TOC+Implementation+Guidance+SWG+Meeting+Minutes+7-23-2012

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**Meeting Agenda:**

 * Welcome & Announcements
 * Document Constraints
 * Implementation Guidance Fact Finding
 * Homework Assignments

Attendance
Ashley Swain, Ed Larsen, George Cole, Holly Miller, Meredith Lewis, Serafina Veraggi, Herminio Navia, Robin Barnes, Jennifer Barrett, Emma Jones, Lindsey Hoggle

Action Items

 * **#** || **Action** || **Owner** || **Status** || **Due Date** ||
 * 1 || Add "generating guidance on the plan of care" to the fact-finding activity || All Members || In Progress || 07-30-2012 ||
 * 2 || Review the items listed on the Companion Guide Working Draft page under "Feedback Requested" || All Members || In Progress || 07-30-2012 ||

Meeting Notes

 * Ashley Swain reviewed the body constraints for the Transitions of Care recommendations
 * Originally, the Initiative wanted to create a C-CDA header, but due to the updates made to the C-CDA, it is no longer necessary.
 * By way of example, Ashley reviewed the constraints on "Advance Directives," and other section-level templates.
 * The group discussed "should" as a constraint on "Advanced Directives." This is not readily captured in current clinical workflow, therefore, it is a "should."
 * The key data has to be selected very carefully, but there needs to be a simply process for ensuring this happens effectively.
 * For all "shalls," null values should be included, unless the document forbids the use of a null at certain levels.
 * For plan of care, the data is captured in narrative form. Generating guidance on the plan of care - add to fact finding activity.
 * The group did not have time to cover the fact-finding activity.

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