Negation Requirements Project Minutes 19 September 2018

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Minutes

Meeting Information

HL7 PC-CIMI-POC Meeting Minutes Location: PC call line		Date: 2018-09-19 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
y	Lisa Nelson
	Emma Jones	Allscripts
y	George Dixon	Allscripts
	Michelle Miller	Cerner
	Michael Padula	Cerner
	Stephen Chu

Agenda

Agenda Topics

1. status matrix

Minutes

1. Review of Excel version of status matrix
   1. Coordination with CDA
      1. Lisa is working with Jean Duteau
      2. Can we represent the CDA status matrix as well?
         1. Yes, but do this first.
   2. do we need to scope matrix to one version of FHIR?
   3. Do we need workflow perspective to understand how these resources are generated?
      1. That might be prohibitively expensive: 5 status * 6 status = 30 cases, but including transitions would mean ~30^2.
   4. Inactive hierarchy
      1. Does inactive mean not currently symptomatic but possibly of concern (viz., remission) or no longer present (viz., resolved)?
      2. Seems to be a confusion resulting from the fact that this property tries to support two requirements: "Is it symptomatic?" and "Are we concerned?"
      3. The answer may depend on folding in support for a concern requirement.
      4. Additional dimensions
         1. verification status - already broken out, though some argue it should not be
         2. presence - can we infer this from the status combinations? should we also record it explicitly?

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items Agenda for 9/19: Review Condition Status Matrix

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