ToC+Standards+Analysis+Meeting+Minutes+2011-09-21

include component="page" wikiName="siframework" page="TOC Header" =Standards Analysis Meeting Minutes=
 * Date:** 09-21-2011
 * Time:** 1:00-2:00pm EDT
 * Dial-in:** 1-408-600-3600 | **Passcode**: 660 231 991
 * Meeting Agenda:** 9/21 Meeting Agenda

Attendance
John Donnelly, Tara Garrison, Rick Geimer, Emma Jones, Meredith Lewis, Van Nguyen, Erik Pupo, Zeshan Rajput, Farrant Sakaguchi, Sandy Stuart, Luann Whittenburg

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 09-21-2011 || Update the CMI to reflect the work of the CIM Model and incorporate the Letters as well as updated cardinality || John Donnelly || Open ||  ||
 * 2 || 09-21-2011 || Sync Section Level vs Entry comparisons in line with the CIM Model || John Donnelly || Open ||  ||
 * 3 || 09-21-2011 || Resolve differences between TOC Use Case and the TOC CDA Consolidation Guide (catalog of asusmptions with own sets of cardinality and constraints depending on what type of requirements || Volunteers || Open ||  ||
 * 4 || 09-21-2011 || Review the uploaded greenCDA powerpoint || Volunteers || Open ||  ||

Agenda Items

 * 1) Welcome & Announcements (Meredith Lewis)
 * 2) Review Information Exchanges in CDA Ballot (John Donnelly, Emma Jones, Cyndalynn Tilley)
 * 3) Continue greenCDA Discussion (John Donnelly)
 * 4) Next Steps for WG (Meredith Lewis, John Donnelly)

Meeting Notes
Announcements > TOC RI and Success Metrics WG will meet
 * It was determined that there will NOT be a Standards Analysis WG breakout session during the F2F
 * The Architecture/IR & CIM/Vocab WGs will not be hosting sessions since their respective workstreams are expected to finish up before October 19

TOC Document Types
 * There are four key clinical document types -
 * Discharge Summary
 * Discharge Instructions
 * Clinical Summary for Specialist Note
 * Clinical Summary - Specialist Consultation Referral
 * The Clinical Summary - Specialist Consultation Referral data elements were compared against CDA Data Element Sections, Consultation Report (CDA Guide) in terms of cardinality
 * The core Data elements that are required for every care transition include demographic information, current active problem list, active medication list, allergies and intolerances
 * The following are scenarios for when data has not been entered for a data element field
 * If a data element such as Allergies had not been populated without information, the system would not acknowledge the data element as being part of the document
 * If a data element section is present but has no information, null values can be placed in order to reflect the actions of the sender, with the intent that the recipient gets an awareness that the clinicians had a conversation about allergies with the patients
 * The Data Elements Family History, General Status and Social History were not found in the S&I Data Element Set and as a result they didn't have an "R" in the S&I list in terms of cardinality
 * The S&I list did have "Advanced Directive" as listed in the consolidated CDA Templates but was not listed as an element that was Required
 * The DES29 (Social History) may not have been listed as required from the initial use case
 * The following provide guidance for moving forward with the data element groupings
 * The "A" data elements should be listed as "R"s in terms of optionality
 * For the "A"s in any transition of care specialist to PCP, PCP to specialist etc, all data elements would be required.
 * "B" data elements won't necessarily be required however they can be relevant as in the case of "Results"
 * If a clinician refers a patient to a cardiologist, the PCP will send EKG results, Heart Rate Monitor and all cardiology related information however we would not send a dermatologist the same information as the ultimate goal is to not send entire data sets that are not relevant
 * No CDA templates are available for Discharge Instructions
 * The WG will need to compare clinical summary for specialist note to the CDA progress note/referral note to identify data elements and relevant optionality

greenCDA
 * A powerpoint reference presentation by Bob Dolan has been uploaded to the Wiki
 * Will not necessarily need to revise our current WG workflows as a result of greenCDA but it can optimize the way to increase uptake of the vendor community and deployment process
 * It is not considered a novel set of standards but a simplified way of creating the CDA documents and is essentially a deployment tool
 * The WG hopes to leverage greenCDA toolset for work moving forward in phase 2

Next Meeting

 * Date:** 09-26-2011
 * Time:** 1:00-2:00pm EDT

Reference Materials

 * 1) Content Module Index
 * 2) [|greenCDA Presentation]

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