SME Voting logs.xlsx

	A	B	C	D	E	F	G	H	I	J	K	L	M	N	O
1	Ken	Natalee	Lisa	Jay	David	Context	Element	Case/Context	Definition 1	Definition 2	OTHER		Consensus	Note	LRN Comment

2		Definition 2	Definition 2	Definition 2	Definition 2	FHIR	onset[x]	Allergy-Intolerance	When allergy or intolerance was identified	Date(/time) when allergy or intolerance first manifest itself in the patient.			Def 2	If reaction occurred during an encounter in the course of care, onset usually = recordedDate. If reported by patient, onset may be before recordedDate.	Disagree: onset time is the date/time when the condition first biologically manifest itself in the patient.
3		Definition 3	Definition 3	Definition 1	Definition 3	FHIR	recordedDate	Allergy-Intolerance	Date first version of the resource instance was recorded	Date(/time) when the allergy was recorded in this organization's system.	Date when the allergy-intolerance was first recorded in a patient's medical record. This is not limited to a specific system's medical record.	Take to Patient Care	Def 3	If reaction occurred during an encounter in the course of care, onset usually = recordedDate. If reported by patient, onset may be before recordedDate.	Disagree: This is the time when the condition was recorded in this organization's medical record for the patient.
4		Definition 1	Definition 1		Definition 1	FHIR	lastOccurrence	Allergy-Intolerance	Date(/time) of last known occurrence of a reaction				Def 1		Agree
5		Definition 2	Definition 2	no diff	Definition 2	FHIR	reaction.onset	Allergy-Intolerance	Date(/time) when manifestations showed	The start-time Date(/time) of a particular manifestation of the allergy or intolerance.			Def 2	Earliest reaction.onset should = onset of the allergy or intolerance. If reported by patient, allergy or intolerance onset may be before first recorded reaction.onset.	Agree with mod: the start-time of a particular manifestation of the allergy or intolerance.
7		All seem correct	Definition 2	not a time	Definition 2	C-CDA	Concern.effectiveTime		Awareness of and concern for condition: usually coincides with Observation effective time	Awareness of and concern for a condition or allergy or any other problem or finding. It is the effectiveTime of the concern act, which often does, but may not always coincide with the effective time of the associated observation. The observation my have been made by someone else at a much earlier time. And the Observation.effectiveTime may be about the biologically relevant period of time when the issue or allergy was manifest in the patient.			Close		Disagree: Awareness of and concern for a condition or allergy or any other problem or finding. It is the effectiveTime of the concern act, which often does, but may not always coincide with the effective time of the associated observation. The observation my have been made by someone else at a much earlier time.
8		All seem correct	Definition 3	An Act of recognizing and noting information about the subject	Definition 3	C-CDA	Allergy-Intolerance Observation		Physiological presence, as well as can be determined	The act of observing the physiological presence, as well as can be determined. Note the performer is the person who is asserts the observation.	An Act of recognizing and noting information about the subject, and whose immediate and primary outcome (post-condition) is new data about a subject.	May need to circle back if the issue of "new" data becomes an issue.	Def 3	Not all C-CDA observations are for physiological subjects. e.g., The Advance Directive Observation describes the patient’s directives.	Agree with mod: The act of observing the physiological presence, as well as can be determined. Note the performer is the person who is asserts the observation.
9		All seem correct	Definition 3	the time at which the observation holds (is effective) for the patient.	Definition 3	C-CDA	Observation.effectiveTime			the biologically relevant time. In that case, the time of the observation act is in the performer.time.	the biologically relevant time, not the time the observation was asserted. For example, the time at which the observation holds for the patient. For a provider seeing a patient in the clinic today, observing a history of penicillin allergy that developed five years ago, the effectiveTime/low is five years ago.		Def 3
10		Definition 2	Definition 2		Definition 2	C-CDA	Reaction.effectiveTime			the relevant time when the reaction manifest itself in the patient.			Def 2
11		Definition 3	Definition 3	Definition 1		CDA	Author.time		The time during which the participant is involved in the act through this Participation.	The time when the information is recorded/updated in the record.	The time when that particular author recorded/updated information in that person's system of record.		Discuss	Can we tweek Definition 3 to indicate what information 'in that person's system of record' the author recorded/updated?	Disagree.
12		Definition 3	Definition 3	A party that originates the Act and therefore has responsibility for the information given in the Act and ownership of this Act.		CDA	Author		Represents the humans and/or machines that authored the document. [+ lower level assignments]	Represents the humans and/or machines that entered the information into the medical record which now is being exchanged in the format of a [document/section/entry/act].	Represents the humans and/or machines that records the information into the medical record.		Far Apart	Summarized by CDA Examples Task Force as: Represents the humans and/or machines that authored the [document/section/entry/act] Typically you would have these combination: performer/author informant/author	Disagree: see notes below from documentation developed in Examples Task Force https://docs.google.com/document/d/1RpZyOTgIjGabMvNHiwKqn7yY0VTzB0LAlAqhbuU92Iw/edit
13		Definition 3	All seem correct		Definition 2	CDA	performer			A person who actually and principally carries out an action. In the case of an Observation, it is the person (or organization in the case of a laboratory test result) who makes the observation/diagnosis/assertion of a problem.	A person who actually and principally makes the observation. In the case of an Observation, it is the person (or organization in the case of a laboratory test result) who makes the observation/diagnosis/assertion of a problem.		Very close	A person who actually and principally carries out an action.	Provided by Examples Task Force.
14		Definition 2	Definition 2		Definition 3	CDA	informant			An informant (or source of information) is a person that provides relevant information.	An information source for the CDA content that information source is associated with.		Close	An informant (or source of information) is a person that provides relevant information.	Provided by Examples Task Force. Note: the example of this focuses on a related person, but this could be another practitioner as well.
15		Definition 2	Definition 2			CDA	participant			Used to represent other participants not explicitly mentioned by other classes, that were somehow involved in the documented activities			Very Close	Used to represent other participants not explicitly mentioned by other classes, that were somehow involved in the documented activities	Provided by Examples Task Force.
16		Definition 3	Definition 3			CDA	dataEnterer			Someone who keys-in information that is created and authored in a system of record by someone else.			Very Close	Typically used when a medical transcriptionist enters dictated documentation or when someone keys-in information for a patient who is authoring their own personal health documentation.
17							can:enterer
18							can:author		A party that has responsibility for the information given in the resource
19							can:custodian		A partt that is the maintainer of the information
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