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Difference between revisions of "EMS Run Report CDA Meeting 120126"
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*We will adopt approach 3a using FDA rather than SCT. 3b still an option if we can work out the SCT/FDA issue | *We will adopt approach 3a using FDA rather than SCT. 3b still an option if we can work out the SCT/FDA issue | ||
*Clay and Jay will confirm NEMSIS requirements | *Clay and Jay will confirm NEMSIS requirements | ||
| − | *Clay, | + | *Clay, Jorge (NEMSIS), and implementers will confirm technical approach |
*We still need an approach for intraosseous -- perhaps SCT | *We still need an approach for intraosseous -- perhaps SCT | ||
Latest revision as of 19:04, 26 January 2012
Contents
HL7 project team meeting, 26 January 2012, 12:00 PM ET
Back to EMS DAM
Attendees
- Jay Lyle, project manager
- Sarah Ryan, terminology facilitator
- Clem McDonald, Regenstrief Institute
- Holly Miller, VA
- Melanie Johnson, NLM
- Jaci Phillips, MS RN, Regenstrief Institute
- Clay Mann, NEMSIS
Agenda
- routes of administration
- DSTU change control
- DSTU work schedule
Minutes
Routes:
Mismatches for our EMS values include
- devices
- ambiguous terms (nasal and intranasal -- clarify with NEMSIS)
- things in SCT missing from FDA (intraosseous)
- things not modeled as a route in SCT or FDA (tracheostomy -- would it be considered endotracheal?)
- nulls ("other"--we will handle with a null flavor)
Options for devices
- Option 1: Use NEMSIS concepts. HL7 model demonstrates sufficient semantic elbow room. Make a NEMSIS a system or add to LOINC.
- Option 2: Constrain NEMSIS to routes of administration from FDA
- Option 3: Use NEMSIS concepts in interface, but support analysis by modeling semantic structure
- Option 3a: When EMT selects "endotracheal tube", write SCT code "endotracheal route," and create associated device class in clinical statement model for endotracheal tube
- Option 3b: When EMT selects "endotracheal tube", write SCT compositional expression "372452007 |endotracheopulmonary route|: 424226004 |using device|=26412008 |endotracheal tube, device|"
- Option 3c: When EMT selects "endotracheal tube", write NEMSIS code "endotracheal tube." Provide lookup table to expression: "endotracheal route using device = endotracheal tube"
Decisions
- NEMSIS confirms a need for device information; we also need to conform to FDA to ensure interoperability.
- We will adopt approach 3a using FDA rather than SCT. 3b still an option if we can work out the SCT/FDA issue
- Clay and Jay will confirm NEMSIS requirements
- Clay, Jorge (NEMSIS), and implementers will confirm technical approach
- We still need an approach for intraosseous -- perhaps SCT
DSTU change control and schedule deferred to next meeting, in 2 weeks.
Issues
| Issue | Description | Resolution | Status |
| update vocabulary approach document | open | ||
| PHIN VADS | reassess plan to publish via PHIN VADS in light of LOINC/NLM/SCT approach | open |
