tag:blogger.com,1999:blog-733074358901582680.post6815196119026674647..comments2024-03-23T05:28:35.472-04:00Comments on Healthcare Standards: If I had a HammerKeith W. Boonehttp://www.blogger.com/profile/16883038460949909300noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-733074358901582680.post-56703331122526902412008-06-19T16:49:00.000-04:002008-06-19T16:49:00.000-04:00May I propose two tweaks to your proposal to the H...May I propose two tweaks to your proposal to the HL7 Structured Documents committee?<BR/><BR/>1. instead of "any LOINC code", "any LOINC Document code". Unfortunately, LOINC is a bit sloppy in how you can identify a code as being a document code, but I would propose "any LOINC code with a scale type of 'Doc'", and hope that we can convince LOINC to clean up these codes so that this is accurate.<BR/><BR/>2. Instead of "When the purpose of the document is solely to summarize the patient's current health status", how about "when the purpose of the document is to document a clinical episode or encounter". I think this more accurately captures the nature of the CCD spec and the 34133-9 LOINC code. Some "episode summaries" may well include everything about "the patient's current health status," but we shouldn't expect or want all such documents to. In an ideal world, there might be one active "current health status" document, authored by the patient's primary care provider (or maybe by the patient in a PHR), but subsequent encounters with specialists would have no need to reproduce all that information that is outside the subject of that encounter.Richard Franckhttps://www.blogger.com/profile/09031429753722851895noreply@blogger.comtag:blogger.com,1999:blog-733074358901582680.post-29524653645004914982008-06-19T07:42:00.000-04:002008-06-19T07:42:00.000-04:00Actually Ren, I have to differ with you a little o...Actually Ren, I have to differ with you a little on the statement that "An IHE PCC document... does in no way have to comply with CCD." The IHE PCC CDA templates do use some of the CCD templates, and so some compliance is necessary. However, to your point, the CCD templates were built based on best practices from the various HL7 domain committee models, and so are completely usable in an international setting. We've already see several countries doing so, and I've seen some implementation guides in Europe making use of the templates based on CCD that are found in the IHE PCC Technical Framework.Keith W. Boonehttps://www.blogger.com/profile/16883038460949909300noreply@blogger.comtag:blogger.com,1999:blog-733074358901582680.post-1429040479229979312008-06-19T03:33:00.000-04:002008-06-19T03:33:00.000-04:00It's also worthwhile (for non-US readers) to point...It's also worthwhile (for non-US readers) to point out that the CCD (as an overall CDA document) is US-specific. However: theses specifications are still of value, because they define templates which can also be used outside of the US. <BR/>The CDA documents created by IHE PCC (and some others) re-use some of the CCD section/entry level templates. An IHE PCC CDA document, when implemented outside of the US, does in no way have to comply with CCD. Different countries have diferent requirements ..Unknownhttps://www.blogger.com/profile/12894756432231557042noreply@blogger.com