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Facilitator:

Austin Kreisler


Date:


Call Details:


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Zoom Information

https://us02web.zoom.us/j/465862913?pwd=cUllR1BndVpYNVpyR3dzc3VIUERTZz09

Meeting ID: 465 862 913

Passcode: 310940

Phone Information:

+1 312 626 6799 US (Chicago)
+1 929 436 2866 US (New York)
+1 301 715 8592 US (Germantown)
+1 346 248 7799 US (Houston)
+1 669 900 6833 US (San Jose)
+1 253 215 8782 US (Tacoma)
Find your local number: https://us02web.zoom.us/u/kb1hK2eKvz




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Agenda:


10:00am ET

  1. Call to order 
    1. Call for Attendance


  2. Business Updates (10 min)
    1. Additions/modifications to the agenda
    2. Approve minutes from 2020-07-30 Agenda and Minutes

    3. HL7
  3. External Updates - ONC and others
  4. Project Updates
    1. Value Set Issues

      1. see 11:00am
    2. Provenance
    3. Other Project Updates
  5. Additional Items
    1. HAI Companion Guide - COVID module David DeRoode
    2. David Riddle Question about RelatedSubject in C-CDA. In CDAR2_IG_CCDA_CLINNOTES_R1_DSTU2.1_2015AUG_Vol2_2019JUNwith_errata.pdf, the Fetus Subject Context Template and the Family History Organizer Template introduce the RelatedSubject. 
      1. In CDA 4.3.3.3, subject is defined and it states: "The subject participant represents the primary target of the entries recorded in the document. Most of the time the subject is the same as the recordTarget (see recordTarget (§ 4.2.2.11 )), but need not be, for instance when the subject is a fetus observed in an obstetrical ultrasound."

      2. "The subject participant can be ascribed to a CDA section or a CDA entry. It propagates to nested components, unless overridden. The subject of a document is presumed to be the patient."
      3. "A subject is a person playing one of several possible roles (RelatedSubject class). The entity playing the role is a person (SubjectPerson class)."
      4. Is it possible to override the subject of an entry anywhere in the document? Is this something that the receiver needs to look for?
    3. WGM Agenda
      1. 2020 September SDWG WGM Agenda
        1. Payer section discussion @  the WGM - joint with who? (Linda Michaelsen)
        2. Any Doodle Poll requests still needed? Instead of the usual request for meeting room space, this email is asking Co-Chairs to submit the days/times that they’ll meet based on 2-hour time slots via a Doodle Poll (https://www.doodle.com/poll/crgmir8dzh8x7f44).  The deadline to submit this information is Friday, August 7th.
  6. STU Comments

11:00am ET

  1. Value Set Updates
  2. Value Set STU Comments
    1. #nnnn
  3. Adjournment

Notes/Minutes:


  1. Call to order 
    1. Call for Attendance

  2. Business Updates (10 min)
    1. Additions/modifications to the agenda
    2. Approve minutes from 2020-07-30 Agenda and Minutes

      1. Approved by general consent.
    3. HL7
  3. External Updates - ONC and others
    1. ONC - the tech forum is up and you can register now
  4. Project Updates
    1. Value Set Issues

      1. see 11:00am
    2. Provenance
    3. Other Project Updates
  5. Additional Items
    1. HAI Companion Guide - COVID module Sarah Gaunt
      1. Wants to add two questions to the form, results in one new template in the CDA IG. The templates that are in the companion guide are going to ballot in January. One new template answers both new questions on the form.
      2. Companion guide is specific to the COVID uses-case.
      3. Will provide a link to this companion guide document (published by NHSN) once it's on NHSN's website. Can't upload to HL7's website(s) because it is not an HL7 artifact.
    2. David Riddle Question about RelatedSubject in C-CDA. In CDAR2_IG_CCDA_CLINNOTES_R1_DSTU2.1_2015AUG_Vol2_2019JUNwith_errata.pdf, the Fetus Subject Context Template and the Family History Organizer Template introduce the RelatedSubject. 
      1. Wants to confirm with SDWG that he is treating subject/relatedSubject correctly. Explained how subject/relatedSubject is used in his use-case. Trying to refine logic for making sure the related person is not the same as the subject.
      2. Calvin: re-state subject at lower-level (entries).
      3. Austin: can't do much more than match patients on things that aren't very reliable, such as telecom, address, etc.
      4. No decisions made at this time. Will continue this discussion with other groups, as well.
    3. WGM Agenda
      1. 2020 September SDWG WGM Agenda
        1. Reviewed agenda.
        2. Announcement sent out about Plenary. Starting at 10a ET on Monday. Plenary continuing Wednesday at 4p ET.
        3. Planning to request Monday 2-4 slot for joint FHIR-I, about CCDA-on-FHIR.
  6. STU Comments
    1. Comment 1986: Classic problem of how to handle missing data that the template requires. The template would require a redesign to handle the missing data issue.
    2. Comment 1996: The provenance template has the language/text in the description enabling something that the template does not support in constraints and schematron.
      1. Didi is concerned about the guidance of this template changing. Will be monitoring this issue closely.
      2. Going to schedule more time to discuss this where Brett Marquard can be involved, since this is related to Provenance.
    3. Comment 1998: 5 primitive constraints have schematron with "not(.)" that should be evaluated to determine if a schematron expression can be created for them, or if they should not be tested (using "not(tested)").

11:00am ET

  1. Value Set Updates
  2. Value Set STU Comments
    1. #nnnn
  3. Adjournment


 


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