Difference between revisions of "2017-11-01 Conference Call minutes"

Revision as of 17:02, 2 November 2017

Attendees

Child Health Content Mapping

C-CDA mapping Update provided by Mike Padula
- Modeling the ketogenic diet and aligning it with the nutritional work.
- Instruction template use for medications and nutrition recommendations
- Suggestion made that the SDWG future prohibition templates can be used for things like procedure contraindications

Care Plan DAM

Overview of Care Plan DAM mapping diagram provided by Stephen Chu
Evelyn suggest adding the Renal Care Plan and LTSS implementation guide as a place holder for now

Obligation OR prohibition instruction templates

New advance directive and advance care planning template presented by Lisa Nelson
Advance directive observations is forward facing
What about the right now situation - while in hosp and something happen, do this- decision about what to do has been made.
See Obligation, Prohibition Templates and notes taken during the call
Use prohibition template for things that are "don't do"
Value set is to have the concepts that is specific - value set used in these template is dynamic and CWE. Can use nullflavor and have originalText when the action is not in the valueset.
Discussion about whether this is an order, or instructions and if it should point to progress notes or other documents

@@ Line 23: / Line 23: @@
 *Advance directive observations is forward facing
 *What about the right now situation - while in hosp and something happen, do this- decision about what to do has been made.
-*See [[Media:Advance_Directives_Templates_-_Revisions_-Companion_Templates_(3).docx| Obligation, Prohibition Templates and notes]]
+*See [[Advance_Directives_Templates_-_Revisions_-Companion_Templates_(3LN).docx| Obligation, Prohibition Templates and notes taken during the call]]
+*Use prohibition template for things that are "don't do"
-Use prohibition for things that are "don't do"
+*Value set is to have the concepts that is specific - value set used in these template is dynamic and CWE. Can use nullflavor and have originalText when the action is not in the valueset.
+*Discussion about whether this is an order, or instructions and  if it should point to progress notes or other documents
-CDA R2 has made changes to negationInd - recommendation to avoid use of negationInd
-When using negationInd in the observation have to be explicit if the negation applies to the code or the value
-On an ACt it always applies to the code.
-Valuset is to have the concepts that is specific - valuset is dynamic and CWE. can use nullflavor and have originalText when the action is not in the valueset.
-Discussion about whether an order, or instructions and  if it should pointing to progress note