TOC+Implementation+Guidance+SWG+Meeting+Minutes+7-9-2012

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**Meeting Agenda:**

 * Welcome & Announcements
 * Companion Guide Outline
 * Deep Dive on Clinical Scenarios
 * Homework Assignments

Attendance
Ashley Swain, David Tao, Ed Larsen, Elaine Ayres, Emma Jones, George Cole, Holly Miller, Lindsey Hoggle, Meredith Lewis, Robin Barnes, Shalina Wadhwani

Action Items

 * **#** || **Action** || **Owner** || **Status** || **Due Date** ||
 * 1 || Review and revise the ToC Punchlist || WG Members ||  ||   ||
 * 2 || Provide proposals to action items on the ToC Punchlist for review on Monday, July 16th || WG Members ||  ||   ||

Meeting Notes

 * Welcome & Announcements**
 * There was no meeting hosted on Wednesday, July 4th
 * Last week was used to review the Goodness of Fit analysis


 * Companion Guide Outline**
 * The Companion Guide outline is posted under the “Drafts of Content” section on the ToC Companion Guide wiki page
 * The support team wants to determine how the work they’ve been completing fits into the guide
 * The introduction includes an overview of the ToC initiative, purpose, audience, an overview of MU2 analysis, and a summary of Companion Guide sections
 * The General CCDA Guidance section includes consolidated CDA concepts and key concepts for implementing MU2
 * The Indicated CCDA Structure section includes relevant information and structure on headers and sections
 * The ToC Implementation Guidance section includes ToC best practices for implementing MU2 (recommendations for Eligible Hospitals and Eligible Providers)
 * The Additional Guidance section will include an appendix and references
 * Ashley Swain and David Tao will review the ToC punchlist to make sure all actions have been taken care of
 * Further feedback can be given to Meredith Lewis and Ashley Swain offline


 * Deep Dive on Clinical Scenarios**
 * We will postpone working on the Clinical Scenario until Wednesday’s meeting and will go through the ToC Punchlist


 * ToC Punchlist**
 * The Extensions to CDA R2 determines how to implement multiple race codes
 * Dr. Holly Miller will work on the Selection of Information action item
 * The group should provide stronger guidance on how MU2 requirements can be met the same way and indicate how the ToC WG came to conclusions on these issues
 * The meaning of SHALL vs. SHOULD will be addressed both in the section level guidance and general guidance; Ashley will work on this offline
 * ToC, as an initiative, needs to determine a recommendation on the section null flavors for SHOULD or MAY sections
 * The SWG still needs to resolve the issue of sending preliminary and incomplete versions of documents; we have to resolve the issue by making sure it enhances clinical care without stalling its improvement


 * Homework Assignments**
 * Before Wednesday, WG members should review the punchlist and add anything that is missing
 * The SWG will reviewed proposals to resolve these issues next Monday, July 16th
 * Wednesday will also be used to review the Clinical Scenarios

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