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EMS Run Report CDA Meeting 110428

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HL7 project team meeting, 28 April, 2011, 12:00 PM ET

Dial-in

Back to EMS DAM

Attendees

  • Jay Lyle, project manager
  • Sarah Ryan, terminology facilitator
  • Jaci Phillips, MS RN, Regenstrief Institute

Agenda

  1. Agenda check
  2. context diagram
  3. loinc submission review

Minutes

  • Attendees not present for context diagram review
  • We have trimmed all RIM elements out of the list other than observation codes (questions)
  • And we added sections and a document code
  • We still need to review the list to ensure that it is correct before delivering to Jaci
  • We can provide answers, but
    • we prefer not to include codes: those will be specified elsewhere, and we don't want to maintain them in two places
    • Inclusion and non-repetition may be met by a plan to simply link the code to the appropriate value set as published in PHIN VADS
    • we prefer not to have sequence, too, as they have not been defined, and we would not want a default setting in the list to imply a specification of order
    • perhaps most importantly, a loinc code can have ONE value set, i.e., the value set specifies the semantics. So we do not want to supply value sets if there is any chance someone may want to use the same question with a slightly different set of answers.
  • We will try to identify existing codes first
    • If it's in a specific class, we'll point that out; it may need to be moved to a more general spot
    • We'll try to identify the least specific code that meets our requirements
  • We'll fill out columns A-H, at least

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 closed

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