ToC+Reference+Implementation+WG+2011-10-13

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 * ToC Reference Implementation & Pilot WG Meeting Minutes ** **Date: ** 10/13/2011**Time: ** 3:00-4:00 pm EDT

Mark Bamberg, Calvin Beebe, Joan Duhaime, Sri Koka, Joy Kuhl, Kishore Metla,Helen Hill, Ken Lord, Andriy Selivonenko, Tom Wilson, Ingrid Williams Note: If you attended this meeting and are not listed above, please contact Ingrid Williams ( Ingrid.K.Williams@lmco.com or 443-348-2606) to be added to the list.
 * Meeting Agenda: **
 * ** Review updates from New/Prospective RI/DP Workgroup committed members **
 * ** Review Pilots Status **
 * ** Discuss Face to Face meeting scheduled for Oct. 18, 19 **
 * ** Next Steps **
 * ** Q and A **
 * Attendance **


 * Action Items **
 * ** # ** || ** Date Initiated ** || ** Action ** || ** Owner ** || ** Status ** || ** Date Closed ** ||
 * 1. || 5/31/2011 || Sign up for ToC RI/DP Wiki andToC RI/DP Workgroup. Indicate where you can help. - Ongoing activity || S&I Framework Members || Ongoing ||  ||
 * 2. || 5/31/2011 || Review Design documents || Workgroup Members || Closed || 9/15/11 ||
 * 3. || 6/07/2011 || Create code project at OHT for S&I Framework || Steve Cason || Closed || 9/15/11 ||
 * 4. || 6/07/2011 || Recruit more Workgroup members || Workgroup Members || Closed || 9/15/11 ||
 * 5. || 6/07/2011 || Identify UML modeling tools || Steve Cason and group || Closed || 9/15/11 ||
 * 6. || 6/16/2011 || Review S&I Framework WG OSS Development Process. Sign consensus page. || Workgroup Members || Closed || 9/15/11 ||
 * 7. || 6/16/2011 || Review ToC RI Detailed Component Design. Sign consensus page. || Workgroup Members || Closed || 9/15/11 ||
 * 8. || 6/21/2011 || Review Architecture Diagram. Use Discussion tab to make comments. ||  || Closed || 9/15/11 ||
 * 9. || 6/23/2011 || Follow up with John Donnelly on HIMSS plans || Mark Bamberg || Open ||  ||
 * 10. || 6/23/2011 || Provide time line/milestones || Mark Bamberg || Closed || 9/15/11 ||
 * 11. || 7/12/2011 || Add link to Installation Guide to Announcements section of Wiki. || David Colbert || Closed || 9/15/11 ||
 * 12. || 8/16/2011 || Get OpenMapper installed on workstations. || Development Team || Closed || 9/19/11 ||
 * 13. || 8/16/2011 || Set up a WebEx meeting for the OpenMapper instruction meeting. || Steven Cason || Closed || 9/15/11 ||
 * 14. || 8/23/2011 || Add the topic of supporting the transformation from CCR to CCD to the agenda of Friday's touchpoint meeting. || Joan DuHaime || Closed || 8/23/11 ||
 * 15. || 9/1/2011 || ToC Support team will add a section to the front page of the ToC RI & Pilots Wiki re: registration deadlines for IHE Connectathon and the HIMSS Interoperability Showcase and will create a Connectathon/ HIMSS Interoperability Showcase Wiki page. || ToC Support Team || Closed || 9/15/11 ||
 * 16. || 9/1/2011 || Create a standing item in the Demos & Pilots meeting agenda to review the new Connect-a-thon/HIMSS Interoperability Showcase Wiki page. || ToC Support Team || Ongoing ||  ||
 * 17. || 9/1/2011 || LM will look into join.me to see if it solves the problem for remote access. || ToC Support Team || Open || 9/22/11 ||
 * 18. || 9/8/2011 || Anjali Gupte will add Mark Bamberg to the WG meeting invite, and the planning for the F2F agenda. || Anjali Gupte || Closed || 9/15/11 ||
 * 19. || 9/15/11 || Anjali Gupte will send a meeting invite for the charter discussion to Chitra Raghu, Sri Koka, and Mark Bamberg. || Anjali Gupte || Open || 9/22/11 ||

Meeting Purpose & Objectives
Thursday status meeting for the Transition of Care Reference Implementation and Pilot Workgroup. This meeting will focus on Demos and Pilot activities.
 * Meeting Notes **
 * Review updates from New/Prospective RI/DP Workgroup committed members **

Tom Wilson of Axolotl identified himself as a potential new member who is interested in volunteering in the development effort and also is planning to attend the F2F.

Mark gave a brief overview in terms of the objectives the Workgroup is currently focused on. Basically there are two weekly workgroup meetings per week primarily for RI Development/Coding technical implementation and coordinating Pilot/Demonstration activities. Over the last several months the group has reviewed 2 Pilot proposals, expressed approval for advancement, and in turn recommended pilots to ONC. At this time we have 3 Pilots preparing for the HIMSS conference. The deadline for nominations is October 26, 2011. Participation at any level as a Pilot is welcomed and it does not have to track with the HIMSS Interoperability showcase.

The meeting today will focus on the following:
 * Reviewing the status of committed members and receiving Pilot reports.
 * Talking about the F2F and what will occur for the two day session.

Tom indicated he has already downloaded the software and feels his organization can contribute as a volunteer in the pilot process. The source code entails an HL7v3 library that implements the RI Model and a CDA library that sits on top of the platform.

Mark indicated the group is trying to develop model driven tools for the ToC information packets. Another point is the architecture is flexible enough even if it does not utilize the model driven approach.


 * Review Pilots Status **

Another organization the pilot group is working with is Firestar and the South East Michigan group. Ken Lord a technical consultant representative from Firestar, who is the enabling technology, indicated the South East Michigan group can support the ToC standard and marry their technology to the underlying models. We plan to use the F2F to finalize the project plan. Helen relayed to the group that during the state of Michigan’s board meeting there was much discussion in terms of the S& I Framework and strong interests specifically in the discharge summary process. A link will be provided on the workgroup main page to list the South East Michigan wiki page and charter. The group also mentioned they would like PAIRS to be involved with this process.

A question was asked in terms of what has been produced from the development aspect. Ken reported MDHT is producing API interfaces and his organization can provide support in automating the process further with the interfaces. Basically for this process the CSV file is translated to CDA using many components in RI as well as object management standards for MDMI. There are no EDI messages for this process. Ken noted more information is needed in regard to the role of CIM.

Sri reported his organization is in the process of finalizing the pilot design by defining what can be used. An architectural flow diagram is also being constructed in terms of what can be integrated.

Mark reported 3 pilot organizations: Medfx, Enable Healthcare, and Techsant are meeting twice a week to identify user stories for the pilot brief. We expect to have a review of the workflow at tomorrow’s touch point meeting whereby we can articulate our road map and project plan.

The project brief for Healthstory pilot was shown to the Workgroup that will exercise a large number of EHRs, Image and Document software, and Clinical portal involving consolidated CDA.


 * Discuss Face to Face meeting scheduled for Oct. 18, 19 **

The F2F agenda is final. There are 45 members currently signed up to attend the event. The meeting will be held in Potomac Room 4. The purpose of the session is to introduce RI, install and run test cases. Lockheed Martin will be presenting and helping to integrate the process. Please bring your laptop and plan to download code. If you need access to Redmine please let the workgroup support team know. WebEx call in information will also be posted on the Wiki site. The group will have breakout sessions to identify key dates, milestones, and plans for each pilot. Mark thanked the ONC October F2F team for providing a great job with organizing the event. There are over 300 people that will attend the conference. We look forward to seeing everyone at the event.

Prepare for F2F meeting
 * Next Steps **

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