ToC+Standards+Analysis+Meeting+Minutes+2011-09-07

include component="page" wikiName="siframework" page="TOC Header" =Standards Analysis Meeting Minutes=
 * Date:** 09-7-2011
 * Time:** 1:00-2:00pm EDT
 * Dial-in:** 1-408-600-3600 | **Passcode**: 660 231 991
 * Meeting Agenda:** 9/7 Meeting Agenda

Attendance
Kathryn Calderone, John Donnelly, Emma Jones, John King, Russell Leftwich, Meredith Lewis, Diana Massey, Zeshan Rajput, Cyndalyn Tilley

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 09-07-2011 || Review HL7 and obtain status of documents on agenda as well as priority to ensure support of Use Case || Volunteers || Open ||  ||
 * 2 || 09-07-2011 || Review four main documents to validate if the CDA Ballot has included the four in the implementation guidance and then check to see which sections are included. Please note the owners for each document are listed in parentheses.

Cyndalyn Tilley Emma Jones || Open ||  ||
 * 1) Clinical Summary for Specialist Note **(Emma Jones)**
 * 2) Discharge Summary **(John Donnelly)**
 * 3) Clinical Summary- Specialist Consultation Referral **(Emma Jones)**
 * 4) Discharge Instructions **(Cyndalyn Tilley)** || John Donnelly
 * 3 || 09-07-2011 || Recouncile SA WG meeting invitation on the wikipage against the calendar invite || Meredith Lewis || Open ||  ||

Agenda Items

 * 1) Welcome & Announcements (Meredith Lewis)
 * 2) Development approach for greenCDA (John Donnelly)
 * 3) Review Content Module Index (John Donnelly)
 * 4) Next Steps for WG (Meredith Lewis, John Donnelly)

Meeting Notes
Face to Face Meeting (F2F)
 * The meeting is organized by Lockheed and will take place on October 19
 * The Architecture/IR & CIM/Vocab WGs will not be hosting sessions since their respective workstreams are expected to finish up before October 19
 * The meeting will have a Success Metrics WG session
 * It was determined that there will NOT be a Standards Analysis breakout session during the F2F

greenCDA
 * It is an initiative under HL7 to simplify the deployment of requirements for creating CDA documents
 * 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
 * greenCDA can be conceptually considered as a transformer that a user can make use of to screen out abstract elements of CDA
 * Specific greenCDA transform would be tied to a document type in the consolidated CDA guide
 * Could be applied to a document such as the Clinical Summary Document for the purpose of build out a full CDA document in an efficient manner
 * CDA is an XML document that is an expression of any clinical event or act and is tedious to build an XML document by hand
 * CDA document with variable elements with a simplified schema of XML is run through a greenCDA transform and the output is a complete CDA document

//**Content Module Index**//
 * CMI attempts to Harmonize element level discussion
 * The WG has concurrence on format, structure, and value set in templates and data element sets
 * From a document perspective, the templates will be incorporated in accordance with greenCDA
 * Have leveraged information from the guidance of CDA Ballot, work from Beacon Communities as well as the CIM Model
 * TOC CIM data elements are not mapped to CDA it is the CIM objects that are mapped
 * CDA Consolidation project can serve as a baseline for TOC
 * Check guide to see if a Referral document could be a consult note and compare the document what was indicated by use case
 * CDA consolidation guide can support a gap analysis
 * CDA Fall Ballot Documents
 * Include Sample Information, example files, documentation
 * Level of coding required is dependent on target audience (patient/provider etc.)
 * The focus is on four main documents
 * Clinical Summary for Specialist Note - Summary from a Specialist
 * Discharge Summary - Summary from a discharge (in patient facility)
 * Clinical Summary (Specialist Consultation Referral)- Primary care physician to a specialist
 * Discharge Instructions- Could go to a physician or a patient and can be pulled out from the Discharge Summary

Next Meeting

 * Date:** 09-14-2011
 * Time:** 1:00-2:00pm EDT

Reference Materials
Content Module Index

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