LRI+IGs+Analysis+WG+Meeting+2011-15-09

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LRI IGs Analysis WG Meeting Minutes
 **Time:** 10:00PM – 11:00AM EDT  **Dial-in:** 1-408-600-3600 **| Passcode:** 664 014 784.
 * Date: ** 09/08/2011

What we need to close out the guide:
 * Meeting Agenda:**
 * 1) Everything highlighted in yellow will be DELETED unless we get clarification or direction from the LRI leads to handle differently. This is typically text that seems to conflict with general design principles (See text at 1.5.3 Field Length and Truncation). In the Messages section, conformance statements that still appear in the comments column and are highlighted need to moved to new statement format then deleted (almost done).
 * 2) Green highlight indicates a broken reference to be fixed, blue highlight means the text needs to be verified and either left as-is, modified, or deleted.
 * 3) We need to close out the truncation issue (is it allowed or not? if so, is it restricted only to the one data type or do we need to put the truncation indicators back on every length that had it in prior versions?
 * 4) Section 1.7 - Do we have two actors/interfaces?
 * 5) Section 1.8.1 - remove (base spec info), keep & move note on highlighted rows being not supported to section where tables exist.
 * 6) Comments received suggest removal of "usage table" @ 1.14, if it stays need verify which columns are to remain, which should go (has 3 profiles but as Hans points out you can't send with just one or two, you must always use BASE+GU or NG + RU or RN. This table is misleading as formatted.
 * 7) CNN - Usage column is blank in the spreadsheet - default to base? 2.5 or 2.7?
 * 8) 1.14.10 ED Table - Confirm which vocab table to be used, remove note on "large number" - see comment in doc
 * 9) 1.14.15 - Need text to explain what = means in the conformance length column
 * 10) 1.14.26 SI – Sequence ID - resolve Riki's comment - But it is NOT further defined in XAD data type – do we not need to indicate, that only SAD.1 is R and the remainder is O? So if we take out here, should we break SAD out in the XAD data type, like we did for the HD in RP?
 * 11) XON - need to create alternate tables for GU/NU
 * 12) <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Messages section - NEED TO REMOVE COLUMNS FOR NG/GU throughout all tables
 * 13) <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">1.15.1 - remove this section if it is identical to base standard
 * 14) <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">1.15.2 - comparison to 2.3.1 ELR - suggest removal is it is not relevant to use of this guide
 * 15) <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">1.19 - SFT - this table is not in the spreadsheet, remove from this guide?
 * 16) <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Remove comments on all X items, replace with Not Supported (remove value sets if it will improve the table layout)
 * 17) <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">1.29 OBX.8 (abnormal flag) has usage declared as CE - Needs to be C(a/b) format.
 * 18) <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">1.31 NTE, etc. - there are a number of tables that were not in the spreadsheet, values are from the original public health guides, leave as is or should we remove the tables (if they are identical to base 2.5.1 or 2.7.1, should remove table and indicate which base to get the definitions from)
 * 19) <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Please review ALL COMMENTS in the doc.
 * 20) <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Apply remaining comments from the wiki, SDS Team & Sujansky/Moy feedback
 * 21) <span style="font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Update headers/footers other formatting

Attendance
<span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Hans Buitendijk, David Burgess, Kathryn Calderone, Neelima Chennamaraja, Robert Dieterle, Cindy Johns, Lester Keepper, Austin Kreisler, Natalie Menser, Riki Merrick, Zeshan Rajput, Jennifer Sisto, Virginia Sturmfels, David Susanto, Ashley Swain, Kathy Walsh, Bob Yencha

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 09/15/2011 || Scan the IG for any broken links and highlight them for Bob Yencha || Ashley Swain || In Progress ||  ||
 * 2 || 09/15/2011 || Update Message Element Attributes Table || Hans Buitendijk || In Progress ||  ||
 * 3 || 09/15/2011 || Confirm which vocabularies should be included in the IG || Cindy Johns || In Progress ||  ||

Meeting Notes
<span style="background: white; line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2;">** Discussion of the Implementation Guide Revisions **

Comment no. 3: We need to close out the truncation issue (is it allowed or not? if so, is it restricted only to the one data type or do we need to put the truncation indicators back on every length that had it in prior versions?

<span style="background: white; line-height: normal; margin-left: .75in; mso-add-space: auto; mso-list: l1 level1 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;">· FT is just text. **Truncation is not allowed in this guide, except for FT.** We might get feedback about some issues around conformance issue length- maybe add as concerns for notes for balloters- ask them for advice on what conformance statement lengths should be. We should include a conformance length that is a minimum- **minimally you have to support this, 64K length on FT. Let’s see what the committee’s reaction is.**

<span style="background: white; line-height: normal; margin-left: .75in; mso-add-space: auto; mso-list: l1 level1 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;">· Other question related to truncation for the C length column- **in one field we have an = sign; # and = defined in base standard; we should refer people to the base standard (v.2.7).**

Comment no. 7: CNN - Usage column is blank in the spreadsheet - default to base? 2.5 or 2.7?

<span style="background: white; line-height: normal; margin-left: .75in; mso-add-space: auto; mso-list: l0 level1 lfo2; 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;">· CNN was not in spreadsheet; was in guide from PH. If we are not using it, it can be dropped; just checked our spreadsheet, and CNN is not used as a Data type, so it must be an optional field. **REMOVE CNN DATA TYPE.**

Comment no.11: XON - need to create alternate tables for GU/NU

<span style="background: white; line-height: normal; margin-left: .75in; mso-add-space: auto; mso-list: l0 level1 lfo2; 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;">· ** Bob Yencha to create this table; it mimics XEN- HD Data Types, XON, similar fields etc; conditions follow “person” for the equivalent fields. MIMIC XEN. **

Comment no. 4: Section 1.7 - Do we have two actors/interfaces?

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo1; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· Is this guide for senders and receivers?

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level2 lfo1; text-indent: -.25in;"> o Interfaces used from a service perspective

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 1.25in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level2 lfo1; text-indent: -.25in;"> o ** THIS IS OK; yes we have two actors/interfaces. **

Comment no. 5: Section 1.8.1 - remove (base spec info), keep & move note on highlighted rows being not supported to section where tables exist.

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo1; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** Message Element Attributes- remove from document but provide clear guidance on where to find it. **

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo1; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· Austin thinks it is necessary- helps with the interpretation of some tables.

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo1; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· Bob Yencha: as written, does not give any guidance. Has been heavily modified; it does not make specifics clear- not serving its purpose.

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo1; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· Hans Biutendijk- the table needs updates; do we copy all the different versions of the guides? Do we put a pointer to v. 2.7 where it is defined, or do we copy that table from v.2.7?

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l5 level1 lfo1; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** Hans will update the table- and update the length only, for the time being; the rest of the issues we will addressed later. **

<span style="background: none repeat scroll 0% 0% white; color: black; line-height: normal; margin-bottom: 0in;">Table 3-1 Message Profile Data Types

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· Suggestion: remove columns Lab result sender, Profile GU, Profile NG.

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· This table as it stands is not entirely accurate; it has not been looked at.

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· Riki Merrick: even if we drop columns, we will still have issues with the table.

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l0 level1 lfo2; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** FINAL DECISION: TAKE TABLE OUT. **

Comment no. 10: 1.14.26 SI – Sequence ID - resolve Riki's comment - But it is NOT further defined in XAD data type – do we not need to indicate, that only SAD.1 is R and the remainder is O? So if we take out here, should we break SAD out in the XAD data type, like we did for the HD in RP?

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l1 level1 lfo5; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** THIS COMMENT GOES AWAY; resolved. **

Comment no. 8: 1.14.10 ED Table - Confirm which vocab table to be used, remove note on "large number" - see comment in doc-

<span style="line-height: normal; margin-left: .75in; mso-add-space: auto; mso-list: l1 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: -.25in;"><span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** Riki Merrick to get back response to Bob Yencha **.

Comment No. 12: Messages section - NEED TO REMOVE COLUMNS FOR NG/GU throughout all tables

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l1 level1 lfo5; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· Discussion of Section 4 messages; table 5.1 and all the tables in this section.

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l1 level1 lfo5; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· All the profiles with NG, GU have errors in them right now;

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l1 level1 lfo5; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** REMOVE THE NG/GU Columns. **

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l1 level1 lfo5; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** Table 4.1 has the same issues. Section 4, 1-15. Take out NG/GU **

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l1 level1 lfo5; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** Chapter 5- Comparison with 2.3.1 remove as well; also remove the section right above that. **

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l1 level1 lfo5; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** 1.17 goes away completely **

Comment No.15: 1.19 - SFT - this table is not in the spreadsheet, remove from this guide?

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** Need to use the IG Messaging Structure Variance Analysis Matrix Spreadsheet to make the updates. Bob Yencha will look and update tables from there. **

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· SFT stays, but some others are questionable.

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· PH made it required, but in spreadsheet SFT is defined as optional.** If it is optional we don’t include it; we only include what is required; optional- remove table from the document and refer people to base guide for more information; if it is not supported- TAKE OUT. **

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .75in; margin-right: 0in; margin-top: 0in; mso-add-space: auto; mso-list: l2 level1 lfo3; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· This new spreadsheet may resolve the C/CE issues; probably will need to have new conformance statements under the table.

<span style="background: none repeat scroll 0% 0% white; color: black; line-height: normal; margin-bottom: 0in;">Table 6-7 Patient Visit Information

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; mso-add-space: auto; mso-list: l4 level1 lfo4; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** = sign means you cannot truncate. **

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; mso-add-space: auto; mso-list: l4 level1 lfo4; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** In every place that is a primitive data type, we need to put an equal sign in there. They are the ones that do not have components in them; ST for example. **

<span style="background: none repeat scroll 0% 0% white; line-height: normal; margin-bottom: 0in; text-indent: -0.25in;"> · ** All of these will be an ‘=’. Under field segment tables for CWE, there will be ‘#’. ** <span style="background: none repeat scroll 0% 0% white; line-height: normal; margin-bottom: 0in; text-indent: -0.25in;">

** Comments from Cindy Johns **

<span style="background: none repeat scroll 0% 0% white; color: black; line-height: normal; margin-bottom: 0in;">On all optional fields, will we remove those? ** State that all you see is “required” vocabulary **.

<span style="background: none repeat scroll 0% 0% white; color: black; line-height: normal; margin-bottom: 0in;">For orders- we don’t want to suggest LOINC- there are too many unresolved difficulties. Bob Yencha will remove the HITSP link.

** Next Steps ** <span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; mso-add-space: auto; mso-list: l3 level1 lfo6; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· Bob Yencha to work through recommendations from SDS Team, remaining things from Wiki, Sujansky & Moy feedback.

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; mso-add-space: auto; mso-list: l3 level1 lfo6; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· Hans has sent replacement for definitions in an email to Bob Yencha.

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; mso-add-space: auto; mso-list: l3 level1 lfo6; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· Hans will update and re-send the chapter in its entirety regarding profiles.

<span style="background: white; line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; mso-add-space: auto; mso-list: l3 level1 lfo6; text-indent: -.25in;"><span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· Cindy Johns to send Bob Yencha any pending issues to address regarding vocabularies.

PM Meeting

 * Date: 09/15/2011**
 * Time: 1:00-1:45 PM**
 * Dial in:**<span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;"> 1-408-600-3600 **Access code:** 662 468 694


 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Attendees **

<span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">David Burgess, Kathryn Calderone, Lester Keepper, Natalie Menser, Ashley Swain, Bob Yencha


 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Meeting Notes **


 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Tara Garrison to call Bob Yencha regarding formatting issues on tables etc.
 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Any other formatting issues?
 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Small things, like page numbers, making sure all links connect properly.
 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Bob Yencha: please identify any broken links. V.5.2.2; any place you find a link, highlight it in some color so that when Bob Yencha is done with the document he can map the links appropriately.
 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Section 4, removed from document, no longer need research there.
 * <span style="color: #000000; font-family: 'Arial','sans-serif'; font-size: 13.3333px;">Ashley to identify cross references with base standards and other documents; particularly focusing on the broken links.

<span style="display: block; height: 1px; left: -40px; line-height: normal; overflow: hidden; position: absolute; top: -25px; width: 1px;"> Comment no. 5: Section 1.8.1 - remove (base spec info), keep & move note on highlighted rows being not supported to section where tables exist. <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin: 0in 0in 0in 0.75in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** Message Element Attributes- remove from document but provide clear guidance on where to find it. ** <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin: 0in 0in 0in 0.75in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· Austin thinks it is necessary- helps with the interpretation of some tables. <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin: 0in 0in 0in 0.75in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· Bob Yencha: as written, does not give any guidance. Has been heavily modified; it does not make specifics clear- not serving its purpose. <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin: 0in 0in 0in 0.75in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· Hans Biutendijk- the table needs updates; do we copy all the different versions of the guides? Do we put a pointer to v. 2.7 where it is defined, or do we copy that table from v.2.7? <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin: 0in 0in 0in 0.75in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** Hans will update the table- and update the length only, for the time being; the rest of the issues we will addressed later. **

<span style="background: none repeat scroll 0% 0% white; color: black; display: block; height: 1px; left: -40px; line-height: normal; margin-bottom: 0in; overflow: hidden; position: absolute; top: -25px; width: 1px;"> Table 3-1 Message Profile Data Types <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin: 0in 0in 0in 0.75in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· Suggestion: remove columns Lab result sender, Profile GU, Profile NG. <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin: 0in 0in 0in 0.75in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· This table as it stands is not entirely accurate; it has not been looked at. <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin: 0in 0in 0in 0.75in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· Riki Merrick: even if we drop columns, we will still have issues with the table. <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin: 0in 0in 0in 0.75in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** FINAL DECISION: TAKE TABLE OUT. **

<span style="display: block; height: 1px; left: -40px; line-height: normal; overflow: hidden; position: absolute; top: -25px; width: 1px;"> Comment no. 10: 1.14.26 SI – Sequence ID - resolve Riki's comment - But it is NOT further defined in XAD data type – do we not need to indicate, that only SAD.1 is R and the remainder is O? So if we take out here, should we break SAD out in the XAD data type, like we did for the HD in RP? <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin: 0in 0in 0in 0.75in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** THIS COMMENT GOES AWAY; resolved. **

<span style="display: block; height: 1px; left: -40px; line-height: normal; overflow: hidden; position: absolute; top: -25px; width: 1px;"> Comment no. 8: 1.14.10 ED Table - Confirm which vocab table to be used, remove note on "large number" - see comment in doc- <span style="display: block; height: 1px; left: -40px; line-height: normal; margin-left: 0.75in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** Riki Merrick to get back response to Bob Yencha **.

<span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin-bottom: 0in; overflow: hidden; position: absolute; top: -25px; width: 1px;"> Comment No. 12: Messages section - NEED TO REMOVE COLUMNS FOR NG/GU throughout all tables <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin: 0in 0in 0in 0.75in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· Discussion of Section 4 messages; table 5.1 and all the tables in this section. <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin: 0in 0in 0in 0.75in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· All the profiles with NG, GU have errors in them right now; <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin: 0in 0in 0in 0.75in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** REMOVE THE NG/GU Columns. ** <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin: 0in 0in 0in 0.75in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** Table 4.1 has the same issues. Section 4, 1-15. Take out NG/GU ** <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin: 0in 0in 0in 0.75in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** Chapter 5- Comparison with 2.3.1 remove as well; also remove the section right above that. ** <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin: 0in 0in 0in 0.75in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** 1.17 goes away completely **

<span style="display: block; height: 1px; left: -40px; line-height: normal; overflow: hidden; position: absolute; top: -25px; width: 1px;"> Comment No.15: 1.19 - SFT - this table is not in the spreadsheet, remove from this guide? <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin: 0in 0in 0in 0.75in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** Need to use the IG Messaging Structure Variance Analysis Matrix Spreadsheet to make the updates. Bob Yencha will look and update tables from there. ** <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin: 0in 0in 0in 0.75in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· SFT stays, but some others are questionable. <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin: 0in 0in 0in 0.75in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· PH made it required, but in spreadsheet SFT is defined as optional.** If it is optional we don’t include it; we only include what is required; optional- remove table from the document and refer people to base guide for more information; if it is not supported- TAKE OUT. ** <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin: 0in 0in 0in 0.75in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· This new spreadsheet may resolve the C/CE issues; probably will need to have new conformance statements under the table. <span style="background: none repeat scroll 0% 0% white; color: black; display: block; height: 1px; left: -40px; line-height: normal; margin-bottom: 0in; overflow: hidden; position: absolute; top: -25px; width: 1px;"> Table 6-7 Patient Visit Information <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin-bottom: 0in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** = sign means you cannot truncate. ** <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin-bottom: 0in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** In every place that is a primitive data type, we need to put an equal sign in there. They are the ones that do not have components in them; ST for example. ** <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin-bottom: 0in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· ** All of these will be an ‘=’. Under field segment tables for CWE, there will be ‘#’. **

<span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin-bottom: 0in; overflow: hidden; position: absolute; top: -25px; width: 1px;"> ** Comments from Cindy Johns ** <span style="background: none repeat scroll 0% 0% white; color: black; display: block; height: 1px; left: -40px; line-height: normal; margin-bottom: 0in; overflow: hidden; position: absolute; top: -25px; width: 1px;"> On all optional fields, will we remove those? ** State that all you see is “required” vocabulary **. <span style="background: none repeat scroll 0% 0% white; color: black; display: block; height: 1px; left: -40px; line-height: normal; margin-bottom: 0in; overflow: hidden; position: absolute; top: -25px; width: 1px;"> For orders- we don’t want to suggest LOINC- there are too many unresolved difficulties. Bob Yencha will remove the HITSP link.

<span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin-bottom: 0in; overflow: hidden; position: absolute; top: -25px; width: 1px;"> ** Next Steps **

<span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin-bottom: 0in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· Bob Yencha to work through recommendations from SDS Team, remaining things from Wiki, Sujansky & Moy feedback. <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin-bottom: 0in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· Hans has sent replacement for definitions in an email to Bob Yencha. <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin-bottom: 0in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· Hans will update and re-send the chapter in its entirety regarding profiles. <span style="background: none repeat scroll 0% 0% white; display: block; height: 1px; left: -40px; line-height: normal; margin-bottom: 0in; overflow: hidden; position: absolute; text-indent: -0.25in; top: -25px; width: 1px;"> <span style="color: black; font-family: Symbol; font-size: 10.0pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">· Cindy Johns to send Bon Yencha any pending issues to address regarding vocabularies.

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