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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


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


  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 section at odds with TermInfo but otherwise not directive.

Meeting Outcomes

  • 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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