whatever the change is it has to be something new, not routine, or done before. check out my design below and let me know what you think of it? which documents are required for my application? to answer some of your questions, no. whether that remains true at the end of 2010 and moving into the actual stages of meaningful use, though, is anyone’s guess at this point. the better informed the parties, the easier it is to manage people’s expectations and deliver the end product. swim nappies are meant to contain poop, and are not waterproof. 