TermInfo Project

TermInfo – Meeting Information

Leader: Rob Hausam, MD

Date/Time(s)
Weekly on Wednesdays at 08:00 AM US Eastern time (Standard [UTC -05] or Daylight [UTC -04])
Call is scheduled to last 1 hour
Refer to the HL7 Conference Call Center for the specific schedule and any updates.

Web Meeting (GoToMeeting) Details

https://global.gotomeeting.com/meeting/join/605884653

Access Code/Meeting ID: 605-884-653
Audio PIN: Shown after joining the meeting

Use your microphone and speakers (VoIP) - a headset is recommended. Or, call in using your telephone.

NOTE!: We are using the GoToMeeting facilities for both video and audio.
DO NOT call in using the HL7 phone number (+1 770-657-9270) that is listed in the Conference Call Center and the email announcements.
Instead, use your computer or one of the GoToMeeting phone numbers listed below:

Australia: +61 2 8355 1040
Canada: +1 (647) 497-9391
Denmark: +45 (0) 69 91 88 61
Sweden: +46 (0) 852 503 498
United Kingdom: +44 20 3535 0624
United States: +1 (646) 982-0002

Please notify us if dial-in numbers for additional countries are needed.

TermInfo – Meeting Agendas and Minutes

Agendas

• August 28, 2013
• September 11, 2013
• September 24, 2013 (Cambridge WGM)

Minutes

Link to TermInfo Project minutes on www.hl7.org

TermInfo – Implementation Guide for Using SNOMED CT and LOINC Terminologies in HL7 Information Models

The new and expanded project officially began at the January 2012 WGM in San Antonio. The intent is to develop material for DSTU followed by normative ballot to address issues of overlap between the terminology and information models.

Download Terminfo Project Scope Statement

The links below are to the content from the previous DSTU standard (expired May 2009), which will serve as the starting point for our new work:

• Using SNOMED CT in HL7 Version 3; Implementation Guide, Release 1.5
  • "Wiki-fied version"
  • From May 2009 ballot package (HL7 members only)
• May 2009 TermInfo DSTU Ballot Reconciliation Package
  • Work on ballot reconciliation for the May 2009 DSTU was dropped for various reasons later in 2009 and was not completed. Following the launch of the new project in January 2012, this reconciliation work was re-started and was finally completed in May 2013 at the Atlanta WGM.
  • ballotcomments_V3_IG_SNOMED_R1_D4_2009MAY.xls

Hot Topics

• How to represent negation
• Considering changes in use of ASSERTION
• Discuss use of nesting in Problem Concern and Allergy Concern Acts
• Post-coordination
• Reporting negative assertions, ie No Growth, No Problems, No Results
• Use of NULL flavors
• Canonical sentences: a mechanism to reveal semantic meaning of coded clinical statements
• Terminology binding

Use Cases

Each use case needs to be given a meaningful name, then linked out to a page for that use case.

Presentations

Presentations given to explain TermInfo will be posted here.

Principles

A summary is posted here of the principles which form the basis upon which TermInfo is built.

TermInfo January 2014 5th DSTU Ballot Updates

This section of the wiki contains the content of the TermInfo January 2014 5th DSTU Ballot, broken into individual Word documents. There is one document per chapter of the TOC. These files will be used to facilitate incorporation of the Jan. 2014 ballot comment resolutions into the final DSTU version that is being prepared for official HL7 and IHTSDO publication.

We are using a Google Docs spreadsheet for tracking progress with the document updates as they are being made to apply the ballot comment resolutions.

This is the final January 2014 balloted version (in Word format) of the TermInfo DSTU draft document (the source of the individual sections below):
File:V3 IG SNOMED R1 D5 2014JAN.docx

This is the consolidated TermInfo DSTU draft document (in Word format) which is expected to be published in May 2015 - it is the concatenation of the individual sections below:
File:TermInfo 2015 DSTU updates.docx

Note: There are still some numbering issues to be resolved with the glossary (which is intended now to be Appendix E). There are additional updates still to be completed on the consolidated document.

All further editing for the 2015 publication is to be done on the consolidated document (above).
Proper care via refreshing your local copy and sending a message to the Skype chat (at a minimum) before editing must be taken to avoid inadvertently overwriting content from other editors!

=== 1 Introduction and Scope (14 pages) === (assigned: Riki Merrick)
1.1 Purpose of the Guide
1.2 Overview
1.3 Future Work
1.4 Intended Audience – Who Should Read This Guide?
1.5 Scope
1.6 How to read this document
1.7 Documentation conventions
1.8 Background
1.9 Requirements and Criteria
1.10 Asserting Conformance to this Implementation Guide

Chapter Draft: File:TermInfo Jan2014 1 Introduction and Scope.docx

=== 2 Guidance on Overlaps between RIM and SNOMED CT Semantics (42 pages) ===

=== 2 - 2.2.8 (23 pages) === (assigned: Rob Hausam, Jos Baptist)
2.1 Introduction
2.2 Attributes
2.2.1 Act.classCode
2.2.2 Act.code (applicable to all Act class specializations)
2.2.3 Observation.code and Observation.value
2.2.4 Act.moodCode
2.2.5 Act.statusCode
2.2.6 Procedure.targetSiteCode and Observation.targetSiteCode
2.2.7 Procedure.approachSiteCode and SubstanceAdministration.approachSiteCode
2.2.8 Procedure.methodCode and Observation.methodCode

Chapter Draft (2 - 2.2.8): File:TermInfo Jan2014 2 Guidance on Overlap between RIM and SNOMED CT Semantics 2-2.2.8.docx

=== 2.2.9 - 2.2.14 (13 pages) === (assigned: Daniel Karlsson)
2.2.9 Act.priorityCode
2.2.10 Act.negationInd
2.2.11 Act.uncertaintyCode
2.2.12 Observation.interpretationCode
2.2.13 Representation of Units
2.2.14 Dates and Times

Chapter Draft (2.2.9 - 2.2.14): File:TermInfo Jan2014 2 Guidance on Overlap between RIM and SNOMED CT Semantics 2.2.9-2.2.14.docx

=== 2.3 - 2.5 (8 pages) === (assigned: Jos Baptist)
2.3 ActRelationships
2.4 Participations
2.5 Context Conduction

Chapter Draft (2.3 - 2.5): File:TermInfo Jan2014 2 Guidance on Overlap between RIM and SNOMED CT Semantics 2.3-2.5.docx

Chapter Draft (entire chapter): File:TermInfo Jan2014 2 Guidance on Overlap between RIM and SNOMED CT Semantics.docx

=== 3 Common Patterns (24 pages) === (assigned: Heather Patrick)
3.1 Introduction
3.2 Allergies, Intolerances and Adverse Reactions
3.3 Assessment Scale Results
3.4 Obsevation, Condition, Diagnosis, Concern
3.5 Family History
3.6 Medications and Immunizations

Chapter Draft: File:TermInfo Jan2014 3 Common Patterns.docx

=== 4 Normal Forms (3 pages)=== (assigned: Jos Baptist)
4.1 SNOMED CT Normal Forms
4.2 Transformations to Normal Forms

Chapter Draft: File:TermInfo Jan2014 4 Normal Forms.docx

=== 5 SNOMED CT vocabulary domain constraints (9 pages)=== (assigned: Jos Baptist)
5.1 Introduction
5.2 Approach to Value Set Constraint Specifications
5.3 Constraint Specifications

Chapter Draft: File:TermInfo Jan2014 5 SNOMED CT vocabulary domain constraints.docx

=== 6 Glossary (22 Pages)=== (assigned: Heather Grain for review - apply changes Riki Merrick)
6.1 Introduction to the Glossary
6.2 Alphabetic Index

Chapter Draft: File:TermInfo Jan2014 Glossary.docx

=== Appendix A. General Options for Dealing with Potential Overlaps (5 pages)=== (assigned: Heather Patrick)
A.1 Introduction
A.2 Classification of Options
A.3 Prohibiting overlapping HL7 representations
A.4 Prohibiting overlapping Terminology representations
A.5 Generating required representations
A.6 Validating and combining dual representations

Chapter Draft: File:TermInfo Jan2014 Appendix A.docx

=== Appendix B. References (11 pages)=== (assigned: Daniel Karlsson)
B.1 HL7 V3 References
B.2 SNOMED CT Reference materials
B.3 SNOMED CT Compositional Grammar - extended
B.4 Guidance on using SNOMED CT Compositional Grammar in CD R2 Datatype

Chapter Draft: File:TermInfo Jan2014 Appendix B.docx

=== Appendix C. Revision changes (2 pages)=== (assigned: chapter editors)

Chapter Draft: File:TermInfo Jan2014 Appendix C.docx

=== Appendix D. SNOMED CT Open Issues (2 pages) === This section has been removed from the document - 2/4/2015

Chapter Draft: File:TermInfo Jan2014 Appendix D.docx

=== Appendix E. Detailed aspects of issues with a vocabulary specification formalism (12 pages) === (assigned: Daniel Karlsson)
E.1 Introduction
E.2 ‘Implicit Expression’ value sets
E.3 Pre- and Post-Coordinated Concepts and Expressions
E.4 End Result
E.5 Transformation rules
E.6 Representation concept model constraints
E.7 Schematic Illustrations of SNOMED CT Expressions

Chapter Draft: File:TermInfo Jan2014 Appendix E.docx

=== ENDNOTES (2 pages) ===

[The individual endnotes that are associated with each chapter are included in the separate chapter files above.]

=== Pre-Publication Punchlist:

• placeholder