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Negation Requirements

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Project Information

Scope Statement

Scope: Provide a set of classified requirements for the representation of negated clinical data, which standards developers can use to confirm coverage of requirements, demonstrate recommended patterns, and identify out-of-specification patterns.

Need: The ways current interoperability standards handle negation, or propose to do so,

  • are inconsistent & may not support transformations among different standards
  • may not support representation requirements
  • may not support computation requirements

Having a consistently articulated set of clinical requirements will allow standards designers to confirm support for these requirements and to provide clear guidance on recommended and prohibited patterns.

Meeting Information


  1. Planning:
    1. choose meeting times for Fall 17
    2. plan tasks, roles.
  2. Complete collection of content requirements (examples) - Done
  3. Classify content examples - in process
  4. Collect consumption requirements - in process
    1. UI
    2. Query
    3. CDS
  5. Classify consumption requirements -
  6. Collect compatibility requirements
    1. V2, RIM, FHIR, CIMI, DL
  7. Identify other requirements
  8. Create outline
  9. Draft guidelines
    1. Review requirements & guidelines with design teams
  10. Draft document
  11. Revise document

Issues/Hot Topics

  1. TermInfo currently responding to FHIR request regarding PC requirement for "no known allergies" in Allergy resource.
  2. CIMI on threshold of addressing a pattern for absent findings, other 'negation' topics.
    1. Pattern follows SCT: evaluations of observables may have negative results; Assertions may have 'absent' context values

Project Documents