TOC+Implementation+Guidance+SWG+Meeting+Minutes+3-30-2012

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**Meeting Agenda:**

 * **Topic** || **Time Allotted** ||
 * Announcements || 5 Minutes ||
 * CCDA and ToC Spreadsheet || 20 Minutes ||
 * Follow-up with Structured Docs WG || 30 Minutes ||
 * Next Steps || 5 Minutes ||

Attendance
Ashley Swain, Bob Yencha, Ed Larsen, Emma Jones, Mayuri Patel, Meredith Lewis, Rich Elmore, Russell Leftwich, Shalina Wadhwani, Zeshan Rajput

Action Items
//No action items at this time.//

Meeting Notes

 * C-CDA and ToC Comparison Spreadsheet**
 * One priority is incorporating MU2 analysis into the ToC IG SWG work
 * The latest version of the ToC spreadsheet has been uploaded to the wiki under “Contributions”
 * The spreadsheet map required sections of the ToC discharge summary then determined the priority of the exchanges
 * To make the spreadsheet, workstreams were separated to determine which requirements were in C-CDA
 * This spreadsheet only reflects the ToC analysis perspective, but the MU2 analysis is also posted to the wiki
 * Both spreadsheets will be edited to reflect distinct perspectives
 * Will have a meeting with the Structured Docs group next week to determine a clear mapping on ToC and MU2 recommendations and the best resolution
 * The data elements identified in structured docs from ToC were not included in Consolidated in CDA
 * Some demographics were not included, so Russell Leftwich would like to find a way to represent these data elements in the CDA
 * One of the major issues is determining how to reconcile things like problem lists and medication lists and determine what the function of the reconciliation specifically is
 * Discharge medications aren’t necessarily what are used in a use case
 * When a clinician asks for a reconciled list of medications, one should be able to provide the right document; so they need to sit down with the CDA COTRs to determine what the next level of requirements is
 * The CDA document standards itself has sender/receiver requirements already articulated, but it doesn’t specify that they are required; this analysis focuses on the clarity of requirements
 * Medications can have status’ (current, past, etc.) but the task here is to figure out how to reconcile all medication lists
 * Have to go to the Structured Docs WG and determine the construct that can reconcile all entries


 * Next Steps**
 * ToC All Hands on Monday, April 2nd, 2012 from 4:00 – 5:00 PM
 * Will schedule an additional meeting in the middle of next week to determine the appropriate level of analysis needed to communicate the gaps in the CDA
 * The data elements called in the Word document are not on the C-CDA and ToC Comparison spreadsheet, so support team will create a new spreadsheet to reflect the Word document

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