Negation Requirements Project Minutes 25 July 2018

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Meeting Information

HL7 PC-CIMI-POC Meeting Minutes Location: PC call line		Date: 2018-07-25 Time: 4:00-5:00 PM ET
Facilitator	Jay Lyle	Note taker(s)	Jay Lyle
Attendee	Name	Affiliation
	Jay Lyle	JP Systems
X	Yanyan Hu	Joint Commission
X	Senthil Nachimuthu	3M
	Ken Lord
	Gay Dolin	IMO
	Ben Hamlin	NCQA
	George Dixon	Allscripts
	Lisa Nelson
	Emma Jones	Allscripts
X	George Dixon	Allscripts
X	Ken Lord	Allscripts
X	Michelle Miller	Cerner

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

1. Schedule
   1. Senthil to conduct meeting 7/25
   2. detailed plan for January: later
   3. October:
      1. present progress at PC, Vocab, FHIR, SD
      2. coordinate with Ken's SOA negation PSS
2. examples
   1. National Healthcare Safety Network
      1. Several presence/absence questions in CDA. Condition, observation, procedure?
         1. one answer: for these, it seems questionnaire may be the right way to go (also for registries, other reporting)
         2. For other cases, we can assert procedure done or not done and result with value or no value + value missing reason = not done
   2. If it were an observation, best pattern unclear. Guidance at http://build.fhir.org/observation.html section 10.1.4.4.3 at odds with TermInfo but otherwise not directive.

Meeting Outcomes

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

Next Meeting/Preliminary Agenda Items Continue example discussion New plan

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