TOC+Implementation+Guidance+SWG+Meeting+Minutes+1-6-2011

include component="page" wikiName="siframework" page="TOC Header" =ToC Implementation Guidance SWG Meeting Minutes=
 * Date:** 1-6-2011
 * Time:** 3:00 - 4:00pm EDT

==Attendance== Rich Kernan, Russell Leftwich, Russ Ott, Ashley Swain, Bob Yencha

==Action Items== ==Agenda Items==
 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 1-6-2011 || Start a list of Clinical Examples that have real world applications || Ashley, Rich, Bob & Erik || Open ||  ||
 * 2 || 1-6-2011 || Review spreadsheet analysis of discharge instructions and discharge summary by D.Tao || Volunteers || Open ||  ||
 * 1) Welcome and Announcements
 * 2) Implementation Guidance Discussion (Volunteers)
 * 3) Next Steps

Meeting Notes
==Next Meeting==
 * The point was raised that quick start guides for the TOC IG with sections as identified by MU could prove useful to implementers. Another option was to directly approach HL7 and provide guidance (with regard to general topics/architectural principles) on how to re-use implementation guides
 * The SWG then reviewed the sample Vital Signs Section Mockup
 * The intent was to serve as a high-level informative guidance that points to a specific section in C.CDA
 * It is clear that there is no expectation that a clinician will fully understand the clinical exchange or markup as required
 * A suggestion was made to create a table that was required vs. optional but B. Yencha cautioned against additional sections for the fact that the guide needs to be streamlined
 * There is significant concern that there is a need to ascertain the level of detail as required by the model and issues dealing with how models can be captured in a comprehensive listing
 * There is a need to address questions in regards to constraints and relationships
 * The point was made that the SWG should not try to paraphrase definitions or directly copy content from C.CDA
 * The audience is specified as the implementers who want to implement TOC use cases and have an understanding of how to use C.CDA
 * Additionally, the SWG can post TOC examples in a TOC guide document that ties to C.CDA
 * When creating section mockups, it is important the example coding is complete and not parsed fragments which required a need for links
 * The intent of the Mockup is not supposed to be a CDA training guide
 * Lastly, the guide examples to need to clarify the specific questions with regards to clinician examples
 * There is significant concern that the models from MDHT need to be vetted and accurate
 * Discharge Summary vs Discharge Instructions Spreadsheet
 * The WG covered a cursory discussion on D.Tao's spreadsheet and indicated that the next steps were to follow-up with the CDA Harmonization WG to determine if the findings were valid or not
 * The point was raised that Discharge Instructions are a section in Discharge Summary and that from a TOC standpoint Discharge Summary is quite overwhelming for patients
 * Clinicians don't want to get the step-by step- discharge instructions but want the discharge summary
 * Ideally, when both are represented electronically, they would be merged as one whole document with option to send particular sections and the SWG can make requests to HL7
 * Date:** 1-13-2011
 * Time:** 3:00-4:00pm EDT

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