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''I recognize you can conform to problem observation, but I am wondering if it makes sense. My initial reaction is this should stand on its own.'' | ''I recognize you can conform to problem observation, but I am wondering if it makes sense. My initial reaction is this should stand on its own.'' | ||
| − | Disposition comment: Remove conformance to Problem Observation | + | <div style="color: red">'''Disposition:''' Persuasive</div> |
| + | <div style="color: red">'''Disposition comment:''' Remove conformance to Problem Observation</div> | ||
| + | |||
'''Bacterial Isolate Tested for Carbapenemase Observation''' | '''Bacterial Isolate Tested for Carbapenemase Observation''' | ||
| − | ''same question as above | + | ''same question as above'' |
| + | |||
| + | <div style="color: red">'''Disposition:''' Persuasive</div> | ||
| + | <div style="color: red">'''Disposition comment:''' Remove conformance to Problem Observation</div> | ||
| − | |||
'''Blood Collection Location''' | '''Blood Collection Location''' | ||
| Line 43: | Line 47: | ||
''same as above.'' | ''same as above.'' | ||
| − | Disposition comment: Remove conformance to Problem Observation | + | <div style="color: red">'''Disposition:''' Persuasive</div> |
| + | <div style="color: red">'''Disposition comment:''' Remove conformance to Problem Observation</div> | ||
| + | |||
'''Carbapenemase Test Observation''' | '''Carbapenemase Test Observation''' | ||
| Line 49: | Line 55: | ||
Why is the id forced to NA?. I would expect this to have an id. | Why is the id forced to NA?. I would expect this to have an id. | ||
| − | Disposition Comment: NHSN does not collect any ID information therefore this is hardcoded as NA. | + | <div style="color: red">'''Disposition:''' Not persuasive</div> |
| + | <div style="color: red">'''Disposition Comment:''' NHSN does not collect any ID information therefore this is hardcoded as NA.</div> | ||
| + | |||
Please create value set for CONF:1129-30389. Or remove. | Please create value set for CONF:1129-30389. Or remove. | ||
| − | Disposition comment: Will create value set as suggested. | + | <div style="color: red">'''Disposition:''' Persuasive</div> |
| + | <div style="color: red">'''Disposition comment:''' Will create value set as suggested.</div> | ||
| + | |||
Why is the value NA? What is effectiveTime NA? Do you want to add text to the entry description that this is just to record the test was done, no results are provided. I would think at minimum you would want time… | Why is the value NA? What is effectiveTime NA? Do you want to add text to the entry description that this is just to record the test was done, no results are provided. I would think at minimum you would want time… | ||
| − | Disposition comment: Because this template conforms to C-CDA template Result Observation and that template has a SHALL effectiveTime and NHSN does not collect the time information (and vendors do not have the information to send.) we have historically set the effectiveTime to NA. We will add text to the entry description as suggested. | + | <div style="color: red">'''Disposition:''' Persuasive with mod</div> |
| + | <div style="color: red">'''Disposition comment:''' Because this template conforms to C-CDA template Result Observation and that template has a SHALL effectiveTime and NHSN does not collect the time information (and vendors do not have the information to send.) we have historically set the effectiveTime to NA. We will add text to the entry description as suggested.</div> | ||
| + | <div style="color: red">'''This comment has been withdrawn by the commenter.</div> | ||
| + | |||
Do you want to add a STATIC date to NHSNCarbaTestMethod?'' | Do you want to add a STATIC date to NHSNCarbaTestMethod?'' | ||
| − | Disposition comment: Yes, we will add a date... | + | <div style="color: red">'''Disposition:''' Persuasive</div> |
| + | <div style="color: red">'''Disposition comment:''' Yes, we will add a date...</div> | ||
| + | |||
'''Carbapenemase Type Identified Observation –''' | '''Carbapenemase Type Identified Observation –''' | ||
| Line 67: | Line 82: | ||
''Why no effectiveTime or id?'' | ''Why no effectiveTime or id?'' | ||
| − | Disposition comment: Same reasons as above - NHSN does not collect any of this information and vendors do not have the information to send. | + | <div style="color: red">'''Disposition:''' Not persuasive</div> |
| + | <div style="color: red">'''Disposition comment:''' Same reasons as above - NHSN does not collect any of this information and vendors do not have the information to send.</div> | ||
| + | |||
'''Contraindication Type Observation''' | '''Contraindication Type Observation''' | ||
| Line 73: | Line 90: | ||
Spelling of section is off. | Spelling of section is off. | ||
| − | Disposition comment: | + | <div style="color: red">'''Disposition:''' Withdraw</div> |
| + | <div style="color: red">'''Disposition comment:''' Talked to Brett and he can't find spelling error</div> | ||
| + | |||
Drop conformance to problem observation | Drop conformance to problem observation | ||
| − | Disposition Comment: Will remove conformance | + | <div style="color: red">'''Disposition:''' Persuasive</div> |
| + | <div style="color: red">'''Disposition Comment:''' Will remove conformance</div> | ||
| + | |||
| + | |||
| + | '''Contraindicated Observation''' | ||
| + | |||
| + | The negationInd and entryRelationship here is very confusing. I recommend writing out a few sentences here describing what you are trying to say… | ||
| − | + | <div style="color: red">'''Disposition:''' Persuasive</div> | |
| + | <div style="color: red">'''Disposition Comment:''' Will add description as suggested.</div> | ||
| − | |||
'''Last Physical Overnight Location –''' | '''Last Physical Overnight Location –''' | ||
| Line 87: | Line 112: | ||
''I don’t think the use of Encounter is correct here – encounter/code should be encounter type “last physical overnight’ doesn’t is unclear.. An Act wrapping the encounter would be better…'' | ''I don’t think the use of Encounter is correct here – encounter/code should be encounter type “last physical overnight’ doesn’t is unclear.. An Act wrapping the encounter would be better…'' | ||
| − | Disposition Comment: Will wrap with act as | + | <div style="color: red">'''Disposition:''' Persuasive</div> |
| + | <div style="color: red">'''Disposition Comment:''' Will wrap with act as suggested</div> | ||
| + | |||
'''Other Facility Discharge Encounter''' | '''Other Facility Discharge Encounter''' | ||
| Line 93: | Line 120: | ||
''same issues as last physical encounter.'' | ''same issues as last physical encounter.'' | ||
| − | Disposition Comment: Will wrap with act as | + | <div style="color: red">'''Disposition:''' Persuasive</div> |
| + | <div style="color: red">'''Disposition Comment:''' Will wrap with act as suggested</div> | ||
| + | |||
'''Positive Test for Carbapenemase Observation''' | '''Positive Test for Carbapenemase Observation''' | ||
| Line 99: | Line 128: | ||
''Why does this conform to problem observation instead of result? Why is this a standalone template? Did you consider a conforms to the carbapenamase test observation?'' | ''Why does this conform to problem observation instead of result? Why is this a standalone template? Did you consider a conforms to the carbapenamase test observation?'' | ||
| − | Disposition comment: Will change conformation to Result observation. No shouldn't conform to Carbapenamase Test Observation as that template identifies the test and NHSN doesn't identify which test was positive - only that there was a positive test and what carbapenamase type was identified in the positive test. | + | <div style="color: red">'''Disposition:''' Persuasive with mod</div> |
| + | <div style="color: red">'''Disposition comment:''' Will change conformation to Result observation. No this shouldn't conform to Carbapenamase Test Observation as that template identifies the test and NHSN doesn't identify which test was positive - only that there was a positive test and what carbapenamase type was identified in the positive test.</div> | ||
| + | |||
'''Primary C. Difficile Testing Method This Quarter''' | '''Primary C. Difficile Testing Method This Quarter''' | ||
| Line 105: | Line 136: | ||
''drop conforms to.'' | ''drop conforms to.'' | ||
| − | Disposition comment: Will remove conforms to | + | <div style="color: red">'''Disposition:''' Persuasive</div> |
| + | <div style="color: red">'''Disposition comment:''' Will remove conforms to </div> | ||
| + | |||
'''NHSNArDrugSuscTestsCode (2.16.840.1.114222.4.11.7230)''' | '''NHSNArDrugSuscTestsCode (2.16.840.1.114222.4.11.7230)''' | ||
| Line 111: | Line 144: | ||
''do you want to add a STATIC date?'' | ''do you want to add a STATIC date?'' | ||
| − | Disposition comment: Will add date. | + | <div style="color: red">'''Disposition:''' Persuasive</div> |
| + | <div style="color: red">'''Disposition comment:''' Will add date.</div> | ||
Latest revision as of 20:53, 18 November 2014
Instructions
30th September 2014 - NHSN R2D2.1 Available for Comments
An update has been made to the NHSN Healthcare Associated Infection Reports, Release 2, US Realm, September 2013, 2nd DSTU Ballot (NHSN HAI R2D2). This update is available to HL7 members here http://www.hl7.org/documentcenter/public/wg/structure/20140924_Draft_for_Comment_CDAR2_IG_HAIRPT_R2_D2_1_2014SEPT_V2.zip as a point release named NHSN HAI R2D2.1 for commenting prior to reconciliation and publication. As a DSTU update, this new version will not go through the usual HL7 balloting process but will use the DSTU Update process with industry review on the HL7 wiki. The full list of changes in this release is documented in the update and can be summarized as:
- No reports were added or removed.
- Eleven new templates were added:
- Antimicrobial Coated Catheter Used Observation
- Bacterial Isolate Tested for Carbapenemase Observation
- Blood Collection Location
- Carbapenemase Test Observation
- Carbapenemase Test Organizer
- Carbapenemase Type Identified Observation
- Contraindication Type Observation
- Last Physical Overnight Location
- Other Facility Discharge Encounter
- Positive Test for Carbapenemase Observation
- Primary C. Difficile Testing Method This Quarter
- One new value set was added:
- NHSNArDrugSuscTestsCode (2.16.840.1.114222.4.11.7230)
During the two week comment period running from 1st October 2014 - 14th October 2014, please submit your comments below including at least your name, item, existing wording, proposed wording, and comment. Thank you.
Comments
Enter your comments below this line.
From Brett Marquard:
Antimicrobial Coated Catheter Used Observation
I recognize you can conform to problem observation, but I am wondering if it makes sense. My initial reaction is this should stand on its own.
Disposition: Persuasive
Disposition comment: Remove conformance to Problem Observation
Bacterial Isolate Tested for Carbapenemase Observation
same question as above
Disposition: Persuasive
Disposition comment: Remove conformance to Problem Observation
Blood Collection Location
same as above.
Disposition: Persuasive
Disposition comment: Remove conformance to Problem Observation
Carbapenemase Test Observation
Why is the id forced to NA?. I would expect this to have an id.
Disposition: Not persuasive
Disposition Comment: NHSN does not collect any ID information therefore this is hardcoded as NA.
Please create value set for CONF:1129-30389. Or remove.
Disposition: Persuasive
Disposition comment: Will create value set as suggested.
Why is the value NA? What is effectiveTime NA? Do you want to add text to the entry description that this is just to record the test was done, no results are provided. I would think at minimum you would want time…
Disposition: Persuasive with mod
Disposition comment: Because this template conforms to C-CDA template Result Observation and that template has a SHALL effectiveTime and NHSN does not collect the time information (and vendors do not have the information to send.) we have historically set the effectiveTime to NA. We will add text to the entry description as suggested.
This comment has been withdrawn by the commenter.
Do you want to add a STATIC date to NHSNCarbaTestMethod?
Disposition: Persuasive
Disposition comment: Yes, we will add a date...
Carbapenemase Type Identified Observation –
Why no effectiveTime or id?
Disposition: Not persuasive
Disposition comment: Same reasons as above - NHSN does not collect any of this information and vendors do not have the information to send.
Contraindication Type Observation
Spelling of section is off.
Disposition: Withdraw
Disposition comment: Talked to Brett and he can't find spelling error
Drop conformance to problem observation
Disposition: Persuasive
Disposition Comment: Will remove conformance
Contraindicated Observation
The negationInd and entryRelationship here is very confusing. I recommend writing out a few sentences here describing what you are trying to say…
Disposition: Persuasive
Disposition Comment: Will add description as suggested.
Last Physical Overnight Location –
I don’t think the use of Encounter is correct here – encounter/code should be encounter type “last physical overnight’ doesn’t is unclear.. An Act wrapping the encounter would be better…
Disposition: Persuasive
Disposition Comment: Will wrap with act as suggested
Other Facility Discharge Encounter
same issues as last physical encounter.
Disposition: Persuasive
Disposition Comment: Will wrap with act as suggested
Positive Test for Carbapenemase Observation
Why does this conform to problem observation instead of result? Why is this a standalone template? Did you consider a conforms to the carbapenamase test observation?
Disposition: Persuasive with mod
Disposition comment: Will change conformation to Result observation. No this shouldn't conform to Carbapenamase Test Observation as that template identifies the test and NHSN doesn't identify which test was positive - only that there was a positive test and what carbapenamase type was identified in the positive test.
Primary C. Difficile Testing Method This Quarter
drop conforms to.
Disposition: Persuasive
Disposition comment: Will remove conforms to
NHSNArDrugSuscTestsCode (2.16.840.1.114222.4.11.7230)
do you want to add a STATIC date?
Disposition: Persuasive
Disposition comment: Will add date.
