Card Tech Minutes 2010.05.24.25

Attendees

• Barry Brown - Mortara
• Nick Gawrit - HeartBase
• Bryan Jennings - Medical Micrographics
• Dr. Alan Katz - ACC
• Dan Roman - ACC
• Antje Schroeder - Siemens
• Paul Seifert - Agfa
• Harry Solomon - GE

Minutes

• Cardiology Imaging Report Conent (CIRC)
  • Decided to use the following notation for optionality/cardinality:
    • R[]: Required - matches a 'SHOULD'(section/entry shall be included if cardinality is greater or equal zero, otherwise include appropriate Null value)
    • M[]: Mandatory - matches a 'SHALL' (section/entry allways has to be there, if there is no information available a reason needs to be indicated, Cardinality needs to be greater than zero)
    • O[]: Optional - matches a 'MAY' (optional data elemenent)
    • Paul to provide text for section 6.1.1. Conventions
  • Impact of Consolidation Project. Some template IDs may change but until then the existing ones are valid. We continue as planned. Impacts may occur before releasing to Final Text.
    • Add an open issue to give heads up on consolidation project
  • Key Data Elements mix procedure intent and indications. Treat Key Data Elements as intent and use indications from DICOM Stress indication.
    • Procedure intent will not be coded
  • Header elements:
    • Encompassing Encounter - mandatory. Contains specialisations for Healthcare Facility, Referring Provider, Physician of Record and Responsible party
    • Order
    • Patient Demographics
    • Service Event and Performer
    • Legal Authenticator: AssignedEntityID is mandatory, the value should be the legal authenticator national provider id
  • Sections
    • Medical History Cardiac: uses problem concern entry and a simple observation to record that there are no concerns for a specific problem
    • Family History Cardiac: Added code for family history unknown, no family history of diabetes, no history of cardiovascular disease
    • No new templates for Medications, Allergies and other adverse reactions, and coded social history. Re-use of PCC templates. Add text for cardiac constraints
    • Prior Results Cardiac
    • Cardiac Risk Assesment
    • Procedure Indications and planned procedure
      • includes a subsections for planned procedure, problem entry and Planned Procedure Activity
      • Shall require a problem entry.
      • Specialisation of relevant cardiac indications as a combination of stress and cath indications with some additions from key data elements
    • Cardiac Procedure Description - removed consitutent procedure
    • Payor - no changes from PCC
    • DICOM Object catalogue - conditional. It has no parent template but is mainly the same as in DIR. May include human readable content to indicate its link to DICOM IODs.
    • Medications adminstered: Use cardiology specific value sets
    • Key Images
    • Comparison to prior study
      • As subsection of Assesment and plan
      • Code for significant changes from prior study = DICOM code 111424. Use DICOM Value set CID 3217
    • Complications and Adverse Events - no changes from procedure note
    • Procedure findings - to be discussed in separate meeting
• EP Key Data Elements Whitepaper
  • Main use in coordination of care
  • Identify multiple levels of standards: Document (CDA), vocabulary (SNOMED, LOINC) and clincial Standards
  • Focus on what content creator needs to do. Take bindings to XD* profiles out (may be mentioned in next steps)
  • Add CIRC to references
  • Three use cases:
    • Saving of EP Lab Procedure Data
    • Data Collection for submission
    • Registry submission
    • Document to be reviewed on June 22, submission for Public Comment July 20
• Planning
  • June 1st 10 am EST 2 hours CIRC Findings
  • June 7th 2 pm EST 2 hours CIRC Introduction, open issues, Conformance definitions, Optionality
  • June 12th Harry to provide final document for committee review
  • June 15th 10 am EST 1 hour Final CIRC Discussion and voting (quorum needed)
  • June 15th Bryan to provide EP white paper for committee review
  • June 20th Document sent to Mary Jungers for publication
  • June 22nd 10 am EST 1 hour EP Whitepaper review (comments)
  • June 22nd Antje to provide 3D Echo white paper for committee review
  • June 29th 10am EST 1 hour Review of CP ballot comments, review of Trial Implementation Supplements
  • July 6th 10 am EST 1 hour 3D Echo Whitepaper review (comments)
  • July 13th 10 am EST 1 hour Vote for publication - whitepapers, updated TF and REWF supplement (quorum needed)
  • July 18th Updated documents to Mary Jungers for publication