2016-08-05 PC CIMI POC Call Minutes

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Meeting Information

HL7 PC-CIMI-POC Meeting Minutes Location: Phone		Date: 2016-08-05 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	Intermountain
	Kurt Allen	Intermountain
	Joey Coyle	Intermountain
	Laura Heerman Langford	Intermountain
	M'Lynda Owens	Intermountain
	Stephen Hufnagel	Intermountain

Agenda

Agenda Topics
review of exam model

1. really examination observation, not exam - ok
2. only including elements found in models, not entire SCT model - ok
3. openEHR: redundant sites; description/findings -
4. openEHR: chart by exception
5. findings limited: we will extend

Minutes

Minutes/Conclusions Reached:

1. really examination observation, not exam - ok; we'll do composition into examination later
2. only include elements found in models, not entire SCT model - ok; we'll add what we need when we need it
3. openEHR: redundant sites; description/findings - ok, but not our problem
4. openEHR: chart by exception - Agreed, we can use the 'no abnormality found' but we don't like the words and prefer 'within defined limits'
   1. do we need a definition?
5. openEHR findings limited to wound & lesion: we will extend to fit our needs
6. Add LOINC axes to table
7. Each wound is an individual observation; they'll need numbers
8. We think a lesion site is one site, though it may be complex and require some structure. there is only one anatomy property (unlike procedure, etc.)
9. Example: infant is pink everywhere but shading off into blue in extremities
   1. Is this two observations, trunk pink & extremities blue?
   2. Does the text observation modify or qualify that structured observation?
   3. Might NPUAP guidelines clarify loose ends?
10. Color: 3 options in SCT.
    1. IHTSDO: use finding
    2. Cerner & Epic use qualifier; NLM says ok, you have application context
    3. Susan to ask Jim to clarify
11. Intermountain: wound is a condition; observations qualify it
    1. We may not know what a condition is.

Meeting Outcomes

Actions begin construction of test classes

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

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