LRI+IGs+Analysis+WG+Meeting+2011-08-16

include component="page" wikiName="siframework" page="LRI Header" =LRI IGs Analysis WG Meeting Minutes=  **Dial-in:** 1-408-600-3600 **| Passcode:** 660 071 157
 * Date: ** 08/16/2011
 * Time: ** 3:00PM – 4:00PM EDT

Attendance
Hans Buitendijk, Kathryn Calderone, Ernest Grove, Freida Hall, Lester Keepper, John King, Austin Kreisler, Ken McCaslin, Natalie Menser, Riki Merrick, Glen Moy, Brian Pech, Zeshan Rajput, Scott Robertson, Rob Snelick, David Susanto, Jonathan Tadese, Sheryl Taylor, Merideth Vida, Bob Yencha

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 08/16/2011 || Review Austin Kreisler’s Parent/Child Micro Relationship Proposal & Ken McCaslin's recommendation || All Members || In Progress ||  ||

Agenda Items

 * Starting at Sequence 3 –Related Placer Number, continue to work on conditional issues and the change from C and CE to C(A/B).
 * Discuss David Burgess’ comments on the relationships with OBR 50 in conjunction with OBR 29, 26, and other OBX Issues.
 * Complete discussion of Parent/Child Micro Relationship with Austin Kreisler.

Meeting Notes

 * **Recap of Thursday: **
 * Discussed Data Type Value Set Table
 * Discussed data elements, and new HL7 Conformance Requirement of C(A/B)
 * **Starting at Sequence 3- Related Placer Number (for each criteria, the group determined a condition predicate and conformance statements) **
 * The group referenced [|Proposal 714[1.doc]] - final proposal from HL7 to make changes to conformance statements in chapter 2B, under usage; this proposal provides examples of how we might do the conditional statements.
 * In C(A/B), A and B could be R, X, RE, or, O.
 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Related Placer Number: This is part of the TQ2 segment. Should this segment really be ‘Optional’? In reality, this segment may never be used by a lab. Since the entire segment usage is ‘Optional,’ people should refer to the standard to know how to use it.
 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">TQ2 is for the coordinating multiple orders primary use case which crops up in pharmacy and does not deal with results/laboratory.
 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Given this statement, why is it ‘O’ and not ‘X’? Did not want to exclude someone from using the segment; did not want to impose a restriction. Keeping it ‘O’ also makes it possible to capture potential order echo-back.
 * The group decided to come back to the Related Place Number for further consideration, time permitting.
 * **<span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Value Type **
 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">C (R/X) - Three conformance statements were added to this segment.
 * **<span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Observation Value **
 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">C (RE/RE) became RE after debating the condition predicates at length.
 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">General Comment: There are conditions where OBX5 and OBX8 can be empty.
 * **<span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Units **
 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">C (R,O) – currently no conformance statements recorded, but it is marked in orange for follow- up pending further discussion..
 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Not clear if this should be (R, RE); an alternative is to make it simply RE if it cannot be resolved in time.
 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">The group decided to leave this until Thursday to decide.
 * **<span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Abnormal Flags **
 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Has become RE.
 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">There are no conditionals in the SPM Segments.
 * **<span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Parent/Child Micro Relationship Discussion **
 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Reflex Test Conformance- Including Micro/Sensitivities
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">For conformance testing you need to demonstrate that you can send a proper parent/child relationship, and the EHR needs to demonstrate that they can receive this OBR.11 – G should work to make it computable to require OBR.26, 29 and 50.
 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">There was not full agreement on Austin Kreisler’s proposal. Further discussion is necessary to determine next steps. The group should look at the [| Parent/Child Micro Relationship] original proposal<span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;"> and Ken’s response [|Reflex Test Conformance 20110812.doc]<span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;"> in preparation for Thursday’s meeting.
 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">The draft version of the IG ( [|V251_IG_LB_AMBLABRPTLRI_R1_V0 2-DRAFT.docx] ) contains “Appendix A: HL7 Reporting of Cultures and Susceptibilities” on page 212, for reference in preparation for Thursday’s call.

Next Meeting

 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Date: **<span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">08/18/2011
 * <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Time: **<span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">3:00 PM-4:00 PM EDT
 * Dial in:**<span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;"> 1-408-600-3600

Reference Materials

 * 1) [|Parent/Child Micro Relationship]
 * 2) [|Reflex Test Conformance 20110812.doc]
 * 3) [|HL7251ImplementationGuidesAnalysisMatrixWorkingDocumentLRI-IG-Analysis20110816.xls]



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