2016-12-16PC CIMI POC Call Minutes

Minutes Template

HL7 PC-CIMI-POC Meeting Minutes Location: Phone		Date: 2016-12-16 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	Joey Coyle
y	Gay Dolin
y	Ash Davison	Intermountain
	Laura Heerman Langford	Intermountain
	Claude Nanjo
	Rob McClure

Agenda Topics

Minutes/Conclusions Reached:

Ballot is intimidating. We need to do a better job of leading with a value proposition & helping readers navigate.
Is it possible to reduce the interoperability scope (re-inventing infrastructure, provenance, etc.) to focus on clinical semantic scope (derivation of computable rules)? Can we identify a set of rules we can use to draw that scope?
Review of Wound class
- Should follow LOINC panel: gap analysis for next week
- Wound kind concept seems to be missing. Could be "Name," inherited from Assertion, but there's no semantic constraint.
- Dressing should not be contained by Wound
- size: should be multiple, not 0..1
- Some properties have an 'existence' implication. Should we create assertions for them or evaluations, or leave it implicit?
  - If it's modeled, we don't want absence to be potentially implicit.
  - To make it explicit and predictable, we need it to be an evaluation.
  - Proposed principle: if it's in a LOINC panel, it's an evaluation, not an assertion.
  - In some cases, a significant fact may be a facet of a normal phenomenon. Wound exudate odor, for instance, might have an answer value set that includes "normal" (rather than having to assert "absent" or distinguish between "absent" and "healthy").

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