2016-04-29 PC CIMI POC Call Minutes

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Meeting Information

HL7 PC-CIMI-POC Meeting Minutes Location: PC call line		Date: 2016-04-22 Time: 15:00-16:00 ET
Facilitator	Jay Lyle	Note taker(s)	Jay Lyle
Attendee	Name	Affiliation
	Richard Esmond	PenRad
	Galen Mulrooney	JP Systems
	Jay Lyle	JP Systems / VA
	Stan Huff	Intermountain
	Susan Matney	Intermountain
	Susan Campbell
	Michael Sterly
	Gerard Frieks
	Serafina Versaggi

Agenda

Agenda Topics

1. Review of candidates
2. Archetype compositional architecture

Minutes

Minutes/Conclusions Reached:

1. review of candidates
   1. Skin Inspection (coded elements)
   2. Braden Scale, adult (Ordinal, INT, scale)
   3. Ulcer (date, PQ, negation, composition (with wound))
2. archetype architecture
   1. inheritance map (see inheritance map)
      1. in light of Stan's pulse example: should this be more complex, or should we assemble atoms into molecules?
         1. assumption: composition. 5 atomic skin inspection component obs; one aggregation.
         2. everyone on call agrees
         3. openEHR usually groups them.
   2. in light of Claude's contextual axes,
      1. does skin inspection have an order state?
      2. does it have an assertion kind?
         1. these matter one level higher than our skin inspection level
         2. assertion would be different semantics (pt has dry skin, not 'dry')
         3. this style works especially for Q/A concepts
   3. maturity of draft
      1. firm but not concrete
3. Clinical observations
   1. may need atrophic (thin) value for condition
   2. are condition & moisture duplicative?
   3. what would this be in FHIR? observation probably
   4. changed 'examination' to 'evaluation' to remove visual connotation. 'assessment' also an option
4. loinc & sct
   1. Stan: could have used LOINC codes for model binding
   2. IM style: no code at model root. unique id for model. with relationshps
      1. then code = concept (L or SCT. either way)
      2. L more complex for defining expression;

Meeting Outcomes

Actions begin construction of test classes

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

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