2016-11-18PC CIMI POC Call Minutes

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Meeting Information

HL7 PC-CIMI-POC Meeting Minutes Location: Phone		Date: 2016-11-18 Time: 10:00-11:00 ET
Facilitator	Jay Lyle	Note taker(s)	Jay Lyle
Attendee	Name	Affiliation
y	Richard Esmond	PenRad
	Galen Mulrooney	JP Systems
y	Jay Lyle	JP Systems / VA
	Harold Solbrig	Mayo
y	Susan Matney	Intermountain
y	Susan Campbell
	Jim Case
	Chris Johnson	Intermountain
	Laura Heerman Langford	Intermountain
y	Claude Nanjo
	Rob McClure

Agenda

Agenda Topics

1. Review skin exam & wound to support RM work

Minutes

Minutes/Conclusions Reached:

• Evaluation may subdivide into Lab, physical exam result. Others? Questionnaire? Instrument (e.g., Braden)?
• Value sets: we had discussed in line for ballot, but time constraints may force us to use URIs, even if we can't provide a service to resolve them.
• Evaluation has an 'interpretation' field.
  • An assessment may 'interpret' some number of independent findings. The property name for Assessment should not be 'interpretation' but 'interprets' (or even something more specific, like 'has supporting information' or 'judgment based on').
  • The SCT concept model attribute 'interprets' is the relationship between a finding and the observable entity about which it is found. I'm not crazy about the name, but we don't control it. Because it's already in place, it may make sense to call the Assertion property something else, as suggested above.
• In addition to EvaluationResult, ExamEvaluationResult, and LabEvaluationResult, we'll create a SkinExamEvaluationResult.
  • Or is that just an archetype constraint on ExamEvaluationResult?
• A panel is a collection of observations that can have independent clinical existence.
  • Do we need a pattern for collections of things that have no independent clinical validity (e.g., Braden components)?
  • For now, we can simply model them as constituent findings in a compound statement and constrain out anything we don't want.
• Items in the Evaluation class not yet identified for skin exam:
  • reason - rationale unclear; more appropriate to evaluation procedure. Leave out.
  • status - for lab. leave out.
  • priority - procedure. leave out.
  • sequence - derive from time, if necessary. leave out. (possible need for specified sequence, but that's order, not result)
  • delta flag - Derive or record? Keep for now. (CEML: better or worse)
  • signal flag - Keep. Encode.
  • reference range - Keep.

Meeting Outcomes

Actions begin construction of test classes

Next Meeting/Preliminary Agenda Items Review test class progress & tooling

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