2017-01-27PC CIMI POC Call Minutes

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Meeting Information

HL7 PC-CIMI-POC Meeting Minutes Location: Phone		Date: 2017-01-27 Time: 10:00-11:00 CT
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
y	Larry McKnight	Cerner
y	Susan Matney	Intermountain
y	Joey Coyle	Intermountain
	Gay Dolin
	Ash Davison	Intermountain
	Laura Heerman Langford	Intermountain
	Claude Nanjo
	Rob McClure

Agenda

Agenda Topics

1. LOINC gap: summarize gaps found so far; complete list

Minutes

Minutes/Conclusions Reached:

• Preliminary discussion: how to make CIMI artifacts simple enough for users
• Question of model bindings: where to they go
  • Evaluations have question codes
  • Assertions have values
  • Assertion properties: semantic binding is metadata. Can/Should it be in instances?
    • Body site: FHIR property is semantic equivalent of LOINC body site, and of SCT Finding site in finding context
      • So we can leave the LOINC code out? Is there any recordkeeping or administrative reason to have it?
      • Yes, for ordered panels, not so much for sub-panels?
• Question of structure
  • Site has a code or an associated structure
  • How much do we need to worry about it here in the requirements stage vs design?
• Cardinality
  • Not just Tunneling but other properties may need to be 0:N, e.g., wound edge appearance, tunneling
  • If so, do we need to fragment body site for respective bits? Is this too much detail?
  • Tunneling has clock position: do we need some other way to designate sub-body-site? To assign an identifier?
• Clinicians want these properties to be their own Evaluations
  • maybe not Evaluation class, but to carry both question and answer.
• Model details
  • Remove Stage from pressure ulcer
  • Rename to Pressure Injury?

Meeting Outcomes

Actions

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