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Difference between revisions of "Negation Requirements Project Minutes 12 September 2018"
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<!-- ********add attendee information here *********--> | <!-- ********add attendee information here *********--> | ||
− | | | + | | y || Jay Lyle |
|colspan="2"| JP Systems | |colspan="2"| JP Systems | ||
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− | | | + | | y || Yanyan Hu |
|colspan="2"| Joint Commission | |colspan="2"| Joint Commission | ||
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− | | | + | | y || Senthil Nachimuthu |
|colspan="2"| 3M | |colspan="2"| 3M | ||
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− | | | + | | y || Ken Lord |
|colspan="2"| VA | |colspan="2"| VA | ||
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− | | | + | | y || Rob Hausam |
|colspan="2"| IMO | |colspan="2"| IMO | ||
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|colspan="2"| Allscripts | |colspan="2"| Allscripts | ||
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− | | | + | | y || George Dixon |
|colspan="2"| Allscripts | |colspan="2"| Allscripts | ||
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'''Agenda Topics''' <br/> | '''Agenda Topics''' <br/> | ||
# WGM agenda | # WGM agenda | ||
− | # Impairment | + | # Confirming transformations with steward organizations |
+ | # Cognitive Impairment | ||
# Problem | # Problem | ||
## Cases | ## Cases | ||
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#### Translation engine needs to specify assumptions, e.g., | #### Translation engine needs to specify assumptions, e.g., | ||
##### if it's a negated condition, it's not a condition; drop it, or | ##### if it's a negated condition, it's not a condition; drop it, or | ||
− | #### only transmit negated conditions with histories that tell us whether to tag it as Resolved or Refuted, or | + | ##### only transmit negated conditions with histories that tell us whether to tag it as Resolved or Refuted, or |
##### transmit negated conditions as observations: code = condition; answer = absent | ##### transmit negated conditions as observations: code = condition; answer = absent | ||
## status matrix | ## status matrix | ||
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<!-- **** Delete instructions and fill in minutes ON NEXT LINES ******--> | <!-- **** Delete instructions and fill in minutes ON NEXT LINES ******--> | ||
− | # | + | # WGM |
+ | ## Get confirmation from SD, FHIR | ||
+ | ### Invite Sarah, Rick, Jean, Lisa | ||
+ | ## propose connectathon | ||
+ | # Cognitive Impairment | ||
+ | ## CDA Section deprecated: use mental status | ||
+ | ## Mental status is just like Problem: a code (classifier as cognitive status value) and value (finding) | ||
+ | ## Also CDA Framework for Questionnaire Assessments | ||
+ | ### Lays out design patterns for questions & assertions | ||
+ | # Question: does C-CDA problem pattern define "observation" templates in addition to the problems? | ||
+ | # Review of Problem cases in agenda, above | ||
+ | ## Agreement: 1-3 should cover it. | ||
+ | ## How to confirm #4 does not happen? | ||
+ | ### Get a bunch of documents and look. Not feasible. | ||
+ | ### Ask SD listserv, call. | ||
+ | ### Deprecated Problem Status can say Inactive, Resolved; not Refuted. | ||
+ | |||
+ | * [[Media: ProblemStatus.xlsx | Excel version of diagram]] | ||
===Meeting Outcomes=== | ===Meeting Outcomes=== | ||
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|width="100%" |'''Next Meeting/Preliminary Agenda Items'''<br/> | |width="100%" |'''Next Meeting/Preliminary Agenda Items'''<br/> | ||
Agenda for 9/19: | Agenda for 9/19: | ||
− | * | + | * Review Condition Status Matrix |
|} | |} | ||
© 2012 Health Level Seven® International. All rights reserved. | © 2012 Health Level Seven® International. All rights reserved. |
Latest revision as of 21:19, 12 September 2018
Back to Negation Minutes
Minutes
Meeting Information
HL7 PC-CIMI-POC Meeting Minutes Location: PC call line |
Date: 2018-09-05 Time: 4:00-5:00 PM ET | ||
Facilitator | Jay Lyle | Note taker(s) | Jay Lyle |
Attendee | Name | Affiliation
| |
y | Jay Lyle | JP Systems | |
y | Yanyan Hu | Joint Commission | |
y | Senthil Nachimuthu | 3M | |
y | Ken Lord | VA | |
y | Rob Hausam | IMO | |
Ben Hamlin | NCQA | ||
Lisa Nelson | |||
Emma Jones | Allscripts | ||
y | George Dixon | Allscripts | |
Michelle Miller | Cerner | ||
Michael Padula | Cerner | ||
Stephen Chu | |||
Agenda
Agenda Topics
- WGM agenda
- Confirming transformations with steward organizations
- Cognitive Impairment
- Problem
- Cases
- Refute a rule-out, suspected, or previously asserted condition
- use verification status
- Resolve a problem
- use clinical status
- Assert absence for protocol: not pregnant, no night sweats.
- Use Observation, not condition. We don't find evidence of a need for specific negation of conditions.
- Translate CDA asserting "diabetes" negated
- How often does this happen?
- Translation engine needs to specify assumptions, e.g.,
- if it's a negated condition, it's not a condition; drop it, or
- only transmit negated conditions with histories that tell us whether to tag it as Resolved or Refuted, or
- transmit negated conditions as observations: code = condition; answer = absent
- Refute a rule-out, suspected, or previously asserted condition
- status matrix
- Cases
Minutes
- WGM
- Get confirmation from SD, FHIR
- Invite Sarah, Rick, Jean, Lisa
- propose connectathon
- Get confirmation from SD, FHIR
- Cognitive Impairment
- CDA Section deprecated: use mental status
- Mental status is just like Problem: a code (classifier as cognitive status value) and value (finding)
- Also CDA Framework for Questionnaire Assessments
- Lays out design patterns for questions & assertions
- Question: does C-CDA problem pattern define "observation" templates in addition to the problems?
- Review of Problem cases in agenda, above
- Agreement: 1-3 should cover it.
- How to confirm #4 does not happen?
- Get a bunch of documents and look. Not feasible.
- Ask SD listserv, call.
- Deprecated Problem Status can say Inactive, Resolved; not Refuted.
Meeting Outcomes
Actions
|
Next Meeting/Preliminary Agenda Items Agenda for 9/19:
|
© 2012 Health Level Seven® International. All rights reserved.