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Scribe:

Date:


Minutes Approved as Presented 

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This is to approve minutes via general consent. "You have received the minutes. Are there any corrections to the minutes? (pause) Hearing none, if there are no objections, the minutes are approved as printed."

Attendees:

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Agenda:

  1. Call to order
  2. Business Updates (10 min)
    1. Additions/modifications to the agenda
    2. Approve minutes from 2019-12-12 Agenda and Minutes
    3. HL7
  3. External Updates - ONC and others
  4. Project Updates
    1. Value Set Issues (@ who? )

    2. C-CDA Rubric Informative Guide (Gay Dolin, Matthew Rahn)
    3. Other Project Updates
      1. C-CDA Rubric Criteria Project Page
      2. CDA IG Quality Criteria
      3. CDA Questionnaire Form and Response
      4. Consolidated CDA (C-CDA) project
      5. Personal Advanced Care Plan (PACP)
  5. Additional Items
    1. Dental Exchange Project (Dental C-CDA) Russell Ott
  6. FHIR Tracker Items (if time is available)

    1. IDDescriptionSubmitterNotes
      FHIR-25438Clarify scope of Composition resource




  7. Adjournment
    1. The next meeting of Structured Documents will be Thursday November 7, 2019 @ 10:00am EST.

Notes/Minutes

  1. Call to order
  2. Business Updates (10 min)
    1. Additions/modifications to the agenda
    2. Approve minutes from 2019-12-12 Agenda and Minutes
    3. HL7
      • RIM (Austin Kreisler)
        • Latest version of the RIM has been posted and is ready for the next ballot.
      • Steering Division / TSC (Austin Kreisler)
        • Final content deadline is Sunday. There are a couple items in that ballot.
        • Need a co-chair to be available Monday/Tuesday to certify that the content is ready to go to ballot.
      • CDA-MG (Lisa R. Nelson, Brett Marquard)
        • Agreed that on January 15th, Rick and maybe Sean will give an update on the progress of publishing CDA using FHIR tooling
        • In yesterday's meeting, discussed:
          • Possibility of holding the C-CDA implementation-athon event in a different venue.
          • Polling people for what's driving change.
      • Vocab (Sheila Abner)
      • Pub facilitator (Alexander Henket)
      • Electronic Services and Tools (Andrew Statler)
      • Patient Care (Emma Jones
        • Care plan call is Wednesday afternoon after 5p ET
      • Example Task Force (Brett Marquard)
        • ETF is meeting today to maybe discuss tobacco
  3. External Updates - ONC and others
    1. ONC Annual meeting is on Jan 27th and 28th in Washington, D.C.
  4. Project Updates
    1. Value Set Issues (@ who? )

    2. C-CDA Rubric Informative Guide (Gay Dolin, Matthew Rahn)
    3. Other Project Updates
      1. C-CDA Rubric Criteria Project Page
        1. Gay Dolin and Benjamin Flessner  make a motion to accept ballot comment #5's disposition as shown and discussed.
          Motion passes with 14-0-0.
        2. Lisa R. Nelson  is withdrawing comment #186
        3. Gay Dolin and Matthew Rahn make a motion to approve #176's disposition
          Motion passes 14-0-0
        4. Lots of discussion about #207. Developed new proposed text, mostly complete. Going to resume in 2020, though.
      2. CDA IG Quality Criteria
      3. CDA Questionnaire Form and Response Martin Rosner
        1. No feedback from the announcement on December 11th. Ready to go to ballot, at the moment. Needing to construct the ballot package and send it to Lynn.
        2. Martin Rosner makes a motion to move these implementation guides into ballot, Brian Reinhold seconds the motion.
          No additional discussion. Motion passes with 17-0-0.
      4. Consolidated CDA (C-CDA) project
      5. Personal Advanced Care Plan (PACP)
        1. Motion from Lisa R. Nelson to approve the block vote dated 12/12/2019 with 15 items. Gay Dolin seconds the motion.
          No additional discussion. Motion passes with 17-0-0.
        2. Working on another block vote during the holiday, will bring it to the table on January 2nd, and vote on it on Jan 9th.
  5. Additional Items
    1. Dental Exchange Project (Dental C-CDA) Russell Ott
      1. Email is being sent to Austin about getting this pushed through TSC
      2. No standard for exchange of discrete dental observations. C-CDA has only minimal support for this. Allergies, Meds, Problems are common between the standards, and are already addressed by C-CDA. The CCD document type was used to start out, and now decided on Referral Note and Consult Note to support discrete observations for dental care. See ANSI/ADA 1084 standard. Big driver is DOD because they outsource a lot of their dental care, as well as DentaQuest; intersted in dental referrals from primary care providers. 
      3. Timeline: Hope to complete modeling by May 2020.
      4. DentaQuest is interested in making this both a CDA and FHIR IG
      5. Calls for this project are on Monday's at 1PT ET.
  6. Adjournment
    1. The next meeting of Structured Documents will be Thursday November 7, 2019 @ 10:00am EST.

 

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