20170926 US Realm SC Call

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US Realm Steering Committee Call Agenda/Minutes Location: https://global.gotomeeting.com/join/929752237]		Date: 2017-09-26 Time: 1 PM Eastern
Co-Chairs	Ed/Brett	Note taker(s)	Anne

Attendee / Name
x	Calvin Beebe		Keith Boone	x	Hans Buitendijk
Regrets	Lorraine Constable		Johnathan Coleman	x	Ed Hammond
x	Tony Julian	x	Paul Knapp	x	Austin Kreisler
x	Brett Marquard		Ken McCaslin	x	Nancy Orvis
	Brian Pech		Wayne Kubick	x	Christol Green
Regrets	Sandra Stuart	.	Pat Van Dyke	.	Craig Parker
Regrets	Danielle Friend	x	Eric Haas	Regrets	Jenni Syed
x	Steve Posnak	.	David Susanto	.
Visitor/ Name
x	Daniel Pollack	x	Rick Geimer
Quorum: Chair + 7

Agenda

Administrivia

• Agenda review
• Review notes from 20170913 US Realm SC WGM
• Review Items
  • HL7 CDA R2 IG: C-CDA R2.1 Supplemental Templates for Nutrition, Release 1 (US Realm) PSS
  • XDoc PSS
  • C-CDA R2.1 Supplemental Templates for Infectious Disease PSS

Discussion:

• Review of any outstanding issues

Minutes

• Review Items
  • HL7 CDA R2 IG: C-CDA R2.1 Supplemental Templates for Nutrition, Release 1 (US Realm) PSS
    • Rick describes. Will expand the templates for nutrition that will hopefully be included in future versions of C-CDA. Ed asks why it's not universal realm; Rick responds that it is mostly because it uses SNOMED codes.
      • MOTION to approve: Brett/Paul
      • VOTE: All in favor
  • XDoc PSS
    • Rick Geimer here to review. Would create templates to send a native CDA document with a simple XML body using US Realm header. Ed would like to see an example of what it would look like, and wonders how it differs from structured document capture. Rick states the use case is something you can display using the CDA style sheet, which has been difficult with unstructured content. Brett states it would be good to add content on why unstructured documents are the use case. Discussion over contribution to interoperability. Hans asks why we would use an unstructured doc? Need to describe the value proposition. Brett states they should also describe when to choose this and why. Rick will update scope and need. Ed also suggests updating the name. Calvin states it could be a C-CDA narrative document.
      • MOTION to approve subject to suggested changes with resubmission for review: Calvin/Austin
      • VOTE: All in favor
  • C-CDA R2.1 Supplemental Templates for Infectious Disease PSS
    • Austin describes project. Purpose is to try to raise the bar on the quality of data exchanged during transfers of care regarding infectious disease - both treatment data and laboratory results, etc. Still lining up cosponsors. Driven out of a position statement by epidemiologists who called for this improvement.
      • MOTION to approve: Austin/Calvin
      • VOTE: All in favor
    • Ed asks if we're going to end up with a few hundred templates? Can we begin to start bringing some of these together for generalization? Dan replies that we don't want disease=specific templates; we want generalizable templates that can be use regardless of the disease or condition. Goal is not to come up with a discrete set of templates for this and that disease. Broad categories of data that are specified through the templates are 1) the diagnostic or carrier state, 2) the antimicrobial treatment course that has been completed or is in progress, and 3) the microbiology results that are pertinent to either or both of the prior categories. Hans: Sounds like the work that CIMI is trying to do. Are they a cosponsor? Austin states they haven't approached them.
  • Ed asks if there will be FHIR documents associated with this and the nutrition project? Austin: Ultimately yes, but these are focused on C-CDA.
• Adjourned at 1:41 pm Eastern

Meeting Outcomes

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Next Meeting/Preliminary Agenda Items 20171003 US Realm SC Call Tuesday at 1 PM ET

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