ToC+Standards+Analysis+SWG+Meeting+2011-4-5

include component="page" wikiName="siframework" page="TOC Header" =ToC Standards Analysis Meeting 2011-4-5=
 * Date:** 04-05-2011
 * Time:** 1:00pm-1:30pm EST
 * Dial-in:** 1-888-998-2663 | **Passcode:** 2410512#

Attendance
Amy Berk, Jaime Estrada, Erin Grove, Anjali Gupte, Cindy Levy, Jason Mitchell, Erik Pupo, Bob Kaye, Lester Keeper, Steve Rushing, Larry Sampson, Andriy Selivonenko, Jas Singh, Greg Smith, Teresa Strickland, Jillian Wanner, Jen Williams, Bob Yencha

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 4/1/2011 || Join Wiki || all ||  ||   ||
 * 2 || 4/1/2011 || Provide feedback on Harm process & Standards Analysis SWG || all ||  ||   ||
 * 3 || 4/1/2011 || Sign up for SWG and volunteer to be a lead || all ||  ||   ||
 * 4 || 4/5/2011 || Post instructions for free access to HL7 documentation || Bob ||  ||   ||
 * 5 || 4/5/2011 || Distribute the use case || Jillian ||  ||   ||
 * 6 || 4/5/2011 || Post template to wiki || Jillian ||  ||   ||
 * 7 || 4/5/2011 || Provide feedback on template & whether it meets our needs || All ||  ||   ||
 * 8 || 4/5/2011 || Reach out to SMEs for CCR, greenCDA, and CCD || all ||  ||   ||

Meeting Purpose & Objectives
Explain ToC Standards Analysis sub-workgroup purpose, activities, and timeline; encourage participation via wiki.

Agenda Items

 * 1) Introductions
 * 2) Purpose
 * 3) Immediate Activities
 * 4) Timeline
 * 5) ToC Standards Analysis SWG Overview
 * 6) Next Steps

Meeting Notes
Reminder: We will use the weekly Harmonization call to coordinate with all SWGs.

Arien gave background information:
 * The ToC workgroup is trying to lay the framework to make sure that nationwide we can do all ToC electronically and ensure that clients receive the highest quality of care possible.
 * In this sub-workgroup (SWG) we are looking at standards, applicability, versions, etc.

Jillian presented the kick-presentation to review purpose, immediate actions, and timeline:
 * Our purpose is to bring together SMEs to determine standards and usage guides, and use this SWG to compare standards against the ToC use case.
 * The use case may have specific content; if so, we have to map those requirements against standards to determine which align. The output will be the harmonization of standards and recommendation.
 * Simultaneously going on is a consolidation project, the output of HL7, attempting to harmonize the 8 implementation guides associated with the IHE project. We can take an output of that implementation guide and other documents to consider as we try to harmonize these standards and map them back to this specific use case.
 * We need to quickly identify leads.
 * We want the community to be actively involved.

Bob Yencha:
 * We are bringing forward restraints identified by HITSP so the output of that group’s work will form the consolidated set of CDA sections and entries and document models that can be the starting point for this group’s model.
 * We can look at what other models need to be in there, look from a broader implementation perspective.
 * It’s important to look at not just what’s in the vital signs but in this transition, what sets of information do we need in each type of transition. For example, is meds always required, is problems always required, etc.
 * We’ll have a master list of known information models across the current set. We can identify those that have been consolidated, those that are slated to be consolidated, and those that are innocuous at this point.
 * If we need to get into a deep dive, we can reach out to SMEs that have a clinical background.

Arien:
 * We have 3 approaches and open to more: we need someone who can represent CCR, greenCDA, CCD.
 * Our method is to take the use case, look at the data for that use case, and look at how that would get represented in a concrete form.

Bob can help with greenCDA, but we will need to recruit someone stronger in the CCD and CCR areas.

Lester Keeper:
 * Lez agreed with the approach. He has seen, from talking to people in different states, that there’s a tremendous diversity of practice.
 * He pointed out the importance of having an action and actor audit trail to document who does what in every step of the entire process. This will help overcome situations involving ambiguous meanings (e.g. “shall” versus “will”) or who said what.

Jillian: o Everyone should feel free to comment on the wiki as well if they don’t feel comfortable talking on the call. o Jillian is going to distribute the use case. o Everyone should get ideas about which standards meet those requirements so we can get the mapping. o Jillian will post the template to the wiki; everyone should provide feedback on whether it meets our needs. o The next step will be gap analysis between current standards and use requirements.

Bob:
 * Bob/team will post instructions for how everyone can sign up for free to access HL7 documentation.

Jamie Estrada:
 * Jamie has an issue logging into the Wiki and is working with his IT team to resolve it. He will email Jillian if he needs further help.

Arien reiterated the next steps:
 * We will work between now and next week’s meeting to make sure that we have SMEs identified for CCR, greenCDA, and CCD.
 * Everyone should reach out to anyone they may know who could be a possible SME.

Next Meeting

 * Date:** 4/12/2011
 * Time:** 10:00am-11:00am EST
 * Dial in:** 1-866-816-4209 | Pass code: 398079

Reference Materials

 * 1) ToC Architecture Kick-Off Presentation (http://wiki2.siframework.org/file/view/20110405%20ToC%20Architecture%20SWG%20Kick-Off.pdf)

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