TOC+Implementation+Guidance+SWG+Meeting+Minutes+8-06-2012

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**Meeting Agenda:**

 * Welcome & Announcements
 * Companion Guide Outline
 * Homework Assignments

Attendance
Ashley Swain, Bob Yencha, Brian Ahier, Cyndalynn Tilley, David Tao, Ed Larsen, Emma Jones, Jennifer Sisto, Lindsey Hoggle, Robin Barnes, Russ Leftwich, Russ Ott, Scott Zacks, Shalina Wadhwani

Action Items

 * **#** || **Action** || **Owner** || **Status** || **Due Date** ||
 * 1 || Send feedback on any portions of the Companion Guide that are missing || WG Members ||  ||   ||
 * 2 || Review Sections 1 and 6 of the Companion Guide, posted to the wiki || WG Members ||  ||   ||
 * 3 || Assist in the development of the Companion Guide Appendix || Brian Ahier ||  ||   ||

Meeting Notes

 * Welcome & Announcements**
 * The S&I Framework is updating the wiki and migrating their pages, but ToC has requested that it be the last initiative to be affected


 * Companion Guide Outline**
 * The official title is to be determined, but the WG is considering “The Transitions of Care Companion Guide to Consolidated CDA for Meaningful Use Stage 2”
 * Nearly all section are being drafted based on material previously posted to the wiki
 * When the companion guide is assembled, it will undergo a review and consensus process
 * One topic that is still being discussed is how to represent “not clinically relevant” data at the sender’s discretion
 * The WG leads are looking for feedback on Section 1, the introduction
 * Section 2 discusses general consolidated CDA guidance, including: human-readable rendering of documents, inclusion of optional sections, transitions and multiple documents, migration strategies, and clinically relevant data
 * Material reviews for this section are expected the week of August 13th
 * Section 3 discusses implementing MU2 requirements and the MU2 Summary of Care Record section and entry-level guidance
 * Material reviews for this section are expected the week of August 13th
 * Section 4 discusses Consolidated CDA document alignment and the goodness of fit
 * A draft for this section is in progress; material for reviews are expected the week of August 13th
 * Section 5 discusses the ToC Initiative recommended approach, including: implementation for Eligible Providers using CCDA CCD document type, implementation for Eligible Hospitals using CCDA Discharge Summary document type
 * A draft of this work is included in the Body Constraints document; materials for reviews are expected the week of August 13th
 * The appendix includes clinical best practices; this is not CCDA guidance, but captures key concepts of the initiative, or placeholders for future discussions
 * Clinically relevant information does not necessarily have to be included as part of this analysis
 * The companion guide will include information on the summary of care record and the patient
 * Patient instructions are built into the Summary of Care Record as content under “Care Planning”


 * Homework Assignments**
 * If there are pieces of guidance that are missing, WG members should send feedback to the leads or support team
 * The Working Draft wiki page includes 2 sections for review: Section 1 and Section 6; additional sections will be out by August 13th
 * The goal is to have a completed draft by August 17th
 * Brian Ahier will assist David Tao in developing the appendix

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