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EMS Run Report CDA Meeting 110804
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Contents
HL7 project team meeting, 4 August, 2011, 12:00 PM ET
Back to EMS DAM
Attendees
- Jay Lyle, project manager
- Sarah Ryan, terminology facilitator
- Jaci Phillips, MS RN, Regenstrief Institute
- Clay Mann, NEMSIS
- Peter Gilbert, Covisint
Agenda
- Agenda check
- Code approach
- Code finalization
- Code publication
- ballot reponse
- San Diego
Minutes
- Added San Diego plans to agenda
- Codes: keep the two-tier approach, where LOINC codes are assigned according to semantics of label (one 'abdominal bleeding' code) and NEMSIS keeps all ten. This is not a problem for LOINC. It might be confusing to those assessing NEMSIS; Clay will consider a) documenting the reason for the 1:many relationship and b) adding metadata to the code repository to clarify the actual semantics of the codes.
- Items from other systems (ICD-10, RxNorm, or GNIS) are not to be enumerated.
- Delivery: Jaci can continue with the current list of labels. The codes will change (e.g., there are codes that are reused). NEMSIS will assess criteria for the splitting/lumping practice, regenerate codes where necessary, and have the final list ready next week.
- Publishing: via LOINC, via NEMSIS web site, via a DSTU site for implementer info (either NEMSIS or GForge), hopefully via PHIN VADS
- Clay to follow up with Sundak
- Ballot response: NEMSIS and Ockham both to review and respond; Clay to include items from V3 change log in review.
- San Diego: out of time
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 |
