LCC+-+Patient+Assessment+Summary+SWG+Meeting+Minutes+2012-05-01

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**Meeting Agenda:**

 * **Topic** || **Time Allotted** ||
 * Domain Analysis Model || 30 Minutes ||
 * HL7 Ballot || 10 Minutes ||
 * Geisinger Update || 30 Minutes ||
 * PAS SWG Meeting Schedule || 20 Minutes ||

Attendance
Ann Clarke, Brett Marquard, Caryn Just, Cyndie Lundberg, Debby Schaefer, Derek Wang, Diana Behling, Ed Larsen, Holly Miller, Jack Kemery, Jay Lyle, Jennie Harvell, Jennifer Sisto, Kris Cyr, Leighann Campbell, Matt Elrod, Rhoda York, Sue Mitchell, Susan Matney, Teresa Strickland, Victor Palli, Zabrina Gongaza

Meeting Notes

 * Domain Analysis Model – Susan Matney**
 * An initial domain analysis model was brought to the LOINC committee; Susan is in the process of getting questions submitted to LOINC for the pressure ulcer model and skin and wound model
 * The value sets for the skin and wound model have already been submitted, though there isn’t a value set for body locations
 * There is still harmonization that has to take place in the Pressure Ulcer model before reconciling it with other specifications
 * They have conducted a risk assessment which addresses clinical judgment components, common patient elements, medical devices, skin infections, risk assessment instruments, nutritional status, medication use, and adherence to prevention plan
 * The pressure ulcer observation, consolidate functional status document, being balloted by HL7 on Friday, is the basis of the comparison
 * Going forward, Brett and Zabrina are a little unsure of what to put in the ballot regarding an alternative to the pressure point value set
 * Susan will talk to Zabrina after the call to determine which of the two value sets (one of the information HL7 ballot in May, focusing on skin structure, and this ballot, focusing on skin and body structure) to use
 * This may be a topic that gets resolved during balloting
 * The reason why there is still work around body structures is because SNOMED wants to identify partial structures to the skin, so they need to be updated and validated
 * Zabrina will also include in the ballot an update on the domain analysis model that has already been accomplished; this will be reconciled with the work occurring in the LOINC group
 * One of the requests for the spring cycle CCDA DTSe ballot was to improve communication on functional status. Looking at the CARE instrument MDS tool and talking to this group they want a way to record the presence of a pressure ulcer.
 * The group will reconnect once HL7 is working through the ballot reconciliation process
 * The model can be taken from the HL7 Wiki through the HTML form and the Enterprise Architect form


 * HL7 Ballot**
 * The Title 1 Templates have been updated; caregiver characteristics will be updated shortly
 * The PAS SWG and any other S&I participants should provide comments to HL7 once the ballot is submitted
 * Zabrina conducted an analysis against the IHE profiles (requested by Emma) and there was one conformance statement she will be added on the assessment scale to allow for a translation code
 * All HL7 ballots are available to anyone to download and review; membership to the organization can submit through HL7, and Brett can submit comments on behalf of those who are not HL7 members


 * Geisinger Update - LeighAnn Campbell**
 * Geisinger had a final review of the MDS to CCD
 * The kickoff date for the first pilot is May 14, using a small, long-term care facility
 * By next Tuesday (May 8th), they will begin a strictly Pilot phase


 * PAS WG Schedule**
 * Right now, there are two patient assessment instrument projects:
 * Patient assessment summary CCD to turn MDS into a transfer of care document (subset of MDS)
 * Updating the questionnaire assessment DSTU to communicate all information within the assessment (full instrument itself)
 * The Doodle poll indicated that the current Tuesday time slot is the most popular
 * Brett proposed that the best Wednesday 3:00 – 4:30 PM time slot should be used for a technical design call to develop the technical details of the PAS workgroup and use the Tuesday call to provide updates
 * So the Tuesday call would be used receive updates from the design team and the CARE work, as the individuals that are developing the updates to consolidated CDA are not available at this time
 * Given the availability of the Lantana staff, the PAS CCD work should take place on Wednesday from 3:00 – 4:30
 * One suggestion is to continue to 12:00 – 1:30 PM EDT to update the development of the Patient Assessment Summary CCD, update/develop full Patient Assessment Questionnaire CCDA, ballot reconciliation of consolidated CDA (if approved by SDWG)
 * The support team will connect with Brett, Victor, Sue, Jennie, and Leigh Ann to figure out what the supporting activities are that need to be accomplished in the S&I Framework and will provide feedback on the conversation during the All Hands call on Thursday

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