PASMinutes_2012_03_27

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**Meeting Agenda:**

 * **Topic** || **Time Allotted** ||
 * Reminder: S&I Face to Face (April 11-13, Alexandria VA) || 5 Minutes (Sue/Kris) ||
 * Geisinger MDS PAS || 20 Minutes (Leigh Ann) ||
 * C-CDA Functional Status Updates || 60 Minutes (Brett) ||

Attendance
Brett Marquard, Gaye Dolin, Debby Schaefer, Diana Behling, Ed Larsen, Jennifer Sisto, LeighAnn Campbell, Matt Elrod, Rhonda York, Steven Cason, Sue Mitchell, Teresa Strickland, Zabrina Gonzaga, Maria Moen, Meredith Lewis, Paul Cahill, Teresa Mota, Jennie Harvell, Laura Heermann Langford, Kris Cyr

Meeting Notes
MDS to CCD output document – Geisinger initiative has always been MDS to CCD because most EHRs are set up to accept CCDs Brett had proposed the CDA, but would still like to go to the CCD May want to use CMS MDS Templates in the documents shown last week – is it more than just the clinical document code that individuals are worried about? Template ID that should be used is one that conforms with the specifications, the way that PAS document content is being represented Document level template IDs that aren’t adding any value to the information that is being sent Good that the header is being reused – look at consolidation guide and then the questionnaire assessment template ID Need to do another offline call perhaps to try and identify why this is not a CCD; run it through a checker and it says it is a CDD What needs to be changed for it to become a CCD? Clients are ready to consume a CDD document Find a validator for the document; make best stab at the right kind of document and then use the validator’s error messages to fulfill the incorrect value statements Lantana’s site validates the CCD and the updated release as well

Functional/Cognitive Status/Pressure Ulcer Templates – Align with ONC vocabulary Reusable templates constrained to specific value sets ICF – Function, LOINC – Assessment Questions, SNOMED – Assessment Answers Result organizer – Is there an outline/description of what the two different organizers are? CARE Discharge tool form provided the functional and cognitive result organizer sample questions Problem Observation template should be constrained to specific value sets – problem type Specific problem type for functional limitation; also adding “cognitive functional finding” Organizer does not have an “author” element Mobility Devices and Aids Representations – “Medical Supply Section” as opposed to “Medication Equipment Section” Caregiver Support and Ability Observations – Care giver’s willingness to provider care and ability to provide assistance Can be part of a functional status observation or a standalone observation within functional status Generally questioning template structures 30 minute overview of ICF after the ballot is submitted to help folks get up to speed

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