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CIMI Telecom Minutes 2017-01-05

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REQUESTED ACTION: Feel free to directly edit this WIKI page or send your feedback to CIMI@lists.HL7.org with your comments, updates and corrections.

Attendees

Linda Buhl, Joey Coyle, Richard Esmond, Gerard Freriks, Bret Heale, Stan Huff, Steve Hufnagel, Mark Kramer, Patrick Langford, Jay Lyle, Chris Macintosh, Susan Matney, Galen Mulrooney, Claude Nanjo, Craig Parker, Deepak Sharma, Serafina Versaggi

Annotated Agenda (Minutes)

Italicized lines were discussed

Stan

  • “Semantic relationships” are clinically important (BP is-a vital sign)
  • “Structural relationships” (BP vs. Femur length may have the same structure)
    • In general, we should follow SNOMED
    • ASSERTION style are things we can state about an individual can be made into an EVALUATION Q&A style
    • Every EVALUATION cannot always be converted into an ASSERTION
    • ISSUE: Mapping consistent ASSERTIONs & EVALUATIONs may not consistently map to FHIR CONDITIONS and OBSERVATIONs
  • Mark: How do we model "What contraceptive are you using."
  • Susan: Breath sounds normal, increased or decreased are EVALUATION with different value sets
  • Stan: Breath sounds are wheezing; rouse or rhonchi is different
  • Jay: patient says they have a cough ASSERTION … Can change to Q&A EVALUATION style What was the patient complaint? It was cough.
  • Galen: this may be a Quick carry over.
  • Stan: Patient has a skin ulcer is an ASSERTION. Something about individual EVALUATION is named characteristic with value. EVALUATION can mean a condition is present. Definition of a condition is an ASSERTION …
  • What does a SNOMED code mean? Does it mean a patient has or the meaning of the condition.
  • FINDING uses situational CONTEXT.

Screen Sharing & Telecom Information

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