ToC+CIM+Vocab+WG+Meeting+Minutes+2011-04-21

include component="page" wikiName="siframework" page="TOC Header" =ToC Clinical Information Model Vocabulary WG Meeting Minutes=
 * Date:** 04-21-2011
 * Time:** 9:00-10:00am EDT
 * Dial-In:** 1-866-816-4209 **| Passcode:** 3980879#
 * Meeting Agenda: [|Click here for the agenda!]**

Attendance
Elaine Ayres, Robin Barnes, Nagesh Bashyam, Amy Berk, Fred Buhr, Aleena Dhar, Jamie Estrada, Meredith Lewis, Larry Sampson, Andriy Selivonenko, Dave Shevlin, Greg Smith, Vassil Peytchev, Erik Pupo

Action Items
CIM Scope Statement Applicable codesets for Care Transitions Clinical Information Models Harmonized Clinical Information Model for ToC || All || In progress ||  ||
 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 04-06-2011 || Continue review of the User Stories from ToC Use Case || All || In progress ||  ||
 * 2 || 04-21-2011 || Submit feedback on the following Works in Progress:
 * 3 || 04-21-2011 || Review the Clinical Data Elements and provide feedback/additional details || All || In progress ||  ||
 * 4 || 04-21-2011 || Research additional CIMs for SWG to review || All || In progress ||  ||
 * 5 || 04-06-2011 || Identify colleagues that should be included in future SWG meetings || All || In progress ||  ||

Agenda Items

 * 1) Announcements
 * 2) Immediate Activities
 * 3) Discuss Next Steps

Meeting Notes
Announcements
 * Harmonization Support Team: Erik Pupo, Meredith Lewis and Jillian Wanner
 * Co-Lead Introductions: Holly Miller, MD and Russell Leftwich, MD
 * Next Meeting: May 4, 2011, 1:00-2:00pm EDT (changing time to accommodate west coast participants)

Immediate Activities CIM Definition
 * Group signed-off on the CIM definition and reviewed the CIMs on the wiki page
 * The following CIMs have been uploaded on the wiki: National E-Health Transition Authority (NEHTA), Federal Health Information Models (FHIM), Clinical Element Models, HL7 V3 Reference Information Model, HL7 Domain Analysis Models and Detailed Clinical Models and HL7 CDA Refined Message Information Model (RMIM).
 * Critical to avoid overloading physicians with too much data - only provide them the clinical material that is neccessary
 * Leverage the CIMs that already exist and review with a critical eye to determine what the comment elements are
 * Group also needs to keep the patient perspective in mind and align to the ToC Use Case

CIM Scope Statement
 * Edits to the CIM scope statement were made in real-time and can be reviewed on the wiki
 * Goal is to establish a core set of components and provide physicians with the option of including additional variables at their discretion
 * Ensure work is in alignment with work on ToC Standards Analysis SWG
 * Group discussed refining the scope of the work that will be completed. For example: How does the information get translated to patients through their PHRs? This is too detailed for the SWG to address - however, the group can release a statement of support for the PCAST recommendations to address the risk.
 * GA Tech is engaged in a demonstration project to include "Self-Case Kiosks." This is out of scope for the SWG since it is not included in the ToC Use Case. However - the advancement will be documented by Amy Berk and the Use Case team.

Data Elements
 * Additional data elements details as needed (e.g. include diet into reconciled medications)
 * Four core elements were identified:
 * Demographics
 * Reconciled Medication List
 * Allergies/Adverse reactions
 * Active Problem List
 * Goal is to select data elements that are applicable to all physicians (e.g. dermatologist vs. gastroenterologist)

General Comments
 * Vassill proposed that the SWG meet on a weekly basis to ensure that the June deadline is met - group agreed
 * Updated meeting invitaiton to be distrubuted

Next Meeting

 * Date:** 04-28-2011
 * Time:** 1:00-2:00pm EDT

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