ToC+Harmonization+WG+Meeting+2011-04-15

include component="page" wikiName="siframework" page="TOC Header" =ToC Harmonization WG Meeting Minutes=
 * Date:** 04-15-2011
 * Time:** 12:00-1:00pm EDT
 * Dial-in:** 1-866-816-4209 | Passcode: 3980879#
 * Meeting Agenda: [|Click here for the agenda!]**

Attendance
Brian Ahier, Rosa Aleman, Jitin Asnaani, Robin Barnes, Nagesh (Dragon) Bashyam, Ruth Berge, Tory Berger, Amy Berk, Kalyanraman Bharathan, Krishna Murali Brahmandam, Keith Boone, Adora Bruce, Fred Buhr, Kathryn Calderone, Susan Campbell, Tom Caruso, David Cheng, Myung Choi, David Clark, Ann Clarke, Didi Davis, Durwin Day, Bob DeAnna, Anne Diamond, Audrey Dickerson, Gary Dickinson, Bob Dolin, Gaye Dolin, John Donnelly, Coletta Dorado, Chris Doucette, Denise Downing, Joan DuHaime, Joan Duke, Jaime Estrada, J. Michael Fitzmaurice, Larry Garber, Lynne Gilbertson, Ernest Grove, Freida Hall, Sergei Haramundanis, Robert Kaye, Kim Klingler, Thomson Kuhn, Ed Larsen, Russell Leftwich, Cynthia Levy, Nikolay Lipskiy, Virginia Lorenzi, Mary Lynam, Patricia MacTaggart, Arien Malec, Michael Meyer, Holly Miller, Jason Mitchell, Susan Nedza, Lisa Nelson, Kimberly Newman, John Odden, Mark Palen, David Parker, Mayuri Patel, Vassil Peytchev, Douglas Pratt, Erik Pupo, Jennifer Puyenbroek, Tim Reardon, Harry Rhodes, Wes Rishel, Steve Rushing, Larry Sampson, Andriy Selivonenko, Scott Serich, Greg Smith, Alex Spacek, Erin Sparnon, Sarah Squire, Jonathan Tadese, Mick Talley, Cyndalynn Tilley, Kimberly Tooles, C. John Torontow, Jeff Tunkel, Steven Waldren, Jillian Wanner, Luann Whittenburg, Bob Yencha

Meeting Purpose & Objectives
To bring everyone up to speed on SWG accomplishments to date, announcements and action items.

Agenda Items

 * 1) Introduction and Expectations
 * 2) SWG Announcements and Next Steps
 * 3) GreenCDA Presentation (Bob Dolin)
 * 4) Virtual Round - Feedback and Concerns

Meeting Notes
Introduction & Expectations
 * Major milestones – Presentation due by June 1
 * All ToC SWGs have met and initiated work
 * Leads have been identified for CIM/Vocab & Architecture/Implementation Requirements SWGs
 * We are using the wiki to collaborate and update materials. Some virtual documents will be posted on the wiki beginning next week for real-time editing.
 * Work has begun on standards analysis, comparing against the use case functional requirements and incorporating outputs of the consolidation project
 * CIM and Architecture models have been posted on the wiki for comment and analysis

SWG Announcements & Next Steps – Jillian Wanner

Standards Analysis SWG
 * Nominations for volunteer leads are needed. Please let us know if you're interested.
 * Matrix has been posted on the wiki and edits will be consolidated by next Tuesday (4/19)
 * Review the consolidated CDA Ballot and ToC Use Case sections
 * Conduct follow-up on CDA Analysis Matrix (include CCR)
 * Specify sections in the CDA Consolidation Guide: US Realm Header that align with Use Case requirements
 * Harmonization Team to provide matrix to volunteers, Gaye Dolin and John Donnelly
 * Gaye and John to provide updates by Tuesday (4/19) at 1pm EDT
 * Harmonization team to develop online editing capabilities via wiki (demonstration next week)
 * Discuss Gaye and John’s feedback during next meeting

Clinical Information Model/Vocabulary SWG
 * Volunteer co-leads: Holly Miller and Russell Leftwich
 * Review Clinical Information Models that have been posted to the wiki and provide comments
 * Prior to the next meeting, look at the models and see if there is anything else that should be included
 * Matrix will reflect the CDA consolidation project; consolidation project serves as a starting point
 * A discussion board will be created on the wiki to determine what is or is not in scope
 * Harmonization team will be meeting with Arien Malec and Jitin Asnaani on Monday (4/18)
 * Harmonization team and John Donnelly is currently working on reviewing the index of sections to ensure that none were missed
 * Index will then be updated with CDA Consolidation information
 * Gaye Donlin is working on looking at data elements requirements from UC group. Identify from a CDA perspective which templates have those data elements in it. Team is working with Dave Waldren to make the same assessment for CCR.

Architecture/Implementation Requirements SWG
 * Volunteer Lead: Mayuri Patel
 * Review initial policies and services on the wiki site
 * Conduct review of past HITSP and HL7 work
 * Review architecture models have been posted on wiki site
 * Modeling started by S&I Framework Architecture team
 * We want the community to comment and ensure that this is accurately represented
 * Mayuri Patel will be ready to discuss the models on Tuesday (4/19). She also has some other materials that she would like to present to the group that she thinks would help.

GreenCDA Presentation – Bob Dolin
 * The problem: Creation of an instance conforming to a particular CDA Implementation Guide may require knowledge of: CDA R2 base specification; HL7 Version 3 data type specification; CDA templates defined in the particular IG; CDA templates referenced by the particular IG; Terminology code lists defined/referenced by the particular IG; Validation of an instance conforming to a particular CDA IG may require: W3C Schema validation;Schematron validation
 * The solution: Create an “authoring schema” that simplifies the creation and processing of a particular CDA IG: Clinically meaningful XML element and attribute names; 100% transformable into conformant CDA IG; Hides certain CDA complexities (such as moodCodes, fixed attributes, etc).
 * GreenCDA schemas are modular, corresponding to CDA templates.
 * The HL7 implementation guide was published about a week ago.
 * In response to concerns about challenges about implementing C32, they took C32 and created a simplified XML schema. If you write to that XML schema, you can push a button and it transforms it into the complete C32, so it is really a simplification strategy that provides a more intuitive target to map to.

Next Meeting

 * Date:** 04-22-2011
 * Time:** 12:00-1:00pm EDT
 * Dial-in:** 1-866-816-4209 | Passcode: 3980879#

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