EMS Run Report CDA Meeting 110616

HL7 project team meeting, 16 June, 2011, 12:00 PM ET

Dial-in

Back to EMS DAM

Attendees

• Jay Lyle, project manager
• Jaci Phillips, MS RN, Regenstrief Institute
• Clay Mann, NEMSIS

Agenda

1. Agenda check
2. Frequency tables for medications, procedures
3. Coding approach for elements coded differently between NEMSIS & HL7
4. New codes
5. Open questions

Minutes

1. Frequency tables for medications, procedures
   1. Clay will provide for guide; not necessary for vocabulary analysis or LOINC submissions
2. Coding approach for elements coded differently between NEMSIS & HL7
   1. E.g., Therapeutic hypothermia, Yes/No, which is modeled as just another procedure (6A4Z)
   2. OK to model that way, per NEMSIS
   3. We will not publish codes for "Therapeutic hypothermia, Yes/No"; the question will be answered with ICD-10-PCS "6A4Z"
   4. Complication: some values are required for "associated performance measure initiatives" (and hence have "negative action values" for, e.g., aspirin)
   5. But "aspirin" is not identified in the NEMSIS specification, so it's not identified in the HL7 models
   6. Working solution: those following the initiatives will have to know what they need to answer. We may need to enhance the implementation guide in the future.
3. New codes
   1. Clay will analyze Sarah's list and provide information. If all changes are minor, we don't have a problem. Changes that affect semantics may require a change to either NEMSIS values or to the project scope and schedule.
4. Open questions
   1. Out of time: Jay to call Clay Friday

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