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Difference between revisions of "Negation Requirements Project Minutes 5 September 2018"

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|  || Stephen Chu
 
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|colspan="2"| Joint Commission
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'''Agenda Topics''' <br/>
 
'''Agenda Topics''' <br/>
 
# review
 
# review
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## Problem
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## Problem - see [[Negation transform examples]]
  
 
===Minutes===
 
===Minutes===
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### 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: these are not conditions. Not a lot of need for specific negation of conditions.
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#### 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
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## Jay: no problems
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## 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

  1. review
    1. Problem - see Negation transform examples

Minutes

  1. Problem
    1. No problems: CDA negated 'problem' = FHIR code "no problems". This seems unproblematic.
    2. CDA can negate a specific problem
      1. FHIR can negate a specific problem if there is a specific code (Diabetic retinopathy of eye not detected (situation))
      2. Usually, there is a reason
        1. Refute a rule-out or suspected problem (verification status)
        2. Resolve a problem (clinical status)
        3. Some are just protocol questions: not pregnant, no night sweats.
          1. these are observations, not conditions. There doesn't seem to be a lot of need for specific negation of conditions.
        4. Use case: if CCDA contains "diabetes" negated, then what?
          1. How often does this happen?
          2. Engine needs to specify assumptions, e.g.,
            1. if it's a negated condition, it's not a condition; drop it, or
            2. only send negated conditions with histories that tell us whether to tag it as Resolved or Refuted
  2. next week
    1. Ken: no physical impairment
    2. Jay: no problems (more examples)

Meeting Outcomes

Actions
  • request FHIR example of negated family history
  • stakeholders interested in completion, secure resources
  • review posted document draft, examples


Next Meeting/Preliminary Agenda Items

Agenda for 8/22:

  • tbd

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