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(Created page with "Return to SDWG page. Return to C-CDA: Enhancing Implementation (ONC Grant Project) page. Event Date: '''Thursday, June 22, 2017''' ==Summary ...")
 
 
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Return to [[C-CDA: Enhancing Implementation (ONC Grant Project)]] page.
 
Return to [[C-CDA: Enhancing Implementation (ONC Grant Project)]] page.
  
Event Date: '''Thursday, June 22, 2017'''
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==Suggested topics for future IATs ==
==Summary of Findings & Next Steps==
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*Linda Michealson:
 +
**I have come across a couple of “how do EMR’s do this” or “do EMR’s send this” questions in the past couple of weeks and I know the IAT is good place to ask these.  Do you have any place we could start to accumulate these type of thing for the next IAT?
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***How do systems communicate what they support?
 +
****For FHIR, Epic and Cerner both provide sandboxes with documentation and testing.
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****For C-CDA, it’s non-existent (one [https://open.epic.com/Clinical/EHRtoEHR link] I found on Epic)
  
====Transitions of Care====
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*Progress Note – VA and Epic support, who else is considering as their primary encounter document
*Use of multiple identifiers - Samples Taskforce
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*Discharge Summary – how do you include medications administered during an inpatient stay
*Participants wanted to be in both tracks, but could not
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*Medication section deep dive – administered medications vs historical vs ordered vs dispensed vs med list. What do you send and how?
*Need a way to visualize or quantify consistency in documents
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*CCD – What range of data for each section do you send when an on-demand document is created.
*General guidance on effectiveTime and statusCode relationships
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*Value set and Vocabulary maintenance – What are reasonable expectations for your customers to update vocabulary
*General education needs on CDA and C-CDA
 
  
====Care Plan====
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*From IATs 1-5
*Need enhancements to Scorecard for Care Plan
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**IATs 3 and 4 topics were the following; should we continue with these?:
*IDs in Care Plan on how to use
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***Continuity of Care Document (CCD)
*Clarify the use of value in goal observation
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***Discharge Summary
*Use of status for planned and completed interventions
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***Referral Note
*Guidance on the use of sub-headings (sub-sections)
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***Care Plan
*Guidance on linking across entries in different sections
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****General Care Plans (Virtual IAT)
*Guidance on use of codes (value sets) for Care Plans
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****Specialty Care Plans (Virtual IAT)
*Need enhancements for Care Plan Scorecard rubrics
 
 
 
 
 
==Draft Agenda / Meeting Info / Notes ==
 
 
 
*45 registered for the event; 63 joined the Main session at the conclusion of the event
 
*[http://gforge.hl7.org/gf/project/enhanceccdaimpl/docman/Implementation-A-Thons/Virtual%20IAT-5/C-CDA%20Virtual%20IAT-5%20agenda_20170620.docx Implementation-A-Thon 5 Agenda ]
 
*[https://www.dropbox.com/sh/kh3i9f9rr0r0kxp/AACGixl1Iwj3vt45c8Xg6BGFa?dl=0 DropBox for Registrants to Upload Scenarios & Documents]
 
*[http://wiki.hl7.org/images/4/49/Virtual_C-CDA_Implementation-a-thon_Track1_Notes.pptx Track 1 Session Notes - draft] please update if you have additional observations.
 

Latest revision as of 15:54, 17 October 2017

Return to SDWG page.

Return to C-CDA: Enhancing Implementation (ONC Grant Project) page.

Suggested topics for future IATs

  • Linda Michealson:
    • I have come across a couple of “how do EMR’s do this” or “do EMR’s send this” questions in the past couple of weeks and I know the IAT is good place to ask these. Do you have any place we could start to accumulate these type of thing for the next IAT?
      • How do systems communicate what they support?
        • For FHIR, Epic and Cerner both provide sandboxes with documentation and testing.
        • For C-CDA, it’s non-existent (one link I found on Epic)
  • Progress Note – VA and Epic support, who else is considering as their primary encounter document
  • Discharge Summary – how do you include medications administered during an inpatient stay
  • Medication section deep dive – administered medications vs historical vs ordered vs dispensed vs med list. What do you send and how?
  • CCD – What range of data for each section do you send when an on-demand document is created.
  • Value set and Vocabulary maintenance – What are reasonable expectations for your customers to update vocabulary
  • From IATs 1-5
    • IATs 3 and 4 topics were the following; should we continue with these?:
      • Continuity of Care Document (CCD)
      • Discharge Summary
      • Referral Note
      • Care Plan
        • General Care Plans (Virtual IAT)
        • Specialty Care Plans (Virtual IAT)