Negation Requirements Project Minutes 15 August 2018

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Minutes

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
   1. family history generic, including no history of x: George

Minutes

• family history updated

typically family history straightforward member and condition; no negations breast cancer example of a condition where you might need a negation

doc is old; xls is revised; added FHIR

CCDA: example is fine, but it's pretty rare to negate family history even breast cancer negation would tend to be in a progress note no issues with CCDA example

Issue: FHIR has two ways to go precoordinated code or List with empty reason no example to instruct us which way to go ask for one

clinical need: to negate a specific condition for a specific relation not "no known problems" [track down fhir extension - allergyintolerance-substanceExposureRisk] List solution only addresses generic statement, not specific negation

Mappings that have already been done in CCDA on FHIR IG CCDA set of conditions -> fhir conditions, not a List Implementer community seems to prefer not to use list

if precoordinated code exists 'no history of cancer' but none for a second disorder; use an expression? burden on terminology option: like Procedure, have a concrete tightly scoped property for presence/absence keep distinct from absence of data

proposition: CDA negation and FHIR 'no known' mean the same thing for all practical purposes. no dissent

Potential Rationale for when to use a list to represent RIM Organizer

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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