets specific tasks be invoked
                                                                                                                                                        repreatedly. But as a conformance framework, we
                                                                                                                                                        are playing a bit of a shell game ... by abstracting
                                                                                                                                                        behavior to the interface, and rigorous information
                                                                                                                                                        models, we are really making system requirements,
                                                                                                                                                        and forcing the means by which systems will
                                                                                                                                                        interoperate. I don't find this questionable.

  30   Lloyd     BF   * 299                "Notify admin" is ambiguous. Without more                Com                          KS      Agreement      Clairify that behaviours are pottenial.
       McKenzi                             qualification, no-one will know what it means.           ment
       e                                   Either expand or choose a different example.                                                                 JJK - I think Lloyd's point is that "admin" is an
                                                                                                                                                        ambiguous word
  31   Lloyd     BF   * 301                I would have expected to find a definition of what       Typo                         KS      Agreement      Looks like a definition to us.
       McKenzi                             an interaction is in this section, specifically
       e                                   including the fact that an interaction can consist of                                                        JJK - me too. But where is the glossary?
                                           multiple exchanges. Should also indicate whether
                                           an interaction is limited to communications
                                           between only 2 Role instances or whether more
                                           are allowed.
  32   Lloyd     BF   * 302                Markup is wrong. This should be body text                Typo                         KS      Agreement      Agreed
       McKenzi
       e
  33   Mead      BF   * 302   2.3; 302 -   Should this text be in blue and smaller font? It is      Typo                         KS      Agreement      Style
       Walker                 311          harder to read and appears inconsistent with the
                                           rest of the document.
  34   Lloyd     BF   * 303                Double-dash should be em-dash                            Typo                         KS      Agreement      Agreed
       McKenzi
       e
  35   Lloyd     BF   * 303                This should be split into two sentences. It doesn't      Publis                       KS      Agreement      Agreed
       McKenzi                             flow well as written                                     hing
       e




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  36   Lloyd     BF   * 310                 Do you have an automated way of extracting                Publis                       KS      Agreement      KS - No, we don't have an automated way of
       McKenzi                              definitions like this and compiling them into a           hing                                                extracting definitions, but I could add the BF
       e                                    glossary? Also, what's your convention for                                                                    definitions to the glossary for the next DITA update.
                                            identifying a defined term? I thought it was                                                                  Do you have a list of BF definitions that you would
                                            italicized, but you have italicized stuff that isn't                                                          like added to the glossary?
                                            defined and you have definitions for non-italicized
                                            stuff. Suggest creating and following a style guide                                                           I agree with you that we need a style guide for
                                            around the use of italics, bold, I52capitalization,                                                           keywords, definitions, quotes, and the like. I could
                                            quotes and other formatting so that it's clear when                                                           come up with a brief style guide and send it out for
                                            you're dealing with defined terms, keywords,                                                                  review.
                                            references to other sections, etc.
                                                                                                                                                          JJK - Where is the Glossary that was provided?

  37   Lloyd     BF   * 317                 Suggest adding a label for each role.                     Com                          KS      Agreement      Agreed
       McKenzi                                                                                        ment
       e
  38   Mead      BF   * 321   2.3 line 321 Interestingly, all the interactions offered in the list    Com                          MW      Answered       Change to difficult examples - Charlie Mead
       Walker                              here are atomic types of interactions that the             ment
                                           current paradigm handles easily.                                                                               JJKL - Again, this section is intended to be a simple
                                                                                                                                                          overview and a synopsis, not a rigorous
                                                                                                                                                          specification. So I don't agree with giving more
                                                                                                                                                          difficult examples here.

                                                                                                                                                          Second the point is that these are simple
                                                                                                                                                          interactions that take place within a community of
                                                                                                                                                          roles. Lloyd is looking here for rigor when the intent
                                                                                                                                                          of the section is explanatory. And the point of using
                                                                                                                                                          HL7 examples was to show continuity.,

  39   Lloyd     BF   * 325                 "Publication" is an unusual term. Messages aren't         Com                          LM      Answered       Because it is NOT a message - it is publishing.
       McKenzi                              usually referred to as being "published". Suggest         ment                                                Remove the word message from sentence.
       e                                    rewording as "Publication of an ADT event" or
                                            "Transmission of an ADT message". However,                                                                    JJK - Hmmm, I thought the ADT event was encoded
                                            even this will be at a different level of granularity                                                         as a message. There seems to be a whole host of
                                            than the other two examples. 322 and 323 could                                                                ADT messages that are tied to events.
                                            be messages too. They describe exactly what's
                                            happening. "an ADT message" doesn't telly you                                                                 In all seriousness, I am going to stop saying this.
                                            what's happening. Is it an admit notification, a                                                              The point of including messages in an event-
                                            request for discharge, or what? Suggest                                                                       oriented paradigm was to shot eh bf as capable of
                                            rewording to be consistent.                                                                                   handling the spectrum of event- to procedural-
                                                                                                                                                          archtiectures. And again, this was a synopsis piece
                                                                                                                                                          of text.




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  40   Mead      BF   * 326   2.4         It is not clear to me where the discussion of             Com                         KS      aGlossary      No. We need to explain better. This is
       Walker                             accountability is going, or what it is adding here. I     ment                                               accountability pattern. Rename section to
                                          think the ususal understanding of accountability is                                                          "Accountability Pattern" and expand the text. Charlie
                                          in terms very like the discussion of roles. E.g. " a                                                         Mead
                                          physician is accountable for treating his/her
                                          patients". Here it seems to be defined as simply a                                                           JJK - WHERE IS THE GLOSSARY?
                                          restatement of a request: That is, " I ask you to
                                          perform a test" is now stated as "You are
                                          accountable to me for performing the test" So far,
                                          the notion is completely redundant.

  41   Lloyd     BF   * 337               Should be "to define interactions explicitly"             Typo                        KS      Agreement      This is ambiguous. Take out reference to virtualized.
       McKenzi                                                                                                                                         Need to rephrase in plain english.
       e

  42   Lloyd     BF   * 339   General     General comment. The languange in this                    Com                         KS      Agreement      Rewrite In plain english.
       McKenzi                            document is extremely complex. In some cases,             ment
       e                                  this is unavoidable. However, I'd strongly suggest
                                          having a technical writer go through and suggest
                                          where simpler language can convey the same
                                          points. If we're expecting this to be read by a wide
                                          audience, we want to make the language as
                                          accessabile as possible. Similarly, we should look
                                          at the content and split that information that tries to
                                          justify the approach from the content that simply
                                          explains how things work. Most readers will need
                                          the latter, not the former. If it's not convenient to
                                          split these two aspects into separate texts, at least
                                          find a way to visually distinguish them so that
                                          developers and others have a cue to know what
                                          parts they can safely ignore.

  43   Lloyd     BF   * 346   General     General question on accountabilities. What is the         Quest                       KS      aGlossary      On 346 - we ned to define accountability, and that
       McKenzi                            "accountability" when A transmits a notification to       ion                                                should say when we discuss accountability, the
       e                                  B, not caring what, if anything they do with the                                                             presumption of accountbility h on the receiver side,
                                          data?                                                                                                        it is the responsibiliity of the receiver to specify the
                                                                                                                                                       terms of the contract.

                                                                                                                                                       JJK - GLOSSARY THE WHERE IS

                                                                                                                                                       Second, we have spent a lot of time on notifications
                                                                                                                                                       and accountability. NOtifications can be a case
                                                                                                                                                       where the notification of subsequent
                                                                                                                                                       communications is on a responsible agent.




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                 Doc                                                                                         Pri   Im    sp    essed
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         er            on                                                                                                              "Column U
                 ent                                                                                         ty     ct   iti   By:     & V Def" for
                                                                                                                         on
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  44   Lloyd     BF   * 356               Should have a footnote in the first place we            Com                          LM      Answered       No - HL7 interaction was an HL7 IG statement. HL7
       McKenzi                            introduce the term "interaction" to indicate that the   ment                                                must redefine the interaction in it's implementation
       e                                  term in this document is used differently than it                                                           guide.
                                          was in HL7 v3's legacy dynamic model.
  45   Mead      BF   * 356   356 - 257   Is behavior defined as a collection of acts that        Quest                        KS      Answered       Capability
       Walker                             have taken place? Or is it a collection of acts that    ion
                                          could take place under the proper circumstances?
                                          Is it a fact or a capability?

  46   Lloyd     BF   * 360               This seems tautological. Interactions are               Com                          KS/C Agreement         Request to Charlie that he fix - note there is a
       McKenzi                            expressed in terms of a series of logically             ment                         M                      compositional relationship
       e                                  conjoined interactions . . .
  47   Lloyd     BF   * 361               Awkward wording. Suggest: "For example, a lab           Com                          KS      Agreement      Remove lab order example
       McKenzi                            order being placed must be unabiguous if it is . . ."   ment
       e
  48   Lloyd     BF   * 361               Not sure how the example relates to "series" or         Com                          KS/JK Agreement        Need a specific example of a series, logically
       McKenzi                            "logically conjoined" or "realizing accountability"     ment                                                conjoined example. Preferrably not HL7, not
       e                                                                                                                                              healthcare.
  49   Lloyd     BF   * 365               This sentence is broken. "Specific milestones that      Com                          KS      Agreement      Editorial
       McKenzi                            occur . . . has in fact been achieved" has verb         ment
       e                                  agreement problems. However, more than that,
                                          you're cramming way too much into one sentence.

  50   Mead      BF   * 371   line 371    Here "collaboration" is introduced. But why?            Quest                        KS      Agreement      Collaborations are need for complex business
       Walker                             What foundation has been laid for it? It is not clear   ion                                                 processes. Document somewhere. - at opeing to 2.
                                          at all why this notion is even helpful (and the
                                          suspicion is that getting to collaboration was the
                                          entire point of the argument.)
  51   Lloyd     BF   * 376               Too much stuff in the figure definition. You're         Com                          KS      Agreement      Correct. Need to revisit picture labels and examples
       McKenzi                            giving rules. Rules belong in the main text. The        ment
       e                                  figure text should just explain how the figure
                                          demonstrates the rules already explained. As it is,
                                          the figure text doesn't really explain what's going
                                          on. This picture doesn't help me understand
                                          what's meant by "accountability" at all. Also, this
                                          is the only time the term "Accountability Instance"
                                          is used in the document. If a term appears in a
                                          figure, it should be explained somewhere . . .

  52   Mead      BF   * 378   line 378    It sounds like this document is defining an             Quest                        KS      Agreement      Single commissioning and single responsible party.
       Walker                             interaction as one or more exchanges and                ion                                                 The parties may switch roles during the interactions.
                                          activities with a single commissioning and an
                                          single accountable party. Is that so?




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  53   Lloyd     BF   * 398               This seems to be two interactions and it's not clear     Com                         KS/JK Agreement        The example is confusing. Each exchange has
       McKenzi                            what the accountability is. How is the question          ment                                               explicit accountability tied to the nature of the
       e                                  and answer related to the request to file (which                                                            exchange. - the pattern
                                          doesn't seem to have been acknowledged or
                                          agreed to). I'm *guessing* that the question is in
                                          response to the submitted information to be filed,
                                          and that by asking the question there's an implicit
                                          agreement to file the data if the question is
                                          satisfactorily answered. However, if that's the
                                          case, this needs to be made explicit.

  54   Mead      BF   * 393   393 - 402   What makes this - the filing of the personel record      Quest                       BF      Answered       Business exposes a capability.we need to
       Walker                             and the filing of the lab record a business process.     ion                                                characterize how SOA is applied when re-factoring
                                          That is, are business processes simply arbitrary                                                            business processes. How do you decompose the
                                          colllections of activites (which does not make them                                                         business processes appropriately
                                          very useful) or is there something that ties the
                                          component activites together? If so, what is it?

  55   Lloyd     BF   * 399               Initial reaction to this bullet was "Huh?". First, the   Com                         KS/JK Answered         The example is setting up for 2.6 -aggregating
       McKenzi                            two preceding examples seem independent, so              ment                                               accountability. We need to demonstrate that there
       e                                  joining them here is weird. Second, it's not clear                                                          are different threads that are accountable by
                                          what the third accountability is. In example 1, the                                                         contract.
                                          accountability is to file the record. When the
                                          record has been filed, that accountability is
                                          fulfilled. I fail to see how this generates a new
                                          accountability. Please clarify this whole set of
                                          examples.
  56   Lloyd     BF   * 404               Tautological: "Contracts aggregate .. . . and define     Com                         KS      Agreement      404-407 need to be broken apart - there are two
       McKenzi                            . . . which are contracts"                               ment                                               concepts in one sentence.
       e
  57   Lloyd     BF   * 414               Seeing as this section is defining "Contract", it        Com                         JK      Agreement      Agreed - it should be in there, or at least used better
       McKenzi                            would be useful to see that concept in the diagram.      ment                                               logic paths. Differentiates design-time from run-
       e                                                                                                                                              time concepts. We should tell how this defines the
                                                                                                                                                      nature of the contract.




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                 Doc                                                                                          Pri   Im    sp    essed
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         er            on                                                                                                               "Column U
                 ent                                                                                          ty     ct   iti   By:     & V Def" for
                                                                                                                          on
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  58   Lloyd     BF   * 417               How many of these terms do we actually need?              Com                         LM      Answered       Lloyd views this as a developer. We have to write
       McKenzi                            The ECCF should be defining the bare minimum              ment                                               two IG's - one for developers, one for consumers.
       e                                  number of terms and artifacts required for HL7 to                                                            Not fluff, not unnecessary. There is a difference on
                                          do what it needs to do. If we're bringing in other                                                           how depending you look at these.
                                          terms so we can map to external specs, that's ok,
                                          but it needs to be clear that they're just references                                                        Could footnote the from column. -- KS, please look
                                          for people who care about those specs and can be                                                             at this doing the footnote
                                          ignored by others. There's way too much fluff
                                          here. The fact one term came from RM-ODP and
                                          another came from Martin Fowler can be handled
                                          in some sort of acknowledgements section. But it
                                          does not belong in the main body of the work. The
                                          objective here should be to define the constructs
                                          needed as simply and intuitively as possible and
                                          show how they can and should be used.
                                          Everything in the document that isn't strictly
                                          necessary to meet that objective should either be
                                          punted to an appendix, visually flagged as "non-
                                          essential", or removed entirely.


  59   Lloyd     BF   * 417               Again, not clear how this relates to "contract" at all.   Com                         KS      Answered       Table 417 sets up the understanding between
       McKenzi                                                                                      ment                                               defining contract and utilizing it at runtime.
       e                                                                                                                                               CLT -- comment to this effect s/b inserted.
  60   Lloyd     BF   * 418               Your "summary" is making a whole bunch of                 Com                         KS/JK Agreement        Need more narrative to explain.
       McKenzi                            statements about contract that haven't actually           ment
       e                                  been made previously. In other words, you're not
                                          summarizing, you're defining.
  61   Lloyd     BF   * 418               Do contracts define the behavior of instances or of       Com                         LM      Answered       Roles at definitional state, instances at runtime.
       McKenzi                            roles? I.e. What's the level of abstraction? If           ment
       e                                  contracts can exist at multiple levels, then that
                                          needs to be made clear.
  62   Lloyd     BF   * 446               Accountabilities are specific instances. I.e. "Party      Com                         KS/JK Agreement        Lloyd is correct - adherence to the contract implies
       McKenzi                            A isresponsible for filing the person record              ment                        /CM                    adherence to the roles. The containment
       e                                  because they said 'yes' when Party B asked them                                                              relationship at runtime should log fulfillment of role
                                          to". On the other hand I assume "Contract" is                                                                to contract. At Definition time, it is about the type -
                                          between Party A and Party B and applies across                                                               at runtime there is a containment that should be
                                          all such requests/responses. If so, then the                                                                 demonstrated. ECCF should state difference
                                          containment relationship is really from Contract to                                                          between definitional state and runtime state for the
                                          "action types", not actions. If not, then I'm                                                                contract.
                                          definitely not understanding the model . . .

  63   Lloyd     BF   * 456               Again, the figure description isn't describing the        Com                         KS      Agreement      True - modify the figure language. 443 and 444 are
       McKenzi                            figure.                                                   ment                                               fragments.
       e



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         er            on                                                                                                            "Column U
                 ent                                                                                       ty     ct   iti   By:     & V Def" for
                                                                                                                       on
                                                                                                                                      meaning
  64   Lloyd     BF    456                It's not really clear how contracts fit into the      Quest                        CM      Answered       Discuss with Charlie -- consider that the stairway
       McKenzi                            stairway at all. Are contracts possible at each       ion                                                 may need to go - it may have become overloaded
       e                                  level? Across levels? What are the differences                                                            as a story-telling device.
                                          between contracts at different levels?

  65   Lloyd     BF    482                Actually, this is not "discussed above". Only         Com                          KS      Answered       Agree that "discussed above" has no reference -- is
       McKenzi                            reference to PIMs, CIMs, etc. was in the stairway     ment                                                there a diagram missing?
       e                                  diagram and that wasn't talking about Solutions                                                           The CIM, etc are represented in packages, hence
                                          packages. Also, why are we introducing the term                                                           the introduction of packages
                                          "packages" here? Can't we talk about CIMs, PIMs
                                          and PSMs without calling them packages or
                                          worrying about whether all CIMs are collected in a
                                          package?



  66   Lloyd     BF   * 495               Inconsistency on when terms are referenced in full    Com                          KS      Answered       We should avoid acromyms when they are not
       McKenzi                            or abreviated. Again, develop and follow a style      ment                                                consistent across the document. Also avoid where
       e                                  guide. In this case, I'd prefer to see "AC" spelled                                                       concepts are new - new ideas. Accountability
                                          out, because I don't think Accountability                                                                 community is one of them. KS:I've been using the
                                          Community's are going to be artifacts.                                                                    following style for abbreviations. Spell out the term
                                                                                                                                                    the first time it is introduced with the abbreviation in
                                                                                                                                                    parentheses, then use the abbreviation thereafter in
                                                                                                                                                    the section. I'm OK with spelling out Accountability
                                                                                                                                                    Community for clarity. Example: Let's use the
                                                                                                                                                    Behavioral Framework (BF).

  67   Lloyd     BF   * 507               It sounds like Solution specifications are created    Quest                        KS/C Answered          Refer to Cecil. The concern is that today we do
       McKenzi                            by the implementer. But I'd expect most of the        ion                          L                      terminology bindings in the message spec - this
       e                                  considerations listed above to be part of design -                                                        sounds like it is done variably depending on the
                                          and done by the standards body either at the UV                                                           implementation. The move toward ontologically
                                          or realm level, not left up to implementers. So                                                           driven solutions does this.
                                          what's the role of standards bodies if all of this
                                          stuff is up to implementers?
  68   Lloyd     BF   * 510               "Portions" should be lower case                       Typo                         KS      Agreement      Style -- we need consistency on bold, italics, case
       McKenzi                                                                                                                                      throughout the document.
       e
  69   Lloyd     BF   * 515               This sentence seems to equate "contract" to           Com                          KS      Agreement      "These resources are defined through contracts."
       McKenzi                            "service or message", and I don't think that's        ment
       e                                  accurate.
  70   Lloyd     BF   * 526               Again, text not talking about diagram. As well,       Com                          KS      Agreement      Fix - harmonize diagram title with text.
       McKenzi                            diagram doesn't really seem to be explaining          ment
       e                                  anything.

  71   Lloyd     BF   * 546               If UPS is involved, then they should be listed as     Com                          KS      Agreement      Add UPS as a part of the community.
       McKenzi                            part of the community                                 ment
       e

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         er            on                                                                                                            "Column U
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                                                                                                                       on
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  72   Lloyd     BF   * 547               It would be useful to explain exactly what the         Com                         KS      Agreement      This is incomplete - UPS gets acknowledgement for
       McKenzi                            accountabilities are rather than just providing a      ment                                               the delivery, and makes it known back to the
       e                                  count. And I'm not sure what makes this a single                                                          supplier. 549 alludes to reliable delivery.
                                          transaction. What determines the "boundaries" of
                                          a transaction? Certainly this isn't a single unit of
                                          work that could be rolled back and doesn't function
                                          as a single transaction from any system
                                          perspective.
  73   Lloyd     BF   * 556               What constitutes "mature"??                            Quest                       KS      Agreement      REWORD: A mature set of integration semantics
       McKenzi                                                                                   ion                                                will provide semantics that are clearly traceable . . .
       e
  74   Lloyd     BF   * 559               I'm not sure why traceability constitutes the sole     Com                         KS      Agreement      Long, run-on sentence. Take out such as WSDL.
       McKenzi                            criteria for a services paradigm vs. a message or      ment                                               Period after ). This accountbility is expressed
       e                                  document paradigm. There's no reason why                                                                  through contract specifications . . .
                                          trecability couldn't (or shouldn't) exist for
                                          messages too. The only place where services are
                                          *required* rather than messages is where the
                                          exchanges will be less than a single unit of work.
                                          Otherwise, either messages or services are
                                          appropriate solutions and the specific approach
                                          chosen really depends on the desires of the
                                          community.
  75   Lloyd     BF   * 559               Strongly recommend that the paradigms each be          Com                         KS      Agreement      Take out "Such as WSDL."
       McKenzi                            clearly defined before providing guidance on when      ment
       e                                  a given one should be used.
  76   Lloyd     BF   * 572               So in the circumstances where the transaction          Com                         LM      Answered       RP -- Provisioning of payment is a shared service.
       McKenzi                            involves an exchange of goods for financial            ment                                               John K is saying that we don’t need a separate
       e                                  information, you couldn't represent that as a                                                             conformance model for the commisioning agent.
                                          service? As I see it there's an accountability on
                                          the responsible agent to deliver the goods and an                                                         JJK - Ron - I disagree - I can be reasonably certain
                                          accountability on the comissioning agent to                                                               that this is met if the commissing agent meet the
                                          provide payment. By this definition, it seems this                                                        contract. This whole piece is antithetical to our
                                          could not constitute a service because the                                                                purpose. This section is the foundation for
                                          comissioning party as an accountability - to pay.                                                         removing references to web services, CDA, and
                                                                                                                                                    Messaging.

  77   Lloyd     BF   * 575               Huh? What does "appropriately contextuallized"         Quest                       KS      Agreement      This means that the pre-agreed upon contract has
       McKenzi                            mean? And how would that be relevant when              ion                                                been mapped to the parties. This is at run-time.
       e                                  creating standards at the international level when                                                        Specs have to ensure that it can be done, providing
                                          there is not (and cannot be) a single enterprise                                                          context for the implementor. Two audiences -
                                          architecture - we have to support the widely                                                              devleopers and implementors.
                                          varying architectures of all of our stakeholders.




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                                                                                                                       Di    Addr
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                 Doc                                                                                       Pri   Im    sp    essed
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         er            on                                                                                                            "Column U
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                                                                                                                       on
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  78   Lloyd     BF   * 579               This is true of messages and documents too - if        Com                         LM      Answered       Again, this is antithetical. See line 76
       McKenzi                            the specification has tight conformance                ment
       e                                  constraints. The substitutability of systems is
                                          based on the explicitness and robustness of the
                                          specifications, not the paradigm. At the
                                          international level, in many areas, it will not be
                                          possible to define services to a level that would
                                          permit interoperability and substitutability.
  79   Lloyd     BF   * 585               I'm going to stop commenting on figure                 Com                         KS      Agreement      Agree need to fix figures
       McKenzi                            descriptions that do more than describe figures.       ment
       e                                  However, the comment holds everywhere.
  80   Lloyd     BF   * 597               This isn't an accurate description of messages.        Com                         KS      aGlossary      Need working defintion in Glossary -- Suggest this
       McKenzi                            Messages may have defined interoperability             ment                                               be pulled from John K glossary or from HL7
       e                                  communities or not. And interoperability                                                                  Glossary
                                          communities can be defined at different levels - all
                                          pharmacy, Canadian pharmacy, Canadian hospital
                                          pharmacy, etc. Each level introduces additional
                                          constraints. When you get narrow enough, you
                                          can get safe interoperability.
  81   Lloyd     BF   * 602               This also isn't true. Messaging doesn't necessarily    Com                         KS      aGlossary      CLT - See if can find defintion from glossary that
       McKenzi                            mean shared accountabilities. You can have order       ment                                               John K sent; perhaps look at HL7 Glossary
       e                                  fulfillment requests in v3 messaging where all of
                                          the accountability rests with on the responsible
                                          agent.

  82   Lloyd     BF   * 616               An example might help here. I'm not really             Com                         KS      Agreement      CLT - agree -- if example not available see cliff.
       McKenzi                            understanding what's meant by an accountability        ment
       e                                  community. If you've got a group of pharmacies,
                                          physicians and a central repository that collaborate
                                          to manage, forward and fill prescriptions, is that
                                          not a "stable" AC? Because we have those and
                                          we're using messaging, not services. It may be
                                          that you're trying to label one set of environments
                                          as messages and one services, regardless of
                                          transport, use of WSDL, etc. However, if that's the
                                          case it needs to be stated up front. Even
                                          traditional v2 messaging has been done in some
                                          places in ways that meet the criteria defined here
                                          for "services".

  83   Lloyd     BF   * 622               The "must parse the message" is a bit misleading.      Com                         KS/JK Agreement        Agreed.
       McKenzi                            If you're not using SOAP, the only way to know         ment
       e                                  anything is to look at the message. The transport
                                          wrapper serves the same purposes as the SOAP
                                          header. If you don't let the receiver of a service
                                          instance parse the SOAP header, they're in the
                                          same boat. If the receiver of a message or service

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                 Doc                                                                                         Pri   Im    sp    essed
       Review         Citati                                                                                                              See
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         er            on                                                                                                              "Column U
                 ent                                                                                         ty     ct   iti   By:     & V Def" for
                                                                                                                         on
                                                                                                                                        meaning
  84   Lloyd     BF   * 641               Run-time context is established by narrowness of        Com                          JK      Context        CLT - maybe JK can comment on this?
       McKenzi                            the interoperability environment. Runtime context       ment
       e                                  can and does exist in both messaging and
                                          services. And it exists at different levels of
                                          specificity.
  85   Lloyd     BF   * 643               Documents deal with content. You can have               Com                          KS/JK Agreement        This needs to be re-worded - Section 2.8 addresses
       McKenzi                            documents on their own, or documents as the             ment                                                variations in the choices in the SOA pattern, but
       e                                  payloads of messages or services. This needs to                                                             does not succeed.
                                          be made clear.
  86   Lloyd     BF   * 652               This section would have been better earlier,            Com                          KS      Agreement      Agreed. Should be in intro to section.
       McKenzi                            though you're repeating some stuff - including          ment
       e                                  defining "drive by interoperability".
  87   Lloyd     BF   * 688               Should be "completely support" to flow correctly        Typo                         KS      Agreement      Agreed
       McKenzi
       e
  88   Lloyd     BF   * 711               Conformance is defined completely for dynamic           Com                          JK      Context        Messages vs services vs documents -- CLT how to
       McKenzi                            structures. Receiver responsibilities can be            ment                                                handle this topic?
       e                                  optional or mandatory. The expectations of
                                          information flow are fully defined. It's not clear at
                                          all that the conformance capabilities of messages
                                          and services are in any way distinct. Also, this
                                          behavioral framework is supposed to apply to *all*
                                          paradigms. Why would messages not have
                                          contracts as well? If that's what's replacing
                                          receiver responsibilities, they'll have to. Also,
                                          semantic and functional profile haven't been
                                          properly described yet. It's not clear why these
                                          couldn't apply to messaging as well.
  89   Lloyd     BF   * 726               Why is a line being drawn between v3 and                Quest                        JK      Context        Messages vs services vs documents - see line 88
       McKenzi                            services? Services can and should be v3 as well.        ion
       e
  90   Lloyd     BF   * 757               Why are the notes from CIP copied into the PIP          Quest                        KS      Agreement      Should be fixed
       McKenzi                            and PSP?                                                ion
       e




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                                                                                                                        Di    Addr
                                                                                                                                      Disposition
                 Doc                                                                                        Pri   Im    sp    essed
       Review         Citati                                                                                                             See
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         er            on                                                                                                             "Column U
                 ent                                                                                        ty     ct   iti   By:     & V Def" for
                                                                                                                        on
                                                                                                                                       meaning
  91   Lloyd     BF   * 757               It's not clear how HL7 is supposed to support each      Quest                       LM      Answered       We had conversation in Rio - can we implement
       McKenzi                            of these things. Historically, the PSP has always       ion                                                SOA in V2? Answer is yes, it might be sub-optimal,
       e                                  been algorithmically derived from the PIP. HL7                                                             but it is doable. We accept the rationale, however
                                          creates all specifications in a technology agnostic                                                        the realization of it for multiple targets is
                                          manner, and then defines separate ITS artifacts                                                            problematic. Is this HL7's or consumer. We have
                                          that indicate how arbitrary platform-independent                                                           to be confident for the PIP that can be
                                          specifications should be implemented on a given                                                            algorhythmically transfored to other PSPs than XML.
                                          platform. Is this intended to change, and if so,
                                          why? I always thought that consistency in the
                                          handling of platform representations is one of the
                                          benefits of v3. You build a generic set of tooling
                                          and can support any PIP that gets tossed your
                                          way. I would be extremely opposed to changing
                                          this without good rationale.


  92   Lloyd     BF   * 766               In section 2, Contract and Contract Template were       Quest                       KS/JK Agreement        These are different concepts. Contract is an
       McKenzi                            defined as separate things. Which is it?                ion                                                instantiation of contract template. Remove (also
       e                                                                                                                                             called Contract Template). Need to define difference
                                                                                                                                                     between contract (runtime) and template.

  93   Lloyd     BF   * 772               I presume the case for having CIMs is made              Com                         NA      Answered       The CIM is necessary. Interoperability community
       McKenzi                            elsewhere? I am not yet convinced that analysis-        ment                                               (GF) depends on CIM. HL7 is not well served by not
       e                                  level models are necessary in all circumstances or                                                         providing the working interoperability spec to a 3rd
                                          are worth the significant additional cost associated                                                       Party. This is why there is no discoverability - if you
                                          with developing and maintaining them. I'm also                                                             werent part of the group that designed it, you cant
                                          not convinced that it's impossible to create a single                                                      understand it.
                                          set of artifacts that provide both a Computationally-
                                          independent and a Platform-Independent view.
                                          This would seem to provide the benefit of both,
                                          while ensuring consistency and eliminating the
                                          mapping issue. I would hope, at minimum, to see
                                          this discussed somewhere within the document or
                                          in a companion.

  94   Lloyd     BF   * 787                Is Role expressed by ProposedOperations, or are        Quest                       JC      Answered       Governance will refine this diagram. Specifically
       McKenzi                             ProposedOperations expressed by Roles? I think         ion                                                definitions.
       e                                   the latter makes more sense, in which case the
                                           diagram is wrong.
  95   Lloyd     BF   * 790   Acountabilit "Responsibility" and "Need" are very different         Quest                       JC      Answered       Governance will refine this table.
       McKenzi                y            things. How can Accountability be either? An           ion
       e                                   example or two might help.
  96   Lloyd     BF   * 790   Concept      Why do analysis concepts need to have a state?         Quest                       JC      Answered       Governance will refine this table.
       McKenzi                State        A state machine with a single state is useless.        ion
       e                                   And not all analysis concepts will require state.



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       Review         Citati                                                                                                                See
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         er            on                                                                                                                "Column U
                 ent                                                                                           ty     ct   iti   By:     & V Def" for
                                                                                                                           on
                                                                                                                                          meaning
  97   Lloyd     BF   * 790   Community So for a service, the community doesn't include             Quest                        JC      Answered       Governance will refine this table.
       McKenzi                          those who invoke the service?? And I thought                ion
       e                                multiple participants could be involved in a
                                        community and that each might be commissioning
                                        and responsible parties at different time as the
                                        transaction is fulfilled . . .

  98   Lloyd     BF   * 790   Exception   "A fault is something that could lead to an error"        Com                          JC      Answered       Governance will refine this table.
       McKenzi                Condition   isn't a terribly helpful definition, particularly given   ment
       e                                  that "errors" apparently aren't even part of a CIP.
                                          Suggest just defining it as "something that can go
                                          wrong during the execution of an operation".
  99   Lloyd     BF   * 791               Note: As yet, I haven't seen anywhere in this             Com                          JC      Answered       Relative from governance and accountbility.
       McKenzi                            document where the idea of a Role having a                ment
       e                                  scoper is in any way relevant (from a BF
                                          perspective).

 100   Lloyd     BF   * 813               What is meant by "traceability". Does that mean           Quest                        LM      Answered       Does not mean constraint or extension. We have
       McKenzi                            constraint, or can it extend? It's possible to have       ion                                                 an ability in ECCF to demonstrate the
       e                                  mappings without interoperability (due to                                                                     computationaly independent model to the PIM.
                                          differences in what's mandatory, repeatable, etc.)                                                            Traceability is necessary to demonstrate
                                          Conformance that is non-interoperable wouldn't be                                                             compliance.
                                          terribly useful.                                                                                              QUESTION? Are we asserting ability to test
                                                                                                                                                        traceability the PIM satisfying the CIM, or is it at
                                                                                                                                                        design time? Is there an assumption that we can
                                                                                                                                                        generate pim from CIM, or trace pim back to cim -
                                                                                                                                                        internal coherence.
 101   Lloyd     BF   * 814               Re-size the boxes so they encompass the text              Typo                         KS      Agreement      Publication problem
       McKenzi
       e
 102   Lloyd     BF   * 814               Cardinalities on InterfaceSpecification to                Typo                         KS      Agreement      Diagram is right from CIM to PIM.
       McKenzi                            InterfaceState relationship look backwards. (Strict
       e                                  composition doesn't allow InterfaceState to be part
                                          of multiple InterfaceSpecifications)
 103   Lloyd     BF   * 814               Why must an InterfaceSpecification have states?           Quest                        KS      Agreement      interface state go to interface, not interface
       McKenzi                                                                                      ion                                                 specification.
       e
 104   Lloyd     BF   * 814               Can errors be warnings? I.e. Partial but potentially      Quest                        KS      Agreement      Errors may have many levels of severity.
       McKenzi                            non-ideal completion?                                     ion
       e
 105   Lloyd     BF   ? 814               Can one of the parameters of a                            Quest                        KS/JK Answered         No - should be part of the contract, but not a
       McKenzi                            SpecifiedOperation be its return value? (Normally         ion                                                 parameter?
       e                                  that wouldn't be called a parameter and would be
                                          represented as a separate association.)




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       Review         Citati                                                                                                               See
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         er            on                                                                                                               "Column U
                 ent                                                                                          ty     ct   iti   By:     & V Def" for
                                                                                                                          on
                                                                                                                                         meaning
 106   Lloyd     BF   ? 814                Again, there shouldn't be a requirement for a Static     Com                         LM      Answered       The model is static, but the contents of the model
       McKenzi                             Model to have a state. In v3, models don't have          ment                                               may not be. JK? Is this a
       e                                   states, classes do. And focal classes may not                                                               development/qa/production state? How about a
                                           have states that are relevant, depending what                                                               version.
                                           you're trying to do. (Having a single state is
                                           useless.)
 107   Lloyd     BF   ? 817   Error        What "object" is the error state defined on? The         Quest                       KS      Agreement      The error is on the Specified Operation.
       McKenzi                             Class instantiating the Interface?                       ion
       e
 108   Lloyd     BF   * 817   Information Information State is used for conformance testing         Quest                       KS/JK Agreement        Should have potential valid states in the model.
       McKenzi                State       how? Examples would be helpful.                           ion                                                Need examples
       e
 109   Lloyd     BF   ? 817   Interface    Does behavior include the ability to invoke              Quest                       JK      Context
       McKenzi                             operations as well as the ability to fulfill them? For   ion
       e                                   conformance/compliance and procurement
                                           reasons, it's just as important to know what
                                           services can be invoked as it is to know what can
                                           be fulfilled.
 110   Lloyd     BF   * 817   Interface    Why would the interface not include traceability         Quest                       LM      Answered       Traceable to what? Conformance is OK. This is an
       McKenzi                Specificatio itself?                                                  ion                                                aggregate of the possible operations.
       e                      n
 111   Lloyd     BF   * 817   Interface    There's been no guidance on how "traceability" is        Quest                       JC/C Answered          Should be in GF or it's implementation guide.
       McKenzi                Specificatio managed. Are mappings expected to be 1..1? Is            ion                         M
       e                      n            it captured as annotations or something more
                                           formal? How will it be managed when artifacts are
                                           independently maintained?

 112   Lloyd     BF    817    Interface    If they're rarely used, why are they mandatory?          Quest                       JK      Answered       JC - 8 - agree, clarify
       McKenzi                State        And the example given doesn't help. What are             ion
       e                                   some states that a Control Interface might have?

 113   Lloyd     BF    817    Static       I would have expected an assertion here that             Com                         JK      Answered       JC - 8 - agree, clarify
       McKenzi                Model        Static Models must be proper constraints on the          ment
       e                                   RIM.
 114   Lloyd     BF    817    Static       I presume this means serializable static models?         Quest                       JK      Answered       JC - 8 - clarification is required, a model wouldn't
       McKenzi                Model                                                                 ion                                                necessarily need to be serialized if it were passed in
       e                                                                                                                                               object form would it?
 115   Lloyd     BF    818                 How does PSM interact with HL7's concept of ITS?         Quest                       JK      Answered       JC - 8 - agree, clarify
       McKenzi                                                                                      ion
       e
 116   Lloyd     BF    838    Failure      Can you provide an example of an Error that does         Quest                       JK      Answered       JC - 8 - agree, clarify
       McKenzi                             not lead to a Failure?                                   ion
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                 Doc                                                                                        Pri   Im    sp    essed
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         er            on                                                                                                             "Column U
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 117   Lloyd     BF   838   Information How does the BF recognize that schema is not a            Quest                       JK      Answered       JC - 8 - agree, clarify
       McKenzi              Type        complete expression of HL7's Information Types?           ion
       e                                (There's a whole lot of constraints in our static
                                        model definitions that are not, and in many cases
                                        cannot, be expressed by schema.)
 118   Lloyd     BF   838               There was no reference in any of these definitions        Quest                       JK      Answered       JC - 8 - agree, clarify - can either be internally
       McKenzi                          to traceability. Is traceability expected at the          ion                                                referenced in the PSM specification or via an
       e                                platform-specific level, and if so, where and how is                                                         external document that links elements between
                                        it captured?                                                                                                 specifications at different levels

 119   Lloyd     BF   839                 Why are we talking about the solution space at all?     Quest                       JK      Answered       JC - 8 - agree, clairfy
       McKenzi                            It's far below the level of standardization and         ion
       e                                  you're effectively expressing the elements of a
                                          Turing Machine. The only element that might be
                                          relevant here is traceability to higher level
                                          elements, but I don't see that listed anywhere. I
                                          picture a developer reading through this section
                                          and saying "Yeah, so?". What insights are trying
                                          to be provided by this section that would be
                                          different from just taking the PSM and giving it to a
                                          developer and saying "build this"?
 120   Lloyd     BF   901                 This is the third time you've defined drive-by          Com                         KS      Agreement      JC - I'd drop the phrase, it's not adding to the clarity
       McKenzi                            interoperability. And it's still not an accurate        ment
       e                                  characterization of all message-based solutions
 121   Lloyd     BF   916                 This is true. However, it appears what the              Com                         JK      Answered       JC - 8 - agree, clarify - at least reference the ECCF
       McKenzi                            document is saying is that where you have               ment                                               concept of localization applied at any level
       e                                  context, use services. Where you don't have
                                          context, use messages. What is not clear is how
                                          you have UV specifications which must be
                                          contextless and thus (apparently) must be
                                          message-based be refined into context-ful
                                          solutions at the realm level where they become
                                          services. In fact, I don't see any discussion of
                                          refinement by constraint in this document so far.
 122   Lloyd     BF   924                 What does this mean? If I have a specification          Quest                       KS      Answered       JC - 8 - agree, clarify with examples - I think
       McKenzi                            that deals with querying a repository, what is the      ion                                                sometimes the concept is a shared state of an
       e                                  "shared state" that exists between the initiator and                                                       object within the same session, versus a persisted
                                          responder?                                                                                                 object which may have a different state
 123   Lloyd     BF   940                 It's not clear how this relates to any of the           Quest                       JK      Answered       JC - 8 - agree, clarify
       McKenzi                            constructs identified in the earlier sections. What     ion
       e                                  artifact constitutes establishing or terminating
                                          behavior? Is this something that must be captured
                                          in designs? How?




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                                                                                                                        Di    Addr
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                 Doc                                                                                        Pri   Im    sp    essed
       Review         Citati                                                                                                             See
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         er            on                                                                                                             "Column U
                 ent                                                                                        ty     ct   iti   By:     & V Def" for
                                                                                                                        on
                                                                                                                                       meaning
 124   Lloyd     BF   970                 Having trouble understanding this sentence.             Com                         JS      Answered       JC - 8 - agree - participants of a community? An
       McKenzi                            "become . . . participants independent of their         ment                                               exchange?
       e                                  actual participation"?? And no clue how this is
                                          being expressed by the diagram the sentence is
                                          supposedly describing.
 125   Lloyd     BF   984                 So when would it be appropriate or not appropriate      Quest                       JK      Answered       JC - 8 - agree, clarify
       McKenzi                            to bind PSM-level specificity to Contract               ion
       e                                  Templates? If contract templates are specific to a
                                          single instantiated solution, then they would always
                                          be platform-specific, wouldn't they? If they're
                                          generic, then why are they defined as part of the
                                          Solution level?

 126   Lloyd     BF   1001                How is "Publishing a state transition" different from   Quest                       JK      Context
       McKenzi                            "Publish Business Process"? All the examples of         ion
       e                                  the latter are state transitions. Are you talking
                                          about "fulfillment" of state changes? I.e. a
                                          fulfillment request for the suspension of an order
                                          which may then result in the suspension or
                                          aborting of a promise or an event?
 127   Lloyd     BF   1001                You're missing "ad-hoc" notifications which are not     Com                         JK      Context
       McKenzi                            driven by specific requests or state transitions.       ment
       e                                  Examples might be daily summary reports.

 128   Lloyd     BF   1004                Having trouble understanding the distinction of         Quest                       JK      Context
       McKenzi                            many of these. How are Eligibility and Referral not     ion
       e                                  Capability services? What's the difference
                                          between Capability and Core services? RIM-
                                          based patient class or CCDs also have single
                                          business focal classes. How is the boundary
 129   Lloyd     BF   1017                between Utility and Infrastructure What do the
                                          Not following this diagram at all. determined?          Com                         JK      Context
       McKenzi                            arrows represent? What's white vs. black? How           ment
       e                                  does patient registration have anything to do with
                                          lab order management, Adverse event reporting or
                                          CCD?
 130   Lloyd     BF   1017                This diagram is exceptionally hard to read. Please      Typo                        KS      Agreement      This graphic was completely redrawn for the DITA
       McKenzi                            size image appropriately for rendering                                                                     update a couple weeks ago because the small white
       e                                                                                                                                             text in the graphic wasn't readable. This graphic is
                                                                                                                                                     now in vector format.
 131   Lloyd     BF   1022                Under no circumstances should you use "HL7 V3           Com                         JK      Context
       McKenzi                            Dynamic Model", as that would suggest that SAIF         ment
       e                                  is moving away from v3. My recommendation
                                          would be "legacy HL7 Dynamic Model", as "HL7
                                          Dynamic Model" is what it's called now.



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                                                                                                                                      Suggested
                                                                                                                        Di    Addr
                                                                                                                                      Disposition
                 Doc                                                                                        Pri   Im    sp    essed
       Review         Citati                                                                                                             See
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         er            on                                                                                                             "Column U
                 ent                                                                                        ty     ct   iti   By:     & V Def" for
                                                                                                                        on
                                                                                                                                       meaning
 132   Lloyd     BF   1034                This needs to be landscape, full page to be             Typo                        KS      Agreement      This graphic as well as the ones at line 1044 and
       McKenzi                            readable when printed. Also, blue text on a blue                                                           1054 were redrawn using a white background and
       e                                  background is a definite no-no :>                                                                          larger text for the recent DITA update. These
                                                                                                                                                     graphics are now in vector format. Question for
                                                                                                                                                     reviewers: Will you be making any technical
                                                                                                                                                     changes to this graphic? If yes, please send me the
                                                                                                                                                     updated WMF or EMF file, which I use for
                                                                                                                                                     conversion to the vector format.
 133   Lloyd     BF   1034                Should be a link from interaction-based trigger         Com                         JK      Context
       McKenzi                            event to the initiating interaction. Should also be a   ment
       e                                  link from state-based trigger events to static
                                          models
 134   Lloyd     BF   1034                There's no "fulfills" link from application role to     Com                         JK      Context
       McKenzi                            receiver responsibility. The relationship is            ment
       e                                  inherited through Interaction. If you receive an
                                          interaction, you're tied to all the receiver
                                          responsibilities. There's no ability to filter which
                                          responsibilities a given role might support. When
                                          you fix that, it eliminates the need for the sub-
                                          classes of ApplicationRole

 135   Lloyd     BF   1034                The containment relationship on Application Role        Com                         JK      Context
       McKenzi                            actually has a typeCode that distinguishes "all of"     ment
       e                                  and "at least one of"
 136   Lloyd     BF   1034                Not exposing the subdivision of artifacts by domain     Com                         JK      Context
       McKenzi                            and topic, but that's probably ok.                      ment
       e
 137   Lloyd     BF   1034                The linkage of an application role to an interaction    Com                         JK      Context
       McKenzi                            actually has a conformance property. I.e. Is the        ment
       e                                  interaction required or optional
 138   Lloyd     BF   1036 Interaction    The terms "exchanges" and "choreographies" have         Com                         JK      Context
       McKenzi                            not previously been introduced. I thought BF            ment
       e                                  interactions involved more than one transmission?

 139   Lloyd     BF   1036 Receiver     Listing 5 separate artifacts without any explanation      Com                         JK      Context
       McKenzi             Responsibili is most unhelpful. What aspects of receiver               ment
       e                   ty           responsibility map to which and how? Without that
                                        level of detail, it's impossible to determine if the
                                        mapping is accurate.
 140   Lloyd     BF   1036 Trigger      I don't see anything in the Solutions package             Com                         JK      Context
       McKenzi             Event        called "Event"                                            ment
       e
 141   Lloyd     BF   1036 Trigger        How can a "state" map to an "event"?                    Quest                       JK      Context
       McKenzi             Event                                                                  ion
       e



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         er            on                                                                                                             "Column U
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                                                                                                                        on
                                                                                                                                       meaning
 142   Lloyd     BF   1036 Trigger        Given that Storyboards are part of the                  Quest                       JK      Context
       McKenzi             Event          requirements definition process, how can they map       ion
       e                                  to something in the solution space?
 143   Lloyd     BF   1044                By saying these are defined at the solutions level,     Com                         JK      Context
       McKenzi                            that indicates that they're also platform-dependent,    ment
       e                                  which is false. There's absolutely nothing platform-
                                          dependant about an interaction specification or a
                                          trigger event . . .
 144   Lloyd     BF   1046                Mostly PI, I presume means that some aspects            Com                         JK      Context
       McKenzi                            might be CI? If so, what?                               ment
       e
 145   Lloyd     BF   1084                But messaging has request/response too . . . I'm        Com                         JK      Context
       McKenzi                            not understanding the distinction being made here.      ment
       e
 146   Lloyd     BF   1107                The correspondances are wrong here. Interface           Com                         JK      Context
       McKenzi                            should map to Application Role, just like Contract.     ment
       e                                  Services Operation maps to Transaction. An
                                          operation consists of one set of bound models for
                                          a request and 1 or more sets of bound models for
                                          the response. In legacy, each of these is a
                                          separate interaction. I.e. "Please fulfill the
                                          suspension this lab order", "Ok, my promise is
                                          suspended", "Ok, I've aborted my promise",
                                          "Sorry, no can do".
 147   Lloyd     BF   1111                Infoway didn't introduce anything new other than a      Com                         JK      Context
       McKenzi                            label. The full behavior was already defined by         ment
       e                                  receiver responsibilities. All we did was label the
                                          collection of interactions that were tied together by
                                          receiver responsibilities as a "Transaction". But no
                                          new semantics were defined above and beyond
                                          what receiver responsibilities already provide.


 148   Lloyd     BF   1113                The descriptions here are too short to understand.      Com                         JK      Context
       McKenzi                            I read them all and have no idea what the               ment
       e                                  statements actually mean. Examples of what's
                                          meant here are essential

 149   Lloyd     BF   1113                Please retain the colors. Without the colors,           Com                         KS      Agreement      I retained the colors in this table for the recent DITA
       McKenzi                            there's no correspondance between the table and         ment                                               update.
       e                                  the diagram. (If you can't retain the colors, then
                                          make the diagram use the same graphical
                                          convention as the table, whatever it is.)
 150   Lloyd     BF   1115                Where's the Document paradigm?                          Quest                       JK      Context
       McKenzi                                                                                    ion
       e


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         er            on                                                                                                            "Column U
                 ent                                                                                       ty     ct   iti   By:     & V Def" for
                                                                                                                       on
                                                                                                                                      meaning
 151   Lloyd     BF    1115               You say "Green classes", when I think you mean         Quest                       KS      Agreement      CLT - is "Green cells"
       McKenzi                            cells.                                                 ion
       e


 152   Lloyd     BF    1116               What does "pure/native, non-SAIF" mean?                Quest                       KS      Context        CLT - Question for Karen: Do you know what this is
       McKenzi                                                                                   ion                                                driving at?
       e
 153   Lloyd     BF    1120               There isn't anything that's grey                       Com                         KS/JK Answered         Do the "gray classes" refer to the alternating rows in
       McKenzi                                                                                   ment                                               the table (roles, signatures, interactions, contracts)?
       e
 154   Lloyd     BF    1128               A clearer way of saying this would be that in the      Com                         LM      Answered       ST - non-persuasive comment
       McKenzi                            legacy model, Roles are only defined at the PIM        ment
       e                                  level, not the CIM level. I.e. We don't do any
                                          analysis in the behavioral model. For the most
                                          part, that's still true on the static side too :)
 155   Lloyd     BF    1133               In what sense? If I send you a query, the              Quest                       KS      Agreement      SH - Reword to say Interfaces are explicitely
       McKenzi                            expected behavior is for you to give me a              ion                                                specified in a services environment, but implicitely
       e                                  response. If I request you to suspend a                                                                   specified in the V3 paradigm (if they are specified at
                                          prescription, the expected behavior is to either                                                          all) in the sense of an interface being defined as “an
                                          send me a refusal, or to send me an accept and to                                                         abstraction of expected behavior.”
                                          fire the "prescription suspended" trigger event




 156   Lloyd     BF    1139               One of the things that's been missing in               Com                         NA      Answered       SH -non-persuasive comment
       McKenzi                            messaging is to support multi-interaction              ment
       e                                  choreographies. E.g. Lab request, lab promise,
                                          lab result as part of a single set of conformance
                                          specifications. However, that still needs to be able
                                          to be implemented as "messaging", not
                                          necessarily using services
 157   Lloyd     BF    1152               Should be "service interfaces"                         Typo                        KS      Answered       SH - agreed
       McKenzi
       e
 158   Lloyd     BF    1172               Need to provide a better explanation of what these     Quest                       KS      Agreement      SH - ok
       McKenzi                            are. From what I could see, they just seem to be a     ion                                                CLT -- Karen could you expand on what the
       e                                  source for the diagrams in this document. Also,                                                           purposes of the two document are?
                                          what's the reason for two documents?

 159   Lloyd     BF   * 1                 There are a number of key issues with this             Com                         NA      Agreement      CLT -- preamble to work done later
       McKenzi                            document that need to be addressed. I'll list each     ment
       e                                  on a separate line.




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                 Doc                                                                                       Pri   Im    sp    essed
       Review         Citati                                                                                                            See
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         er            on                                                                                                            "Column U
                 ent                                                                                       ty     ct   iti   By:     & V Def" for
                                                                                                                       on
                                                                                                                                      meaning
 160   Lloyd     BF   * 1                 1. There's a disconnect around the terms               Meth                        LM      Answered       JJK - This is confusing levels and viewpoints. It is
       McKenzi                            "messaging" vs. "service". These terms are often       odolo                                              important to note that the BF talks about messaging
       e                                  used to refer to a transport technology. I.e. Are      gy                                                 and v3 messaging. The BF takes the view that V3 is
                                          you using SOAP & WSDL or Transmission                                                                     a platform that employs messaging to solve the
                                          Wrappers and bare HTTP or MLLP. There needs                                                               communications problem, and then conceptually
                                          to be a clear statement up front that it's perfectly                                                      composes that engineering solution into logical
                                          possible to follow the services paradigm while                                                            models (for example, taking the interaction as a one
                                          using transmission wrappers and MLLP. Also,                                                               way, one message affair that is asynchronous as an
                                          there seems to be an impression that the legacy                                                           a priori fact). Second, the SAIF, good or bad, notes
                                          model was not capable of doing things in the                                                              that a topic specfication covers a "service", and that
                                          services paradigm. That's not true. The legacy v3                                                         the "service" is best defined by the ECCF matrix,
                                          framework was capable of defining services as                                                             which may be implemented as a web service or not.
                                          described here in many circumstances. The only                                                            This point has been made to death.
                                          thing that it lacked was the ability to define
                                          complex interactions that extended beyond the                                                             Services and messaging exist on a spectrum of
                                          request/response pattern. By saying "services can                                                         solutions. However, only talking about context v
                                          do X and messaging can't" when that's largely not                                                         context free, essential points get lost, and or will
                                          true, you're setting yourself up for a battle that's                                                      become confusing. I would posit that many systems
                                          not productive. I think you'd be better talking                                                           devel;opers understand a separation of concerns as
                                          about "Context-dependent" designs and "Context-                                                           well as the HL7 community understands messaging.
                                          independent" designs. That eliminates the bagage                                                          Without using the terms, you will lose people who
                                          and focuses on the real differences between the                                                           want to understand semantic interoperability at
                                          approaches.                                                                                               something less than a DMIM level.




 161   Lloyd     BF   * 1                 1. b) Related to 1 above, the tone of the document,    Meth                        LM      Answered       CLT -- Lloyd: need specific examples.
       McKenzi                            despite some obvious efforts to the contrary,          odolo
       e                                  conveys a tone of "services good, messaging not        gy
                                          so good". That's not going to be terribly helpful in
                                          getting adoption.




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                                                                                                                       Di    Addr
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                 Doc                                                                                       Pri   Im    sp    essed
       Review         Citati                                                                                                            See
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         er            on                                                                                                            "Column U
                 ent                                                                                       ty     ct   iti   By:     & V Def" for
                                                                                                                       on
                                                                                                                                      meaning
 162   Lloyd     BF   * 1                 2. There's no discussion of refinement/constraint.     Meth                        JC/C Answered          Speak to refinement in the implementation guide
       McKenzi                            This is a central aspect of HL7's methodology and      odolo                       M
       e                                  it's not discussed at all. It will be necessary at     gy                                                 JJK - Refinement and constraint is a governance
                                          each of the levels. CIMs created at the UV level                                                          issue, and botht the ECCF and the BF are written
                                          will be refined at the national, organizational and                                                       with them in mind only implicitly.
                                          even implementer level. The framework needs to
                                          discuss how this will occur, including the creation                                                       LLoyd is right to point out that what is not discussed
                                          of "abstract" solution definitions. For example,                                                          here or elsewhere is "what is appropriate for HL7 to
                                          there may be a desire to define a lab order service                                                       specify?" and "How do I conform to a
                                          at the international level. However, the degree of                                                        Computationally Independent Specification?" (ie,
                                          known context is very limited. You don't know if                                                          how do I write an application to that level of
                                          there will be a shared patient, provider or location                                                      specificity?). Again, that is a governance issue, and
                                          registries, shared authentication mechanisms or                                                           one more rightly the purview of the eccf rather than
                                          anything. Thus the UV solution needs to support a                                                         the BF.
                                          wide variety of behaviors. Similarly it may need to
                                          support a variety of process flow options. Can an
                                          order be responded to directly by an event, or
                                          must it always be a promise? This idea of optional
                                          or alternative flows that can be refined and
                                          constrained as you get closer to implementation is
                                          essential.


 163   Lloyd     BF   * 1                 3. There are issues about the use of "Platform-        Meth                        LM      Answered       Speaks to discussion where dale nelson was
       McKenzi                            specific" in the HL7 context. In HL7, platform-        odolo                                              thrashing about the definition of platform.
       e                                  specific guidance has always been done through         gy
                                          ITSs that map the abstract artifacts to specific                                                          JJK - again, not necessarily an issue for the BF.
                                          technologies. All design is done in a technology-                                                         However, it would be much easier if we can agree
                                          independent way. This includes much of the flow                                                           that platforms build on platforms, and that platform-
                                          information that has now been relegated to the                                                            specific may be using the HL7 V3 platform.
                                          "Solution" level. The framework needs to find a
                                          way to allow solutions to be defined in a
                                          technology independent way with algorithmic
                                          mappings to particular technologies.




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                 Doc                                                                                         Pri   Im    sp    essed
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         er            on                                                                                                              "Column U
                 ent                                                                                         ty     ct   iti   By:     & V Def" for
                                                                                                                         on
                                                                                                                                        meaning
 164   Lloyd     BF   * 1                 4. The conformance piece seems to be focused on          Meth                        LM      Answered       Conformance belongs to both sides. We need to
       McKenzi                            the system that performs the operations rather           odolo                                              address the traditional HL7 send->receive vs
       e                                  than the system that invokes them. In HL7, we            gy                                                 service model. Figure 5 legend.
                                          need tight conformance on both sides (whether
                                          you're doing services or not). If I'm purchasing a                                                          JJK - There is nothing that addresses it to this
                                          physician office system that claims conformance                                                             comment's satisfaction, but it is addressed. We may
                                          to certain HL7-defined Roles, I need to know                                                                need to add constraints on the consumer's side of
                                          exactly what services it can invoke and need to                                                             services, but if so, I believe that is the death knell
                                          know that it supports (displays, allows capture of)                                                         for services in HL7. Much better to acknowledge
                                          all of the data elements associated with those                                                              that context contains conformance, and that
                                          services. That's important from a conformance                                                               adherence to or invocation of a contract makes
                                          testing perspective and a procurement                                                                       conformance statements.
                                          perspective. There's nothing in the BF that
                                          addresses this at present

 165   Lloyd     BF   * 1                 5. There was recognition early in this process that      Meth                        LM      Answered       EA Governance
       McKenzi                            we can't possibly afford to have every committee         odolo
       e                                  define a distinct behavioral specification for every     gy                                                 JJK - This is dealt with explicitly in Section 5.
                                          transaction they want to publish. There's a need to
                                          create "process templates" that cover all the                                                               However, what is not dealt with is the need for
                                          variability of common patterns such as "Request                                                             service patterns. These are suported by the BF, but
                                          order fulfillment" and "Notification" that are totally                                                      are not part of it. For example, EIS and RLUS
                                          independent of a specific context. I.e. They should                                                         represent service patterns that are applicable
                                          apply whether you're ordering an encounter                                                                  across domains. Orders represent another nascent
                                          (referral), drug (prescription), lab test, or an                                                            pattern. However, these are a very different
                                          invoice. Again, this isn't talked about at all in the                                                       paradigm than HL7 is used to.
                                          document and it will be essential to making this
                                          process managable.

 166   Lloyd     BF   * 1                 6. There are issues areound the use of "V3". HL7         Meth                        LM      Answered       We (arb) need the organization to accept the notion
       McKenzi                            V3 is anything that makes use of the common              odolo                                              that V3 is a messagign model. SAEAF includes
       e                                  reference models - RIM, datatypes & vocabulary.          gy                                                 RIM, datatype, vocabulary, but NOT necessarily V3
                                          SAIF does not supercede v3. It simply revises the                                                           Messaging. Can
                                          methodology by which we develop v3 artifacts.
                                          That needs to be reflected in the language through-                                                         JJK - I think it would be easy for us to adopt this
                                          out SAIF. If we raise the idea that SAIF or                                                                 definition if only the community would stick to it.
                                          services are separate and distinct from v3, we're                                                           However, this community lumps methodology,
                                          going to be in deep trouble.                                                                                modeling conventions, and messaging into V3 ... to
                                                                                                                                                      start. It is very possible to create a set of RIM-based
                                                                                                                                                      constructs that support and are supported by
                                                                                                                                                      services (see NCI's caEHR), but that is not
                                                                                                                                                      necessary (see NCI's caEHR computationally
                                                                                                                                                      Independent Specifications).
 167   Lloyd     BF   * 1                 It's somewhat disconcerting when the first page          Publis                      KS      Agreement      Not sure what copy lloyd was using: Mine starts at
       McKenzi                            number is 60 :>                                          hing                                               page 1
       e

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                Doc                                                                                       Pri   Im    sp    essed
       Review        Citati                                                                                                            See
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         er           on                                                                                                            "Column U
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                                                                                                                      on
                                                                                                                                     meaning
 168   Mead     BF   * 1   1             "the BF specifies the grammar that is used to          Quest                       MW      Answered       Dialog?
       Walker                            construct the essential artifacts necessary to         ion
                                         comprehensively specify the various aspects of the
                                         64 Computational (and, to a lesser degree, the
                                         Information) viewpoints of the ECCF’s specification
                                         stack instances for a given organization’s
                                         implementation of
                                         SAIF." My comments will focus on whether the
                                         content goes far enough to allow spcification of the
                                         cited viewpoints. But, how does providing suffient
                                         specification for an organization to implement,
                                         address HL7's need to know how much specificity
                                         is needed in a published standard? This question,
                                         raised for the overview, I think, is still relevant.


 170   Mead     BF   * 1   General       the diagrams of the model - Figure 13 - that show      Meth                        MW      Answered       Metadata at runtime
       Walker                            the constructs that are available are interesting      odolo
                                         and constructive. They give the impression that        gy
                                         important additions to HL7's current V3 dynamic
                                         model are being suggested. However, without
                                         adding the attributes to the classes, it is not
                                         possible see whether the needs are really being
                                         met. It also is not possible to use the model for
                                         standards development or to create the supportive
                                         tooling without this detail.

 172   Mead     BF   * 1   General       My consistent feeling within these documents is        Com                         KS      Agreement      KS - I agree with you that we need a style guide for
       Walker                            that I would like to see the architecture,and am       ment                                               keywords, definitions, quotes, and the like. I could
                                         less interested in the framework. On the other                                                            come up with a brief style guide and send it out for
                                         hand, I am slowly starting to see some benefit in                                                         review.
                                         the construction of the framework, while still
                                         lamenting the time delays, and the slow rollout of
                                         documents. However, in this document, I am
                                         having trouble keeping the framework part
                                         separate from the architecture part. It feels more
                                         like it really is an attempt to work on the
                                         architecture that got cut short when it was time to
                                         get down to detail. Please consider whether this is
                                         the case.




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                                                                                                                                        Disposition
                 Doc                                                                                          Pri   Im    sp    essed
       Review         Citati                                                                                                               See
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         er            on                                                                                                               "Column U
                 ent                                                                                          ty     ct   iti   By:     & V Def" for
                                                                                                                          on
                                                                                                                                         meaning
 174   Mead      BF   * 1      General    I have a hard time drawing the line between this         Com                          MW      Answered       The BF specifies Comp artifacts, and an entry point
       Walker                             document and the ECCF one. In a very similar, it         ment                                                into the ECCF. We need to relate the ECCF and
                                          is hard for me to separate the emphasis on                                                                   the BF
                                          modeling business requirements, and ensuring
                                          they are carried through into implementation, from
                                          the development of the structures needed to link
                                          related atomic data exchanges - which second to
                                          me is the heart of the behavioral model. I realize
                                          the two topics are linked, but the way they are
                                          merged, and discussed as one, makes it hard to
                                          focus on the specific suggestions being made for
                                          SDO behavioral models.
 261   Tony      BF   * 443               What is a quality of service agreement? TJ and RP                                     KS      aGlossary
       Julian

 262   Ron       BF   * 817               Content                                                                               KS/TJ Answered         CLT - Concepts, such as that in the 817 table need
       parker                                                                                                                                          to be explained in the narrative.
1000   Ron       BF   *                   Section headings - that describe the section.            Publis                       KS      Agreement      CLT - style s/b researched
       Parker                             Karen needs to obtain good general descriptions          hing
                                          of the section without trying to re-iterate the whole
                                          section.
1001   Charlie   BF   * 94                Remove quotes unless citation. BF is cited here          Style                        KS      Agreement      CLT - style
                                          as an example, but it is prevalent in all of the
                                          documents. Check chicago style guide on the
                                          usage of single/double quotesw for emphasis.

1001   Tony      BF   * 169               Do we really mean to say that the HL7 artifacts :                                     KS      Agreement      CLT - style s/b researched
       Julian                             Core principles, RIM, data types and Vocabulary
                                          are part of the SAIF? I don’t think so

1001   Tony      BF   * 193               Do we need to spedifically state HL7 documents                                        KS      Agreement      CLT - style
       Julian                             when refering to them?
1001   Tony      BF   * 248    248-249    Use of caps                                              Style                        KS      Agreement      CLT - style
       Julian
1001   Tony      BF   * 265               Use of abbreviations such as vs.                         Style                        KS      Agreement      CLT - style
       Julian
1001   Tony      BF   * 299               Figures are not appropriately sized in may               Style                        KS      Agreement      CLT - style
       Julian                             instatnce - this is one of them
1001   Tony      BF   * 328               Martin Fowler is cited without formal citation           Style                        KS/C Agreement         CLT - style
       Julian                                                                                                                   T
 169   Lloyd     EC       86              "an" should be "and"                                     Typo                         KS   Agreement         Agreed
       McKenzi   CF
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                 Doc                                                                                        Pri   Im    sp    essed
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         er            on                                                                                                             "Column U
                 ent                                                                                        ty     ct   iti   By:     & V Def" for
                                                                                                                        on
                                                                                                                                       meaning
 171   Lloyd     EC   91                  Similar to my comment on the BF, there should be       Com                          KS/L    Agreement      No, we don't have an automated way of extracting
       McKenzi   CF                       a style guide that involves the highlighting of key    ment                         M                      definitions, but I could add the BF definitions to the
       e                                  and defined terms. Though in this case, I'd drop                                                           glossary for the next DITA update. Do you have a
                                          line 91 altogether. The terms are all defined on                                                           list of BF definitions that you would like added to the
 173   Lloyd     EC   98                  So page, so existing publication concept of
                                          thiswould the why bother providing examples?           Quest                        NA      Answered       glossary?
                                                                                                                                                     SH - non-persuasive example
       McKenzi   CF                       Section, Subsection and Domain be considered           ion
       e                                  Specification Stack Subjects as well, or just the
 175   Lloyd     EC   102                 idea of "topic"? have a position on how
                                          Does the ECCF                                          Quest                        CM      Answered       The ECCF must select specific artifacts, which
       McKenzi   CF                       "specifications" are managed when composed of          ion                                                 apply to a particular interoperability specification.
       e                                  independent artifacts? At the moment,
                                          specifications are handled as "whatever version of
                                          content existed in a given ballot publication or
                                          normative release". Is that vision staying the
                                          same?
 176   Lloyd     EC   109                 How is "engagement in a clinical trial" a              Quest                        KS      Agreement      SH -see footnote
       McKenzi   CF                       "specification"?                                       ion
       e
 177   Lloyd     EC   111                 This is inconsistent with the definition of            Com                          LM      Answered       SH - In V2 conformance applies to a profile. In SAIF
       McKenzi   CF                       "Conformance Statement" in v2 Chapter 5 and v3         ment                                                conformance applies to the content in a viewpoint.
       e                                  Refinement, Constraint and Localization. Unless
                                          there's an *exceptionally* good reason to change
                                          the usage, please pick another term. (In v2 and v3
                                          a conformance statement is a documented
                                          assertion by the provider/creator of a system of
                                          conformance to one or more conformance
                                          profiles.) Suggest using the term "Conformance
                                          Item" or "Conformance Point"
 178   Lloyd     EC   135                 "V3 Message" is the only reference to "V3".            Com                          KS      Agreement      SH - Remove V3
       McKenzi   CF                       Document and Service would presumably also be          ment
       e                                  V3. In theory, there's no reason why you couldn't
                                          do an implementation in v2 if you really wanted to.
                                          Recommend dropping V3 here.
 179   Lloyd     EC   135                 I expected to see "Solution" here too, seeing as       Com                          KS      Answered       SH - Solution has two ECCFs … out of scope for
       McKenzi   CF                       much of the dynamic model is only defined at that      ment                                                this mind map.
       e                                  level.


 180   Lloyd     EC   135                 Should have a figure label here with a short           Com                          KS      Agreement      SH - concur
       McKenzi   CF                       explanation                                            ment
       e

 181   Lloyd     EC   145                 Figure number isn't consistent with the reference      Typo                         KS      Answered       SH - This is the caption that belongs to the line 135
       McKenzi   CF                       on line 144.                                                                                               mind map
       e




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                                                                                                                        Di    Addr
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                 Doc                                                                                        Pri   Im    sp    essed
       Review         Citati                                                                                                             See
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         er            on                                                                                                             "Column U
                 ent                                                                                        ty     ct   iti   By:     & V Def" for
                                                                                                                        on
                                                                                                                                       meaning
 182   Lloyd     EC   145                 Style is inconsistent with BF document where            Com                         KS      Agreement      KS - This inconsistency occurs because the
       McKenzi   CF                       figure headings are listed below. I perfer that style   ment                                               Behavior Framework peer review document is in the
       e                                  to listing them above. (I believe the colour is also                                                       original Word format while the Intro and ECCF peer
                                          different). Any reason we're not using the same                                                            review documents are the Word output from the
                                          stylesheets for the DITA publication?                                                                      DITA source. When I have everything converted to
                                                                                                                                                     DITA, the style will be uniform throughout the
                                                                                                                                                     document. Note that the default styles for PDF,
                                                                                                                                                     XHTML, and Word outputs are quite different. In
                                                                                                                                                     DITA, external style sheets control the style of figure
                                                                                                                                                     and table captions, cross-references, and the like.

                                                                                                                                                     I also prefer having the figure captions below the
 183   Lloyd     EC   151                 Would "Component" be considered the "Solution"          Quest                       JS/KS Agreement        tables and figures. In the PDF output, the figure and
                                                                                                                                                     AB - Content needs harmonization with BF:
       McKenzi   CF                       view, using the terminology from BF?                    ion                                                Component is at the technology binding so could be
       e                                                                                                                                             defined as the solution view. JK can validate this.


 184   Lloyd     EC   252                 Is it correct to say "The ISO"? Usually, you just       Com                         KS      Agreement      AB - Typo - or grammatical: Yes can delete The.
       McKenzi   CF                       say "ISO", and that would read better.                  ment
       e
 185   Lloyd     EC   297                 Model should be "Models"                                Typo                        KS      Agreement      AB - Typo - or grammatical: Change sentence to
       McKenzi   CF                                                                                                                                  "The columns represent four of the five RM-ODP
       e                                                                                                                                             (Reference Model for Open Distributed Processing)
                                                                                                                                                     viewpoints:
 186   Lloyd     EC   304                 The discussion of ????                                  Typo                        KS      Agreement      AB - Typo - or grammatical: Should reference
       McKenzi   CF                                                                                                                                  1.4.4.12 I think.
       e
 187   Lloyd     EC   316                 I thought a Conformance Statement was                   Com                         LM      Answered       AB - Disagree: that is boolean valued.
       McKenzi   CF                       something that is evalulatable. E.g.                    ment
       e                                  "conformanceCode must appear at least once".
                                          That's not, itself, boolean valued.
 188   Lloyd     EC   337                 "Conformance relates a specific implementation of       Typo                        KS      Agreement      AB - Typo - or grammatical: Agreed. Add in "to".
       McKenzi   CF                       a specification . . . ." to what? If you're using the
       e                                  verb "relates", you need to specify the target of the
                                          relation, not just the source. (It may be that
                                          NEHTA didn't specify this, but that doesn't mean
                                          we can't fix it when we use it.) Alternative is to
                                          insert "to". I.e. "Conformance relates to a specific
                                          . . ."
 189   Lloyd     EC   341                 The period causes the second sentence to be             Typo                        KS      Agreement      AB - Typo - or grammatical: Agreed. Modify as
       McKenzi   CF                       incomplete. Suggest "specific foci in the                                                                  suggested.
       e                                  implementation (Conformance points) as identified
                                          . . ."




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                                          Comments:                                                                         To Be                  Disposition Comments
                                                                                                                                    Suggested
                                                                                                                      Di    Addr
                                                                                                                                    Disposition
                 Doc                                                                                      Pri   Im    sp    essed
       Review         Citati                                                                                                           See
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         er            on                                                                                                           "Column U
                 ent                                                                                      ty     ct   iti   By:     & V Def" for
                                                                                                                      on
                                                                                                                                     meaning
 190   Lloyd     EC   350                 Why "pairs"? Wouldn't each assertion be for a        Quest                        KS      Agreement      AB - Typo - or grammatical :Agreed. Pairing refers
       McKenzi   CF                       single statement?                                    ion                                                 to the relationship between a conformance
       e                                                                                                                                           statement and the assertion about that conformance
                                                                                                                                                   statement. Reword to "with paired conformance
                                                                                                                                                   statements".
 191   Lloyd     EC   355                 Depends what you mean by "possible". In order to     Com                          CM      Agreement      AB - Good point - content needs to be expanded:
       McKenzi   CF                       test a requesting system, you usually have to        ment                                                This paragraph should give equal weight to
       e                                  interact with a user interface. While automatation                                                       automated technical conformity assessment as well
                                          of user interfaces for testing is possible, it is                                                        as inspection based assessment that would be
                                          complex and expensive. It generally only makes                                                           applicable at the CIM and PSM.
                                          sense for internal tests that are executed                                                               CLT -- general comment on Andy's Good Points
                                          repeatedly. For one-time testing of conformance,                                                         here and those that follow (plus some of the other
                                          such automation is rarely practical. Suggest this                                                        comments in the spreadsheet): the Authors
                                          qualification be included as a note or footnote to                                                       (including the Tech Writer) of the SAIF book need to
                                          avoid misleading readers. (There's going to be a                                                         pick a "proper" level of detail and stick with it. Parts
                                          lot of disappointed people otherwise . . .)                                                              of the documents go into a lot of detail while others
                                                                                                                                                   do not. Once again, the SAIF Book is a summary
                                                                                                                                                   document. Detail should be answered in the IG's
                                                                                                                                                   otherwise the SAIF Book will never get done. Many
                                                                                                                                                   of the comments are good, but are not applicable
                                                                                                                                                   here which is the small point I'm trying to make.

 192   Lloyd     EC   362                 So a specification without an analysis model is      Quest                        CM      Agreement      AB - Good point - content needs to be expanded: In
       McKenzi   CF                       "less mature" than one that includes an analysis     ion                                                 short, yes explicit capture of the requirements
       e                                  model?                                                                                                   provides a more complete specification. However,
                                                                                                                                                   the document description implies that a more
                                                                                                                                                   complete SS is more mature than a less complete
                                                                                                                                                   specification stack. This will also depend on the
                                                                                                                                                   nature and context of the specification than
                                                                                                                                                   completeness of the SS. i.e. if the specification is
                                                                                                                                                   for a complete solution then we would expect more
                                                                                                                                                   completeness than one for a repurposable
                                                                                                                                                   component where some aspects of it's solution
                                                                                                                                                   binding may not yet be realized.
 193   Lloyd     EC   371                 If you've got a PIM and have selected an ITS,        Com                          LM      Answered       AB - True but the statement in the document does
       McKenzi   CF                       there shouldn't be any one-to-many relationships.    ment                                                not imply that an ITS has been chosen. ITS->PSM
       e                                                                                                                                           should be one-to-one but PIM->ITS and PIM->PSM
                                                                                                                                                   are one-to-many.
 194   Lloyd     EC   386                 Why would you ever bind an operation to an           Quest                        CM      Agreement      AB - Agreed: This requires some refinement.
       McKenzi   CF                       attribute? I thought operations were always bound    ion
       e                                  to models (or bound sets of models)
 195   Lloyd     EC   397                 I don't understand the grey bars. Are you saying     Quest                        KS      Agreement      AB - Yes localisation occurs from CIM to PIM, PIM
       McKenzi   CF                       that localization occurs going from CIM to PIM and   ion                                                 to PSM. CIM to CIM is not represented in the ECCF.
       e                                  PIM to PSM? What about localization from UV
                                          CIM to realm CIM?



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                                                                                                                          Di    Addr
                                                                                                                                        Disposition
                 Doc                                                                                          Pri   Im    sp    essed
       Review         Citati                                                                                                               See
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         er            on                                                                                                               "Column U
                 ent                                                                                          ty     ct   iti   By:     & V Def" for
                                                                                                                          on
                                                                                                                                         meaning
 196   Lloyd     EC   466                 Why do the arrows point both up and down.                Quest                        CM      Agreement      AB - Good point - content needs to be expanded:
       McKenzi   CF                       Wouldn't you always be constraining down?                ion                                                 These conformance constraints should be to a
       e                                                                                                                                               technology binding … not between models.
 197   Lloyd     EC   466                 What's the meaning of the "localizations" bar?           Quest                        CM      Agreement      AB - Good point - content needs to be expanded:
       McKenzi   CF                       Isn't localization reflected by the Compliance           ion                                                 No localization is treating the set of viewpoints as a
       e                                  graphic within the squares?                                                                                  whole then localized in unison. Compliance is for
                                                                                                                                                       artefacts in isolation.
 198   Lloyd     EC   466                 Why is Compliance only listed in a few of the            Quest                        CM      Agreement      AB - Good point - content needs to be expanded:
       McKenzi   CF                       squares?                                                 ion                                                 Should note that this is indicative and this should be
       e                                                                                                                                               stated.
 199   Lloyd     EC   466                 What's the significance of the green vs. pink part       Quest                        CM      Agreement      AB - Good point - content needs to be expanded:
       McKenzi   CF                       of the Technology row?                                   ion                                                 Alternative technology bindings. This should be
       e                                                                                                                                               stated.
 200   Lloyd     EC   467                 I don't see any horizontal arrows in the diagram         Com                          CM      Agreement      AB - Good point - content needs to be expanded:
       McKenzi   CF                       across cells except at the bottom (which isn't           ment                                                The text is referring to compliance with artefacts
       e                                  aligned with the vertical columns). If you can have                                                          outside this matrix thus not consistency between
                                          transformation with horizontal navigation, I'd have                                                          viewpoints. The text should make this explicit and
                                          expected to see arrows in the diagram.                                                                       also expand on the difference between inter-
                                                                                                                                                       viewpoint alignment and external compliance.
 201   Lloyd     EC   477                 Is there a reason why this is prior to the               Quest                        CM      Agreement      AB - Good point - content needs to be expanded:
       McKenzi   CF                       certification section?                                   ion                                                 This description should be left for the next section
       e                                                                                                                                               (immediately following). There should also be
                                                                                                                                                       reconciliation of the complaince certification issue
                                                                                                                                                       as the susequent section states that this concept
                                                                                                                                                       won't be used in SAIF.

 202   Lloyd     EC   492                 Can conformance certifications be created at a           Quest                        CM      Agreement      AB - Good point - content needs to be expanded:
       McKenzi   CF                       less granular level? I.e. Can I certify against an       ion                                                 Yes you can certify against an entire artefact.
       e                                  entire artifact or specification (by implication                                                             Additional text required to state that a set of
                                          certifying all of the conformance statements there-                                                          conformance statements can be associated with an
                                          in)?                                                                                                         artefact.
 203   Lloyd     EC   557                 Will these metrics be part of the implementationg        Quest                        CM      Agreement      AB - Good point - content needs to be expanded:
       McKenzi   CF                       guides? If not, where will they be documented?           ion                                                 These artefact metrics should be part of the
       e                                  This should be identified.                                                                                   implementation guide.
 204   Lloyd     EC   560                 Suggest saying "following section" rather than           Com                          KS      Agreement      AB - Typo - or grammatical: Agreed. As before
       McKenzi   CF                       "following link". In a printed document (or even in      ment                                                maybe "link in the following section".
       e                                  a PDF), it's not a link.

 205   Lloyd     EC   582                 Does traceability imply compliance (i.e.                 Quest                        LM      Answered       It implies conformance but given it is talking about
       McKenzi   CF                       restriction)?                                            ion                                                 an implementation, it isn't implying compliance.
       e




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                                                                                                                                       Suggested
                                                                                                                         Di    Addr
                                                                                                                                       Disposition
                 Doc                                                                                         Pri   Im    sp    essed
       Review         Citati                                                                                                              See
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         er            on                                                                                                              "Column U
                 ent                                                                                         ty     ct   iti   By:     & V Def" for
                                                                                                                         on
                                                                                                                                        meaning
 206   Lloyd     EC   582                 Must each compliance statement in a lower-level         Quest                        LM      Answered       AB - I don't think this is a requirement. There
       McKenzi   CF                       model be traceable to a conformance statement in        ion                                                 cannot be a contradiction between higher level
       e                                  a higher-level model. E.g. PSM to PIM or PIM to                                                             abstractions and lower level abstractions but this
                                          CIM? I can envision new stuff being added in                                                                doesn’t imply all lower level compliance
                                          lower levels that doesn't exist at higher levels of                                                         requirements must be explcitly tracable to higher
                                          abstraction and therefore is not traceable. I can                                                           level requirements.
                                          also see lower level specifications that don't
                                          implement the full scope of higher level
                                          specifications because it's decided it's not
                                          needed/relevant in that context.
 207   Lloyd     EC   588                 This is a lousy example of a conformance                Com                          CM      Agreement      AB - Good point - content needs to be expanded:
       McKenzi   CF                       statement. What the heck does "support" mean?           ment                                                Agreed but then conformity statements will range
       e                                  Or "semantics-complete" for that matter?                                                                    from technically tested to expert witness/anaylsis.
                                                                                                                                                      Better example might be useful.


 208   Lloyd     EC   588                 Related to the above, we need some guidance             Com                          LM      Answered       AB - Good point - content needs to be expanded:
       McKenzi   CF                       around conformance statements. It's not sufficient      ment                                                These are reasonable points but they are still fairly
       e                                  that they be boolean. They must also be rigorous,                                                           subjective but I don't think it can be more
                                          well-defined and able to be consistently interpreted                                                        prescriptive than this.
                                          by independent readers.
 209   Lloyd     EC   Gene                Do a search for SAEAF and replace with SAIF             Typo                         KS      Agreement      AB - Typo - or grammatical: Agreed.
       McKenzi   CF   ral
       e
 210   Lloyd     EC   609                 Actually, it's possible to have interoperability even   Com                          KS      Agreement      AB - Good point: Change to "Related Information
       McKenzi   CF                       with contractictory constraints when dealing with       ment                                                section".
       e                                  information exchange. If the sender constrains
                                          max cardinality to 1 and the receiver constrains
                                          max cardinality to 5, they'll interoperate fine. (The
                                          reverse is not true.)

 211   Lloyd     EC   635                 This is inconsistent with existing usage of the term,   Com                          KS      Agreement      AB - Good point: Agree that localization doesn't
       McKenzi   CF                       where localization does not necessarily mean non-       ment                                                need to imply non-compliance. It may extend
       e                                  conformance.                                                                                                beyond the conformity statement provided but might
                                                                                                                                                      be compliant to the statement.
 212   Lloyd     EC   641                 Localization is often done for other reasons such       Com                          CM      Answered       CLT - agree
       McKenzi   CF                       as limitations of legacy systems that have nothing      ment
       e                                  to do with contextual relevance.
 213   Lloyd     EC * 644                 This seems to be a direct contradiction with 636.       Quest                        CM      Context        Question for Charlie
       McKenzi   CF                       How can you be compliant to the artifacts, but not      ion
       e                                  compliant to the EAS?




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                                                                                                                                     Suggested
                                                                                                                       Di    Addr
                                                                                                                                     Disposition
                 Doc                                                                                       Pri   Im    sp    essed
       Review         Citati                                                                                                            See
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         er            on                                                                                                            "Column U
                 ent                                                                                       ty     ct   iti   By:     & V Def" for
                                                                                                                       on
                                                                                                                                      meaning
 214   Lloyd     EC * Gene                There's been no discussion about "optionality" in     Com                          CM      Context        Question for Charlie
       McKenzi   CF   ral                 conformance statements. Optionality is a key part     ment
       e                                  of existing v3 methodology and is necessary to
                                          allow a specification to provide guidance about
                                          how functionality is to be delivered without
                                          mandating that the functionality actually be
                                          included. I would expect it to be discussed in this
                                          document.
 215   Lloyd     EC * 653                 Not sure what this means. Bullets above suggest       Quest                        AJ      Context        Agreed -- CLT -- I don't understand what this last
       McKenzi   CF                       that localization can only go across rows. Can        ion                                                 "Agreed" is referencing. Ron/Tony?
       e                                  localization also occur within a row? I would think
                                          that a realm or implementer should be able to
                                          create a localized version of a CIM, for example.

 216   Lloyd     EC * 677                 "History" is a problematic word here. History         Com                          CM      Answered       How does a PIM relate to a CIM created after it?
       McKenzi   CF                       implies a timeline. There is no explicit timeline     ment                                                Agree, history is not the right word, but it is part of
       e                                  associated with the ECCF Matrix. A CIM could                                                              the Definition "Provenance, from the French
                                          easily be created after a PIM (and this has been                                                          provenir, "to come from", means the origin, or the
                                          done in several committees). Also, requirements                                                           source of something, or the history of the ownership
                                          and implementations are distinct artifacts. This                                                          or location of an object" wikipedia. Webster gives
                                          needs to be reworded.                                                                                     first definiton as Origin : Source.

 217   Lloyd     EC * 686                 It's not clear why Provenance needs to be             Com                          CM      Answered       They are interrelated - the provenance qualifies the
       McKenzi   CF                       discussed as a distinct concept from traceability.    ment                                                traceability.
       e
 218   Lloyd     EC * 703                 There should be some sort of discussion about         Com                          LM      Answered       I think that that is inherent the current text-
       McKenzi   CF                       "versioning" and configuration here. Conformance      ment                                                'conforms to a set of conformance statements' I
       e                                  is always asserted between a particular version of                                                        would think that the conformance statements should
                                          a specification and a particular version (and                                                             be detailed enough to include any versioning
                                          configuration) of an implementation. Compliance                                                           necessary.
                                          is always asserted between specific versions of
                                          specifications.

 219   Lloyd     EC * 712                 HL7 has always qualified to say "exchange and         Com                          LM      Context        Don’t understand where the 'use' comes from
       McKenzi   CF                       use". Exchanging is easy :>                           ment
       e
 220   Lloyd     EC * 755                 With no labels of the rows/columns, it's hard to      Publis                       KS      Agreement      I believe that 749-754 does describe the diagram,
       McKenzi   CF                       read the diagram. Localizations represented as        hing                                                but also the diagram should be updated with a
       e                                  grey lines is still confusing                                                                             legend.




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                                                                                                                            Di    Addr
                                                                                                                                          Disposition
                 Doc                                                                                            Pri   Im    sp    essed
       Review         Citati                                                                                                                 See
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         er            on                                                                                                                 "Column U
                 ent                                                                                            ty     ct   iti   By:     & V Def" for
                                                                                                                            on
                                                                                                                                           meaning
 221   Lloyd     EC * 762                 This raises the excellent question of how                   Quest                       JC      Agreement      Should be covered in GF
       McKenzi   CF                       specification stacks are managed. Does a                    ion
       e                                  committee control all aspects of a specification
                                          stack, or can some parts (e.g. CIM level vs.
                                          PIM/PSM levels) be managed by different groups?
                                          For that matter, how does a committee decide
                                          whether they want to manage one specification
                                          stack or more than one and what constitutes the
                                          need to create distinct stacks?
 222   Lloyd     EC * 787                 What happens if the specification you're mapping            Quest                       CM      Context        Good question. Charlie?
       McKenzi   CF                       to has artifacts that span rows or columns (as may          ion
       e                                  happen in some legacy specifications, including
                                          HL7's)?
 223   Lloyd     EC * 787                 Will the average HL7 developer have to                      Quest                       NA      Answered       The average HL7 developer will refer to the IG's.
       McKenzi   CF                       understand any of the ECCF to do their job, or is           ion
       e                                  this just stuff for the architects? If we define all the
                                          artifacts and we set up the tools to enforce
                                          traceability and conherence across the artifacts
                                          produced, someone who's creating a DAM static
                                          model or a RMIM-level state machine shouldn't
                                          really have to know or care what row or column the
                                          artifact they're working on lives in. This would only
                                          really be relevant for those looking to manage
                                          artifacts across specifications and implementers.
                                          Is that a fair interpretation? If so, there should be
                                          a target audience section at the top that indicates
                                          this.
 224   Lloyd     EC * 803                 It's not clear why you need artifacts in the CIM and        Quest                       LM      Agreement      Correct from a implementation perspective. But note
       McKenzi   CF                       PIM rows if you have a fully populated PSM row.             ion                                                this implementation is a near term approach.
       e                                  Certainly you would have a complete set of
                                          explicit, testable conformance statements. You
                                          just wouldn't be able to navigate the stairway very
                                          well. Stairway navigation is a separate issue. In
                                          some cases, an organization may have no interest
                                          in supporting interoperability at the higher levels,
                                          particularly the CIM level. From an implementation
                                          perspective, if you've got the PSM level, you don't
                                          (necessarily) need the higher levels if the
                                          documentation of the PSM is clear.

 225   Lloyd     EC * 803                 Will you *always* have artifacts in all cells? I            Quest                       NA      Agreement      You may not always have artifacts in all cells, but
       McKenzi   CF                       suspect for some paradigms or types os                      ion                                                the work done by Hufnagle et. al.(US DOD)
       e                                  specifications, not all cells will be relevant. If that's                                                      indicates that if you don’t, you probably missed
                                          the case, there should be guidance on when you                                                                 something.
                                          need to populate a cell vs. not.



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                                                                                                                          Di    Addr
                                                                                                                                        Disposition
                 Doc                                                                                          Pri   Im    sp    essed
       Review         Citati                                                                                                               See
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         er            on                                                                                                               "Column U
                 ent                                                                                          ty     ct   iti   By:     & V Def" for
                                                                                                                          on
                                                                                                                                         meaning
 226   Lloyd     EC * 891                 Not sure what's meant by "require reference               Com                         CM      Context        Good question. Charlie?
       McKenzi   CF                       specifications". Require them to exist? Require           ment
       e                                  them to be used when creating artifacts? Require
                                          them to be used in implementations? Please
                                          qualify.
 227   Lloyd     EC * 912                 Are regular specifications mapped to reference            Quest                       CM      Context        Good question. Charlie? I would think that both
       McKenzi   CF                       specifications with traceability or with compliance?      ion                                                apply.
       e

 228   Lloyd     EC * 927                 Where does an ITS live? It's really a description of      Quest                       CM      Answered       Agreed.
       McKenzi   CF                       the transformation from a PIM to a PSM.                   ion
       e
 229   Lloyd     EC * 941                 I thought conformance was to implementations              Quest                       CM      Context        Good question. Charlie? I don’t believe there is a
       McKenzi   CF                       and that across layers of the specification stack we      ion                                                mixup.
       e                                  use the term "traceability". Mixing up terms is
                                          going to confuse people . . .
 246   Mead      EC   1851     1.4.1      I would like to see, as a goal, a statement of HL7        com                         LM      Answered       I believe that that is inherent in the goals stated.
       Walker    CF           goals       developers, when creating specifications, have to         ment
                                          take into account to support implementers
                                          reaching the other goals.
 247   Mead      EC   80                  A comment: as I got into the Beharvioral                  Com                         KS      Agreement      CLT - reading approach for review may need to
       Walker    CF                       Framework I felt increasingly lost, and wondered if       ment                                               change
                                          reviewing this document first would lead to things
                                          making more sense.
 248   Mead      EC   108                 Could this change to refer to "message type",             Com                         CM      Context        CLT - question for Charlie
       Walker    CF                       "document type". If the document intends to refer         ment
                                          to instances, an explanation of why would be
                                          helpful.
 249   Mead      EC    ####               Is it intended that HL7 produce specifications that       Quest                       ArB     Answered       CLT -- question for the ArB but is probably covered
       Walker    CF                       characterize capabilities of the type mentioned? If       ion                                                under the rubric of IG
                                          so, what elements do such specifications contain?

 250   Mead      EC   502     502         Has the acronym SAEAF been replaced by SAIF?              Typo                        KS      Agreement      CLT -- typo
       Walker    CF                       I thought it had. In any case, it would seem better
                                          for the document set to use one of these
                                          consistently. See also the page header.
 251   Mead      EC   508                 "One of the main reasons that compliance is rarely        Quest                       ArB     Answered       CLT - discussion topic for ArB
       Walker    CF                       certified formally is that the details of all the legal   ion
                                          transformations from a given source specification
                                          to candidate target specifications may not be
                                          explicitly represented." Is this even possible? For
                                          example, if I wanted to certify all the uses of the
                                          addition rule, would I have to document the result
                                          of adding all possible number pairs?




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                                                                                                                         Di    Addr
                                                                                                                                       Disposition
                 Doc                                                                                         Pri   Im    sp    essed
       Review         Citati                                                                                                              See
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         er            on                                                                                                              "Column U
                 ent                                                                                         ty     ct   iti   By:     & V Def" for
                                                                                                                         on
                                                                                                                                        meaning
 252   Mead      EC   546    -548         "For example, a Unified Modeling Language (UML)         Com                          CM      Context        CLT - question for Charlie
       Walker    CF                       activity diagram in the Business viewpoint that         ment
                                          references static data constructs (for example,
                                          documents or data structures) passed between
                                          activities should have the relevant static
                                          constructs detailed in artifacts." Is this, should
                                          this, be a requirement for HL7 specifications?
                                          Until we have the collection of such statements in
                                          hand, I do not see how this document is directly
                                          useful. And I think that the sponsors of the SAIF
                                          activity did (and do) expect to see such clear
                                          guidance on what standard developers should do.

 253   Mead      EC   721    -723         "The degree to which an SS contains all the             Com                          CM      Context        CLT - question for Charlie
       Walker    CF                       relevant, 721 explicitly stated conformance             ment
                                          statements against which a given implementation
                                          may make pair-wise 722 conformance assertions
                                          is a measure of the maturity of the SS instance."
                                          This is a concern, since as I read it, it requires
                                          essentially redundant statements. For example, if
                                          there is a specification using a data structure with
                                          100 distinct elements (attributes perhaps), the
                                          statement suggests that maturity calls for 100
                                          statements, one for support of each element. This
                                          approach, I think, leads to extremely large
                                          numbers of expected statements for must
                                          specifications.

 254   Mead      EC   787    787-788      Is there any expected time line for delivering the      Quest                        MW      Answered       CLT -- this would be refined in IG
       Walker    CF                       cell contents for HL7?                                  ion
 255   Mead      EC   902                 In what sense is the behavioral framework an            Quest                        CM      Context        Question for Charlie
       Walker    CF                       existing artifact? Is this the current somewhat         ion
                                          implicit one, or the one developed as part of SAIF?
                                          (If so, the statement that this is in the
                                          computational view point needs to assessed as
                                          part of the review process.)

 261   Ann       EC   Gene                There is a general lack of plain English. I             Wordi                        KS      Agreement      CLT -- Style
       Wrights   CF   ral                 appreciate that some of the concepts are                ng
       on                                 inherently complex, & I've made some specific
                                          suggestions for greater clarity below. I think it's
                                          particularly important to avoid 1) changing the
                                          meanings of terms and phrases already widely
                                          used, and 2) confusing a general concept with a
                                          particular way of achieving it, by "defining" the
                                          commonly used term to mean the particular
                                          method.
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                 Doc                                                                                        Pri   Im    sp    essed
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         er            on                                                                                                             "Column U
                 ent                                                                                        ty     ct   iti   By:     & V Def" for
                                                                                                                        on
                                                                                                                                       meaning
 262   Ann       EC * 152                 A shade too cryptic for a reader who does not           Subst                       KS      Agreement      CLT - Content is needs harmonization with ECCF -
       Wrights   CF                       already know - distance between what? What kind         antive                                             Lines 154 and 155 give a reference to review to
       on                                 of "distance"? (left to right or up and down?)                                                             clarity, but words could be copied from the
                                                                                                                                                     reference to make the description more complete
 263   Ann       EC * 171                 It's not quite so straightforward. If the 2nd trading   Wordi                       KS      Agreement      CLT - Typo or gramatical - Suggest making the
       Wrights   CF                       partner is already equipped for the same PSM, this      ng                                                 comment an example in a footnote.
       on                                 is true. If the 2nd trading partner is already
                                          equipped for a different PSM, then the 1st trading
                                          partner's PSM may have no or nuisance value. If
                                          the 2nd trading partner has no PSM, then the 1st
                                          trading partner's PSM provides a ready basis for
                                          developing a parallel PSM for the 2nd trading
                                          partner's system.
 264   Robert    EC   1.4.4.              Verifiable conformance statements are constraints       Com                         ArB     Context        CLT -- a topic for discussion between members of
       Worden    CF   3.1                 between CIM, PIM and PSM layers. Typically CIM          ment                                               the ArB
                                          and PIM are UML models, and a PSM is a data
                                          structure such as XML.

                                          Constraints between these layers are mappings
                                          between them, e.g. attribute 'root' in the XML
                                          contains the same value as attribute 'root' in the
                                          CIM or PIM. That is just a mapping between the
                                          XML and the UML. Sometimes mappings are very
                                          regular in form (e.g. as given by the V3 XML ITS),
                                          sometimes not (e.g. for Green CDA or muITS).

                                          It seems to me that fairly generally:

                                          Conformance Statements = Mappings

                                          (Does anybody disagree? Answers on a
                                          postcard...)

                                          So to make conformance statements, you need a
                                          mapping notation. The work going on in the ITS
                                          WG to define a neutral mapping notation is of
                                          interest here. Should the ECCF document contain
                                          some description of the relevance of mappings?




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                                                                                                                                    Suggested
                                                                                                                      Di    Addr
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                 Doc                                                                                      Pri   Im    sp    essed
       Review         Citati                                                                                                           See
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         er            on                                                                                                           "Column U
                 ent                                                                                      ty     ct   iti   By:     & V Def" for
                                                                                                                      on
                                                                                                                                     meaning
 264   Ann       EC * 208   -219          This is particularly confusingly expressed,           Subst                       KS/C Answered          CLT - Content should be restructured to make it
       Wrights   CF                       including a double negative in the indented key       antive                      M                      easier to follow. Suggested wording change:
       on                                 statement. You need to separate out the unwanted                                                         "Because of the required scale of certification
                                          effects, their causes, the intended remediation,                                                         efforts, a maximum amount of automated
                                          and the motivation from context of use (SDOs etc) -                                                      certification is a desired goal. Part of this goal can
                                          rather than trying to say it all at once.                                                                be only be achieved by making explicit the
                                                                                                                                                   definitions and processes needed for WI by using,
                                                                                                                                                   for example, a framework like the ECCF SS. If a
                                                                                                                                                   shared-framework is not followed then potentially
                                                                                                                                                   bad assumptions about WI are built into the product.
                                                                                                                                                   As a consequence, an ad hoc WI can only be
                                                                                                                                                   established in the product by expensive fixes.
                                                                                                                                                   These fixes, experience tells us CLT - will quickly
                                                                                                                                                   break down during the life type of the product."

 265   Ann       EC * 257                 This section is way short of being a scenario.        Quest                       CM      Agreement      CLT - Consider using a decision tree/activity
       Wrights   CF                       Having a good scenario here would be v. useful to     ion                                                diagram to better represent this. A actual scenario
       on                                 help readers understand.                                                                                 to be added later would help here.

 266   Ann       EC * 281                 "collectively and unambiguously defines the           Subst                       KS      Agreement      CLT - Need to point back to earlier defintion of
       Wrights   CF                       subject of" - what does this mean? How am I           antive                                             "subject"
       on                                 supposed to know what "the subject" is, from an
                                          instance of a specification stack? How does "the
                                          subject" change, if I amend one of the constituent
                                          artefacts?
 267   Ann       EC * 309                 I'd expect the DAM to straddle information and        Wordi                       Defer Answered         CLT - This line of reasoning would apply to any
       Wrights   CF                       computation viewpoints, since it describes            ng                                                 model to some extent -- so would wait to see how
       on                                 functional interactions in the domain at a logical                                                       the implementation guide(s) handle this.
                                          level.

 268   Ann       EC * 313                 pair-wise between what & what?                        Subst                       KS      Agreement      CLT - Wording - sentence needs to be completed.
       Wrights   CF                                                                             antive
       on
 269   Ann       EC * 315   -317          Needs a forward reference to the explanation of       Quest                       KS      Answered       CLT - A reference to something that is two
       Wrights   CF                       conformance at 337.                                   ion                                                paragraphs forward does not seem needed; if this
       on                                                                                                                                          type of referencing were consistenly done, this
                                                                                                                                                   would confused the reader. Maybe when converted
                                                                                                                                                   in DITA could have a link here in case the distrance
                                                                                                                                                   becomes more than 2-paragraphs is off the page.




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                                                                                                                                          Suggested
                                                                                                                            Di    Addr
                                                                                                                                          Disposition
                 Doc                                                                                            Pri   Im    sp    essed
       Review         Citati                                                                                                                 See
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         er            on                                                                                                                 "Column U
                 ent                                                                                            ty     ct   iti   By:     & V Def" for
                                                                                                                            on
                                                                                                                                           meaning
 270   Ann       EC * 318   -324          I read this three times and I was still guessing            Wordi                       KS      Answered       CLT - This sentence does take a lot of effort to read.
       Wrights   CF                       what it might mean. Too many vague terms like               ng                                                 Suggested wording change:
       on                                 "contextualized" - to which the author has                                                                     "A constraint pattern may generate the same artifact
                                          presumably given some definite meaning that I                                                                  that will appear in more than one SS subject. This
                                          cannot pluck from the evidence available. The last                                                             artifact is inherently the same artifact in both SS
                                          sentence is particularly difficult to interpret - clearly                                                      subjects even though the context is different."
                                          these are distinct things, so what constitutes the
                                          particular kind of lack of difference that is being
                                          asserted here?
 271   Ann       EC * 343                 Suggest that the first two sentences should be              Wordi                       KS      Agreement      CLT - Agree with removing the software reference
       Wrights   CF                       amended to read: "As seen from the above                    ng                                                 since it is superfluous.
       on                                 definition, evaluation of conformance confirms the
                                          correctness of a specific implementation or
                                          technology binding of a specific specification stack
 272   Ann       EC * 349                 "evaluated" not "verified", for consistency.                Wordi                       KS      Agreement      CLT- Agree
       Wrights   CF                                                                                   ng
       on


 273   Ann       EC * 353                 "Certainly" and "clearly": the sentence would be            Wordi                       KS      Agreement      CLT- Agree since they are superfluous.
       Wrights   CF                       clearer without them.                                       ng
       on
 274   Ann       EC * 362                 Is this really about the sheer number of                    Subst                       AW      Answered       CLT- "completeness" comes closer to the defintion
       Wrights   CF                       assertions? I think I agree with what you mean, but         antive                                             than "maturity' -- Question why is maturity being
       on                                 maturity is usually a matter of appropriateness and                                                            defined here? Does it add value to the defintion?
                                          effectiveness, not sheer quantity. See also
                                          comments on compliance, below.

 275   Ann       EC * 355   -357          This is not quite right. Automated testing is               Subst                       KS      Agreement      CLT - Agree - should change the wording based on
       Wrights   CF                       possible if (and only if) the conformance                   antive                                             the suggested change.
       on                                 statements of the specification stack instance are
                                          expressed at the Platform-Specific Model (PSM)
                                          level of the SS in a way that is computationally
                                          verifiable. The result of the testing will then show
                                          whether they have been correctly expressed.




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                                                                                                                                     Suggested
                                                                                                                       Di    Addr
                                                                                                                                     Disposition
                 Doc                                                                                       Pri   Im    sp    essed
       Review         Citati                                                                                                            See
Line             um *        Subsection                                                          Type:     ori   pa    os    Next
         er            on                                                                                                            "Column U
                 ent                                                                                       ty     ct   iti   By:     & V Def" for
                                                                                                                       on
                                                                                                                                      meaning
 276   Ann       EC * 370                 Formal (i.e. computational) verification of required   Quest                       AW      Agreement      CLT- The comment is true, but does not seem to
       Wrights   CF                       properties on requirements-level or design-level       ion                                                apply to the cited sentence.
       on                                 specifications is, when available, much more cost-
                                          effective than taking it all the way through to PSM
                                          before testing. This is substantiated by a reputable
                                          body of work in this area, eg by John Rusby. It is
                                          possible to verify a conformance assertion on a
                                          CIM or PIM, if (and only if): 1) the CIM or PIM is
                                          expressed in a form that supports computational
                                          testing; and 2) the conformance assertion is
                                          expressed in a form that is supported by the
                                          computational testing available on the CIM or PIM.

 277   Ann       EC * 420                 What is "recontextualizing"?                           Wordi                       KS      Agreement      CLT - Suggested addition: "establishing a new
       Wrights   CF                                                                              ng                                                 context for reuse"
       on
 278   Ann       EC * 425   -427          A good definition. The typography clashes with "IF"    Subst                       KS      Agreement      CLT -- verified with the author (charlie mead) that
       Wrights   CF                       as Information Framework - which maybe should          antive                                             this IF was meant to be IFF (if and only if)
       on                                 not be abbreviated.                                                                                       .
 279   Ann       EC * 428   -440          This does not make sense. You develop a                Subst                       Defer Agreement        CLT - Agree that the document wording can be
       Wrights   CF                       (spurious) argument that identifies compliance with    antive                                             improved, but would suggest this be done later
       on                                 transformation, then provide an example (HL7                                                              based on feedback from people who use this
                                          XML is W3C XML) that has nothing to do with                                                               material.
                                          transformation. Also, identifying "constraint
                                          pattern" with "transformation" is dumbing-down the
                                          full meaning of both "constraint" and "pattern" in a
                                          way that does butchery to the expressivity of our
                                          common language and is IMO profoundly
                                          unhelpful. SAIF must not end up imposing an
                                          Orwellian "newspeak" on HL7 - or imposing a
                                          specific methodology on implementers by stealth
                                          through redefinition of accepted terms such as
                                          "compliance".




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                                          Comments:                                                                            To Be                  Disposition Comments
                                                                                                                                       Suggested
                                                                                                                         Di    Addr
                                                                                                                                       Disposition
                 Doc                                                                                         Pri   Im    sp    essed
       Review         Citati                                                                                                              See
Line             um *        Subsection                                                           Type:      ori   pa    os    Next
         er            on                                                                                                              "Column U
                 ent                                                                                         ty     ct   iti   By:     & V Def" for
                                                                                                                         on
                                                                                                                                        meaning
 280   Ann       EC * 472   -476          I think that there needs to be a clear distinction,     Subst                        Defer Agreement        CLT - Agree that the document wording can be
       Wrights   CF                       which is not evident to me here, between applying       antive                                              improved, but would suggest this be done later
       on                                 a standard (eg choosing to realize an interaction                                                           based on feedback from people who use this
                                          message in XML), and selectively restricting the                                                            material.
                                          scope of a standard when it is adopted in a
                                          particular context (eg as CDA adopted by the NHS
                                          England Spine has restricted the use of external
                                          references). In fact, you can break compliance by
                                          restriction, and you can extend in a way that does
                                          not break compliance. The important thing for
                                          compliance is that if B complies with A, all the
                                          things within the scope of the compliance
                                          relationship that are true for A are also true for B.
                                          (The statement in 409-410 is too strong because it
                                          only holds if A and B are the same thing.)
                                          Mathematically speaking, compliance is akin to a
                                          homomorphism. An example: 2's complement 32-
                                          bit integer arithmetic complies with (some precise
                                          definition of) the usual mathematical notion of
                                          addition of integers, within its limits of
                                          representation.

 281   Ann       EC * 483                 This misses a key point about certification.            Subst                        AW      Answered       CLT - agree this is true, but don't understand what
       Wrights   CF                       Certification is a business-level activity including    antive                                              this observation addes to the explanation.
       on                                 eg not only conformance testing results but also
                                          assessment of evidence of the conditions under
                                          which they were obtained. A computer cannot
                                          certify, only execute a computation that a human
                                          identifies as evidence to support certification. An
                                          organization certifies, based on a business
                                          process that includes testing (and usually also the
                                          payment of a fee...).

 282   Ann       EC * 492                 "By definition, the conformance certification is        Subst                        KS      Agreement      CLT- Add the clarifying quoted wording to the this
       Wrights   CF                       granulated to the conformance statement level."         antive                                              section.
       on                                 What does "granulated to" mean? I hope this
                                          means "Certification is only valid to the extent that
                                          it is supported by conformance testing that
                                          provides appropriate evidence."




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                                          Comments:                                                                           To Be                  Disposition Comments
                                                                                                                                      Suggested
                                                                                                                        Di    Addr
                                                                                                                                      Disposition
                 Doc                                                                                        Pri   Im    sp    essed
       Review         Citati                                                                                                             See
Line             um *        Subsection                                                           Type:     ori   pa    os    Next
         er            on                                                                                                             "Column U
                 ent                                                                                        ty     ct   iti   By:     & V Def" for
                                                                                                                        on
                                                                                                                                       meaning
 283   Ann       EC * 528                 In what sense is the HL7 XML ITS specification a        Subst                       AW      Answered       CLT- Agree it is not a transformation although the
       Wrights   CF                       transformation of the W3C Extensible Markup             antive                                             suggested test does not insure compliance as
       on                                 Language Recommendation? If I look at the two                                                              defined in line 409-410.
                                          artefacts I see no such relationship (see
                                          comments above on compliance). In this case, an
                                          appropriate practical method for verification would
                                          be to take a representative sample of message
                                          instances that are correct against the ITS
                                          specification, and check for well-formedness of the
                                          XML using a parser that is generally regarded as
                                          being correct, such as Xerces. The argument for
                                          compliance would include a rationale supporting
                                          the assertion that the sample of messages was
                                          representative.

 284   Ann       EC * 540                 This is not very clear, and also mixes up               Subst                       Defer Agreement        CLT - Agree that the document wording can be
       Wrights   CF                       consistency and completeness. Consistency within        antive                                             improved, but would suggest this be done later
       on                                 a set of artefacts at the same level should mean                                                           based on feedback from people who use this
                                          that they make sense as a whole, without any                                                               material.
                                          internal contradictions (I don't think that the words
                                          "logical" and "coherence" add anything).
                                          Completeness in a set of artefacts should mean
                                          that there are no loose ends - dependencies or
                                          references unaccounted for (assuming that you do
                                          not mean the technical logic senes of
                                          "completeness"). Consistency between sets of
                                          artefacts at different levels is probably better
                                          expressed as traceability, as is done in the
                                          diagram a little further on.

 285   Ann       EC * 581                 This definition still mixes the realization-of          Subst                       Defer Agreement        CLT - Agree that the document wording can be
       Wrights   CF                       relationship with the you-can-see-where-it-came-        antive                                             improved, but would suggest this be done later
       on                                 from property. Better IMO to use realization for the                                                       based on feedback from people who use this
                                          one, and traceability for the other - which has the                                                        material.
                                          virtue of following common usage.
 286   Ann       EC * 588                 Possibly, provided I knew what was meant by             Subst                       Defer Agreement        CLT - Agree that the document wording can be
       Wrights   CF                       "semantics-complete". As I read further into this       antive                                             improved, but would suggest this be done later
       on                                 document, I'm increasingly feeling that I'm getting                                                        based on feedback from people who use this
                                          into an alien world where strange phrases appear                                                           material.
                                          with impenetrable meanings, & familiar words can
                                          no longer be trusted to mean what I expect them to
                                          say...
 287   Ann       EC * 608                 "transformations" - which concept of                    Subst                       KS      Agreement      CLT -- put in a link back to definition of term.
       Wrights   CF                       transformation is this, the usual need-to-map-the-      antive
       on                                 data one or your weird one between specification
                                          artefacts?
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                                           Comments:                                                                             To Be                  Disposition Comments
                                                                                                                                         Suggested
                                                                                                                           Di    Addr
                                                                                                                                         Disposition
                  Doc                                                                                         Pri   Im     sp    essed
       Review          Citati                                                                                                               See
Line              um *        Subsection                                                            Type:     ori   pa     os    Next
         er             on                                                                                                               "Column U
                  ent                                                                                         ty     ct    iti   By:     & V Def" for
                                                                                                                           on
                                                                                                                                          meaning
 288   Ann        EC * 603                 The underlying notion in this section is very simple     Subst                        Defer Answered         CLT - Agree that the document wording can be
       Wrights    CF                       and obvious. The terminology and phraseology             antive                                              improved, but would suggest this be done later
       on                                  developed for the ECCF makes it difficult to say.                                                            based on feedback from people who use this
                                           So the terminology and phraseology should be                                                                 material.
                                           fixed so that the simple and obvious things are
                                           easy and simple to say. IMO that is absolutely
                                           essential to enable the ECCF to be anything other
                                           than shelfware.

 289   Ann        EC * 729     729-740     This section gives the impression of contempt. I         Com                          KS      Answered       CLT - Suggest to leave as it since I don't read any
       Wrights    CF                       hope it is unintended.                                   ment                                                pejorative connotations here.
       on
 290   Ann        EC * remai               No new comments, the problems herein reflect the         Com                          KS      Agreement      CLT -- end of my group - cliff
       Wrights    CF   nder                matters noted above.(elsewhere)                          ment
       on
 291   Steve      EC    1      See word    These comments in general describe the                   Com                          SH      Context        CLT -- email sent to Steve H on 8/22/2010
       Hufnagl    CF           doc         defficiencies in the SAIF that make it difficult to      ment                                                requesting link to Word Doc
       e et.al.                            implement. They are difficult to tie to a single line,
                                           often encompasing the contents of several pages.


 291   Steve      EC    111    ######### ECCF Viewpoint Conformance Statements – The                Com                          KS/C Answered          CLT -- content organization is the focus of this
       Hufnagl    CF                     ECCF would benefit by following the example of             ment                         M                      comment -- recommend that KS take a look at to
       e et.al.                          the EHR System Functional Model; statements,                                                                   see how it would fit into DITA structure, then discuss
                                         descriptions, “depends on” links and conformance                                                               with CM
                                         statements for each viewpoint are needed.
                                         Particular domains should have profiles, which
                                         subset the conformance statements to be suitable
                                         for the sub domains. Similarly, the governance
                                         framework, Information Framework would also
                                         benefit from this approach.
 292   Mead       INT   766    1.3.4.2.3   It would be helpful to explain the SAIF distinction C Com                Ac           KS      aGlossary      CLT -- John K may have sent this definition over
       Walker     RO                       between computationally independent and platform      ment               ce                                  with his glossary.
                                           independent.                                                             pte
                                                                                                                    d
 293   Mead       INT   1402 1.3.5.1.4     "The responsibility for Information viewpoint       C Typo               Cla          KS      Agreement      Agree s/b DIMs not CDIMs -- I think that Karen
       Walker     RO                       components falls to the following domain groups:                         rifi                                already fixed this plus one other occurance.
                                           Construct Domain Information Model (DIMs),                               cat
                                           Constrained Information Model (CIMs), Localized                          ion
                                           Information Model (LIMs)" IS this right? It looks a
                                           lot like a typo.




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 292 KS - Added a table explaning CIM, PIM, and PSM
     terms and added them to the glossary also.


 293 KS - Looks fine, already fixed.




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                                          Comments:                                                                              To Be                  Disposition Comments
                                                                                                                                         Suggested
                                                                                                                           Di    Addr
                                                                                                                                         Disposition
                 Doc                                                                                           Pri   Im    sp    essed
       Review         Citati                                                                                                                See
Line             um *        Subsection                                                             Type:      ori   pa    os    Next
         er            on                                                                                                                "Column U
                 ent                                                                                           ty     ct   iti   By:     & V Def" for
                                                                                                                           on
                                                                                                                                          meaning
 294   Mead      INT   399   1.3.1.3      Why not spell out CSI in the diagram? Why not           C Quest            Ac          KS      Agreement      CLT - style changes to consider
       Walker    RO                       put captions on the diagrams - you might then             ion              ce
                                          include a table of figures. You might also                                 pte
                                          consider putting the caption under the diagram                             d
                                          instead of before - it will be less likely to be on a
                                          different page then the diagram.
 295   Mead      INT   1     general      Just a personal expression: If you could bring          C Com              Ac          KS      Agreement      CLT -- should go back through the documents to
       Walker    RO                       yourselves to lose expressions like "stairway to          ment             ce                                 see if metaphors are being used consistently within
                                          heaven", "Lens of SAIF", "unified field theory", I                         pte                                proper context.
                                          would be happier.                                                          d



 296   Michael   INT   194   1.2.1page3 “Provide support for directly implementable               C Com              Ac          KS      Agreement      Agree -- although would say this is for example
       van der   RO                     solutions.” <- This is were RIMBAA comes in...              ment             ce                                 where RIMBAA comes in
       Zel                                                                                                           pte
                                                                                                                     d
 297   Michael   INT   183   1.2page2fig In the picture there is no healthcare enterprise “A” C Typo                 Ac          KS      Agreement      CLT -- the graphic should be changed from EAF
       van der   RO          1           and “B” but rather qqq, rrr. Not clear.                                     ce                                 qqq and EAF rrr to healthcare business A and B
       Zel                                                                                                           pte
                                                                                                                     d
 298   Mead      INT   499   1.3.2.1      Why does working interoperability have to be       C Quest                 Ac          KS      Answered       CLT -- the need is to explicate or define interop
       Walker    RO                       quantitatively measurable? Is the expectation that   ion                   ce                                 elements so that they can be semantically
                                          partners will calculate the measurements?                                  pte                                understood. -- come back to this -- cliff
                                                                                                                     d
 299   Michael   INT   244   1.2.4page4 I cannot find any mentioning of “conformance       C Quest                   Ac          KS/JK Agreement        CLT - in the 1996 version Michael is correct -- JK
       van der   RO                     assertions or integration points” in ODP-RM? I see   ion                     ce                                 should indicate how to change this
       Zel                              however “reference points”, is that the same?                                pte
                                                                                                                     d



 300   Mead      INT   208   1.2Executiv The discussion of SAIF indicates that it is a       O Com                               KS/Ar Answered         CLT -- defer to ArB team on which is right or if they
       Walker    RO          eOverview framework to be used by interoperating                  ment                              B                      are both right.
                                         organizations to increase the efficiency by which
                                         joint tasks are achieved. It also indicates that it
                                         was mandated as a way to allow HL7 - a standards
                                         development organization to improve the products
                                         it delivers. These are two different things. The
                                         usefulness of the document would be substantially
                                         improved if that difference were to be recognized
                                         and addressed.




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 294 KS - Added figure captions to cmap diagrams.
     Spelled out CSI in cmap. Moving the captions
     under the diagrams will require changes to the
     DITA style sheets. I will try to get this working.


 295 KS - Changed "Stairway to Heaven" to "Layered
     steps to interoperability." Got rid of "Unified Field
     Theory." Changed "lens of SAIF" to "graphical
     view of SAIF" and used "filter" instead of "lens."
     Made these changes in Intro. Still need to update
     Stairway to Heaven in BF and ECCF docs.
 296 KS - Modified the last bullet to "Provide support
     for directly implementable solutions, such as RIM-
     based application architecture (RIMBAA). "

 297 KS - Made this change in the graphic.



 298 KS - Made this change. Added "Enterprise
     architects need to define interoperability elements
     so that they can be semantically understood."

 299 KS - Removed this phrase because it was too
     much detail for the executive overview. John K
     said, "All three terms (conformance assertions,
     integration points, and reference points) are
     conceptually in RM-ODP. RPs are integration-
     focused because ODP deals with integration
     systems.
 300




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 301   Mead      INT   885   1.3.4.2.7     The document says: "HL7 is the overarching lens O Com                                JK      Context        CLT -- John K -- maybe you could answer this?
       Walker    RO                        that contextualizes Services-Oriented Architecture ment
                                           (SOA), Model-Driven Architecture (MDA),
                                           Computable Semantic Interoperability (CSI), and
                                           RM-ODP." This notion came up earlier in the
                                           "overlapping lenses diagram" It strikes me that
                                           HL7 is very different from SOA, etc. Those are
                                           methodologies, theoretical constructs. HL7 is an
                                           organization and a community. I find it confusing
                                           when they are cast as comparable conceptual
                                           entities. In addition, teh treatment of RIM. etc.
                                           seems wrong (as mentioned above). I would
                                           expect a framework to say "Thou shall have a
                                           reference data model", and an architecture to say
                                           "Your reference model is the HL7 RIM as
                                           managed through harmonization".

 302   Michael   INT   378   page8         “series in a linear fashion prepares for...” space   C Typo              Ac          KS      Agreement      Agree
       van der   RO                        missing between prepares and for                                         ce
       Zel                                                                                                          pte
                                                                                                                    d
 303   Mead      INT   1067 1.3.4.4.3.1    What is the Grade IV Penicillin allergic reaction   C Quest              Ac          KS/R Answered          CLT - I'd vote to drop it since the Intro needs to be
       Walker    RO                        example? I don't think this is a matter of common     ion                ce          P                      shorted anyway
                                           knowledge, so there ought to be a reference to tell                      pte
                                           people what it is. Or it could even be included in                       d
                                           the document.

 304   Mead      INT   868   1.3.4.2.5.3   The RM-ODP classification of integration points        O Quest                       JK      Context        CLT -- John K -- maybe you could answer this?
       Walker    RO                        looks fruitful, but the distinction between the          ion
                                           interworking and interchange points is not clear. Is
                                           not an external storage medium simply another
                                           system? Or, is it better placed as a capability
                                           within a system? Why does it define one of 4
                                           integration points?
 305   Michael   INT   399   page10        figure has no capture. And it looks like there is text C Typo            Ac          KS      Agreement      CLT - Agree (1) need figure text under both
       van der   RO                        under the “Conformance Statements” box.                                  ce                                 diagrams on page 10 and 11 (2) On page 10, the
       Zel                                                                                                          pte                                text for the arrow between Conformance Statements
                                                                                                                    d                                  and Behavioral Framework seems to be under the
                                                                                                                                                       concept Conformance Statement
 306   Mead      INT   516   1.3.3.1       The initial paragraph notes that SAIF provides the C Quest               Ac          NA      Answered       CLT - to be discussed in IG
       Walker    RO                        frameworks to allow HL7 Work Groups to define        ion                 ce
                                           the HL7 EAS. How does this relate to the rules                           pte
                                           that will be followed to turn the 4 cited frameworks                     d
                                           into HL7 specifications? Another way of putting
                                           this, is how does the HDF fit into this?



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 302 KS - fixed



 303 KS - Charlie wants to keep this example. I added
     an extra paragraph of explanation and a link to
     Charlie's original document with this example.



 304




 305 KS - Added caption to cmap figures. Moved
     Conformance Statement box to reveal the hidden
     text.


 306 KS - Added a brief note about the IG.




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 307   Mead     INT   1089 1.3.4.5       Is the implication of the last two points that in order O Quest                      JK      Context        CLT -- John K -- maybe you could answer this?
       Walker   RO                       for a pair of organizations to achieve working            ion
                                         interoperability, they must share an enterprise
                                         architecture?

 308   Noam     INT   733   733-734      Note that the bullet point text has strayed onto the C Typo             Ac           KS      Agreement      CLT -- agree
       Arzt     RO                       next line.                                                              ce
                                                                                                                 pte
 309   Mead     INT   244   1.2.4        "The various specifications, thus, become the       D Com               d
                                                                                                                 De           MW      Answered       CLT - this will be elaborated in the Implementation
       Walker   RO                       building blocks of the EAF, which enable the          ment              ferr                                Guides
                                         emergence of the EAS and also the ultimate                              ed
                                         development of HL7 products. Finally, the
                                         specification of these products provide, as part of
                                         their development, input to the conformance and
                                         compliance processes." Which specifications?
                                         Which products? It is not clear. Given the
                                         abstract nature of the discussion in which RMODP
                                         is used to construct SAIF which is used to enable
                                         working interoperability between products acquired
                                         by enterprises using products developed by HL7,
                                         clarity on these matters is important.


 310   Mead     INT   1308 1.3.5.1.1     Just one more interation of an earlier point. How O Quest                            JK      Context        CLT -- John K -- maybe you could answer this?
       Walker   RO                       can a specification be compliant to SAIF? It would   ion
                                         seem to me that it would be compliant to an
                                         architecture constructed that was consistent with
                                         SAIF. Is this just hairsplitting? Or is in necessary
                                         to outline the architecture that artifacts will be
                                         constructed under?

 311   Mead     INT   409   1.3.1.4      I did not see HL7 specifications in the SAIF          C Quest           Ac           MW      Answered       CLT - represented in Implementation Guides
       Walker   RO                       introduction System Map. Where would they be            ion             ce
                                         positioned?                                                             pte
                                                                                                                 d
 312   Mead     INT   1899 1.6           How is the discussion of the Behavioral             C Quest             Ac           JK      Context        CLT -- John K -- maybe you could answer this?
       Walker   RO                       Framework here associated with the actual             ion               ce
                                         Behavioral Framework document? It would be                              pte
                                         useful to summarize that relationship here. I would                     d
                                         try to avoid overlap between the two documents.




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 307




 308 KS - fixed



 309




 310




 311 KS - Updated Intro system map to show HL7
     specs and their relationship to the IG.


 312 KS - This was actually a typo. I had included the
     first topic from the BF and ECCF section in the
     Intro review doc. Because this led to confusion, I
     removed the duplicated info and directed the
     reader to the BF and ECCF docs instead.




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 313   Mead      INT   677   1.3.4.1      I wonder if the distinction between achitecture and O Com                         MW      Answered       CLT -- John K -- maybe you could answer this?
       Walker    RO                       architecture framework is consistently followed -     ment
                                          especially when you get to the constituent
                                          framework. For example: Do RIM, data type specs,
                                          vocabulary, CDA etc belong in the architecture or
                                          the framework? These seem like architecture
                                          constituents to me.
 314   Noam      INT   430   Section      Seems to me that the definition of Interoperability O Com                         CM/J Context           CLT -- Paper cited is at
       Arzt      RO          1.3.2.1      should rely on the Pat Gibbons et al working paper    ment                        K                      http://www.hl7.org/documentcenter/public/wg/ehr/Co
                                          on this topic published by HL7 in 2007                                                                   mingtoTerms2007-03-22.zip
                                                                                                                                                   Referenced at:
                                                                                                                                                   http://wiki.hl7.org/index.php?title=EHR_Interoperabili
                                                                                                                                                   ty_WG
                                                                                                                                                   Defer back to Charlie and John K on this one
 315   Michael   INT   409   page11       “Specification Stack template”? Were can I find the C Quest           Rej         NA      Answered       CLT -- there is no actual template at this time --
       van der   RO                       template?                                             ion             ect                                how this is be build would need to be decided in an
       Zel                                                                                                      ed                                 IG.

 316   Noam      INT   443                Another element of a pre-transaction agreement is O Com                           JK      Context        CLT -- John K -- maybe you could answer this?
       Arzt      RO                       the understanding of how participants in the        ment
                                          transaction will authenticate and be assure of
                                          authorization for the transaction. Not sure if that
                                          needs to be mentioned here.

 317   Noam      INT   466                The Venn Diagram on this page seems to be a          C Com            Ac          Noam Answered          CLT - See lines 467- 475 for clarification of the the
       Arzt      RO                       confusing display of the "interoperability             ment           ce                                 Venn diagram
                                          paradigm". I can't tell what is represented by each                   pte
                                          cloud. Is it the data within each organization, with                  d
                                          the overlap being the data they share? It's an odd
                                          representation.

 318   Rene      INT   194   1.3.2        The simplified version of HL7's mission statement O Com                           RS      Answered       CLT -- the scope of the SAIF has been restricted to
       Spronk    RO                       focuses exclusively on interoprability, i.e. its scope ment                                              WI but does not imply that it cannot be agumented
                                          is now limited to that of SAIF. The wording above                                                        and extended by other frameworks such as TOGAF.
                                          the simplified statement should state that the
                                          scope of of the simplified statement has been
                                          conciously limited to that of WI - it's a "lossy"
                                          simplification. HL7's mission is wider than that
                                          discussed by SAIF (HL7 has not limited itself to WI
                                          standards for years), and includes other
                                          deliverables and activities. A case in point:
                                          RIMBAA is within scope of HL7, but out of scope
                                          of SAIF.




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 314 KS - Glossary has definitions for Interoperability
     and Working Interoperability. Pat Gibbons has a
     special definition for interoperability in a health
     organization that I will add to the glossary.




 315 No change needed.




 316




 317 KS - Added more clarification for the cloud
     graphic.




 318




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