TOC+Implementation+Guidance+SWG+Meeting+Minutes+8-27-2012

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**Meeting Agenda:**

 * Welcome & Announcements
 * Status Update on Companion Guide
 * Timeline for Finalization
 * Implications of Final Rule, Meaningful Use Stage 2
 * Review Submitted Feedback

Attendance
Ashley Swain, David Tao, Ed Larsen, Elaine Ayres, George Cole, Jennifer Sisto, Lindsey Hoggle, Meredith Lewis, Russ Leftwich, Shalina Wadhwani, Sri Koka

Action Items

 * **#** || **Action** || **Owner** || **Status** || **Due Date** ||
 * 1 || Review the full Companion Guide for a consensus vote Monday, September 10th || All WG Members ||  ||   ||
 * 2 || Schedule an offline conversation with Lindsey Hoggle, Elaine Ayres, Holly Miller, and John Feikema to discussion nutrition in the Companion Guide || Meredith Lewis ||  ||   ||

Meeting Notes

 * Welcome & Announcements**
 * There will not be a ToC Implementation Guidance SWG meeting on Monday, September 4th because of Labor Day
 * To participate in consensus voting, WG members must register as “committed members”


 * Status Update on Companion Guide**
 * Draft 2 of the companion guide will be posted following this meet
 * The WG would like to receive input on the Companion Guide from the entire ToC WG instead of just the Implementation Guidance SWG; Meredith will send a communication to the entire ToC WG
 * The support team has reached out to the Structured Documents WG for their approval on the document


 * Timeline for Finalization**
 * Draft 2 of the companion guide will be posted following this meet
 * Draft 3 will be published on September 4th for consensus voting through September 10th
 * Consensus comments will be reviewed on September 10th during the Implementation Guidance SWG meeting
 * The final Implementation Guidance SWG meeting will be on September 17th


 * Implications of Final Rule, Meaningful Use Stage 3**
 * David Tao and Ashley Swain made adjustments to the companion guide due to the Final Rule
 * There is now a Common Meaningful Use Data Set, with distinctions for ToC/Referral Summary, View/Download, Clinical Summary, and Data Portability
 * Additional data was included on functional status and cognitive status
 * Certain data is no longer required (e.g., care providers during hospitalization)
 * All changes were minor: the final rule affirmed ToC guidance: flexible use of document types, editing of clinical summary, structured entries required if vocabularies are specified
 * Backwards compatibility for Meaningful Use 1 CCD and CCR display was added to the final rule, but does not affect the Companion Guide
 * Lindsey Hoggle and Elaine Ayres want to schedule an offline conversation with John Feikema, Meredith Lewis, Ashley Swain, and Holly Miller to determine how nutrition will be treated in the Companion Guide

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