I think it is useful to “descend thru the links” to see what some of the coding options are for these CDA sections. For example, the HISTORY OF PAST ILLNESS section (18.104.22.168.4.1.19322.214.171.124.1.3.8) has a wiki page on the IHE site, here:
This wiki page links to a wiki page for the “Problem Concern Entry” template (126.96.36.199.4.1.193188.8.131.52.184.108.40.206), which is here:
And, in turn, this wiki page has a link to the “Problem Entry” template (220.127.116.11.4.1.19318.104.22.168.1.4.5), which is here:
I think, Suranga, some of what you’re looking for is found in the “Problem Entry” template. Here is where a constrained list of problem codes is found, as well as an example list of problem vocabularies, and some precise directives regarding how to document “no problems” vs. “unknown problems”, etc.
From the Problem Concern Entry wiki page there is a wiki page link for the “Concern Entry” template (22.214.171.124.4.1.193126.96.36.199.188.8.131.52), too, which is here:
As you can note, many of these templates, on the IHE side, are 1:1 references to underlying HL7 standards. Only occasionally are there constraints specified regarding IHE’s use of these HL7 specs. Where there are, tho, they are documented in the IHE wiki pages and/or the IHE technical framework documents. The full set of IHE published docs can be found on their public ftp site, which is here:
The CDA Content Modules supplement, in my view, adds an important level of detail to the technical framework (TF) docs and is (likely) more up-to-date than the IHE wiki pages. This important content supplement is found, here:
The key takeaway for IHE profiles is that they all (always) reference underlying standards and specifications and (sometimes) describe the constraints to those specs so that interoperability can be achieved. IHE only rarely duplicates these referenced specs in the profile. This is intentional; think of it as similar to object-oriented programming… you don’t want to duplicate all the things described in the object, you just want to invoke/reference it. For the IHE profiles, this means you will (sometimes) have to descend down thru the referenced specs or templates to find specific content such as code sets, etc.
Suranga, I hope this is helpful.
Derek Ritz, P.Eng., CPHIMS-CA
+1 (905) 515-0045
This communication is intended only for the party to whom it is addressed, and may contain information which is privileged or confidential. Any other delivery, distribution, copying or disclosure is strictly prohibited and is not a waiver of privilege or confidentiality. If you have received this telecommunication in error, please notify the sender immediately by return electronic mail and destroy the message and any attachments.
Le présent courriel et les documents qui y sont joints sont confidentiels et protégés et s’adressent exclusivement au destinataire mentionné ci-dessus. L’expéditeur ne renonce pas aux droits et privilèges qui s’y rapportent ni à leur caractère confidentiel. Toute prise de connaissance, diffusion, utilisation ou reproduction de ce message ou des documents qui y sont joints, ainsi que des renseignements que chacun contient, par une personne autre que le destinataire prévu est interdite. Si vous recevez ce courriel par erreur, veuillez le détruire immédiatement et m’en informer.
From: email@example.com [mailto:firstname.lastname@example.org] On Behalf Of Suranga Kasthurirathne
Sent: Tuesday, July 22, 2014 3:56 PM
Subject: Question on the APHP HISTORY OF PAST ILLNESS section
A question from our work on the APHP document generation.
We’re currently looking at the HISTORY OF PAST ILLNESS (184.108.40.206.4.1.193220.127.116.11.1.3.8) section. Looking at the IHE PCC document (ftp://ftp.ihe.net/DocumentPublication/CurrentPublished/PatientCareCoordination/IHE_PCC_TF_Vol2.pdf) it seems that there is no value set defined for this.
Is there a recommended value set that we should use for this ? or basically, what concepts should we look at to obtain our answers ? any advice would be appreciated !
Thanks and Best regards,
You received this message because you are subscribed to the Google Groups “Shared Health Record (OpenHIE)” group.
To unsubscribe from this group and stop receiving emails from it, send an email to email@example.com.
For more options, visit https://groups.google.com/d/optout.