LRI+IG+Analysis+WG+Meeting+2012-03-08

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LRI IG Analysis Meeting Minutes
**__ Thursday 3/8 2:00PM ET-4:00PM ET __** ** WebEx: **** @http://www.mymeetings.com/siemens/nc/join.php?i=741301183&p=&t=c ** ** Dial-In: **** 1-888-998-2663   ** ** Access Code: **** 2410512 ** ** WebEx Passcode: **** HL7OO **
 * LRI IG ANALYSIS **

**Meeting Agenda:**
[|IG Ballot Reconciliation SPM21-24 Summary 03-06-12 - IG.docx] [|LRI_example_messages03062012.docx] [|V251_IG_SIF_LABRESULTS_R1_N1_2011SEP_consolidated-06-Mar-2012.xls] || 30 Minutes || Hans Buitendijk ||
 * < **ID** ||< **Key Discussion Items** ||< **Duration** ||< **Presenter** ||
 * < 1 ||< Wrap-Up 4 Data Usage Motions
 * SPM.22 Specimen Quality
 * SPM.23 Specimen Appropriateness
 * OBX.16 Responsible Observer
 * OBX.17 Observation Method ||< 30 Minutes ||< Hans Buitendijk ||
 * < 2 ||< Address Open Example Questions
 * [|T1.3_Sed_Rate_MAX.txt]
 * [|T1.4_Sed_Rate_Reject.txt]
 * [|T2.0_CBC.txt]
 * [|T3.0_Lipid_Panel.txt]
 * [|T4.0_Example6.2.3.1.txt] ||< 30 Minutes ||< Rob Snelick / Hans Buitendijk ||
 * < 3 ||< OBR.28 Question (See Comment #810 and #962) ||< 20 Minutes ||< Rob Snelick / Hans Buitendijk ||
 * 4 || Remaining Ballot Reconciliation Items
 * 5 || Agree to Final Edit/ Review Steps/Timeline Before Balloting || 10 Minutes || Hans Buitendijk ||

Attendance
Hans Buitendijk, David Burgess, Freida Hall, Ron Hausam, Lester Keepper, Austin Kreisler, Cynthia Levy, Ken McCaslin, Natalie Menser, Riki Merrick, Rob Snelick, Shalina Wadhwani

Action Items
//No action items at this time.//


 * MEETING NOTES: **


 * Wrap-Up Data Usage Motions SPM.21 – SPM.24 **
 * SPM.22 Specimen Quality
 * Initially requested by CDC to be RE, but with them on the Vocab call, it was concluded that it is actually not
 * Motion to change to O for both Sender/Receiver as Vocab WG could not determine why it was listed
 * Riki Merrick moves, Ken McCaslin seconds; 0 against, 0 abstain, 8 for
 * SPM.23 Specimen Appropriateness
 * This is not necessarily a CLIA requirement, but Vocabulary WG has not figured it out
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Should be considered for the future, but not now
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Motion to make it O for both Sender/Receiver
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Riki Merrick moves, Rob Hausam seconds; 0 against, 0 abstain, 9 for
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">OBX.16 Responsible Observer
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">While the director is captured, the observer is not typically collected
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">This is not a CLIA requirement
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Motion to change to O for both Sender/Receiver
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">David Burgess moves, Ken McCaslin seconds; 0 against, 0 abstain, 9 for
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">OBX.17 Observation Method
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">The actual method varies by sub-labs and is not captured currently
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">There is no CLIA requirement for this attribute, but would be good for future use
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">The method is frequently included in the LOINC code
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Motion to change to O for both Sender/Receiver
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">David Burgess moves, Ken McCaslin seconds; 0 against, 0 abstain, 9 for
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Amend to include in the comment cell (or footnote) a note that the future version will change to RE. Accepted.


 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">OBR.28 **
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Rob Snelick was not clear what the condition predicate is
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">There are a number of ballot comments related to OBR.29 (e.g. #810) that point to Comment #962 for resolution
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">However, Comment #962 doesn’t cover it
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Motion to change OBR.49 to RE to support ballot resolution, change the condition predicate on OBR.28 to “If OBR.49 is “CC” or BCC,” and that these values must be supported at a minimum with fixed value definitions of “CC-Copies Requested” and BCC-Blind Copy”
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Location of fixing values to be determined in editing process
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Concerned that we are using user define values; however, we’re defining IG specific vocabulary
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Riki Merrick moves, Ken McCaslin seconds; 0 against, 0 abstain, 9 for
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">In Section 2.17 HD-GU we constrain the 2nd and 3rd components to support only OIDs, but there is language in the usage note (last sentence) that indicates there is an exception for MSH-4
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">The only exception to the use of OIDs for the HD is for the Lab Result Receiver profile for MSH-4 (Sending Facility)
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Motion to remove “The only exception to the use of OIDs for the HD is for the Lab Result Receiver profile for MSH-4 (Sending Facility)” and remove from Table 0301 “Use in MSH-4 allowed”` for CLIA
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Austin Kreisler moves, Rob Snelick seconds; 0 against, 3 abstain, 6 for
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Also, in section 2.11 EI-NG there are two conformance statements that mandate use of OIDs for the data type flavor
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">In the NG profile, these should be unconstrained
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">This is a cut and paste error and will be resolved by the Editor
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Last hour issue ORC.2/OBR.2
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Motion to replace “Conformance Guide: Echo as received from the order” on ORC.2 with “Guidance: Resend the order number provided by the order originator, unless the order involves reflex orders and parent/child orders, in which case this field may be left blank or the same as OBR.3”
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Austin Kreisler moves, Ken McCaslin seconds; 0 against, 0 abstain, 8 for
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Motion to change Conformance Guidance under OBR.2 to “Guidance: Resend the order number provided by the order originator, unless the order involves reflex orders and parent/child orders, in which case this field may be left blank or the same as OBR.3”
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Riki Merrick moves, Ken McCaslin seconds; 0 against, 0 abstain, 8 for
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Motion to strike remaining Conformance Guidance sentences included the word “Echo” altogether
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Remove the following sentence from the opening paragraph of Section 1.5.7 “For all such data elements, the expectation is that the message will support and echo back to the content supplied by an order where designed within this guide.”
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Austin Kreisler moves, Riki Merrick seconds; 0 against, 0 abstain, 8 for
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Motion to change the term “Conformance Guidance” to “Guidance” and re-affirm that early in the guide we clarify how to use the guide
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Riki Merrick moves, Rob Snelick seconds; 0 against, 0 abstain, 8 for


 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Examples Discussion **
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Maximally Populated SED Rate Message – Final Results
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">As this example is NG, the HD data types should not use OTDs for all
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Motion to change the HD_NG.1 to C(R/O) if HD_NG is not valued, and HD_NG.2 to (R/O) with existing condition
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Austin Kreisler moves; Rob Snelick seconds; 0 against, 0 abstain, 8 for
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">SED Rate Message (No OBX segment; OBR.26 = X)
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Motion to change the HD_NG.1 to C(R/O) if HD_NG is not valued, and HD_NG.2 to (R/O) with existing condition
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Austin Kreisler moves, Riki Merrick seconds; 0 against, 0 abstain, 8 for
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Homework – everyone will look at these examples to decide which will stay in and which will go out


 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Timeline & Next Steps **
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Given the editing that needs to occur, March 21st doesn’t look promising
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">How much time should be requested for an extention?
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">OO said we should give Don at HL7 at heads up that we’ll likely need 2 more weeks, so April 9th seems like a likely day to submit
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Assuming Bob can finish updates by March 16th, participants will have 1 week to review so comments can be re-incorporated
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Next Thursday we will indicate how long of an extension we’ll need (we can fix the April 9th deadline here)
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">Hans – importance of meeting the May ballot doesn’t mean anything, we just want to make the 30 day announcement on time. Since we requested an out-of-cycle ballot, we can stay out-of-cycle
 * <span style="font-family: 'arial','sans-serif'; font-size: 13px;">The group is not concerned with the Use Case content for the purposes of the IG- beyond editorial tweaks (typos etc.) This section of the IG is complete for our purposes. No more edits outside of what has already been agreed to previously will be applied.
 * <span style="font-family: Arial,sans-serif; font-size: 10pt;">For Tuesday – examples and remaining ballot reconciliation items

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