TOC+Implementation+Guidance+SWG+Meeting+Minutes+4-20-2012

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**Meeting Agenda:**

 * **Topic** || **Time Allotted** ||
 * Welcome and Announcements || 10 Minutes ||
 * Outcome of MU2 Analysis || 20 Minutes ||
 * ToC IG SWG Key Activities || 30 Minutes ||

Attendance
Ashley Swain, Bebet Navia, Bob Yencha, David Tao, Ed Larsen, Emma Jones, Dr. Holly Miller, Jack Kemery, Laura Heermann Langford, Rich Elmore, Shalina Wadhwani

Action Items

 * **#** || **Action** || **Owner** || **Status** || **Due Date** ||
 * 1 || Review the "Closed Loop Referral" Clinical Scenario on the wiki prior to next week || All Members ||  ||   ||

Meeting Notes
Announcements:
 * Starting April 30th, the ToC IG SWG will occur on Mondays from 5:30 – 7:00 PM
 * Friday, April 27th will be the last time ToC IG SWG meets from 3:00 – 4:00 PM

Outcome of MU2 Analysis
 * After the F2F, the ToC group reached consensus on 6 of the recommendations going to HL7
 * At the Structured Documents meeting on April 19th, 5 of the 6 recommendations were accepted for the out-of-cycle ballot; these will be addressed in the ToC Companion Guide
 * Brett Marquard will provide an update in a few weeks on what the proposed solution from HL7 is on those 5 recommendations

ToC IG SWG Key Activities
 * The ToC Companion Guide will be the new focus of the SWG, since MU2 analysis is complete
 * In the NPRM, there were sections like care plan, goals, and patient instructions that have to be taken into consideration in the companion guides, along with updates made to the ToC CEDD
 * At the time ToC started, CCDA was still in progress; the original analysis from the formation of ToC can still be used, but instead of introducing new document types (consultation requests, discharge summaries, etc.) it makes more sense to preserve data requirements and map them to CCDA
 * The wiki page includes updates to changes in scheduling and details activities related to Companion Guide development
 * Document recommendations were started with the beginning of MU2 analysis and will align MU2 requirements with CCDA documents to determine a “goodness of fit”
 * The next focus on the group will be on developing clinical scenarios that are a part of MU2 analysis
 * The goal is to re-evaluate the data in the clinical scenarios and re-write the narratives associated with them, including a best practices document
 * Ashley will add a section to the ToC IG SWG wiki page to show clinical scenarios of a clinician requesting a consultation from another clinician – this should include examples as to whether guidance addresses clinical needs

Next Steps
 * Meredith will send another reminder next week for the Friday meeting and the new schedule
 * Ashley will post a link to the HL7 Structured Docs WG to the wiki for everyone to see the Consolidated CDA
 * Next week will look at the Closed Loop Referral – Ashley will send an email to the SWG participants that points to where this is under the “Clinical Scenarios” section

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