2016-08-12 PC CIMI POC Call Minutes

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Meeting Information

HL7 PC-CIMI-POC Meeting Minutes Location: Phone		Date: 2016-08-12 Time: 10:00-11:00 ET
Facilitator	Jay Lyle	Note taker(s)	Jay Lyle
Attendee	Name	Affiliation
	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

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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