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'''Agenda Topics''' <br/> | '''Agenda Topics''' <br/> | ||
# review | # review | ||
| − | ## Problem | + | ## Problem - see [[Negation transform examples]] |
===Minutes=== | ===Minutes=== | ||
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# Problem | # Problem | ||
| − | ## No problems: CDA negated 'problem' = FHIR code "no problems" | + | ## No problems: CDA negated 'problem' = FHIR code "no problems". This seems unproblematic. |
## CDA can negate a specific problem | ## CDA can negate a specific problem | ||
| − | ### FHIR can negate a specific problem if there is a specific code | + | ### FHIR can negate a specific problem if there is a specific code (Diabetic retinopathy of eye not detected (situation)) |
### Usually, there is a reason | ### Usually, there is a reason | ||
#### Refute a rule-out or suspected problem (verification status) | #### Refute a rule-out or suspected problem (verification status) | ||
| − | #### Resolve a problem | + | #### Resolve a problem (clinical status) |
| − | #### Some are just protocol questions: not pregnant, no night sweats | + | #### Some are just protocol questions: not pregnant, no night sweats. |
| + | ##### these are observations, not conditions. There doesn't seem to be a lot of need for specific negation of conditions. | ||
#### Use case: if CCDA contains "diabetes" negated, then what? | #### Use case: if CCDA contains "diabetes" negated, then what? | ||
##### How often does this happen? | ##### How often does this happen? | ||
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# next week | # next week | ||
## Ken: no physical impairment | ## Ken: no physical impairment | ||
| − | ## Jay: no problems | + | ## Jay: no problems (more examples) |
===Meeting Outcomes=== | ===Meeting Outcomes=== | ||
Latest revision as of 21:22, 5 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 | ||
| George Dixon | Allscripts | ||
| Michelle Miller | Cerner | ||
| Michael Padula | Cerner | ||
| Stephen Chu | |||
Agenda
Agenda Topics
- review
- Problem - see Negation transform examples
Minutes
- Problem
- No problems: CDA negated 'problem' = FHIR code "no problems". This seems unproblematic.
- CDA can negate a specific problem
- FHIR can negate a specific problem if there is a specific code (Diabetic retinopathy of eye not detected (situation))
- Usually, there is a reason
- Refute a rule-out or suspected problem (verification status)
- Resolve a problem (clinical status)
- Some are just protocol questions: not pregnant, no night sweats.
- these are observations, not conditions. There doesn't seem to be a lot of need for specific negation of conditions.
- Use case: if CCDA contains "diabetes" negated, then what?
- How often does this happen?
- Engine needs to specify assumptions, e.g.,
- if it's a negated condition, it's not a condition; drop it, or
- only send negated conditions with histories that tell us whether to tag it as Resolved or Refuted
- next week
- Ken: no physical impairment
- Jay: no problems (more examples)
Meeting Outcomes
Actions
|
| Next Meeting/Preliminary Agenda Items Agenda for 8/22:
|
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