Hi GPC-DEV, I had to drop off the call to make a LOINC equivalence group call led by our colleagues at Indiana (Dan Vreeman and Katie Allen). https://loinc.org/groups/
As that call developed I then learned relevant to our discussion today of how to manage different note types across GPC sites https://docs.google.com/document/d/1MFWLqzMfuGQfroJRqOpCHZk93RD-VvwZ3rWzFJuQnwc/edit https://informatics.gpcnetwork.org/trac/Project/ticket/431 that LOINC has this https://loinc.org/document-ontology/ with 5 dimensions and is supposedly "used worldwide in HL7's CDA standard". Ideally there would be a relationship somewhere in Cerner, Cattails, and Epic that let's us crosswalk our note titles authored in that EHR or blowing in from ancillaries or other systems that do link to this LOINC ontology coding scheme that on cursory glance might somehow be coded when the documents go outbound as a CDA. http://www.hl7.org/implement/standards/product_brief.cfm?product_id=379 See Kris' work in https://informatics.gpcnetwork.org/trac/Project/ticket/573 and the note type volumes sorted https://informatics.gpcnetwork.org/trac/Project/attachment/ticket/573/Note%20Types%20by%20Encounter%20Type.xlsx ). An example would be a physician writing a history and physical in a nursing facility 34116-4 LP173418-7 Document.Kind 1 Note 34116-4 LP173198-5 Document.TypeOfService 1 History and physical 34116-4 LP173048-2 Document.Setting 1 Nursing facility 34116-4 LP173084-7 Document.Role 1 Physician And then it seems there are separate mappings to the Subject Matter Domain. Otherwise, the work to map to the five dimensional ontology is possible but non-trivial because some info is in the title but others in the author and location which may be hard to determine as least at my first 15 minute glance. Jim Campbell/Scott Campbell/Jim McClay at Nebraska may be already in this space based on their HL7 and lab/path work. Others from the Regenstrief group may know who's doing this best nationally or if the bread crumb is there somewhere for at least certain note types. Russ Waitman, PhD Director of Medical Informatics Associate Vice Chancellor for Enterprise Analytics Professor, Department of Internal Medicine University of Kansas Medical Center, Kansas City, Kansas 913-945-7087 (office) [email protected]<mailto:[email protected]> http://www.kumc.edu/ea-mi/ http://informatics.kumc.edu<http://informatics.kumc.edu/> http://www.gpcnetwork.org<http://www.gpcnetwork.org/> - a PCORnet collaborative www.pcornet.org<http://www.pcornet.org>
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