ToC+Standards+Analysis+WG+Meeting+2011-06-29

include component="page" wikiName="siframework" page="TOC Header" =Standard Analysis WG Meeting Minutes=
 * Date: 6-29-2011**
 * Time:** 1:00-2:00pm EDT
 * Dial-in:** 1-408-600-3600 **Passcode**: 665 306 235
 * Meeting Agenda: Click here for the agenda!**

Attendance
Robin Barnes, Amy Berk, Amy Brantley, John Donnelly, Emma Jones, Lester Keepper, Diana Massey, Andriy Selivonenko, Dave Shevlin, David Susanto, Steven Waldren, Liz Westbrook, Bob Yencha

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 06-29-2011 || Review various templates in Content Module Index and determine if there are any disconnects in representing the core data elements || All || Open ||  ||
 * 2 || 06-29-2011 || Start work on the first piece of association to ensure its reflected in Content Module Index || John Donnelly || Open ||  ||
 * 3 || 06-29-2011 || Provide feedback on latest version of Content Module Index on specific templates once association process is completed by John Donnelly || All || Open ||  ||

Agenda Items

 * 1) Welcome and Announcements (Meredith Lewis)
 * 2) Review Content Module Index (John Donnelly)
 * 3) Update on CIM Vocabulary WG and Modeling SWG (Vassil Peytchev; Meredith Lewis)
 * 4) Next Steps (John Donnelly; Meredith Lewis)

Meeting Notes
Q. Are we going to start differentiating when it comes down to what is required in exchange? Do we need to support multiple needs? How far and under what conditions do we fragment? E.g. SNOMED, translate function, HITSPE
 * Content Module Index** (Version 6/26 (reviewed by John Donnelly))
 * Nursing informatics WG (CCC) column added to Section Consolidation-Category tab
 * Nursing informatics WG use what has been completed on clinician/physician side
 * Bob Yencha - Nursing Informatics and Standard Analysis WG need to discuss work to date
 * Two components:
 * Nursing vocabulary
 * Structures
 * Exchange interoperability
 * Documents in CDA currently not considered doctor or nurse-specific
 * Bottom of Section Consolidation-Category tab quick reference to 5 character structure/code
 * Now have the ability to drag information to cross tabbed sections now in the Content Module Index
 * Standard Analysis has to look at re differing standards
 * Work is incomplete in terms of documentation for the CDA WG to date
 * Standard Analysis WG will identify guidance that needs to be developed by HL7
 * Less management in an EHR system, leads to better outcomes and efficiency
 * Shape ITech:
 * Transition of care from acute to LTPAC-nursing essential in these situations
 * Get an understanding of vocabulary expression in nursing documentation and how that would be expressed and simplified in objects of exchange

UML Model
 * CIM Vocabulary WG and Modeling SWG** (reviewed by Meredith Lewis & Bob Yencha)
 * Complete work between WG calls
 * Thursday CIM/Vocab call will discuss two outputs:
 * CIM Detailed Report
 * UML Model
 * Going forward each WG will review and roll the completed work back into mainstream
 * Discuss and reach consensus on definitions
 * Information model does not necessarily map exactly to standard
 * When reviewing objects to be exchanged we need to ensure there is coverage
 * Some groupings in the UML model more high level
 * E.g. patient payment info under demographics
 * Information documented to the right of name of element is the data type
 * Took data element types from ISO (they are essentially the same as used in HL7, HIE etc.)
 * Did not introduce new or unsupported data types
 * Structure: there is some definitions that goes beyond a single data type or entry-there is a set of element with data types of their own


 * Questions on CIM Detailed Report, UML model and Core Data Elements Document**


 * Q.** Under patient contact info, what is type for Patient Portal etc.? Bool?


 * Q.** Where are the sub-items coming from (e.g. under active med list where says date, status etc.)?
 * A.** These elements are in keeping w/what was chosen as core data elements by CIM WG


 * Q.** Are there any overlaps between what you get in code and element that’s listed individually?
 * A.** Working on concept of what do I want as a clinician to have in my hand-what do I see? What is presented to me? Verses how is it actually coded


 * Q.** Take from (core data elements document) abstract: what do we want to know? To, is it human-readable?
 * A.** Shouldn’t include any new data elements or data element sets

Next Meeting

 * Date:** 7-6-2011
 * Time:** 1:00-2:00pm EDT
 * Dial-in:** 1-408-600-3600 **Passcode**: 669 491 394

Reference Materials

 * 1) ToC CIM Detailed Report
 * 2) ToC Content Module Index
 * 3) TOC CIM UML Model
 * 4) ToC CIM Core Data Elements

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