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Difference between revisions of "January 31st, 2012 CBCC Conference Call"

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'''[[Community-Based_Collaborative_Care|Back to CBCC Main Page]]'''
 
'''[[Community-Based_Collaborative_Care|Back to CBCC Main Page]]'''
  
==Agenda and Minutes==
+
Serafina Versaggi described the approach used to specify standard-based value sets for coded attributes included in the BH Domain Analysis Model (subject of the May 2012 draft-for-comment ballot). 
#''(05 min)'' Roll Call, Accept Agenda (WGM Meeting Minutes approval deferred.
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#''(45 min)'' [http://gforge.hl7.org/gf/project/fm-tc-ballot/scmsvn/?action=browse&path=%2Ftrunk%2FCCD%2520BH%2Fdocs%2FTerminology%2520Gaps.pptx&revision=8393&view=markup '''Behavioral Health CCD''']  Discussion - ADD link to presentation
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*Clinical documentation in the electronic record is the primary source for codes used in billing.  Since billing relies on ICD codes, if electronic record systems capture clinical data using SNOMED-CT natively, a transformation from SNOMED-CT to ICD must be performed. (ICD-9-CM until Oct. 2013 when ICD-10 will be the standard)
 +
**Cross walks between SNOMED-CT and ICD (9 & 10) already exist, as do cross walks between DSM-IV TR and ICD-9-CM, ICD-10
 +
* For some attributes (e.g., problems) our team has not constrained the coding system(s) to the suggested value set (e.g. DSM-IV, SNOMED-CT, etc) but instead simply recommends a valid coding system, or a node in the SNOMED-CT concept hierarchy (sub-hierarchy).
 +
*Problems/diagnoses and procedures with be the subject of revisions of the DAM for the May 2012 ballot (future work)
 +
* We will describe the analysis and mapping at a higher level by adding a slide after slide #3 (Terminology mapping overview)
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* It was pointed out that seriously mentally ill patients – acute care and BH care patients - are treated by the same source through two channels. These are currently merged resulting in an increased need for interoperability between specialty and primary care.
  
Serafina Versaggi described the approach used to specify standard-based value set for coded attribute The primary source of billing codes is the clinical data.
 
Problems,diagnosis, and procedures with be the subject of revisions of the DAM for the May 2012 ballot:
 
** SNOMED-CT crosswalk to ICD-10 exists and should be reused.
 
** DSM-IV-TR also has a ICD-9-CM cross-walk
 
* In some cases (e.g. problems/diagnoses) our team has not constrained the coding system(s) to a suggested value set (e.g. DSM-IV, SNOMED-CT, etc) but instead simply recommends a valid coding system.
 
* We will add a slide after slide #3 to describe the analysis and mapping at a higher level
 
* Seriously mentally ill patients – acute care and BH care patients are treated by the same source through two channels. These are currently merged resulting in an increased need for interoperability between specialty and primary care.
 
 
====Issue #1: We need access to UB-04 code sets to determine whether there are appropriate values that can be used in various BH value sets, e.g., “referral codes”.====
 
====Issue #1: We need access to UB-04 code sets to determine whether there are appropriate values that can be used in various BH value sets, e.g., “referral codes”.====
 
====Issue #1: Gender identity is politically sensitive and we need more input from other stakeholders.====
 
====Issue #1: Gender identity is politically sensitive and we need more input from other stakeholders.====

Revision as of 15:57, 7 February 2012

Community-Based Collaborative Care Working Group Meeting

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Meeting Information

Attendees

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Serafina Versaggi described the approach used to specify standard-based value sets for coded attributes included in the BH Domain Analysis Model (subject of the May 2012 draft-for-comment ballot).

  • Clinical documentation in the electronic record is the primary source for codes used in billing. Since billing relies on ICD codes, if electronic record systems capture clinical data using SNOMED-CT natively, a transformation from SNOMED-CT to ICD must be performed. (ICD-9-CM until Oct. 2013 when ICD-10 will be the standard)
    • Cross walks between SNOMED-CT and ICD (9 & 10) already exist, as do cross walks between DSM-IV TR and ICD-9-CM, ICD-10
  • For some attributes (e.g., problems) our team has not constrained the coding system(s) to the suggested value set (e.g. DSM-IV, SNOMED-CT, etc) but instead simply recommends a valid coding system, or a node in the SNOMED-CT concept hierarchy (sub-hierarchy).
  • Problems/diagnoses and procedures with be the subject of revisions of the DAM for the May 2012 ballot (future work)
  • We will describe the analysis and mapping at a higher level by adding a slide after slide #3 (Terminology mapping overview)
  • It was pointed out that seriously mentally ill patients – acute care and BH care patients - are treated by the same source through two channels. These are currently merged resulting in an increased need for interoperability between specialty and primary care.

Issue #1: We need access to UB-04 code sets to determine whether there are appropriate values that can be used in various BH value sets, e.g., “referral codes”.

Issue #1: Gender identity is politically sensitive and we need more input from other stakeholders.

Issue #3: Sexual orientation is politically sensitive and we need more input from other stakeholders.

Action Items

  • We need to summarize the vocabulary mapping and any outstanding gaps (SV)
  • We need to revise the balloting road map for the work group

Meeting Adjourned at 1517 EDT


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