Card Tech Minutes 2010.05.24.25

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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