Talk:1.3.6.1.4.1.19376.1.5.3.1.1.16.1.4: Difference between revisions
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* 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 | * so this section is ok | ||
====History of Present Illness==== | ====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 | * 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 | ||
====Past Medical History==== | ====Past Medical History==== | ||
* 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. | ||
====Medications==== | ====Medications==== | ||
* both use same LOINC | * both use same LOINC | ||
* this is ok | * this is ok | ||
====Allergies==== | ====Allergies==== | ||
| Line 32: | Line 28: | ||
* both use same LOINC | * both use same LOINC | ||
* this is ok | * this is ok | ||
====Family History==== | ====Family History==== | ||
* both use same LOINC so this is ok | * both use same LOINC so this is ok | ||
====Vital Signs==== | ====Vital Signs==== | ||
* both use the same LOINC | * both use the same LOINC | ||
* so this is ok | * so this 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 is ok | ||
====Physical Examination==== | ====Physical Examination==== | ||
*both use the same LOINC so this is ok | *both use the same LOINC so this 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 | ||
====Assessment and Plan==== | ====Assessment and Plan==== | ||
Revision as of 07:24, 25 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
- both use same LOINC
- this is ok
Allergies
- both use same LOINC
- this is ok
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
- both use the same LOINC
- so this 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 is ok
Physical Examination
- both use the same LOINC so this 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
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?