ToC+Standards+Analysis+Meeting+Minutes+2011-09-28

include component="page" wikiName="siframework" page="TOC Header" =Standards Analysis Meeting Minutes=
 * Date:** 09-28-2011
 * Time:** 1:00-2:00pm EDT
 * Dial-in:** 1-408-600-3600 | **Passcode**: 660 231 991

Attendance
Stephen Beller, John Donnelly, Allen Hobbs, Emma Jones, Laura Heerman Langford, Meredith Lewis, Diana Massey, Jennifer Sisto, Corey Spears, Sandy Stuart, Cyndalynn Tilley, Bob Yencha

Action Items

 * **#** || **Date Initiated** || **Action** || **Owner** || **Status** || **Date Closed** ||
 * 1 || 09-28-2011 || Populate the CMI to reflect workgroup discussion and incorporate Emma's collective analysis || Harmonization Team || Open ||  ||
 * 2 || 09-28-2011 || Draft path-forward for the WG based on workgroup discussion || Harmonization Team || Open ||  ||
 * 3 || 09-28-2011 || Create a wiki page on the path-forward to collect comments and concerns from volunteers || Harmonization Team || Open ||  ||
 * 4 || 09-28-2011 || Refer to the HL7 CDA group and indicate for a consultation report, what specific data elements need to be revised in terms of optionality as well as ABCD prioritization || Harmonization Team || Open ||  ||

Agenda Items

 * 1) Welcome & Announcements (Meredith Lewis)
 * 2) greenCDA Discussion (John Donnelly, Rich Kernan)
 * 3) Review Content Module Index Mapping (John Donnelly, Emma Jones, Cyndalynn Tilley)
 * 4) Next Steps for WG (Meredith Lewis, John Donnelly)

Meeting Notes

 * Announcements**
 * Currently at an important junction for our WG and need to decide what work products we will focus on for the coming weeks
 * GreenCDA doesn’t impact the Standards application to our work but is more about simplifying our deployment and improving turnaround for standing up the exchanges


 * Content Module Index**
 * Emma Jones reviewed the mapping of the CIM data elements to the Consolidated CDA that she completed for the information exchange documents, Clinical Summary for Specialist Note and Clinical Summary (specialist consultation referral).
 * Emma compared the CIM priority list and found that generally “A” data elements are always shared.
 * Emma looked through cardinality and relayed back CIM information from the CIM Model and the TOC Use Case to build out her document.
 * She noted that for particular elements like Insurance Information, they were marked as an “A”, however it was specifically been marked as an O by the CDA IG when it should be an R according to the SA WG
 * A specific element that was optional in CDA and was an “A” element was religion, and it was discussed as being optional in CDA since it was not widely available
 * For “active medications", it is difficult to assess if the medication list has been reconciled. In terms of reconciliation, on the CDA side, there were no indications if reconciliation has occurred or not.
 * Moving forward, the WG needs to make sure from a section level there is uniformity across the data elements
 * The concept of Flavors of Null was discussed – Requires a section but can allow null to be a valid entry
 * It was discussed that the industry and SDO members need to have an opportunity to weigh in on our work products - The SDO members are essentially EHR, vendors, and implementers sharing the information and will take a look at the rationale this group is putting together
 * The end goal is make sure vendors and providers are on board for the requirements from a clinical perspective and the work products that are submitted to HL7 and the two options are to create a new implementation guide at the document level or to have the CIM objects revised
 * For the data elements including Insurance, Healthcare Provider, that have Rs, Os, and As we can provide next steps on reconciling the elements.


 * Next Steps**
 * Incorporate CDA Document Guide to indicate the document CDA IG or HL7 Health Stories
 * Conduct an analysis at the data element group in alignment with the CIM group
 * Identify the challenges with C32 and the various layers

Next Meeting

 * Date:** 10-5-2011
 * Time:** 1:00-2:00pm EDT

Reference Materials

 * 1) Content Module Index
 * 2) [|greenCDA Presentation]

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