ToC+Implementation+Guide+SWG+-+6-18-2012

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**Meeting Agenda:**

 * Mapping of Clinical Scenarios

Attendance
Ashley Swain, Bob Yencha, David Tao, Holly Miller, Jennifer Barrett, Robin Barnes, Russell Leftwich, Kelly Conlin

Action Items

 * **#** || **Action** || **Owner** || **Status** || **Due Date** ||
 * 1 || Determine how immunization history is represented in CCDA || Ashley Swain ||  ||   ||

Meeting Notes

 * Mapping of Clinical Scenario**
 * Goodness of Fit and mapping to clinical scenario requirements:
 * Encounter Care Team Members
 * In ToC, Care Team extended beyond an institution and beyond a particular encounter
 * There may be a duplication in categories of providers
 * This care team includes the patient and their designated caregivers who are not going to be providers per say; in analysis with Bob Yencha of Consolidated CDA, he said that the ability to indicate the patient and family members existed within the Consolidated CDA
 * Diet and Nutrition
 * Discharge diet exists as a section already – is it redundant to have it here as well?
 * A diet prescription is just that – it is prescribed like a drug. Nutrition tells a fuller story and serves a different purpose. We should keep nutrition in this section.
 * Deletion of Nutrition Care Provider – this is attributable to another care team member
 * Encounters
 * Family History should all be +/-
 * Encounter Section is part of CDA but not a part of ToC; does not necessitate inclusion in the IG
 * Goals
 * Whose goals are these? Nursing goals, physician goals, or general goals?
 * In the Consolidated CDA, these are part of the care plan. These are care goals.
 * For this particular scenario, these should all be +/-
 * Medical Equipment:
 * Is there a qualifier about what type of equipment is meaningful?
 * +/- should be on the object level

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