S&I+CEDD+WG+Meeting+Minutes+12-01-2011

=S&I CEDD WG Meeting Minutes=
 * Date:** 12-1-2011
 * Time:** 1:00-2:00pm EDT
 * Dial-in:** 1-408-600-3600 | **Passcode:** 660 213 377

Attendance
Jennifer Barrett, Lindsey Hoggle, Emma Jones, Saul Kravitz, Laura Heermann Langford, Cindy Levy, Holly Miller, Vassill Peytchev, Zeshan Rajput, Greg Smith, Sandy Stuart, Ashley Swain, Serafina Versaggi, Luann Whittenburg, Bob Yencha

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 10-27-2011 || Post the S&I Framework CEDD sheet || Harm Team || Open ||  ||
 * 2 || 9-29-2011 || Continue development of the BC data element sets || Volunteers || Open ||  ||
 * 3 || 10-6-2011 || Review the TOC BCD Data Element Roadmap to find out which data element groups need further development || Volunteers || Open ||  ||

Agenda Items

 * 1) Welcome and Announcements (Meredith Lewis)
 * 2) CEDD WG Overview Presentation (Meredith Lewis)
 * 3) Changes to WG Structure, Meeting Schedule (Meredith Lewis)
 * 4) Next Steps (WG Leads)

Meeting Notes
Welcome & Announcements
 * The CEDD (Clinical Element Data Dictionary) was proposed to encompass the entire S&I Framework to continue work on the B& C data elements
 * Committed members will be continuing to participate in the data element buildouts
 * Goal is to broaden B&C data elements to envelope the various initiatives within the S&I Framework and outside as wel
 * There was a terminology change for CIM/Vocab since we want to make sure to include the rationale
 * S&I CEDD (Where we left off)
 * After comparing CDA, the WG shifted its perspective over to the Consolidated CDA as source for creating the abstract concepts and data sets
 * Committed Membership of CIM & Vocabulary WG is now supporting the S&I Framework Cross-Initiative CEDD WG
 * WG left off on November 3rd with identification and some development of B data elements
 * WG is now an S&I Framework Cross-Initiative WG in order to serve the various initiatives and subsequent development of S&I Framework Clinical Element Data Dictionary (CEDD) Now meeting monthly to broaden B/C data elements and review data elements not addressed by the CIM & Vocabulary WG
 * S&I CEDD Overview
 * Serves as a repository for the data elements supporting the work of each of the S&I Framework initiatives
 * Includes corresponding definitions and attributes of the discrete structured clinical data that is used in a clinical context
 * Primary objective is to provide a common information foundation to each of the S&I Framework initiatives and to promote reuse of data
 * Provides the following benefits:
 * Ensures clinical concepts defined and discussed within S&I Framework initiatives are expressed in a standardized format and definition across all S&I Framework initiatives
 * Contains a core-set of unambiguously-defined data elements to be reused throughout all S&I Framework initiative work
 * Initiative Data Dictionaries preserve data elements supporting initiative-specific use cases and prevent any modifications from future users without consensus
 * Fact sheet will be made available shortly on WG page for further reference
 * Work Accomplished
 * CDA Data Element Analysis (In Process)
 * Scanning Consolidated CDA to find relevant data elements that were missing from existing CIM data elements
 * Reviewing terminology and language for gaps and potential revisions to data elements
 * Review business names (from C-154) and mapping to CIM
 * Concepts vs Data
 * Data Element Group Development
 * Made progress on the following:
 * Diet, IADLs, ADLS, Patient Goals, Physical Activity, Social History
 * Next Steps
 * We still need to continue development on the clinical data elements through analysis of existing materials including CDA
 * Review Data Elements developed offline
 * Achieve consensus on data element attributes (e.g. priorities)
 * Continue development efforts of Data Element Groups
 * Care Team Members Consult(s), Assessment(s), and Plan(s) Recommendations
 * History of Present Illness
 * Patient Instructions
 * Pending Tests and Procedures
 * Physical Exam
 * Results
 * Review of Systems
 * Surgical/Procedure History
 * Monitor Initiative Data Element Development Efforts (Ongoing)
 * Query Health Clinical Information Model SWG
 * Charged with identifying Data Elements in support of distributed queries as defined in the Query Health Generic Use Case
 * Future efforts (may be added to)
 * Data Segmentation Initiative
 * esMD Initiative
 * Longitudinal Coordination of Care WG
 * Public Health Reporting WG
 * Monitor and contribute to the Consolidated CDA work

Next Meeting

 * Date:** 1-3-2011
 * Time:**1:00-2:00pm EDT