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Difference between revisions of "Negation Requirements Project Minutes 12 September 2018"

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<!-- ********add attendee information here *********-->
 
<!-- ********add attendee information here *********-->
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| || Jay Lyle
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| y || Jay Lyle
 
|colspan="2"| JP Systems
 
|colspan="2"| JP Systems
 
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| || Yanyan Hu
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| y || Yanyan Hu
 
|colspan="2"|  Joint Commission
 
|colspan="2"|  Joint Commission
 
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| || Senthil Nachimuthu
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| y || Senthil Nachimuthu
 
|colspan="2"| 3M
 
|colspan="2"| 3M
 
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| y || Ken Lord
 
|colspan="2"| VA  
 
|colspan="2"| VA  
 
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| y || Rob Hausam
 
|colspan="2"| IMO
 
|colspan="2"| IMO
 
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|colspan="2"| Allscripts
 
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===Agenda===
 
===Agenda===
 
'''Agenda Topics''' <br/>
 
'''Agenda Topics''' <br/>
−
# review
+
# WGM agenda
−
## Problem - see [[Negation transform examples]]
+
# Confirming transformations with steward organizations
 +
# Cognitive Impairment
 +
# Problem
 +
## Cases
 +
### Refute a rule-out, suspected, or previously asserted condition
 +
#### use verification status
 +
### Resolve a problem
 +
#### use clinical status
 +
### Assert absence for protocol: not pregnant, no night sweats.
 +
#### Use Observation, not condition. We don't find evidence of a need for specific negation of conditions.
 +
### Translate CDA asserting "diabetes" negated
 +
#### How often does this happen?
 +
#### Translation engine needs to specify assumptions, e.g.,
 +
##### if it's a negated condition, it's not a condition; drop it, or
 +
##### only transmit negated conditions with histories that tell us whether to tag it as Resolved or Refuted, or
 +
##### transmit negated conditions as observations: code = condition; answer = absent
 +
## status matrix
 +
[[Image:ConditionStatusMatrix.png|center|1200px]]
  
 
===Minutes===
 
===Minutes===
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<!-- **** Delete instructions  and fill in minutes ON NEXT LINES  ******-->
 
<!-- **** Delete instructions  and fill in minutes ON NEXT LINES  ******-->
  
−
# Problem
+
# WGM
−
## No problems: CDA negated 'problem' = FHIR code "no problems". This seems unproblematic.
+
## Get confirmation from SD, FHIR
−
## CDA can negate a specific problem
+
### Invite Sarah, Rick, Jean, Lisa
−
### FHIR can negate a specific problem if there is a specific code (Diabetic retinopathy of eye not detected (situation))
+
## propose connectathon
−
### Usually, there is a reason
+
# Cognitive Impairment
−
#### Refute a rule-out or suspected problem (verification status)
+
## CDA Section deprecated: use mental status
−
#### Resolve a problem (clinical status)
+
## Mental status is just like Problem: a code (classifier as cognitive status value) and value (finding)
−
#### Some are just protocol questions: not pregnant, no night sweats.
+
## Also CDA Framework for Questionnaire Assessments
−
##### these are observations, not conditions. There doesn't seem to be a lot of need for specific negation of conditions.
+
### Lays out design patterns for questions & assertions
−
#### Use case: if CCDA contains "diabetes" negated, then what?
+
# Question: does C-CDA problem pattern define "observation" templates in addition to the problems?
−
##### How often does this happen?
+
# Review of Problem cases in agenda, above
−
##### Engine needs to specify assumptions, e.g.,
+
## Agreement: 1-3 should cover it.
−
###### if it's a negated condition, it's not a condition; drop it, or
+
## How to confirm #4 does not happen?
−
###### only send negated conditions with histories that tell us whether to tag it as Resolved or Refuted
+
### Get a bunch of documents and look. Not feasible.
−
# next week
+
### Ask SD listserv, call.
−
## Ken: no physical impairment
+
### Deprecated Problem Status can say Inactive, Resolved; not Refuted.
−
## Jay: no problems (more examples)
+
 
 +
* [[Media: ProblemStatus.xlsx  | Excel version of diagram]]
  
 
===Meeting Outcomes===
 
===Meeting Outcomes===
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* request FHIR example of negated family history
 
* request FHIR example of negated family history
 +
** requested [https://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=17887&summary=&submitted_by=&priority=2&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=&extra_field%5B3808%5D=&extra_field%5B3628%5D=&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=open_date&sortord=ASC tracker]
 
* stakeholders interested in completion, secure resources
 
* stakeholders interested in completion, secure resources
 
* review posted document draft, examples
 
* review posted document draft, examples
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|width="100%" |'''Next Meeting/Preliminary Agenda Items'''<br/>
 
|width="100%" |'''Next Meeting/Preliminary Agenda Items'''<br/>
−
Agenda for 8/22:
+
Agenda for 9/19:
−
* tbd
+
* Review Condition Status Matrix
  
 
|}
 
|}
  
 
© 2012 Health Level Seven® International.  All rights reserved.
 
© 2012 Health Level Seven® International.  All rights reserved.

Latest revision as of 21:19, 12 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
y George Dixon Allscripts
Michelle Miller Cerner
Michael Padula Cerner
Stephen Chu

Agenda

Agenda Topics

  1. WGM agenda
  2. Confirming transformations with steward organizations
  3. Cognitive Impairment
  4. Problem
    1. Cases
      1. Refute a rule-out, suspected, or previously asserted condition
        1. use verification status
      2. Resolve a problem
        1. use clinical status
      3. Assert absence for protocol: not pregnant, no night sweats.
        1. Use Observation, not condition. We don't find evidence of a need for specific negation of conditions.
      4. Translate CDA asserting "diabetes" negated
        1. How often does this happen?
        2. Translation engine needs to specify assumptions, e.g.,
          1. if it's a negated condition, it's not a condition; drop it, or
          2. only transmit negated conditions with histories that tell us whether to tag it as Resolved or Refuted, or
          3. transmit negated conditions as observations: code = condition; answer = absent
    2. status matrix
ConditionStatusMatrix.png

Minutes

  1. WGM
    1. Get confirmation from SD, FHIR
      1. Invite Sarah, Rick, Jean, Lisa
    2. propose connectathon
  2. Cognitive Impairment
    1. CDA Section deprecated: use mental status
    2. Mental status is just like Problem: a code (classifier as cognitive status value) and value (finding)
    3. Also CDA Framework for Questionnaire Assessments
      1. Lays out design patterns for questions & assertions
  3. Question: does C-CDA problem pattern define "observation" templates in addition to the problems?
  4. Review of Problem cases in agenda, above
    1. Agreement: 1-3 should cover it.
    2. How to confirm #4 does not happen?
      1. Get a bunch of documents and look. Not feasible.
      2. Ask SD listserv, call.
      3. Deprecated Problem Status can say Inactive, Resolved; not Refuted.

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 9/19:

  • Review Condition Status Matrix

© 2012 Health Level Seven® International. All rights reserved.

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