1. HL7 Working Group Meeting RCRIM Technical Committee
January 15, 2008
Ballot Reconciliation Meeting Notes
Ballot Tally & Reconciliation
CTLaboratory Release 3 / HL7 Version 3 Standard: Periodic Reporting of Clinical Trial Laboratory Data, Release 2; Abnormality Assessment Extension
A_AbnormalityAssessment CMET universal (COCT_RM420000)
Vocabulary
Next Steps

2. HL7 January 2008 WGM | Ballot Reconciliation
Ballot Tally
CTLaboratory Release 3
Quorum achieved
% affirmative achieved
Affirmative ballots: 38
Negative ballots: 0
Abstain with comments: 1
Abnormality Assessment CMET
Quorum achieved
% affirmative achieved for provisional pass
Affirmative ballots: 35
Negative ballots: 7
5 refer to same issue
1 refers another CMET
1 refers to comments by another voter, who voted Affirmative, no comments
Abstain: 6
No return: 3
January 15, 2008
HL7 January 2008 WGM | Ballot Reconciliation

3. Ballot Reconciliation: Abnormality Assessment CMET
Negative – Minor
AbnormalityAssessment.code* CD CNE
Proposed: AbnormalityAssessment.code* CD CWE
Comment: CNE inappropriate for universal realm in this context.
January 15, 2008
HL7 January 2008 WGM | Ballot Reconciliation

4. Ballot Reconciliation: Abnormality Assessment CMET
Recommended Disposition
Persuasive
Change coding strength: AbnormalityAssessment.code* CD CWE
January 15, 2008
HL7 January 2008 WGM | Ballot Reconciliation

5. Ballot Reconciliation: Abnormality Assessment CMET
Affirmative – Suggestion
Code on the observations do not have their domains constrained. Suggest proposing new domains for AssessmentException.code, AbnormalityGrade.code, and GradeAnnotation.code (perhaps they should be constrained to fixed values if I understand this correctly).
Recommended Disposition: considered for future use
Affirmative – Question
Is SC really appropriate here? The focus is on the string, the code is really optional information). SC is normally used where coding is exceptional, and code is frequently a local code (this from the ADT Spec). I would think you always need a code, and the text may be optional (and in that case the originalText field of CD would be used.
Recommended Disposition: not persuasive
January 15, 2008
HL7 January 2008 WGM | Ballot Reconciliation

6. Abnormality Assessment CMET: additional items for re-ballot
Appendage ActRelationship: reverse direction (based on HL7 RIM definition of APND ActRelationship
Add support for capturing performer/author of the abnormality assessment
January 15, 2008
HL7 January 2008 WGM | Ballot Reconciliation

7. Abnormality Assessment CMET Vocabulary
Vocabulary needs met through
Existing concepts in the HL7 RIM
Existing and new concepts within the NCI Thesaurus
New draft terminology subset is being created in the NCI Thesaurus. Proposed terminology name: RCRIM Abnormality Assessment Terminology
Terminology subset consists of five code lists containing existing and new proposed concepts.
January 15, 2008
HL7 January 2008 WGM | Ballot Reconciliation

8. HL7 January 2008 WGM | Ballot Reconciliation
Next Steps
CT Laboratory Release 3
Announce intent to ballot Implementation Guide
Identify early adopter of DSTU and commence testing and implementation
AbnormalityAssessment CMET
Determine re-ballot timeframe
Announce intent to ballot Implementation Guide
Identify early adopters and commence testing and implementation
January 15, 2008
HL7 January 2008 WGM | Ballot Reconciliation