Card Tech Minutes 2012.04.11

Attendees

• Jason Kreuter (ACC)
• Dr. James E Tcheng (ACC) - absent
• Barry Brown (Mortara) - absent
• Anthony Scinicariello ( St. Jude)
• Bryan Jennings (Medical Micrographics)
• Duncan Wood (Medical Micrographics)
• Harry Solomon (GE)
• Nick Gawrit (heartbase)
• Paul Seifert (Agfa)
• Tom Dolan (Philips)
• Antje Schroeder (Siemens)
• Chris Melo (Philips)

Agenda

• Review supplement documentation conventions from a TF documentation alignment viewpoint
  • The editorial team have taken up some elements from the new IHE TF documentation groups WIP restructuring effort - particularly in Vol 1. As the overall IHE TF documentation work is still under construction, particularly regarding new mechanisms to document CDA-content, we are still using the existing (old) Vol 2 format for our CDA-content.
  • The editorial team have been working with Mary Jungers from the IHE Documentation workgroup and have her agreement on this approach for the Cath/EP reporting supplements.
  • From an cardiology-domain perspective, the new supplement is NOT-consistent with the existing TF and CIRC-TI-supplement. It has duplicated some vol 2 sections numbering from CIRC, and has also changed the mechanisms for organizing CDA-content to align with C-CDA conventions.
  • This inconsistency is by design based on the new direction we chose for CDA-content, and the fact that the new IHE-TF work is not finalized and we have not looked at aligning cardiology with that, including re-documenting the existing CIRC-profile .
  • in order to explain the inconsistency for supplement readers who may be familiar with CIRC implementation the request was made to align with CIRC.
  • During the discussion the comittee was divided on whether correcting this inconsistency was important to meeting the obvjectives of public comment and hence should be addressed BEFORE public comment.
  • a motion was made to - clearly document this inconsistency, but leave the section numbering as is and proceed with the current-draft documentation-convention for public comment.
  • quorum was achieved and the vote was as follows:
    • Siemens - against
    • Philips - for
    • GE - for
    • Agfa - for
    • Medical Micrographics - for
    • Heartbase - for
    • St. jude
  • we carve out some additional writing blocks for authoring (primarily Tuesday, Wednesday for EP) for during meeting
• Overview of current status and recent changes in cath report - Nick and Chris
  • Nick gave overview of complete and in-progress sections, more work expected to be done before the F2F.
  • Example of linking between procedure section with findings for presentation - target site code is key.
  • We discovered we cannot use interpretation code - we need to use observation code. We use the observation for the lesion, and we use the interpeetation is used to describe it, Harry recommends that we use subsidiary observation with e.g. has component relationship, to describe the lesion. Interpretation comes from the lab world, the vocabularly that is linked to
  • interpretation is depricated and Harry will take the action to determine how and if to use interpretation in the context of this report.