ToC+Architecture+Impl+RQ+WG+Meeting+Minutes+2011-07-28

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ToC Architecture Implementation RQ WG Meeting Minutes

 * Date:** 07-28-2011
 * Time:** 2:00-3:00pm
 * Dial-in:**1-408-600-3600 | **Passcode**: 667 669 756
 * Meeting Agenda: Click here for the agenda!**

Attendance
Tom Boal, Steven Cason, Bob DeAnna, Amram Ewoo, Lester Keepper, Russell Leftwich, Cindy Levy, Holly Miller, Mark Palen, Mayuri Patel, Erik Pupo, Andriy Selivonenko, Bob Yencha

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 07-28-2011 || Make revisions to Workflow Diagrams || Cindy Levy || Open ||  ||
 * 2 || 07-28-2011 || Provide comments in the discussion tab on the Policy and Services Analysis wiki page || Team || Open ||  ||
 * 3 || 07-28-2011 || Please participate in Workflow Diagrams consensus process if you haven't already || Team || Open ||  ||

Agenda Items

 * 1) Welcome and Announcements (Meredith Lewis)
 * 2) Review feedback provided on Workflow Diagrams Consensus Page (Mayuri Patel and Cindy Levy)
 * 3) Review feedback provided on Policy and Service Analysis (Mayuri Patel and Cindy Levy)
 * 4) Discuss Next Steps (Meredith Lewis)

Meeting Notes
//__Architecture Workflow Diagrams__//


 * Architecture is a level above the specific data and the RI will be able to provide guidance on both structured and unstructured data types within document
 * RI Architecture TOC Document Validation Section Added
 * Any warnings in the semantics of data elements will result in the output of a validation report which can be used to aid the user to determine if changes need to be made to TOC
 * For example if start/stop date is not included in a discharge summary, a warning will occur to make sure the user will know whether to incorporate in the summary
 * RI Architecture TOC Document Validation Workflow example
 * "Maybe” term– for example if you have a medication section without a start/stop date, the fact it is not present would be a warning but could be acceptable due to the type of EHR being completed
 * Similar to a MDH, the validation software would have code indentifying “maybes”
 * Decision:
 * Maybe has been deleted (Manual Analysis box and Validation Results w/ Warnings box removed)
 * Warnings do not give ability to make changes to document and are informative
 * Yes with possible warnings; No – validation results with errors

Next Steps
 * Cindy will make revisions as discussed on call

//__Policy and Service Analysis__//


 * Policy and Service Analysis will provide guidance on putting system together and provide references to auditable events as well as provide service information for implementation for transport on privacy and security
 * Can serve as an informational guide to help RI

Next Steps >
 * Review Policy and Service Analysis wiki page as it will be discussed in depth next week
 * Compare regulatory issues and standards from use case on technology services

Next Meeting

 * Date:** 08-4-2011
 * Time:** 2:00-3:00pm

Reference Materials

 * 1) Workflow Diagrams Consensus Page
 * 2) Policy and Service Analysis

 · Architecture is a level above the specific data and the RI will be able to provide guidance on both structured and unstructured data types within document  · RI Architecture TOC Document Validation Section Added  o Any warnings in the semantics of data elements will result in the output of a validation report which can be used to aid the user to determine if changes need to be made to TOC  o For example if start/stop date is not included in a discharge summary, a warning will occur to make sure the user will know whether to incorporate in the summary  · RI Architecture TOC Document Validation Workflow example  o “Maybe” term– for example if you have a medication section without a start/stop date, the fact it is not present would be a warning but could be acceptable due to the type of EHR being completed  o Similar to a MDH, the validation software would have code indentifying “maybes”  o ** Decision ** :  § Maybe has been deleted (Manual Analysis box and Validation Results w/ Warnings box removed)  § Warnings do not give ability to make changes to document and are informative  § Yes with possible warnings; No – validation results with errors  Next Steps  · Cindy will make revisions as discussed on call

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