Talk:1.3.6.1.4.1.19376.1.5.3.1.1.16.1.4: Difference between revisions

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* Reason for Visit is from provider, Chief Complaint is from patient
* 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  
* While CDA4CDT specifies to use one of three LOINCs and IHE only has one - they both have Chief Complaint LOINC (10154-3) in common  
* so this section is ok
* this section is ok


====History of Present Illness====
====History of Present Illness====
Line 14: Line 14:
* new IHE section to be created
* new IHE section to be created
* general definition is created - is further specification needed?  i.e. define Entries, etc.
* 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====
====Medications====
* both use same LOINC
* both use same LOINC
* this is ok
* this section is ok


====Allergies====
====Allergies====
* both use same LOINC
* both use same LOINC
* this is ok
* this section is ok


====Social History====
====Social History====
* both reference CCD as parent
* both reference CCD as parent
* both use same LOINC
* both use same LOINC
* this is ok
* this section is ok


====Family History====
====Family History====
* both use same LOINC so this is ok
* both use same LOINC  
* this section is ok


====Vital Signs====
====Vital Signs====
* both use the same LOINC
* both use the same LOINC
* so this is ok
* this section is ok


====Review of Systems====
====Review of Systems====
* CDA4CDT references 1.3.6.1.4.1.19376.1.5.3.1.3.18 so they both use same LOINC
* CDA4CDT references 1.3.6.1.4.1.19376.1.5.3.1.3.18 so they both use same LOINC
* this is ok
* this section is ok


====Physical Examination====
====Physical Examination====
*both use the same LOINC so this is ok
* both use the same LOINC  
* this section is ok


====Diagnostic Findings====
====Diagnostic Findings====
* CDA4CDT uses LOINC 30954-2 and specifies this as lab results and other findings
* CDA4CDT uses LOINC 30954-2 and specifies this as lab results and other findings
* not sure if or where this exists in IHE
* 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====
====Assessment and Plan====

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?
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