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:
==CDA4CDT and IHE comparison notes==
* Reason for Visit is from provider
''All of these sections are required by CDA4CDT''
* Chief Complaint is from patient
 
* CDA4CDT and IHE have Chief Complaint LOINC (10154-3) in common  
====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  
* so this section is ok
* so this section is ok


<br/>


History of Present Illness
====History of Present Illness====
* references IHE HPI Section 1.3.6.1.4.1.19376.1.5.3.1.3.4
* 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
* this section is ok


<br/>


Past Medical History
====Past Medical History====
* new IHE section to be created - how is this done?
* new IHE section to be created
* general definition is created - is further specification needed?  i.e. define Entries, etc.
 
 
====Medications====
*
 
 
====Allergies====
*
 
 
 
====Social History====
* both reference CCD as parent
* both use same LOINC
* this is ok
 
 
====Family History====
* both use same LOINC so this is ok
 
 
====Vital Signs====
*
 
 
====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 is ok
 
 
====Physical Examination====
*both use the same LOINC so this is ok
 
 
 
====Diagnostic Findings====
*
 
 
====Assessment and Plan====
*

Revision as of 18:00, 24 April 2008

CDA4CDT and IHE comparison notes

All of these sections are required by CDA4CDT

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
  • so 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.


Medications


Allergies


Social History

  • both reference CCD as parent
  • both use same LOINC
  • this is ok


Family History

  • both use same LOINC so this is ok


Vital Signs


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 is ok


Physical Examination

  • both use the same LOINC so this is ok


Diagnostic Findings


Assessment and Plan

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