TOC+CIM+Consensus

include component="page" wikiName="siframework" page="TOC Header" =Introduction to TOC Clinical Information Model (CIM) Consensus=


 * Note: ** The term "TOC CIM Consensus" is used to denote that this recommended consensus will also permeate to all other Transitions of Care WGs as well, including activities in the TOC Standards Analysis WG, the TOC Architecture/Implementation RQ WG, and the TOC Reference Implementation & Pilots WG.

The S&I Framework Transitions of Care Initiative was chartered to identify and recommend one or more standards to meet the following requirement for Meaningful Use:
 * Exchange key clinical information among providers of care and with patients and other authorized entities electronically based on level of system capability, i.e.,//human-readable unstructured text and/or full interoperable structured data.//

An initial formal consensus vote opened on Thursday, July 28 to finalize this decision. Comments and questions on this consensus will be discussed from July 28 to August 11 during an open comment period surrounding this consensus.

=**Consensus Statements**= The following consensus statements are being voted on: > =Instructions for Consensus= Please review this section carefully and make sure you follow the instructions listed. Supporting Materials section below. || in the table on this page along with you consensus vote. If your comment does not fit in the table for consensus voting, please enter your comments in the discussion tab on that page and we will also review those as well. ||
 * The general consensus of the CIM/Vocab WG is that the TOC CIM specification (Version 1.5) is correct in its representation of the requirements for each care transition, and aligns to the requirements outlined in the S&I Framework Transitions of Care Use Case.
 * The general consensus of the CIM/Vocab WG is that the TOC CIM requires the exchange of "A" priority CIM data elements and that these "A" Priority CIM Data Elements and CIM Objects are defined.
 * The general consensus of the CIM/Vocab WG is that the TOC CIM "B" and "C" priority data elements will be exchanged based on specific availability and context. These "B" and "C" Priority CIM Data Elements and CIM Objects are still under review as of this version but will be finalized in later versions.
 * The Transitions of Care (TOC) Initiative has identified the HL7 Clinical Document Architecture (CDA), Release 2 as a standard that supports all of the identified system capabilities. The TOC CIM is built in alignment with the recommendation of the CDA as the underlying standard for care transition. Each "A" Priority CIM Objects aligns with underlying CDA constructs to produce the 4 key information exchanges highlighted in the S&I Framework Transitions of Care Use Case:
 * Discharge Summary
 * Discharge Instructions
 * Consultation Summary
 * Consultation Request including Clinical Summary
 * = **Step** ||= **Action Item** ||= **Additional Information** ||
 * 1 || Review TOC CIM Specifications || TOC Clinical Information Model (CIM) ||
 * 2 || Review the TOC CIM Models || If you would like to review the TOC CIM models as part of the TOC CIM specification review, they are listed in the
 * 3 || Provide comments and a consensus vote, as appropriate || Only comments entered in the TOC CIM Consensus Discussion page will be reviewed. Enter your comments
 * 4 || Attend Consensus Review meetings || Comments will be discussed and reviewed at the following meetings:
 * 08-03-2011 TOC Standards Analysis WG Meeting (1:00 PM-2:00 PM)
 * 08-04-2011 TOC CIM/Vocab WG Meeting (1:00 PM-2:00 PM)
 * 08-10-2011 TOC Standards Analysis WG Meeting (1:00 PM-2:00 PM)
 * 08-11-2011 TOC CIM/Vocab WG Meeting (1:00 PM-2:00 PM)

Please visit the Standards Analysis WG and CIM/Vocab WG pages for meeting conference line and Webex login information. || Consensus voting will close on **August 11, 2011**. At that time, the number of votes will be reviewed to determine if further consensus discussion is needed or if final consensus has been achieved and Version 1.5 is ready for release. **The goal of the CIM/Vocabulary WG is to get a CIM made available to implementers and clinicians for field review and testing so please keep this in mind as you make comments**. = = =Supporting Materials= Listed below are supporting materials needed for review of the TOC CIM.

TOC CIM Specification (Version 1.5)
The current version of the TOC CIM which is being reviewed for consensus is Version 1.5. This version is a draft version that is focused on completion of the "A" Priority CIM Data Elements and CIM Objects. A further introduction into the TOC CIM and how it works is also within the TOC CIM Specification.

TOC CIM Model (Erwin Format)
The CIM is stored in Erwin, a commercial data modeling tool that was used to assemble the initial TOC CIM model. It is the intention of the TOC CIM/Vocabulary WG to provide this data model in multiple formats to make it usable for developers and implementers who may be interested in extending the CIM beyond its original purpose.

TOC CIM Model (in Erwin) - Version 1.5

TOC CIM (in XMI format)
The CIM model is also available in XMI format, which allows for the input of the TOC CIM into a variety of modeling tools.

TOC CIM Model (XMI File) - Version 1.5

TOC CIM Executive Summary
A summary slide deck has been developed in support of the TOC CIM. This slide deck summarizes many of the decisions of the TOC CIM/Vocabulary WG and is also a learning tool for interested stakeholders who may want to learn more about how the TOC CIM works and its possible usage in other settings. This deliverable is currently under development. Please check back for updates.

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