Clinical Statement

Vancouver Working Group Meeting

September2008

Meeting Minutes

Table of Contents

Attendees

Thursday Q3/Q4 – Clinical Statement

Attendees

Attendee / Company/E-Mail / Thu PM
Calvin Beebe / / √
Louise Brown / / √
Hans Buitendijk / / √
Jim Case / / √
Todd Cooper / / √
Isobel Frean / / √
Marguerite Galloway / / √
Christof Gessner / / √
William Goossen / / √
Dick Harding / / √
John Hatem / / √
Rusty Henry / / √
Amy Knopp / / √
Helmut König / / √
Austin Kreisler / Austin.kreisler@ / √
Dragana Lojpur / / √
Patrick Loyd / / √
Joginder Mada / / √
David Markwell / / √
Rob McClure / / √
Suzanne Nagami / / √
Tom Oniki / / √
Andrew Perry / / √
Lisa Pinto / / √
Eleanor Royle / / √
Steve Sagoid / / √
Rik Smithies / / √
Michael Tan / / √
Sue Thompson / / √
Cindy Vinion / / √
Geraldine Wade / / √

Communication with declared Clinical Statement participants can be done through . You can sign up through the HL7 website,

Thursday Q3/Q4 – Clinical Statement

  • Agenda
  • New Workgroup Status
  • Co-chair elected (3) – will ask through Clinical Statement list, one of the three expected to be minute taker
  • Modeling Facilitator, Vocab Facilitator, Project Facilitator
  • Pt Care and OO will not meet Thursday Q3/Q4, Struc Doc and PHER will split with co-chair present.
  • Conference calls as needed with 2 week notice.
  • Need a decision making document review, particularly quorum. See document attached which will be voted on during the first conference call after the September 2008 WGM.
  • Mission/Charter
  • Revisit in January 2009 based on draft from a couple of folks (Hans, Todd, Isobel, Calvin, Patrick, Rik)
  • Project Statement
  • Current statement:
  • The Clinical Statement project intends to provide a pattern that can be used by various domains in some form of specialization and constrained, that enables consistency across domains in the area of clinical statements.
    While we want to ensure that clinical statements involving such information as Pharmacy, Laboratory, and Allergies, the objective is not to express the very detailed operational modeling that is required to support these domain's specific message requirements. Rather it is more focused on the general clinical statement aspects when used as context in other messages or 'summary' documentation. As this is a fine line, and consistency is required, the primary TCs participating in this effort, and their associated SIGs, are constantly balancing the need for general patterns and highly specialized/constraint models.
  • Will close current project.
  • Need relationship with other WGs better defined.
  • New project definition needed at least to formally incorporate most current model into the DSTU or Normative
  • CDA Release 3 is planning to go to normative with most current Clin Statement that is in place Sept 2009.
  • Motion to go into Normative ballot round with May 2009 ballot cycle. Dave, William.
  • Rx still needs to submit change requests did not include yet.
  • Model needs to be updated.
  • Against: 0; Abstain: 7; In Favor: 20
  • New Project Statement
  • Name: Clinical Statement Pattern goes Normative
  • Description: The objective of the “Clinical Statement goes Normative” project is to move the current Clinical Statement DSTU to a Normative state including any change requests submitted through the January 2009 WGM. This will enable:
  • CDA Release 3 to take the most current Clinical Statement into their normative cycle with a high degree of stability
  • Other workgroups to reference, harmonize, and synchronize with a normative pattern in those clinical areas as agreed to between the Clinical Statement workgroup and those workgroups.
  • Objectives: Provide a Clinical Statement model that can be used by other domains to establish a common and consistent model to express clinical statement data regardless of the domain or communication method.
  • Deliverables:
  • Clinical Statement Pattern including attribute level descriptions.
  • Guidelines on how to use the pattern in the respective domains. (if time permits)
  • Current set of CMETs (no additional)
  • Dependencies: Submission of change requests in a timely fashion by affected workgroups.
  • Supporting WGs: Clinical Statement, Pt Care, OO, Struc Doc, PHER, Rx
  • Approach:
  • Ensure we understand exactly what the format of the Clinical Statement should be to be normative and adjust the model accordingly using change request process.
  • All workgroups will be invited and urged to submit any change requests through the Clinical Statement wiki page. Conference calls and the January 2009 WGM will be used to reconcile and dispose of those requests. Any change requests after the Clinical Statement meeting in January 2009 (Thursday Q3/Q4) will be considered out-of-scope.
  • Move: Patrick, William. Against: 0; Abstain: 4; In Favor: 20.
  • Quorum
  • Motion to consider quorum 1 co-chair + 4 people present. Patrick, Andrew.
  • Against: 0; Abstain: 3; In Favor: 24
  • Process on how to manage conformance, extensions and documentation thereof
  • Postponed to Q4
  • Harmonize Medication/Prescription and address Canadian Medication Information
  • Rx has not passed normative yet.
  • How far do we want to be able to go that the Med DMIM can be unrolled from the Clinical Statement?
  • While financial is clear, within clinical still some questions.
  • Clin Statement unrolled should mostly cover Med DMIM but is not possible to completely cover. It depends on the knowledge in play, e.g., reference knowledge (not) vs. patient instance (yes). So case-by-case.
  • In patient record?
  • Same across jurisdictions?
  • Etc.
  • Workgroup should be active in resolving where there are questions.
  • Need to continue to harmonize Rx and OO and Lab vs. Clin Statement.
  • Attribute Level Descriptions (30 minutes timeboxed)
  • From the properties in Visio we need to get the following before we can go normative:
  • DescriptionMust
  • RationaleMaybe
  • Implementation NotesMaybe
  • Design CommentsMaybe
  • IssuesMaybe
  • HistoryMaybe
  • Mapping(within HL7)Maybe
  • Business NameMaybe
  • Patrick following up with Publishing to enable automatic pulling from RIM where these should not change.
  • Austin can help with Public Health related definitions. Andrew and Patrick can jump in as well. Rik will help pull together.
  • Getting schemas out of HL7 is quite difficult. We may be achieve this better by changing our bi-directional relationship to a pair of one way relationships.
  • CMETs
  • Patrick and Charlie to assess current state on what is needed to get CMETs in sync with most current pattern
  • Clin Statement + Clin Genomics
  • Not discussed.