2016-07-22 PC CIMI POC Call Minutes

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Meeting Information

HL7 PC-CIMI-POC Meeting Minutes Location: HL7 WGM, Montreal		Date: 2016-07-22 Time: 9:00-10:30 ET
Facilitator	Jay Lyle	Note taker(s)	Jay Lyle
Attendee	Name	Affiliation
y	Richard Esmond	PenRad
y	Galen Mulrooney	JP Systems
y	Jay Lyle	JP Systems / VA
	Harold Solbrig	Mayo
y	Susan Matney	Intermountain
y	Susan Campbell	Intermountain
y	Kurt Allen	Intermountain
	Joey Coyle	Intermountain
	Laura Heerman Langford	Intermountain
	M'Lynda Owens	Intermountain
	Stephen Hufnagel	Intermountain

Agenda

Agenda Topics

1. terminology status
2. examination pattern
3. root semantics

Minutes

Minutes/Conclusions Reached:

1. PSS status: DESD OK, no TSC. ARB question.
   1. Jay to follow up once he locates the thread
2. Terminology status
   1. LOINC just released
   2. we are missing Braden impression; now created and added to panel
   3. NPUAP changed all the name: 'pressure ulcer' is now 'pressure injury'
   4. and suspected deep tissue injury
   5. vsac body location sites are good
   6. SM to review wound assessment to identify in-scope items and processing status
3. Assessment pattern
   1. following template used by Linda & Susan M
   2. We'll use our skin example, not just generic idea (skin)
   3. But also identify a superset of all candidate data elements - not the 80%
   4. Need to make recommendations to SCT for clinical observable model (as opposed to lab)
   5. Jay to draw picture of recommendation for group; no resolution till Harold & Linda in synch
   6. How to align with SCT
      1. need clear definitions of concept model attributes. yes
      2. Jay to ask Daniel Karlsson if he can attend a call and clarify observable model, or recommend channels for guidance
      3. Tactics to resolve issues depend on question. identify questions first.
4. semantic binding question
   1. model bindings to SCT attributes works, but what about the subject of attribution (e.g., the observable entity)?
   2. bind "code" with "is-a"? - makes model an instance of the thing, all other attributes are of the model (specialization of the observable entity)
   3. but if code is observable, that's different from the model itself with is 'assertion of value found for observable at time T'
   4. possibly 'topic' compositional pattern works here: bind 'observation found' composition to Finding; compose from 'topic' model based on Observable
   5. Jay to draw a picture to make this solution option easier to understand

Meeting Outcomes

Actions begin construction of test classes

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

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