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Background

This pilot project will explore using a collaborative review process, performed by resources from across a small set of domain workgroups, to facilitate collaboration CDA template assessment. The selected resources also will be engaged in working on development of the corresponding FHIR resources. The objective is to understand what is involved in working across workgroups to facilitate collaboration on CDA template assessment.


The project is investigative, in that it intends to investigate and document the identified changes needed to align and harmonize the templates, but it does not include doing the work to address the changes. 


Once the agreed upon list of changes has been identified, a separate project or projects will be initiated to address making the needed changes. This will be handled as a two-step process and this project covers the first step only. In the future, this type of work could incorporate collaboration across other work groups such as Patient Administration, PHER, due to their expertise with templates such as record target and immunization activity


Project Deliverables and Artifacts

WorkgroupDescription DeliverableLasted UpdatedStatusLog of Work
Patient CareAnalysis of the Problem Concern and Allergy Concern Sections and entry templates and the collection of templates associated with these entry templates2020-04-24Progressing SlowlyNotes from the meetings
FMAnalysis of the Payers Section and the Coverage Activity entry template and the collection of templates associated with this entry templates2019Stuck/Stalled - Ran into thorny problemsNotes from the meetings
PharmacyAnalysis of the Medication Activity entry template and the collection of templates associated with this entry template
Never Really StartedNotes from the meetings

Timeline

WGDateDeliverableLink
PC WG2020-04-24Edits and comments on the C-CDA R2.1 Problem Section and the collection of templates specified for use in this section.
PC WG2020-04-24Edits and comments on the C-CDA R2.1 Allergies and Intollerances Section and the collection of templates specified for use in this section.
PC WG2020-04-24Comparison of C-CDA templates to IPS 20200105
PC WG2020-04-24Progress on C-CDA IPS Harmonization Work
PC WG2020

Documentation of an issue showing what can happen when value sets include the wrong members.  This shows there are codes within SNOMED CT that represent the concept "Allergy to X" where the notion of "allergy to" is recorded in the semantics of the code.  However, in C-CDA the information model holds the notion of "allergy to" and the template only requires the notion X to be supplied.  Thus, many coded concepts within SNOMED CT must be filtered out or not selected for use in the value set bound to the model element where X is represented.


This issues has also appeared recently in working being done within the Gravity Project while addressing what coded concepts should be used with the ServiceRequest.code element.  It also was decided that codes which include the concept "Referral to" shall not be included when defining the value set to be bound to this data element.  Both "referral to y" and "referral for x" (where y= the program and x = the service) will not be used.

Project Description

Collaborative Template Review Process Pilot (Project ID: 1437)

Project Details
Project Owner
Project Start Date

Dec 12, 2018 19:40

Project Completion Date


Project Charterhttps://www.hl7.org/special/Committees/projman/searchableProjectIndex.cfm?action=edit&ProjectNumber=1437
Project Status

STARTED


Project Team

RoleName
Project LeadLisa Nelson LNelson@max.md
Confluence Admin




Project Files

  File Modified
PDF File CDAR2_IG_CCDA_CLINNOTES_R1_DSTU2.1_2015AUG_Vol2_2018MAYwith_errata.pdf Dec 15, 2018 by Lisa R. Nelson
Microsoft Excel Spreadsheet DuteauCDA-to-FHIR_mappings 20181203 PC.xlsx Dec 15, 2018 by Lisa R. Nelson
Microsoft Excel Spreadsheet C-CDA to C-CDA-on-FHIR 12.05.xlsx Dec 15, 2018 by Lisa R. Nelson
Microsoft Powerpoint Presentation Collaborative Template Review Process Pilot-ProblemConcern.pptx Jan 07, 2019 by Lisa R. Nelson
Microsoft Word Document History of the Health Concern.docx Feb 18, 2019 by Lisa R. Nelson
Microsoft Word Document Consolidated CDA Templates for Clinical Notes (US Realm) DSTU R2.1 (Problem Concern).docx Apr 25, 2020 by Lisa R. Nelson
Microsoft Word Document Consolidated CDA Templates for Clinical Notes (US Realm) DSTU R2.1 (AllergyConcern Act).docx Apr 25, 2020 by Lisa R. Nelson
Microsoft Word Document C-CDA comparison to IPS 20200105.docx Apr 25, 2020 by Lisa R. Nelson
Microsoft Word Document Progress update on C-CDA IPS Harmonization.docx Apr 25, 2020 by Lisa R. Nelson
Microsoft Word Document Issues with Allergy types.docx Apr 25, 2020 by Lisa R. Nelson
Microsoft Powerpoint Presentation Payer Section.pptx Work completed with FM Apr 25, 2020 by Linda Michaelsen
Microsoft Powerpoint Presentation PSS 1437 work with Financial Management Workgroup.pptx Apr 25, 2020 by Linda Michaelsen



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  1. I can't get the page to allow me to add a link to the google project overview presentation.  https://docs.google.com/presentation/d/1OKzB7HtmS7-DMbaUDy0pMDSxIrayPUKv72_N9By6POM/edit#slide=id.p