PASMinutes_2012+03+20

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**Meeting Agenda:**

 * = **ID** ||= **Key Discussion Items** ||= **Duration** || **Presenter** ||
 * = 1 ||= Reminder: S&I Face-to-Face Meeting (April 11 - 13, Alexandria, VA) ||= 5 Minutes || Sue/Kris ||
 * = 2 ||= Geisinger MDS Patient Assessment Summary ||= 15 Minutes || LeighAnn ||
 * = 3 ||= C-CDA Basics Presentation ||= 20 Minutes || Jennie/Sue ||
 * 4 || C-CDA Functional Status Updates || 45 Minutes || Brett/Gaye ||

Attendance
Bonnie McAllister, Ginny Curtin, Jennie Harvell, LeighAnn Campbell, Meredith Lewis, Rhonda York, Steven Cason, Sue Mitchell, Zabrina Gonzaga, Kris Cyr, Brett Marquard, Diana Behling, Susan Campbell, Gaye Dolin, Laura Heerman Langford, Ed Larsen, Matt Elrod, Terry O’Malley

Meeting Notes
CCD display of the MDS – Output of an MDS converted to a CCD using the Rosetta stone and the Patient Summary Document Displayed within Geisinger health exchange Response has been that content is very “busy” Some people want to see the MDS number and not the readable text; some would like both, etc Have implemented all of the April 1 MDS changes; this version will be rolled out in April Thinking about moving the narrative text to the left of the element Sue thinks that the MDS elements should be all the way to the right, with an equals sign to indicate yes or no, so that you don’t have to read the elements if you don’t want to read the right side of the page Might be helpful to have a date listed for when the data was acquired Executable that sits on the server side and waits for a submitted MDS, makes a copy, and translate the copy to what is being viewed The raw document is on the LCP wiki under the week’s meeting agendas – CCD and MDS examples Only display the checked items under problems – those with a value of “1” Could just include just a yes and no Standardize the order if possible to make more usable This is a CDA questionnaire assessment type document but not a CCD document Want to make sure as much as possible that the document is readable and consumable for clinicians

Update C-CDA for assessment content in functional status, cognitive status, and pressure ulcers Be applicable to all assessment instruments and all populations Intent for ballot is to add a few more constraints to the observations so an implementer has more information on how to describe these particular items Overlap on how patient’s statuses are described – might make a distinction between observation and problem in a descriptive fashion Plan is not to include specific value sets in any of the instruments When possible, questions will be coded in LOINC and answers coded in SNOMED CT Result observation and problem observation – result observation is always contained within a result organizer, normally described with a LOINC value Would like to be able to add details about a problem as needed Could the result be a data element monitored over time and posit decision making about the results? The problem itself is monitored over time as well actually

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