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C-CDA Implementation-a-Thon 4

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Revision as of 22:16, 12 January 2017 by Jmadra (talk | contribs) (→‎Discussion)
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Return to C-CDA: Enhancing Implementation (ONC Grant Project) page.

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

Attendees

  • Joginder Madra (Facilitator)
  • Jean Duteau (Facilitator)
  • Dave Hamill (HL7)
  • Dan Chaput, Annette DeVito Dabbs and Nagesh Bashyam aka Dragon(ONC)
  • George Cole, Jon Anderson and Jennifer Grater (Allscripts)
  • Brett Marquard (River Rock)
  • Calvin Beebe (Mayo)
  • Ed Donaldson (Greenway Health)
  • Ben Flessner (Epic)
  • Raychelle Fernandez and Ozlem Kurt (Dynamic Health IT)
  • Lisa Nelson (Life over Time Solutions)
  • Russ Leftwich and Alok Saldanha (Intersystems)
  • Linda Michaelsen (Optum)
  • Jiong Mao (NexGen)
  • Joe Lamy (Aegis)

Agenda

Thursday, January 12, 2017

  • 0900-0930 Introductions/Housekeeping
  • 0930-1200 Scenario 1 ("Everything and the Kitchen Sink")
  • 1200-1300 Lunch
  • 1300-1400 Discussion
  • 1400-1430 Ask the ONC
  • 1430-1700 Scenario 2 (Care Plan)

Friday, January 13, 2017

  • 0900-1100 Scenario 3
  • 1100-1200 VSAC presentation (Rob McClure)
  • 1200-1300 Lunch
  • 1300-1330 Ask the ONC
  • 1330-1600 Discussion
  • 1600-1630 Wrap Up

Proposed Discussion Items

  • 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)

Discussion

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.
Ask the ONC

Q: xxx A: xxx


Files

Homework Scenarios

Pre-Published Patient Information

Pre-Published Practitioner Information