2017-11-01 Conference Call minutes

Attendees

• Michael Padula
• Evelyn Gallego
• Stephen Chu
• Russel Leftwich
• Emma Jones
• Jay Lyle
• Joe Quinn
• George Dixon
• Lisa Nelson

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 - provided by Lisa
• 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