EMS Run Report CDA Meeting 110224

HL7 project team meeting, 24 February, 2011, 12:00 PM ET

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Attendees

• Jay Lyle, project manager, Ockham Information Services
• Sarah Ryan, vocabulary facilitator, Ockham Information Services
• Brian McCourt
• Rob Hausam
• Clay Mann

Agenda

1. Agenda check
2. SNOMED and ICD-10
3. NEMSIS system
4. SD presentation
5. Action Items and Issues
6. Other business

Minutes

We reviewed last week's decision: "To support these workers, and in the absence of signal issues in representation, we have changed our recommendation to ICD-10."

We will use ICD-10 where EMS requirements militate for it, and SNOMED where it fits better (e.g., symptoms).

Concepts specific to EMS will be maintained by NEMSIS. We may be able to use PHIN VADS to publish this new system and its value sets.

• NEMSIS to be the steward
• Concepts to be provided via NEMSIS web site
• Concepts to be provided via an more programmatic and robust interface, e.g. PHIN VADS
• Potential future task to map to SNOMED to support more sophisticated analysis

We'll propose to present our project to SD next week.

Action Items

Action	Responsible	Description	Timeline	Status
SD questions	Jay	See issues	2/10	Closed
update vocabulary approach document	Sarah	vocabulary principles, approach priorities, preferred systems	2/17	open
PHIN VADS	Sarah	Contact Sundak	2/24	Open

Issues

Issue	Description	Resolution	Status
Run Report Scope	Event model contains hospital information: is this 'run report' information?	No, per Clay, 2/3/11	Closed
SD question 1	Need OIDs, URN	URN: make one up, per B Dolin. OIDs: request a 'root' document OID and write our extensions, for later import into the repository.	closed
SD question 2	harmonizing sections with IHE, HITSP, etc.	Use CCD as appropriate, or downstream templates as necessary. No registry or process exists.	closed
MDHT question 1	approach for many questions: model question as separate template, create new association, use Type to assign template	confirmed by Sean	closed
Coding strength	Are all RR codes CNE, except, presumably, ICD/RxNorm sets?		open