Negation Requirements Project Minutes 15 August 2018

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Meeting Information

HL7 PC-CIMI-POC Meeting Minutes Location: PC call line		Date: 2018-08-15 Time: 4:00-5:00 PM ET
Facilitator	Jay Lyle	Note taker(s)	Jay Lyle
Attendee	Name	Affiliation
y	Jay Lyle	JP Systems
	Yanyan Hu	Joint Commission
y	Senthil Nachimuthu	3M
y	Ken Lord	VA
y	Rob Hausam	IMO
	Ben Hamlin	NCQA
y	Lisa Nelson
	Emma Jones	Allscripts
y	George Dixon	Allscripts
	Michelle Miller	Cerner
y	Michael Padula	Cerner
y	Stephen Chu	Joint Commission

Agenda

Agenda Topics

1. Review schedule draft
   1. ballot for January (detail outline after WGM)
   2. limited objectives for October:
2. Review sample examples
   1. NHSN negated risk factor: Senthil
   2. immunization not given: Jay
   3. no functional impairment
   4. no section information?
   5. no known health concerns
   6. no implanted devices
   7. no medications
   8. no cognitive impairment
   9. no planned tests
   10. no known problems
   11. no diabetes
   12. not pregnant
3. revise
   1. never smoking: Ken Lord
   2. family history generic, including no history of x: George
   3. medication not done, with reason (QRDA): Yanyan
4. done
   1. no known allergies: Jay
   2. no allergy to peanuts: Jay

Minutes

• Review of minutes from 7/25

1. case 1 Clinical use. Specific. Intended time important for missed repeating dose.
   1. got 8:00 & 4:00 but not 12:00 dose.
2. case 2 quality measure
   1. Use encounter time (not given during encounter)?
   2. Or quality rule parameter (not given in accordance with rule; e.g., within 4 hours of presentation)
   3. Quality team is looking for a reason. date and time not important to receiver
   4. some facilities will include even out-of-spec data, e.g., 5 hours
      1. some won't
3. case 3 timeframe of Reason?
   1. hearing screening not performed; patient in incubator
      1. does incubator time have to cover encounter time or rule-defined time?
      2. probably an audit function; not main process
      3. Quality team: all data may be in QRDA, but if reason applies within timeframe, it's a pass
4. case 4: Documentation time for statusReason?
   1. hard to see a rationale. can be reconstructed from Resource.Meta.lastUpdated
5. can we test these?
   1. i.e., put into the spreadsheet comparison format
   2. and then query live data? maybe Phase II.
6. Out of time; will review 8/1 next week, then smoking status.

Meeting Outcomes

Actions stakeholders interested in completion, secure resources review posted document draft, examples

Next Meeting/Preliminary Agenda Items Agenda for 8/1: tbd

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