Structured Documents Work Group Health Story Project: Progress Note Meeting Agenda June 29, 2010, 11:00 AM EST - 12:30 PM EST Phone Number: 770-657-9270 Participant Passcode: 310940 GoToMeeting: https://www2.gotomeeting.com/join/823506059

This project will design a Progress Note in XML as a constraint on HL7 v3 CDA r2. A Progress Note documents patient’s clinical status during a hospitalization or outpatient visit. We will review current Progress Note usage and examine industry precedents and requirements.

Attendees name organization email 6/16 6/22 6/29 Acey Bunch MedFlow, Inc [email protected] X Alschuler Associates, [email protected] X X Bob Yencha LLC Alschuler Associates, [email protected] X X Brett Marquard LLC Chirag Bhatt FEI [email protected] X X Christopher P. MedQuist [email protected] Spring Dave Carlson XML Modeling [email protected] X X G. Bhaskar M*Modal [email protected] X X Alschuler Associates, [email protected] Gay Giannone LLC Ian Townend NHS [email protected] Kevin Coonan [email protected] Laura Bryan MTWerks [email protected] X X Mark Diehl [email protected] Mark Ivie M*Modal [email protected] Mike Padula CHOP [email protected] X Peter N Gilbert Wayne State [email protected] X Therasa Bell Osmosyz [email protected] X X Agenda 1. Agenda review 2. Previous meeting minutes 3. Review Progress Note definitions (see wiki) 4. Header design a. Discuss and vote on use of general header constraints template b. Is a Progress Note ever about a service performed? c. Review proposed LOINC document codes d. Review proposed additional header constraints (on wiki when available) 5. Section design a. Review Progress Note samples with section map (see wiki) b. Review statistical analysis from M*Modal (on wiki when available) 6. Status of Action Items

6/22 Action Items  (Bhaskar) Create report of section use across M*Modal sites.  (Brett) Check with SDWG on plan for universal-realm header  (Brett) Propose additional Progress Note header constraints  (Brett) Add note to H&P DSTU page that SHALL is missing from CONF-28.  (Chirag) Develop initial list of recommended LOINC document codes.  (Laura) Upload updated Progress Note samples with section map.

Recommended reading for next meeting:  Progress Note samples  XML sample of general header constraints  History and Physical Notes (sections 1 and 2) o Home to general header constraints o Review CONF-HP-1 through CONF-HP-52 Link to project materials: Health Story: Progress Note wiki Progress Note Timeline 8 weeks for design/development + 1 week for technical edit

Description Date Notables Project kickoff 6/16 Complete Design - Header review 6/22 Header design will continue next week. Design - Start section review 6/29 Statistical analysis Design - Continue section review 7/6 Review table of sections across standards Design - Review header issues IG Draft - Header 7/13 Finalize section choices SDWG 7/15 Review section choices and cardinality IG draft - Body 7/20 Full sample file SDWG 7/22 Review full sample IG draft - Header/body 7/27 SDWG 7/29 Review any outstanding issues Final review hand-off to tech editors 8/10 Last meeting prior to ballot submission Due to HL7 headquarters 8/27 12 PM EST is final deadline for Fall ballot submittal