LRI+IG+Analysis+WG+Meeting+2011-6-9

include component="page" wikiName="siframework" page="LRI Header" =LRI IG Analysis WG Meeting Minutes=
 * Date:** 06/09/2011
 * Time:** 3:00PM-4:00PM EDT
 * Dial in:**1-408-600-3600 **Passcode: **660 803 128
 * Meeting Agenda:** IG Analysis Meeting Agenda 06-09-2011

Attendance
Jitin Asnaani, Tom Boal, David Burgess, Kathryn Calderone, Steve Carter, Robert Dieterle, Ernest Grove, Freida Hall, Kate Hamilton, Cheryl Liu, Ken McCaslin, Natalie Menser, Riki Merrick, Brian Pech, John Ritter, Smriti Singal, Rob Snelick, Lester Keepper, Bob Yencha

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 06/09/2011 || Revisit several categories from the Patient Identification Segment, Patient Visit Segment, ORC, and OBR that need validation. || All || Open ||  ||
 * 2 || 06/09/2011 || Review Matrix that will be uploaded to the Wiki prior to Face-to-Face. || All || Open ||  ||
 * 3 || 06/09/2011 || Fill out all the categories that are clear on the Matrix. || Ken McCaslin || Open ||  ||
 * 4 || 06/07/2011 || Determine whether to pre-adopt V.2.7 for Patient Name, and decide what the rules are. || All || Open ||  ||
 * 5 || 06/07/2011 || Further discuss UCUM designation for Specimen Collection Amount. || All || Open ||  ||

Agenda Items
>
 * 1) Discuss the Implementation Guides Analysis Matrix Working Document
 * 2) Discuss the IG Policy Variance Analysis
 * 3) Review any updates or information regarding the F2F next week

Meeting Notes
The review of the HL7 2 5 1 Implementation Guides Analysis Matrix Working Document started at “Birth Place”- Patient Identification Segment (AF, 64). To view the updates made to the Matrix, please refer to the Matrix itself (link provided under References, below).

The discussion below will call out the areas of the segments that resulted in discussion or will warrant further discussion during the Face-to-Face meeting in Washington D.C. next week. Patient Identification Segment Patient Visit Information Segment
 * Citizenship: O, 0..*- Zero to Many
 * An individual can have more than one citizenship
 * Species Code- General consensus for X, 0..0.
 * Frieda Hall raised the question of whether or not this category falls into the scope of outpatient ambulatory care
 * The only time really we might consider this would be in relation to a rabies test.
 * Assigned Patient Location: C, 1..1
 * Note made that it can be clinic or department for patients other than in-patient
 * The categories related to debt stimulated much discussion that will be continued as part of the Face-to-Face Meeting (Transfer to Bad Debt Date, Bad Debt Agency Code, Bad Debt Agency Amount, Bad Dept Recovery Amount, Delete Account Indicator, Delete Account Date):
 * These categories are unclear and need further investigation; it seems that in HITSP, Bad Debt Agency Code is not supported, but Transfer to Bad Debt Date is.
 * One proposal is to wait until we get a use case and we could then determine whether to make these categories something other than X.
 * Another proposal is to keep these categories the same as the HITSP Guide.
 * Freida Hall: “I would not really on results from LAB to determine what to do with bad debt; the lab sending this info does not make sense. Whoever is getting the results or collecting the payment would be concerned with this data.”
 * These categories have been marked “Need to Validate” and will be discussed during the Face-to Face.
 * For now, they have been noted as O, 0..1.
 * Discharge Disposition RE, 0..1
 * The group was not sure if this category applies to ambulatory care
 * Another set of categories warranting further discussion next week are Current Patient Balance, Total Charges, Total Adjustments, and Total Payments
 * In the past, this information has not been sent, so if we were to start sending it now, who will actually find it valuable/pay attention to it?

Patient Visit-Additional Information Segment
 * Previous Treatment Date needs further discussion
 * The ELR Guide suggests it is optional – Needs validation
 * First similar illness date also needs validation

5.8 ORC- Common Order Segment
 * Place order number
 * HITSP and ELINCS guides are not in agreement: Decide to go with CE, 0..1
 * Place group number: After vote- RE, 0..1.
 * RE in the ELINCS guide
 * Votes (4 RE, 1 R):
 * Ordering provider: O, O..*
 * Need to validate- See ELINCS OBR 16
 * Ordering Facility Name, Ordering Facility Address, Ordering Facility Phone Number, and Ordering Provider Address all need further validation
 * Need to validate whether they are R or O and their cardinality

5.9 OBR- Observation Request Segment
 * Place Order Number (RE, O..1)
 * We are saying that OBR and ORC should be consistently the same
 * Specimen Action Code
 * Need to Validate this at the Face-to-Face Meeting next week
 * Order callback number
 * Should be RE; for public health world it would be nice to call providers to find out more information
 * Same as ORC 17
 * Its RE in ELR- would like validation; will discuss next week.
 * Filler Field 1 and 2 also need validation
 * Discussed further next week

Our discussion next week at Face-to-Face will start with “Charge to Practice +”. The matrix will be posted on the Wiki in advance of next week’s meeting; during our meeting we will have to complete the blank categories and revisit the ones marked “Need to Validate.”

Ken McCaslin will fill out all the categories that are clear; those that have a discrepancy between HITSP and ELINCS will be left for discussion with the group. Members are requested to review the matrix prior to our meeting next week.

Next Meeting
Our regularly scheduled meeting on Tuesday June 14th will not occur. Instead, discussion will take place the 14th and 15th at the F2F meeting.

Reference Materials

 * 1) [|HL7 251 Implementation Guides Analysis Matrix Working Document LRI IG Analysis 20110609] - This document includes the results of this meeting and is the document Ken McCaslin was actively updating throughout the call.

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