Use+Case+Simplification+Meeting+Summary+F2F+2011-06-14


 * Date:** 06/14/11
 * Name:** Use Case Simplification Session Face-to-Face Meeting Agenda


 * Agenda/ Objectives:**
 * DRAFT Data Element Sets
 * Case Simplification Face to Face Overview, including Data/Action Drill Down Proposal

__Panelist Attendees:__ Gary Dickinson, John Donnelly, Amy Berk, Ed Larsen
 * Attendees:**

__Sub-Workgroup Attendees:__ TBD

Luanne Whittenburg || n/a || 6/23/11 ||
 * Action Items:**
 * **Action Item** || **Next Steps / Status** || **Lead** || **Contributors** || **Due Date** ||
 * Change language of Action Category table to say either: “Creating Clinical Summary”, “Clinical Summarization” or “Generate Clinical Summary” || In Progress || John Donnelly/ Gary Dickinson || n/a || 6/23/11 ||
 * Coordinate with Luann Whittenburg to include nursing requirements and data elements into the matrix || In Progress || Amy Berk,
 * Open up the Matrix and other UC Simplification documentation for comments until Wednesday June 22nd to discuss during the June 23rd meeting. || In Progress || Support Leads || n/a || 6/22/11 ||


 * Notes from Discussion:**


 * __Use Case Simplification Overview:__**
 * The concept follows the NIST hierarchy
 * Some data elements are very granular, therefore the “data elements set” is the name that is used to transcend through situations
 * The common requirements are linked to pre-conditions and/or assumptions


 * __Core Matrix Spreadsheet__**
 * The Use Case Simplification group has identified a sample set of actions that alludes to certain events (examples of how we might take this approach)
 * Some of the scenarios have a natural termination point that is indicated within the spreadsheet.
 * The matrix breaks down the User Stories for ToC, LRI and hopefully will be used as a model for future Initiatives
 * Also sometimes adds suggestions for new steps
 * Common Actions Table (tab 1)
 * Clinical summary is listed as an action which may be misleading.
 * Suggestion was to change this “Action Category” to, “Creating Clinical Summary”, “**Clinical Summarization**” or “Generate Clinical Summary”
 * ISO 10484 is action related so it could potentially be included in here.
 * Common Data Elements Set (tab 2)
 * Additional DESs will be updated over time
 * Cross Initiative Data Analysis (tab 3)
 * Identified groupings of data (DESs)
 * This analysis is meant to demonstrate how to get from the data to standards
 * Starting to associate concepts from the Workgroups to the data element level
 * C154 is a way of defining a certain module of data but for clinical exchange they might use the same module with different coding
 * Data Element Set Spreadsheet
 * This morning the DES SWG resolved all discrepancies
 * The Use Case Simplification group will look at our templates to see if there are any gaps that this group comes back and says that they don’t need.
 * Consultation note vs. Consultation summary
 * The point that was made about the distinction between these two documents is that, it will always be the sending physician that selects the data elements that should be sent (outside of the core).
 * Action Drill down
 * Actions are specific steps (at the event level) or sub-steps which tie to specific system functions
 * Componentization and Re-Use Candidates
 * Throughout this initial set of work, the group has recognized and identified many components.
 * Overall there are less than 50 data sets (about 4 dozen sets)


 * __Next Steps / Needs__**
 * The goal is to be able to build a catalog so the elements can be maintained and accessed in the future
 * Participants would then be able to take existing and/or new use cases and build from that core set of elements that will be built over time.
 * Some participants were questioning the conditions and context around the choice of data elements (pediatrics vs. geriatrics etc)
 * In the Use Case there are pre-conditions, post conditions and triggers. A lot of them are security and privacy related which map back to some of the actions that Gary shared. These are what’s leveraged in order to create the list of data elements
 * Again, the goal of this workgroup would be to look at the common pre-conditions, post conditions and triggers in order to create a template that can be applied to all Use Cases
 * At this point, the group has taken the transition of care pre/post conditions and mapped them to current requirements and noted what the common actions are that will fulfill these assumptions.
 * Workgroup decided to open up the matrix for comments for another week, hoping that after the exposure during the Face to Face, a broader audience will comment on the work that’s been completed.
 * They would like to get a version 1.0 completed with the DES Spreadsheet which will anyway evolve over time.
 * Comments should be captured by COB Wednesday, June 22nd.
 * Hoping for a broader community to respond on this work
 * Amy will work with Luanne to identify data elements related to Nursing so they are included within the products of the UC Simplification WG efforts
 * The next efforts for this Use Case Simplification group will focus on the Glossary across UCs, Stakeholders that across UCs, and the overall Use Case format.