Difference between revisions of "C-CDA Implementation-a-Thon 2"
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− | *Equipment implanted during the procedure - does it go in the Procedures section or the Medical Equipment section? Certification rules expect UDI info to be in the Procedures section except when there is no implantable info, then it should be in the Medical Equipment section <murmurs from the crowd - particularly when device info is known, but the procedure that implanted the device is not known>. | + | *Equipment implanted during the procedure - does it go in the "Procedures" section or the "Medical Equipment" section? Certification rules expect UDI info to be in the "Procedures" section except when there is no implantable info, then it should be in the "Medical Equipment" section <murmurs from the crowd - particularly when device info is known, but the procedure that implanted the device is not known>. |
'''GUIDANCE''' | '''GUIDANCE''' |
Revision as of 21:15, 18 April 2016
Return to SDWG page.
Return to C-CDA: Enhancing Implementation (ONC Grant Project) page.
Return to C-CDA 2.1 Companion Guide Project page.
April 14-15, 2016 DePaul University Student Center, Loop Campus Chicago, Illinois
Contents
Attendees
- Joginder Madra (Facilitator)
- Jean Duteau (Facilitator)
- Dave Hamill (HL7)
- Karen van Hentenryck (HL7)
- Matt Rahn (ONC)
- Nagesh Bashyam aka Dragon (ONC)
- Ben Flessner, Jordan Cohen and Joel Manteufel (Epic)
- Raychelle Fernandez and Ozlem Kurt (Dynamic Health IT)
- Joe Lamy (Aegis / Sequoia)
- George Cole (Allscripts)
- Angel Pinzon (APS Puerto Rico)
- Linda Michaelsen (Optum)
- Luis Jimenez and Michelet Boursiquot (Document Storage Systems)
- Jiaong Mao (NextGen)
- Kenneth Banks (DCCHS)
- Kevin Johnson and Rob Kroll (Dialysis Clinic Inc.)
- Andrew McClellan (Aventura HQ)
- Mohammed Raouf (ModuleMD LLC)
- Luis Silva (Data Info System Solutions)
Agenda
Thursday, April 14, 2016
- 0900-1000 Introductions/Housekeeping
- 1000-1100 CCD Homework Scenarios
- 1100-1200 Discharge Summary Homework Scenarios
- 1200-1300 Lunch
- 1300-1400 Referral Note Homework Scenarios
- 1400-1500 Care Plan Homework Scenarios
- 1500-1700 CCD In-Session Scenarios
Friday, April 15, 2016
- 0900-1100 Discharge Summary In-Session Scenarios
- 1100-1200 Referral Note In-Session Scenarios
- 1200-1300 Lunch
- 1300-1400 Referral Note In-Session Scenarios (cont.)
- 1400-1600 Care Plan In-Session Scenarios
- 1600-1700 Wrap Up and Discussion
Discussion Items
Item | Notes |
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Introductions and Housekeeping |
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CCD Homework Scenarios |
GUIDANCE All devices must be noted in the "Medical Equipment" section. In the circumstance where the procedure that implanted the device is known, the device information may also be noted in the "Procedures" section.
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Discharge Summary Homework Scenarios |
The 1. 1 Discharge Medication has a SHALL code=10183- 2, so it is impossible to be backwards compatible with 1. 1 in this case. Recommend the same approach we took to the section code - set code = 1. 1's code and require a translation to the 2. 1 code
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Referral Note Homework Scenarios |
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Care Plan Homework Scenarios |
A Health Concern is a health related matter that is of interest, importance or worry to someone, who may be the patient, patient's family or patient's health care provider. Health concerns are derived from a variety of sources within an EHR (such as Problem List, Family History, Social History, Social Worker Note, etc.). Health concerns can be medical, surgical, nursing, allied health or patient-reported concerns. Problem Concerns are a subset of Health Concerns that have risen to the level of importance that they typically would belong on a classic “Problem List”, such as “Diabetes Mellitus” or “Family History of Melanoma” or “Tobacco abuse”. These are of broad interest to multiple members of the care team. Examples of other Health Concerns that might not typically be considered a Problem Concern include “Risk of Hyperkalemia” for a patient taking an ACE- inhibitor medication, or “Transportation difficulties” for someone who doesn't drive and has trouble getting to appointments, or “Under-insured” for someone who doesn't have sufficient insurance to properly cover their medical needs such as medications. These are typically most important to just a limited number of care team members.
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ONC Session |
ONC Sample Testing Discussion:
Certification Testing / Meaningful Use Questions/Comments:
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In-Session CCD Scenarios |
Scenario 1
PENDING GUIDANCE To meet certification requirements, the C-CDA recordtarget/Administrative Gender is the field used to record the Birth Sex and must be coded as follows: M (male), F (female) or a nullFlavor of 'UNK'.
GUIDANCE Gender Identity concepts are to be captured as an observation within the "Social History" section. Scenario 2
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In-Session Referral Note Scenarios |
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In-Session Care Plan Scenarios |
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De-Brief and Wrap Up |
Dave Hamill canvassed the group about the possibilities of future IATs:
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Homework Scenarios
- File:IAT2-CCD-Scenario.pdf
- File:IAT2-DischargeSummary-Scenario.pdf
- File:IAT2-ReferralNote-Scenario.pdf
- File:IAT2-CarePlan-Scenario.pdf
Pre-Published Patient Information
In-Session Scenarios
- File:IAT2-CCD-In-Session-Scenario-1.pdf
- File:IAT2-CCD-In-Session-Scenario-2.pdf
- File:IAT2-ReferralNote-In-Session-Scenario.pdf
- File:IAT2-CarePlan-In-Session-Scenario.pdf
ONC Test Files
C-CDA Instances Generated by Participants