Card Tech Minutes 2016.03.30

Continued Review of CRC TAVR Document

• Charles has cleaned up the document. He has been unable to find a SNOMED code for Device Embolization Left Ventricle and Dev Embolization Aorta. This may be due to the possibility of the devices being removed.
• It has been decided to code the pre-procedure and baselines measurements is a results organizer. There is a SNOMED code, the baseline state, [LOINC refers to them differently] that can be used. SNOMED also has a procedure related findings code which will help denote the approitre code. There is no SNOMED or LOINC code for pre-TAVR measurements.
• If there are multiple procedures taking place during an intervention, each will require a separate results organizer.
• A UID link to DICOM images is required. Some facilities like UW do not do perform cine imaging or fluoro to keep the radiation risk low over a two year follow-up process. It sounds like it should be supported, but not with a 'shall' statement.
• If a patient is transferred from another facility it is important for the care team, and for documentation in the NCDR, that the patient is possibly in worse shape, and PCI might be required to salvage cardiac tissue. This would include echoes to look for dyskinetic wall motion. Outcomes can be dicey.
• Charles will work on the XML version and post it to the FTP site prior to the face to face meeting in Chicago next week.

• Discussion of the process for facilities who are interested in implementation of IHE profiles. Currently there is a mailing list for this purpose http://wiki.ihe.net/index.php?title=Mailing_Lists

This was a shortened meeting due to the low attendance and the pre face to face proximity.