George's RnP Questions

For many sections of clinical content, computability of relevance is often based upon clinical status or "currency" of items. For example, relevant problems may initially be a collection of all problems in an active or otherwise current status (e.g., explicit status of active, or onset noted but not marked as resolved).

• Are there suggested heuristics that should be used to identify other relevant content?
• How does last updated date and time come into play?

For many sections involving historical content, e.g., past medical history, past surgical history, vital signs, results, use of a window of time into the past may be a useful concept when determining relevant content.

• Should an automated generation process default to all XYZ's from the past W days, where W may be configurable based on other context?
  • Are there other suggested ways to eliminate older, probably less pertinent content?
• Are there suggested heuristics that should be used to identify other relevant content?
• How does last updated date and time come into play?

Thinking about rules for determining relevant content, and how they apply:

• Are the suggested rules for automatically determining relevant content based only upon C-CDA Section definitions, or do the rules vary by (document type, section)?
  • If the rules vary by (document type, section), can we enumerate all variations?