This wiki has undergone a migration to Confluence found Here
Difference between revisions of "Negation Requirements Project Minutes 25 July 2018"
Jump to navigation
Jump to search
(7 intermediate revisions by 2 users not shown) | |||
Line 22: | Line 22: | ||
<!-- ******** CHANGE chair and scribe ON NEXT LINES *******************--> | <!-- ******** CHANGE chair and scribe ON NEXT LINES *******************--> | ||
| width="10%" colspan="1" align="right"|'''Facilitator''' | | width="10%" colspan="1" align="right"|'''Facilitator''' | ||
− | | width="35%" colspan="1" align="left"| | + | | width="35%" colspan="1" align="left"|Senthil Nachimuthu |
| width="25%" colspan="1" align="right"|'''Note taker(s)''' | | width="25%" colspan="1" align="right"|'''Note taker(s)''' | ||
− | | width="30%" colspan="1" align="left"| | + | | width="30%" colspan="1" align="left"|Senthil Nachimuthu |
|- | |- | ||
| border="4" cellpadding="1" colspan="4" style="background:#f0f0f0;"| | | border="4" cellpadding="1" colspan="4" style="background:#f0f0f0;"| | ||
Line 56: | Line 56: | ||
|colspan="2"| 3M | |colspan="2"| 3M | ||
|- | |- | ||
− | | | + | | X || Ken Lord |
− | |colspan="2"| | + | |colspan="2"| VA |
|- | |- | ||
| || Gay Dolin | | || Gay Dolin | ||
Line 68: | Line 68: | ||
|colspan="2"| Allscripts | |colspan="2"| Allscripts | ||
|- | |- | ||
− | | | + | | X || Lisa Nelson |
|colspan="2"| | |colspan="2"| | ||
|- | |- | ||
Line 77: | Line 77: | ||
|colspan="2"| Allscripts | |colspan="2"| Allscripts | ||
|- | |- | ||
− | | X || | + | | X || Michelle Miller |
− | |colspan="2"| | + | |colspan="2"| Cerner |
|- | |- | ||
| X || Michelle Miller | | X || Michelle Miller | ||
|colspan="2"| Cerner | |colspan="2"| Cerner | ||
|- | |- | ||
− | + | | X || Mia Nievera | |
+ | |colspan="2"| Joint Commission | ||
+ | |- | ||
|colspan="4" style="background:#f0f0f0;"| | |colspan="4" style="background:#f0f0f0;"| | ||
|- | |- | ||
Line 137: | Line 139: | ||
<!-- **** Delete instructions and fill in minutes ON NEXT LINES ******--> | <!-- **** Delete instructions and fill in minutes ON NEXT LINES ******--> | ||
− | # | + | # Negation - medication administration QRDA CDA presented by Yanyan Hu. |
− | ## | + | ## QRDA CDA template has negationInd = "true" when the medication was not administered. |
− | ## | + | ## The effectivetime (both start and end) are set to the documentation time of the reason for why medication was not administered. (i.e., documentation time, not effective time of, e.g., child in incubator) |
− | + | The intended administration time of the medication (which was eventually not administered) is not captured in the QRDA CDA. | |
− | + | ||
− | + | 2. MedicationAdministration FHIR resource alignment: | |
− | + | .status = not-done | |
− | + | .statusReason | |
− | + | - example binding to SNOMED CT | |
− | + | .effective[x].effectiveDateTime - the effective time when the drug was supposed to have been given (if status = not-done) | |
− | + | ||
− | + | In addition, MedicationRequest resource has the .dosageInstruction.timing element. For a specific dose, the time specified in MedicationRequest.dosageInstruction.timing is expected to (~approximately) agree with the effectiveTime in MedicationAdministration, regardless of whether the medication was administered. | |
+ | |||
+ | 3. (C-CDA 2.1 also has a Planned Medication Activity template that we reviewed. The mood code describes whether this is an intent vs request, etc., and the effectiveTime indicates the intended time). | ||
===Meeting Outcomes=== | ===Meeting Outcomes=== | ||
Line 181: | Line 185: | ||
|width="100%" |'''Next Meeting/Preliminary Agenda Items'''<br/> | |width="100%" |'''Next Meeting/Preliminary Agenda Items'''<br/> | ||
− | + | Agenda for 8/1: | |
− | * | + | * Review of family history generic, including ‘no history of x’: George Dixon. |
− | + | ||
|} | |} | ||
© 2012 Health Level Seven® International. All rights reserved. | © 2012 Health Level Seven® International. All rights reserved. |
Latest revision as of 20:07, 8 August 2018
Back to Negation Minutes
Minutes
Meeting Information
HL7 PC-CIMI-POC Meeting Minutes Location: PC call line |
Date: 2018-07-25 Time: 4:00-5:00 PM ET | ||
Facilitator | Senthil Nachimuthu | Note taker(s) | Senthil Nachimuthu |
Attendee | Name | Affiliation
| |
Jay Lyle | JP Systems | ||
X | Yanyan Hu | Joint Commission | |
X | Senthil Nachimuthu | 3M | |
X | Ken Lord | VA | |
Gay Dolin | IMO | ||
Ben Hamlin | NCQA | ||
George Dixon | Allscripts | ||
X | Lisa Nelson | ||
Emma Jones | Allscripts | ||
X | George Dixon | Allscripts | |
X | Michelle Miller | Cerner | |
X | Michelle Miller | Cerner | |
X | Mia Nievera | Joint Commission | |
Agenda
Agenda Topics
- Review schedule draft
- ballot for January (detail outline after WGM)
- limited objectives for October:
- Review sample examples
- NHSN negated risk factor: Senthil
- immunization not given: Jay
- no functional impairment
- no section information?
- no known health concerns
- no implanted devices
- no medications
- no cognitive impairment
- no planned tests
- no known problems
- no diabetes
- not pregnant
- revise
- never smoking: Ken Lord
- family history generic, including no history of x: George
- medication not done, with reason (QRDA): Yanyan
- done
- no known allergies: Jay
- no allergy to peanuts: Jay
Minutes
- Negation - medication administration QRDA CDA presented by Yanyan Hu.
- QRDA CDA template has negationInd = "true" when the medication was not administered.
- The effectivetime (both start and end) are set to the documentation time of the reason for why medication was not administered. (i.e., documentation time, not effective time of, e.g., child in incubator)
The intended administration time of the medication (which was eventually not administered) is not captured in the QRDA CDA.
2. MedicationAdministration FHIR resource alignment:
.status = not-done .statusReason - example binding to SNOMED CT .effective[x].effectiveDateTime - the effective time when the drug was supposed to have been given (if status = not-done) In addition, MedicationRequest resource has the .dosageInstruction.timing element. For a specific dose, the time specified in MedicationRequest.dosageInstruction.timing is expected to (~approximately) agree with the effectiveTime in MedicationAdministration, regardless of whether the medication was administered.
3. (C-CDA 2.1 also has a Planned Medication Activity template that we reviewed. The mood code describes whether this is an intent vs request, etc., and the effectiveTime indicates the intended time).
Meeting Outcomes
Actions
|
Next Meeting/Preliminary Agenda Items Agenda for 8/1:
|
© 2012 Health Level Seven® International. All rights reserved.