From: "Dolin,Robert H" <>
To: "'HL7-StrucDoc'" <>
Subject: Minutes :: Aug 21, 2001 SDTC Teleconference
Date: Wed, 22 Aug 2001 07:39:03 -0700
X-Mailer: Internet Mail Service (5.5.2653.19)
List-Unsubscribe: <mailto:>
Reply-To: "Dolin,Robert H" <>
x-precedence: bulk
Sender:
Greetings,
Here are the minutes from today's teleconference:
Attendees: Bob Dolin, Liora Alschuler, Anon Shabo, Flora Gilvoa, Calvin
Beebe
1. Meeting date/times
Tues 8/28 07:30-09:00 PST
Fri 9/7 07:30-09:00 PST
Thurs 9/13 07:30-09:00 PST
Thurs 9/20 07:30-09:00 PST
Dial-in#: 952-556-2822
Passcode: 5405574 (Same passcode for all SDTC calls from now on)
2. Discussion of Level Two vs. Level Three
We continued our discussion of Level Two vs. Level Three and reviewed the
revised statement of requirements. We discussed context, how we represent
existing requirements (such as - what is required to enable a
transcriptionist to utilize CDA, what do we need in CDA to capture the
output of today's structured document editors), how to take advantage of
existing standards (CEN, GEHR, DICOM).
We discussed the grey area - documents with coded sections, and limited
fielded data - such as vital signs - and whether we consider these Level Two
or Level Three. Regardless of what we call it, we'll plan on developing a
vital signs template (as an R-MIM and possibly using some other
representation). We'll explore treating this vital signs template as a CDA
Entry, and indicating the specific CDA Structures (such as the Vital Signs
section) that this Entry is allowed to occur in.
CDA does define a mechanism for wrapping observations in a context. Exactly
what the nature of that context will be (and what attributes it will
contain) will need to be carefully considered, as will the inheritance
rules.Currently CDA structures contain entries, and we have defined a
limited number of entries. We may have more and more entries defined - as
R-MIMs or templates or what-have-you. Advanced levels of CDA will specify
the specific entries that can be used in the various structures. Both
structures and entries can have a context, which if used, are assumed to be
used correctly with assured safety.
Liora will repost revised Level Two and Level Three requirements based on
the discussion.
3. Compound documents:
Awaiting a set of use cases / requirements from Simona Cohen for compound
and successive documents to the listserver.
4. Deferred items:
o Region of Interest :: We'd like to enhance the CDA by enabling the ability
to explicitly reference regions of interest within an image.
o HTML Link types vs. Act_relationship.type_cd (vs. XLink) :: Should we
merge the CDA Link functionality into the Act_relationship class?
o Non-clinical document type (such as consents to view information/privacy,
advanced directives, living wills)
o October meeting planning
Take care,
Bob