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Difference between revisions of "Negation Requirements Project Minutes 12 September 2018"
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Revision as of 21:07, 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
- WGM agenda
- 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
- Refute a rule-out, suspected, or previously asserted condition
- status matrix
- Cases
Minutes
- WGM
- Get confirmation from SD, FHIR
- Invite Sarah, Rick, Jean, Lisa
- propose connectathon
- Get confirmation from SD, FHIR
- Cognitive Impairment
- CDA Section deprecated: use mental status
- Mental status is just like Problem: a code (classifier as cognitive status value) and value (finding)
- Also CDA Framework for Questionnaire Assessments
- Lays out design patterns for questions & assertions
- Question: does C-CDA problem pattern define "observation" templates in addition to the problems?
- Review of Problem cases in agenda, above
- Agreement: 1-3 should cover it.
- How to confirm #4 does not happen?
- Get a bunch of documents and look. Not feasible.
- Ask SD listserv, call.
- Deprecated Problem Status can say Inactive, Resolved; not Refuted.
Meeting Outcomes
Actions
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| Next Meeting/Preliminary Agenda Items Agenda for 9/19:
|
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