ToC+Standards+Analysis+Meeting+Minutes+2011-10-26

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Standards Analysis Meeting Minutes

 * Date:** 10-26-2011
 * Time:** 1:00-2:00pm EDT
 * Dial-in:** 1-408-600-3600 | **Passcode**: 660 231 991

Attendance
Susan Campbell, John Donnelly, Tara Garrison, John King, Meredith Lewis, Zeshan Rajput, Ashley Swain, David Tao, Regi Thomas

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 10-26-2011 || Post the draft version of the Business Names to the Wiki || Harm Team || Open ||  ||
 * 2 || 10-26-2011 || Scan the Business Names spreadsheet for understanding || Volunteers || Open ||  ||
 * 3 || 10-12-2011 || Review the TOC Path-Foward for GreenCDA and engage over the discussion tab or even edit text by highlighting the changes in red || Volunteers || Open ||  ||
 * 4 || 10-26-2011 || Harm team to connect with the CIM/Vocab WG to revise the B & C data element classifications based off the feedback on CDA || Harm Team || Open ||  ||

Agenda Items

 * 1) Welcome & Announcements (Meredith Lewis)
 * 2) Review Content Module Index Updates (John Donnelly)
 * 3) Review Path-Forward for greenCDA (John Donnelly, Meredith Lewis)
 * 4) Next Steps (Meredith Lewis, John Donnelly)

Meeting Notes

 * GreenCDA Approach**
 * David Tao made the statement that at the RI meeting, the WG was talking about generating the CIM and wanted to clarify if their work on greenCDA was a duplication of efforts from what the SA WG is proposing.
 * The point was made that greenCDA transforms are needed to go in and out of defined CDA templates by means of the wire format.
 * The CIM is a layering on top of CDA expression that is a more user orientated exchange of the data that the clinician could relate to without getting into the CDA template description.
 * It was discussed that GreenCDA has to resolve into the cda template but the entry point and exit point should be related to the CIM model and so the common names should be derived from the CIM.
 * The main difference between and CIM and greenCDA transforms would be the specific formats of information that are exchanged between clinicians.
 * The RI team has created a greenCDA version of the CIM and Erik Pupo is collaborating with Rama and the MDHT team to develop a XML model with the intent of creating a product based off the existing CIM.
 * Please contact Cindy Levy if interested in joining the RI call is on Tuesdays from 2:00 to 3:00
 * It is the SA WG's imperative to decide what level of involvement for the greenCDA path forward
 * According to the SA WG path forward, the WG was slated to begin assigning "Business Names"
 * A greenCDA is a specific instance of a document and is essentially taking a CDA document and creating a "greenCDA" version out of it
 * This is another reminder that the Harmonization Team created a new wiki page, TOC Path-Foward for GreenCDA, to capture discussion on the role of the Standards Analysis in defining the approach for greenCDA. The page includes a high-level summary of greenCDA, and the role of the Standards Analysis WG,
 * The Harmonization team got a head start in defining the business names for the greenCDA effort.
 * "Business names" is not an official term in the CIM, but refers to the commonly understood name of the data elements.
 * The HITSP C154 was used as the basis for the business names namely as a data dictionary and then moving forward to verify the data elements had relevant and exclusive terminology
 * The point was brought up that "Frequency" was a term used regularly that could be under several data objects as for example medication frequency or even patient lab test frequency could be types of duplicates
 * As the CIM expands to include other domains it is relevant to understand that a CIM cannot be forced on the business world or medical industry, since as sophisticated clinicians and consumers seek to adopt business names or standards they need to have names that can be effective in several contexts
 * For example a Medication Section data object should have a term called "Start Date" and not a term called "Medication Start Date" to streamline terminology and ensure there is a semantic interoperability.


 * Content Module Index**
 * There are currently gaps between CIM model and CMI and the CIM/Vocab WG is working to the align the consistencies
 * There should be revision of the term "no section" being changed to "header" for DES
 * B or C data element sections are classified as such since there is limited information in CDA as well as the fact EHR's don't capture the specific data elements
 * HL7 has a lot of pressure to adopt policy that is globally sensitive to Patient Care and the overall healthcare systems of the U.K. and other European nations
 * HL7 is interested in pursuing "dynamic healthcare" to develop use cases that are all-encompassing
 * MU Stage 3 can then capture terms like Education Level
 * There might be a need a revisit the classification of data elements to clarify how elements were identified and discovered.

Reference Materials

 * 1) Content Module Index
 * 2) [|greenCDA Presentation]
 * 3) TOC Path-Foward for GreenCDA

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