March 27, 2012

1. Standards and Interoperability Framework update March 27, 2012

2. Consolidated CDA • Document templates: • Continuity of Care Document • Consultation Note • Diagnostic Imaging Report • Discharge Summary • History & Physical Note • Operative Note • Procedure Note • Progress Note • Unstructured Document http://blogs.gartner.com/wes_rishel/2012/03/19/a-new-approach-to-clinical-interop-in-stage-2-meaningful-use/

3. CCDA - Meaningful Use and S&I ToC elements to be exchanged • Separate them with commas • Do not include source • Flipping the flag – from O to R • Further constrain to get us closer to implementation

4. Composing 2014 Edition CCDA • Clarity on requirements = Less errors • Should the CCDA standard for 2014 Edition be constrained? • Based on • the proposed rules • the S&I Framework Transitions of Care work • At what level: Sections/Entries or Documents?

5. NIEM Section 1561 Update • The ACA legislation gave the HITSC the responsibility to pick standards for the health insurance exchanges • CMS is now implementing the federal insurance exchange, and using the HITSC recommended standards as a guideline • Align CMS efforts with state efforts • Proposal to form a NIEM WG to evaluate CMS success in implementing the NIEM standards