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EMS Run Report CDA Meeting 110512
Contents
HL7 project team meeting, 28 April, 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, Director, NEMSIS
- Jim Case, NLM
- Philip DePalo
Agenda
- Agenda check
- loinc submission review
Minutes
- Lumping is OK. NEMSIS elements that are conceptually splittable, but lumped for the purpose of the domain, are acceptable for LOINC question codes.
- LOINC names may differ in point of clarification. NEMSIS may or may not use these clarifications in the NEMSIS publication; likewise the HL7 specifications.
- LOINC Example answers do not exclusively constitute the range of the question. Questions with different answer sets may be used as long as the conceptual space is the same.
- If the answers are different, the conceptual spaces constituted by those answers will never be identical. There is some level of judgement here.
- The name and axes of the code are constitutive. The examples can be taken to define the minimum conceptual space.
- Open question: whether our codes should be added to the LOINC answer set for existing codes (and for new ones as well).
Action Items
| Action | Responsible | Description | Timeline | Status |
| provide codes to CDC for evaluation | Jay | 5/30 | open | |
| provide codes to Clay for NEMSIS code assignment | Jay | 5/30 | open | |
| confirm 'assertion' vs clinical statement pattern | Jay | 5/20 | open | |
| provide question list to Jaci | Sarah | 5/30 | open | |
| update vocabulary approach document | Sarah | vocabulary principles, approach priorities, preferred systems | 2/17 | open |
| provide trauma criteria | Clay | 5/13 | closed | |
| SD questions | Jay | See issues | 2/10 | Closed |
| 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 |
