LRI+IGs+Analysis+WG+Meeting+2011-14-09

include component="page" wikiName="siframework" page="LRI Header" =LRI IGs Analysis Meeting Minutes= **Time:** 10:00PM – 11:00AM EDT **Dial-in:** 1-408-600-3600 **| Passcode:** 664 014 784.
 * Date: ** 09/08/2011


 * Meeting Agenda:**
 * Discussion of revisions to be made to the Implementation Guide prior to submission for ballot on 9/15.

Attendance
Hans Buitendijk, Kathryn Calderone, Neelima Chennamaraja, Freida Hall, Austin Kreisler, Ken McCaslin, Natalie Menser, Riki Merrick, Zeshan Rajput, Ashley Swain, Bob Yencha

Action Items
= Meeting Notes =
 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 09/14/2011 || Reach out to Virgina Strumfels regarding her pending action items and let Bob Yencha know the ETA on delivering them. || Cindy Johns || In Progress ||  ||
 * 2 || 09/14/2011 || Follow up with Glen Moy & Walter Sujanksy regarding their comments. || Bob Yencha || In Progress ||  ||
 * 3 || 09/14/2011 || Create descriptions of what the profiles will be. || Hans Buitendijk || In Progress ||  ||
 * 4 || 09/14/2011 || Find a word specialist to help with formatting challenges with the IG Document || Kathryn Calderone || In Progress ||  ||

** Discussion of the Implementation Guide Revisions (AM Session) **


 *  During the ballot process, comments can still be submitted.
 *  Now, we need to focus on the critical pieces; once the ballot process has kicked off, we can focus on making additional changes.
 *  Suggestion from Bob Yencha: people have recommended dropping some things (some appendices or anything that is a duplicate of the base specification- which is a pre-requisite for implementation); it would be easier to just take out these pieces. It will become a challenge to keep our document in sync with the base specifications. It will be safer to point to them as a reference.
 *  What might be helpful, as we take out these sections, is to keep the headers in the section but point people precisely to where they need to go.
 *  Insert a statement that says examples are not accurate right now, leave place holder, and say that they will be reviewed for round two.

 o Introductory small statement regarding examples (top of document) – explain that they have been removed from this version, and are being reworked to fit decisions made for this guide. They will be reinstated for next version of the document.

 o However, we do need to keep individual section headers as placeholders so we know where examples are going to go.

 o Copy back examples in and grey them out- FINAL DECISION

** Chapter 8 discussion **

 o Option 1: Grey out section 8; leave headers in there, as placeholders; information will be brought back in for next ballot. Add one line that states “examples forthcoming” in sync with explanation at top of doc (examples are forthcoming in the next round; headers are placeholders).

 o Lab Result Message- remove content from this section (all example information) and replace it with a comment that all example messages will be created.

<span style="background: white; line-height: normal; margin-left: 1.0in; mso-add-space: auto; mso-list: l4 level2 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"> o Do not include sub-headers at this point.

<span style="background: white; line-height: normal; mso-add-space: auto; mso-list: l4 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"> Riki Merrick gave us a good version of Chapter 7; Bob Yencha suggests simply using Riki’s work- Code Systems and value sets.

<span style="background: white; line-height: normal; mso-add-space: auto; mso-list: l4 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;">** Section A: **

<span style="background: white; line-height: normal; margin-left: 1.0in; mso-add-space: auto; mso-list: l4 level2 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"> o New processes when cultures and sensitivities need to be handled- copied into comments section.

<span style="background: white; line-height: normal; margin-left: 1.5in; mso-add-space: auto; mso-list: l4 level3 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"><span style="color: black; font-family: Wingdings; font-size: 10.0pt; mso-bidi-font-family: Wingdings; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">§ One suggestion is to move Appendix A into the document itself

<span style="background: white; line-height: normal; margin-left: 2.0in; mso-add-space: auto; mso-list: l4 level4 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol;">· Culture and susceptibilities are typically the most challenging

<span style="background: white; line-height: normal; margin-left: 2.0in; mso-add-space: auto; mso-list: l4 level4 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol;">· 3rd paragraph- conformance statements included here- these can actually be removed because it is included elsewhere in the guide

<span style="background: white; line-height: normal; margin-left: 2.0in; mso-add-space: auto; mso-list: l4 level4 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol;">· Appendix A is staying, conformance statement is out; Bob Yencha to reach out to Ken to decide where appropriate statements should go.

<span style="background: white; line-height: normal; margin-left: 1.5in; mso-add-space: auto; mso-list: l4 level3 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"><span style="color: black; font-family: Wingdings; font-size: 10.0pt; mso-bidi-font-family: Wingdings; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">§ Suggestion from Ken McCaslin is to make Appendices A, B, C to be actual parts of the document.

<span style="background: white; line-height: normal; margin-left: 1.5in; mso-add-space: auto; mso-list: l4 level3 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"><span style="color: black; font-family: Wingdings; font-size: 10.0pt; mso-bidi-font-family: Wingdings; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings;">§ Micro- makes sense as appendix- it is for guidance and clarification

<span style="background: white; line-height: normal; margin-left: 1.5in; mso-add-space: auto; mso-list: l4 level3 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"><span style="font-family: Wingdings; font-size: 10.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§ Hans Buitendijk recommends creating a final chapter that would house the appendices. So, after section 8, we will have section 9 “supporting information” where appendices will go in; making the appendices part of text may remove the formatting issues.

<span style="background: white; line-height: normal; margin-left: 1.5in; mso-add-space: auto; mso-list: l4 level3 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"><span style="font-family: Wingdings; font-size: 10.0pt; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§ One approach is to leave Appendix B as is, because it all refers to CLIA; CLIA specialists may have some comments and need to get them to Bob Yencha ASAP.


 * <span style="background: white; line-height: normal; mso-add-space: auto; mso-list: l4 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"> Other time slot necessary to continue discussion: 4-4:45pm EDT. Kathryn to send out another meeting invitation.
 * <span style="background: white; line-height: normal; mso-add-space: auto; mso-list: l4 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"> Yellow markings in the text are to be taken out and we will only go by what was decided on in the spreadsheet.
 * <span style="background: white; line-height: normal; mso-add-space: auto; mso-list: l4 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"> Need conditionality and conformance statements in one place; one thought is to have them all as numbered conformance statements in the table.

<span style="background: none repeat scroll 0% 0% white; border: medium none; display: block; line-height: normal; padding: 0in;"> ** Decisions Made at end of 1st Session **


 * 1) <span style="color: black; line-height: normal; mso-list: l0 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;">Removed the examples from Section 8, added note about including them in the future
 * 2) Need to add same note into "organization of this guide"
 * 3) <span style="color: black; line-height: normal; mso-list: l0 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;">Removed appendix C
 * 4) <span style="color: black; line-height: normal; mso-list: l0 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;">Appendix A is now Section 9, Appendix for CLIA still needs to be "promoted", will do so pending receipt of additional comments on the CLIA section (coming from CLIA specialist at Quest - Virginia)
 * 5) Incorporated feedback from SDS team through Section 4

= ** Second meeting 4:00-4:45PM EDT ** =

<span style="background: white; line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2;">** Attendees **

Hans Buitendijk, David Burgess, Kathryn Calderone, Cindy Johns, Ed Larsen, Ken McCaslin, Natalie Menser, Riki Merrick, Glen Moy, Zeshan Rajput, Jennifer Sisto, David Susanto, Ashley Swain, Merideth Vida, Kathy Walsh, Bob Yencha

<span style="background: white; line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2;">** Agenda **

ACTIONS AND DECISIONS TO KEEP MOVING


 * 1) <span style="color: black; line-height: normal; mso-list: l1 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;">Removal of Section 4, other base info – include length in pre-adoption
 * 2) <span style="color: black; line-height: normal; mso-list: l1 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;">NEW TEXT - if the Profiles are going to be broken out then we need content to explain them (is the brief description in "1.6 Conformance to this guide sufficient?)
 * 3) <span style="color: black; line-height: normal; mso-list: l1 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list .5in;">Review of remaining conformance statements in the COMMENTS section of the tables
 * 4) <span style="color: black; line-height: normal; mso-list: l1 level2 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 1.0in;">**NOTE:** All yellow highlighted text will be removed in this next round UNLESS someone indicates that the statement still applies to this guide.
 * 5) Plan to review and disposition Walter Sujansky, Glen Moy comments

** Meeting Minutes **


 * <span style="background: white; line-height: normal; mso-add-space: auto; mso-list: l2 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"> Group decided to remove all of Section 4- Messaging Infrastructure- since it reads like it is from the base standard---

<span style="background: white; line-height: normal; margin-left: 1.0in; mso-add-space: auto; mso-list: l2 level2 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"> o Include that we will be pre-adopting v 2.7- include the length topic in the pre-adoption section.

<span style="background: white; line-height: normal; margin-left: 1.0in; mso-add-space: auto; mso-list: l2 level2 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"> o Message Infrastructure will be turned into a reference section;


 * All the remaining highlighted areas in the tables will be removed, unless otherwise stated.


 * <span style="background: white; line-height: normal; mso-add-space: auto; mso-list: l2 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"> Break out the profiles themselves- making sure that the conformance statements are with the table for review purposes. If we want profiles to stand alone, we need a volunteer to develop an introduction to the profile sections.

<span style="background: white; line-height: normal; margin-left: 1.0in; mso-add-space: auto; mso-list: l2 level2 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"> o The recommendation from Bob Yencha is to take Ken McCaslin’s sketch of the profiles and start working on that. Hans will create the descriptions of what the profiles are about. He will then send the descriptions to Bon Yencha, who will then upload these into the IG. By tomorrow morning, Bob Yencha will have cleaned up the conformance statements.

<span style="background: none repeat scroll 0% 0% white; color: black; line-height: normal; margin-left: 1in; text-indent: -0.25in;">o The profiles and their descriptions will be the last chapter- chapter 10- of the IG.


 * <span style="background: white; line-height: normal; mso-add-space: auto; mso-list: l2 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"> The group will hold another meeting tomorrow morning, 7-8AM PDT.


 * <span style="background: white; line-height: normal; mso-add-space: auto; mso-list: l2 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"> There may be a need to have a final meeting at 1-1:45PM EDT; we will evaluate the need for this meeting as the morning progresses.


 * <span style="background: white; line-height: normal; mso-add-space: auto; mso-list: l2 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"> Couple thoughts on the materials from Glen Moy & Walter Sujansky- we can put them in as negative comments in the ballot. Bob Yencha will send an email to them and check on their pending comments.

<span style="background: white; line-height: normal; margin-left: 1.0in; mso-add-space: auto; mso-list: l3 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol;">· One option is for them to work on a proposal that will be ready for discussion during ballot reconciliation.

<span style="background: white; line-height: normal; margin-left: 1.0in; mso-add-space: auto; mso-list: l2 level2 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"> o What used to be appendix A is now Section 9- all the examples are to be marked as candidates for change; there are some specific comments from Ken McCaslin on the wiki, and he was going to help us determine if they go here or elsewhere in the document.
 * <span style="background: white; line-height: normal; mso-add-space: auto; mso-list: l2 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"> If the feedback submitted is editorial in nature it goes into the IG; if it is a question that Bob Yencha cannot answer, comes back to committee for review, and it will be entered as negative comment in the ballot.
 * <span style="background: none repeat scroll 0% 0% white; color: black; line-height: normal; text-indent: -0.25in;">A suggestion from Hans is to send something to individuals whose comments we have not been able to include in this round and ask them to enter them as negative comments in the ballot.
 * If there is a misnomer between versions 2.7 and 2.7.1, there is a request of specialists to change that.
 * Since we are referencing version 2.7, there are couple of tables that we should not reference. 0078, abnormal flags, is referenced. There are two other tables showing 2.7, but we have not shown them in the pre-adoption list. On table 78, Riki Merrick asked it to be “Interpretation Code” not “Implementation Code.” Page, 16 1.10- should be changed, still says abnormal flags. If there is anything else that does not go into the pre-adoption section, remind Bob Yencha to include it there.
 * <span style="background: white; line-height: normal; mso-add-space: auto; mso-list: l2 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"> Cindy Johns will reach out to Virginia Sturmfels regarding her pending action items and will let Bon Yencha know her ETA on delivering them.
 * <span style="background: white; line-height: normal; mso-add-space: auto; mso-list: l2 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2; text-indent: -.25in;"> Appendix A- Parent Child Micro Relationship- needs to be modified so that it can be read as part of the general IG. All the examples will be marked as subject to change.
 * <span style="background: none repeat scroll 0% 0% white; color: black; line-height: normal; text-indent: -0.25in;">We will have a call tomorrow at 10:00 AM EDT (9/15) to wrap up any pending issues.

Next Meeting
<span style="background: white; line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2;">**Dial in:** 1-408-600-3600, **Passcode:** 662 468 694
 * Date**: 09/15/2011
 * Time: 10:00-11:00 AM EDT**

<span style="color: black; display: block; height: 1px; left: -40px; overflow: hidden; position: absolute; top: -25px; width: 1px;"> Hans Buitendijk, Kathryn Calderone, Neelima Chennamaraja, Freida Hall, Austin Kreisler, Ken McCaslin, Natalie Menser, Riki Merrick, Zeshan Rajput, Ashley Swain, Bob Yencha

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