Talk:1.3.6.1.4.1.19376.1.5.3.1.1.16.1.4: Difference between revisions
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Tsoutherland (talk | contribs) New page: Reason for Visit: * Reason for Visit is from provider * Chief Complaint is from patient * * IHE specifies different LOINC code than CDA4CDT - can the CDA4CDT LOINCs be added to IHE Reason... |
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Reason for Visit | ==CDA4CDT and IHE comparison notes== | ||
* Reason for Visit is from provider | ''The following sections are required by CDA4CDT for the H&P. This is a quick analysis of the sections and their IHE counterparts (where they exist)'' | ||
* Chief Complaint is | |||
* | ====Reason for Visit==== | ||
* IHE specifies | * Reason for Visit is from provider, Chief Complaint is from patient | ||
* | * While CDA4CDT specifies to use one of three LOINCs and IHE only has one - they both have Chief Complaint LOINC (10154-3) in common | ||
* this section is ok | |||
====History of Present Illness==== | |||
* CDA4CDT references IHE HPI Section 1.3.6.1.4.1.19376.1.5.3.1.3.4 so they both use the same LOINC | |||
* this section is ok | |||
====Past Medical History==== | |||
* new IHE section to be created | |||
* general definition is created - is further specification needed? i.e. define Entries, etc. | |||
* (ts 4/28) will not create new section - use Resolved Problems (1.3.6.1.4.1.19376.1.5.3.1.3.8) instead | |||
* this section is ok | |||
====Medications==== | |||
* both use same LOINC | |||
* this section is ok | |||
====Allergies==== | |||
* both use same LOINC | |||
* this section is ok | |||
====Social History==== | |||
* both reference CCD as parent | |||
* both use same LOINC | |||
* this section is ok | |||
====Family History==== | |||
* both use same LOINC | |||
* this section is ok | |||
====Vital Signs==== | |||
* both use the same LOINC | |||
* this section is ok | |||
====Review of Systems==== | |||
* CDA4CDT references 1.3.6.1.4.1.19376.1.5.3.1.3.18 so they both use same LOINC | |||
* this section is ok | |||
====Physical Examination==== | |||
* both use the same LOINC | |||
* this section is ok | |||
====Diagnostic Findings==== | |||
* CDA4CDT uses LOINC 30954-2 and specifies this as lab results and other findings | |||
* not sure if or where this exists in IHE | |||
* LOINC 30954-2 in IHE is Results Section (1.3.6.1.4.1.19376.1.5.3.1.3.28) - can use this | |||
* this section is ok | |||
====Assessment and Plan==== | |||
* CDA4CDT uses LOINCs: AAPLN-X/ASSMT-X/18776-5 | |||
* IHE uses LOINC: X-AANDP | |||
* does this mean that both specifications have requested LOINC codes? | |||
Latest revision as of 15:21, 30 May 2008
CDA4CDT and IHE comparison notes
The following sections are required by CDA4CDT for the H&P. This is a quick analysis of the sections and their IHE counterparts (where they exist)
Reason for Visit
- Reason for Visit is from provider, Chief Complaint is from patient
- While CDA4CDT specifies to use one of three LOINCs and IHE only has one - they both have Chief Complaint LOINC (10154-3) in common
- this section is ok
History of Present Illness
- CDA4CDT references IHE HPI Section 1.3.6.1.4.1.19376.1.5.3.1.3.4 so they both use the same LOINC
- this section is ok
Past Medical History
- new IHE section to be created
- general definition is created - is further specification needed? i.e. define Entries, etc.
- (ts 4/28) will not create new section - use Resolved Problems (1.3.6.1.4.1.19376.1.5.3.1.3.8) instead
- this section is ok
Medications
- both use same LOINC
- this section is ok
Allergies
- both use same LOINC
- this section is ok
Social History
- both reference CCD as parent
- both use same LOINC
- this section is ok
Family History
- both use same LOINC
- this section is ok
Vital Signs
- both use the same LOINC
- this section is ok
Review of Systems
- CDA4CDT references 1.3.6.1.4.1.19376.1.5.3.1.3.18 so they both use same LOINC
- this section is ok
Physical Examination
- both use the same LOINC
- this section is ok
Diagnostic Findings
- CDA4CDT uses LOINC 30954-2 and specifies this as lab results and other findings
- not sure if or where this exists in IHE
- LOINC 30954-2 in IHE is Results Section (1.3.6.1.4.1.19376.1.5.3.1.3.28) - can use this
- this section is ok
Assessment and Plan
- CDA4CDT uses LOINCs: AAPLN-X/ASSMT-X/18776-5
- IHE uses LOINC: X-AANDP
- does this mean that both specifications have requested LOINC codes?