1. Recap of Connectathon testing
    1. Suggestion: Add 360X tests to pre-Connectathon testing
    2. Suggestion: Have a discussion with IHE on how to improve testing at the Connectathon (e.g. make it clear that a single test covers multiple facets of the specification)
    3. Change to specification: There is no need to have two MIME attachments for the request, remove any mention of an unwrapped CDA as a separate MIME attachment, and leave the XDM MIME attachment as the only one.
  2. New topic: LTC referrals. Review high level process, identify where interoperability points are, and what is specific about them

    1. Requests are sent to multiple facilities

      1. Configuration

      2. UI indications

    2. Facilities request additional information

      1. How to request the type of data

        1. Clinical notes

        2. Medicare/Medicaid assessment

        3. Discharge summary

      2. Dependent on level of care

      3. What is possible with C-CDA

      4. Questionnaire (auto-populated)

      5. Based on the diagnoses, initial request can be specific, so no additional information is needed

      6. Handling of declined reference

    3. First week after admission in LT

      1. Who is the provider at the acute facility to contact (add treatment team to order)

      2. No current workflow for followup.

    4. nurses going to acute facility to evaluate before discharge - that will not be needed with an electronic process

    5. Standard vocabulary for LT transitions - data elements library, ONC efforts/regulations

    6. Next discussion March 1st.

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