PASMinutes2012_3_13

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**Meeting Agenda:**

 * = **ID** ||= **Key Discussion Items** ||= **Duration** ||= **Presenter** ||
 * = 1 ||= S&I Face-to-Face Meeting (April 11 - 13) ||= 5 Minutes  ||= Sue/Kris  ||
 * = 2 ||= CCD Section Assignment for New MDS Items  ||= 10-15 Minutes  ||= Sue  ||
 * = 3 ||= C-CDA Basics Presentation  ||= 10 Minutes  ||= Jennie/Sue  ||
 * <span style="font-family: Arial,Helvetica,sans-serif;">4 || <span style="font-family: Arial,Helvetica,sans-serif;">C-CDA Functional Status Updates || <span style="font-family: Arial,Helvetica,sans-serif;">30 Minutes || <span style="font-family: Arial,Helvetica,sans-serif;">Brett/Gaye ||  ||
 * <span style="font-family: Arial,Helvetica,sans-serif;">5 || <span style="font-family: Arial,Helvetica,sans-serif;">Geisinger MDS Patient Assessment Summary Questions || <span style="font-family: Arial,Helvetica,sans-serif;">5 - 10 Minutes || <span style="font-family: Arial,Helvetica,sans-serif;">Leigh Ann ||
 * <span style="font-family: Arial,Helvetica,sans-serif;">6 || <span style="font-family: Arial,Helvetica,sans-serif;">Geisinger MDS Patient Assessment Summary Demonstration || <span style="font-family: Arial,Helvetica,sans-serif;">15 - 20 Minutes || <span style="font-family: Arial,Helvetica,sans-serif;">Leigh Ann ||

<span style="font-family: Arial,Helvetica,sans-serif;">** In the encounters sections, what should be the reference for the text element as defined in the schematron assertion below? ** Error: In IHE PCC Encounters (1.3.6.1.4.1.19376.1.5.3.1.4.14), the text element shall contain a reference to the narrative text describing the encounter. Location: /ClinicalDocument[1]/component[1]/structuredBody[1]/component[1]/section[1]/entry[1]/encounter[1] Test: cda:text/cda:reference ||
 * <span style="font-family: Arial,Helvetica,sans-serif;">** Geisinger Question: **

<span style="font-family: Arial,Helvetica,sans-serif;">Attendance
<span style="font-family: Arial,Helvetica,sans-serif;">Debby Schaefer, Diana Behling, Jennie Harvell, Steven Cason, Teresa Mota, Terri Peterson, Thompson Boyd, Kris Cyr, Sue Mitchell, LeighAnn Campbell, Susan Campbell, Ed Larsen, Maria Moen, Rich Brennan, Laura Heerman Langford, Brett Marquard

<span style="font-family: Arial,Helvetica,sans-serif;">Meeting Notes
<span style="font-family: Arial,Helvetica,sans-serif;">**Note:** Face to Face information can be found on the wiki page; general agenda and link to registration are available for the group

<span style="font-family: Arial,Helvetica,sans-serif;">**Updates to MDS 3.0 –** <span style="font-family: Arial,Helvetica,sans-serif;">All Section A information had been mapped to the header, may need to address this further <span style="font-family: Arial,Helvetica,sans-serif;">Planned/Unplanned discharge will go through to the summary header <span style="font-family: Arial,Helvetica,sans-serif;">Weight gain information has been mapped to functional status (along with all of Section K) <span style="font-family: Arial,Helvetica,sans-serif;">Medication information doesn’t match the data element format, so still TBD <span style="font-family: Arial,Helvetica,sans-serif; font-size: 90%;">Therapy information has been mapped to the procedures section <span style="font-family: Arial,Helvetica,sans-serif; font-size: 90%;">Makes sense to keep mechanism of consuming the food in functional status <span style="font-family: Arial,Helvetica,sans-serif; font-size: 90%;">Section Q – participation in assessment and goal setting – had not been mapped by Lantana but will be mapped to plan of care

<span style="font-family: Arial,Helvetica,sans-serif; font-size: 90%;">**Ballot Discussion –** <span style="font-family: Arial,Helvetica,sans-serif; font-size: 90%;">Align with ONC and NQF Quality Data Model <span style="font-family: Arial,Helvetica,sans-serif; font-size: 90%;">Conform to problem and result observation – maintain backward compatibility <span style="font-family: Arial,Helvetica,sans-serif; font-size: 90%;">New templates (entry level) will focus on structure and intend to be reusable within specific instruments <span style="font-family: Arial,Helvetica,sans-serif; font-size: 90%;">MDS, OASIS, CARE and ERFPAI are the instruments for which the templates should be able to be used <span style="font-family: Arial,Helvetica,sans-serif; font-size: 90%;">The Result Organizer will group like functional status concepts in a functional status section, but could also be used in another appropriate section of any document <span style="font-family: Arial,Helvetica,sans-serif; font-size: 90%;">Ballot will include ICF and SNOMED as options for the definition of the organizer <span style="font-family: Arial,Helvetica,sans-serif; font-size: 90%;">Observation code (question) comes from LOINC; observation value (answer) comes from SNOMED <span style="font-family: Arial,Helvetica,sans-serif; font-size: 90%;">Standards use of “should” allows for slight flexibility in coding systems that can be used <span style="font-family: Arial,Helvetica,sans-serif; font-size: 90%;">Functional limitation is the most appropriate for code restriction <span style="font-family: Arial,Helvetica,sans-serif; font-size: 90%;">The recommendations for vocabulary usage is aligned with Meaningful Use <span style="font-family: Arial,Helvetica,sans-serif; font-size: 90%;">Need to understand where MU and Quality Data recommendations for SNOMED CT and functional status exist in those documents – could change language to ONC <span style="font-family: Arial,Helvetica,sans-serif; font-size: 90%;">Brett will come back next week for the full 90 minutes to continue discussion

<span style="font-family: Arial,Helvetica,sans-serif; font-size: 90%;">Note on Meeting Attachments - Basic CDA structure, “Meeting Presentation 1,” has a very high level overview

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