LRI+IGs+Analysis+WG+Meeting+2011-12-08

include component="page" wikiName="siframework" page="LRI Header" LRI IGs Analysis WG Meeting 2011-12-08 URL: **[] ** Dial-in: **1-888-998-2663 ** Audio Passcode: **2410512 **, WebEx Passcode: **HL7OO **
 * __Thursday 12/08 2:00PM - 4:00PM EDT __**

**Meeting Agenda:**

 * **ID ** || **Key Discussion Items ** || **Duration ** || **Presenter ** ||
 * 1 || Ballot Reconciliation || 120 Minutes || <span style="display: block; font-family: 'arial','sans-serif'; font-size: 13px; text-align: center;">Hans Buitendijk/Ken McCaslin ||

Attendance
<span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13px;">Hans Buitendijk, Kathryn Calderone, Natalie Menser, Bob Yencha, Rob Snelick, Riki Merrick, Anne Hueber, Bob Lutolf, Brian Pech, Ken McCaslin, Ron Van Duyne, Scott Roberston,

Action Items
None at this time.

Meeting Notes

 * General Disucssion around locking of the document
 * If we freeze the current version of the IG, this will be a good place for the pilots to start
 * Get something to group before their pilot meeting next week
 * Pilot version of guide- available to pilot group a week from Friday- creating a guide that they can refer to throughout pilot process
 * Important to recognize, that some parts of the IG pilot guide may still change.
 * Go around the room to see whether the principal of locking the IG Guide today, Hans will clean up profiles, Bob will finalize changes, and by next Friday we will have a Pilots IG (everything reconciled up until 12/08) is acceptable to the group--> publish this version; the IG will continue to make changes to the master document, but this will be a snapshot for the group.
 * Imperative that Pilots test some of the things that the Vocabulary group is working on; need to make sure the profiles include the vocabulary comments as well- Riki Merrick
 * Rob Snelick would like to see how Hans re-writes the profiles; previously in disagreement
 * When is it reasonable to have next iteration? - Needs some discussion
 * Current status of where we are?- Needs some discussion
 * HIMSS- near term goal; Need baseline now; probably does not need another version between this one and HIMSS.
 * After the guide comes out on the 16th- need to plan an update for the pilots group; to detemine off-line.
 * Definiton for "laboratory" that we dealt with as a group- proposal to use CLIA defintion from Bob Yencha; derived from CLIA definition
 * Item No. 27:
 * Motion to further enhance and take the CLIA definition as a basis;
 * Bob Yencha thinks it may be most effective for this guide.
 * Insert footnote: derived from CLIA definition
 * add "animals/or other public health environments"; we may need to expand to non-humans if the ambulatory use case indicates that shift.
 * 0 Against, 0 Abstain, 9 For
 * OBR Decisions on NO. 13/54 to be discussed from OO
 * Frist took out issue on OBR13. Discussion outcome: flexibility for OBXs to be used to provide relevant clinical information; vote was to find statement not persuasive;
 * We need something flexible enough to allo codes and text; would need CRE.
 * Proposed new field No. 54- OBR49, adding two additional items to HL7 table (copies requested and blind copies)
 * Hans to forward to Bob to include relevant information
 * Use 2.7.1 definition
 * Create new line item: for OBR49
 * HL7 OO devided to remove OBR54 in favor of OBR49 with an enhanced definition
 * OBR54 is is a CWE RE, 0..1; OBR 49 should become this;
 * OBR49 needs to be changed from an O to an RE 0...* in the guide; IS to CWE_CRE (adopt v. 2.71) data type and proper flexibilty; Need to also reference the updated HL7 Table 0507. Motion to update the IG accordingly.
 * Ken McCaslin & Riki Merrick
 * 9 in Favor
 * Dispostion: V.2.7.1 Impact
 * Assigned no. 962
 * No. 376; since OBR 54 is removed and OBR 51-53 are not in v.2.5.1 we do not need to have the missing fields. - GRE
 * No. 475
 * Section 3.3.12
 * Element: "Units"
 * No. 476- added clarifying point
 * No. 305- Green
 * No. 788- see comment No. 305- Green
 * No. 789- Green
 * See No. 305
 * No. 780- Green
 * No. 334
 * Green
 * No. 563
 * Table 3-6
 * 9 in favor; green
 * No. 198
 * Re-visiting this one;
 * Table 2-33 XCN 13
 * Motion to apply to both NG and GU;
 * 9 in Favor
 * No. 912
 * Table. 2.34
 * Returned to yellow for further visiting
 * No. 963
 * Motion to change the use of "*" on EIP.1 (both GU and NG) and the * on EIP. (both GU and NG) to C (R/RE) with the predicate "If EP.1 is not valid". Remove the comments on both components (both for GU and NG)
 * EIP data type
 * No. 154
 * Persuasive with mod
 * Since OBX.3 was adjusted to CWE_CR both components were adjusted
 * No. 518
 * Persuasive with mod
 * Motion to accept in principle, but sync with other changes agreed to for this and related fields
 * No. 509
 * Motion to adjust SPRM. 17, OBR.7 and OBR.8 to indicate that Timezone SHALL be used unless it was not provided by the order placer providing specimen information or time is not included
 * Persuasive with mod
 * Question around default dates and how observation date/time is RE
 * No. 513,
 * Motion to adjust CWE to CWE-CRE
 * Motion to find non-persuasive as the base standard is CWE
 * Non-Persuasive
 * 514, 515
 * Motion to find non-persuasive as the base standard is CWE
 * Non-Persuasive
 * No. 255,256, 257,258, 259, 260, 261, 262
 * See Comment #2
 * No. 253
 * Mark as yellow
 * Vocab is following up
 * No. 501, 505
 * Mark as yellow
 * Vocab is following up
 * No. 500
 * Motion to remove this comment altogether as this is clear from the base standard

//Note: Not updating the "source of truth"//

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