Revision as of 22:32, 12 January 2017

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January 12-13, 2017 Trinity University San Antonio, Texas

Attendees

Complex medication SIG
Partial refills for Medication - e.g. 90 capsules, but insurance only covers 30 days supply...refills = 1.5)
Combination codes/code translation (Ben)
Date usage in conjunction with Problem, Medication, Allergy, etc.
Care Plan certification test data from 170.315_b9_CP_Amb and _Inp
Displaying a DI report as part of 170.315(e)(1)
Empty unit values in CCD or values with spaces (e.g. mg/dl creatinine vs. mg/dl_creat)
Handling signatures in CCD
Second observation to indicate number of items - e.g. this section contains 10 lab results
Identify a medication as an inpatient or outpatient medication
Sexual Identification and Gender Identity / Intersex birth certificate - http://www.cnn.com/2016/12/30/health/intersex-birth-certificate/index.html
Text reference linking (Lisa)
Chart corrections (Ben)
Goals and status of goals (Alok)
Header level ID root (Linda)

Item	Notes
Introductions and Housekeeping	Dave Hamill welcomed the group. Brief introduction of facilitators and participants.
Scenario 1 - CCD	xxx
Scenario 2 - Care Plan	Ixxx
Scenario 3 - CCD
Discussion	How to we differentiate between patient goals and provider goals? Patient goals have a patient author, provider goals have a provider author, and goals that have both a patient and provider author are shared/negotiated goals Can we apply meaning to the document ID root so we can determine who created a document? It is permissible to recognize your own document root, but there may not be a way to guarantee meaning for ID roots from documents created by other vendors. Use of authoring device may be better. Handling signatures in CCD. Signature text has been added to authenticator and legal authenticator as an extension. This was work that came out of the attachments WG via CDP1. While this can be technically be done, workflow considerations still need to be worked out - e.g. who is the legal authenticator, what are they attesting to, how does this attestation persist, etc. We need to keep in mind that only a person may be a legal authenticator.
Ask the ONC	Q: xxx A: xxx

Homework Scenarios

Pre-Published Patient Information

Pre-Published Practitioner Information

@@ Line 85: / Line 85: @@
 **Patient goals have a patient author, provider goals have a provider author, and goals that have both a patient and provider author are shared/negotiated goals
 *Can we apply meaning to the document ID root so we can determine who created a document?
-**It is permissible to recognize your own document root, but there may not be a way to guarantee meaning for ID roots from documents created by other vendors.
+**It is permissible to recognize your own document root, but there may not be a way to guarantee meaning for ID roots from documents created by other vendors.  Use of authoring device may be better.
+*Handling signatures in CCD.
+**Signature text has been added to authenticator and legal authenticator as an extension. This was work that came out of the attachments WG via CDP1.  While this can be technically be done, workflow considerations still need to be worked out - e.g. who is the legal authenticator, what are they attesting to, how does this attestation persist, etc.  We need to keep in mind that only a person may be a legal authenticator.
+*
 |-