TOC+Implementation+Guidance+SWG+Meeting+Minutes+6-13-2012

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**Meeting Agenda:**

 * Announcements
 * Mapping of Clinical Scenarios
 * Next Steps

Attendance
Ashley Swain, Bob Yencha, David Tao, Holly Miller, Jennifer Barrett, Meredith Lewis, Robin Barnes, Russell Leftwich, Shalina Wadhwani

Action Items

 * **#** || **Action** || **Owner** || **Status** || **Due Date** ||
 * 1 || Determine how immunization history is represented in CCDA || Ashley Swain ||  ||   ||

Meeting Notes

 * Announcements**
 * This additional time slot will be on the call for the next few weeks to finish requirements mapping over clinical scenarios


 * Mapping of Clinical Scenarios**
 * On Monday we left off with Medication Lists, so today we are starting with Allergies and Intolerances
 * Meredith Lewis added the comments and notes from David Tao’s latest version of the spreadsheet
 * The clinical scenarios in the Discharging Physician in Hospital Setting to PCP category that were unchanged in the workbook include Allergies and Intolerances, Problem List, Reason for Consult Request,
 * Invasive and Non-Invasive Procedures, General Results, were changed to X+/-
 * Reason for Consult Request, Consult Assessment and Plan Recommendations (but need to ensure there is a hospital equivalent, as this category implies an ambulatory requirement), were changed to remove all X’s
 * In Admitting and Discharging Diagnoses, the Reason for Admission and Patient Conditions cover the requirement for encounter diagnoses in the hospital setting (see line 119)
 * Immunization history was changed from an “A” priority element to a “B” priority element; this should include immunizations that were administered during the encounter, e.g. hospitalization and all relevant data
 * Also included a comment that Hospital Discharge should not include the immunization history and should be limited to the immunizations administered during the encounter
 * Ashley Swain will consult with Bob Yencha to determine how this is represented in CCDA
 * The workbook now indicates that history is not to be included as part of the hospital discharge
 * In-Patient Setting Only and Clinical Instructions are now included in Patient Instructions, and the rest of the data elements were changed to X+/-
 * The WG also added 3 data elements: care plan, future scheduled tests, and future appointments
 * The WG will review how these elements are defined in CCDA
 * Behavioral Health will be deleted as those items will be covered elsewhere


 * Next week the WG will pick up the discussion at Encounter Care Team Members


 * Next Steps**
 * Next week the group will begin to work on the Goodness of Fit and map them to the clinical scenario requirements

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