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© 2012 Lantana Consulting Group, 3 Background Analysis Determine if a template needs an update or if a new template is needed Evaluation includes but is not limited to items such as: o Determination if specific coded terms are needed (value sets of standard codes) o Assessment for temporal component requirements o Need for specifying participants or number of participants ( i.e. providers, care team members, health care agents).
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© 2012 Lantana Consulting Group, www.lantanagroup.com1
Analysis Process
© 2012 Lantana Consulting Group, www.lantanagroup.com2
Background Analysis• Identify templates in document types (Transfer
Summary, Consult Note, Referral Summary) that closely align with data elements
• Analyze selected templateso What templates will have widest common use across the health care
industry?o What templates best fit the concept?o Does the template use industry standard terminology codes?o Does the template fully represent all the needed parts?
© 2012 Lantana Consulting Group, www.lantanagroup.com3
Background AnalysisDetermine if a template needs an update or if a new template is neededEvaluation includes but is not limited to items such as:o Determination if specific coded terms are needed (value sets of
standard codes)o Assessment for temporal component requirementso Need for specifying participants or number of participants ( i.e.
providers, care team members, health care agents).
© 2012 Lantana Consulting Group, www.lantanagroup.com4
Example: Common Template and Further ConstraintsWidely Used Concept: Advance Directive ObservationAdditional Constraints needed:
•Health Care Agent(s)•Patient affirmation•Expiration date (start/stop time)•Verification (MD, RN)•Versioning•Forms – MOLST/POLST
© 2012 Lantana Consulting Group, www.lantanagroup.com5
NEXT STEPS: DESIGNThese steps are iterative:•Create an XML example conforming to the harmonized Consolidation Template re-using and updating the pre-existing work•Enter the template into the template library database (Trifolia)•Export the human readable word template•Review with templates with S&I (stakeholders)•Review with HL7 structured documents work Group (SDWG)•Make design edits as needed•Integrate into C-CDA guide
© 2012 Lantana Consulting Group, www.lantanagroup.com6
Example: Sample File Artifactentry> <observation classCode="OBS" moodCode="EVN"> <!-- ** Advance Directive Observation ** --> <templateId root="2.16.840.1.113883.10.20.22.4.48"/> <id root="9b54c3c9-1673-49c7-aef9-b037ed72ed27"/> <code code="89666000" codeSystem="2.16.840.1.113883.6.96" displayName="CPR"> <originalText>Cardiopulmonary resuscitation: for a patient in cardiac or respiratory arrest</originalText> </code> <statusCode code="completed"/> <effectiveTime> <low value="20110213"/> <high nullFlavor="NA"/> </effectiveTime> <value xsi:type="ST">Yes</value> <participant typeCode="VRF"> <templateId root="2.16.840.1.113883.10.20.1.58"/> <!-- 8.6.2 Represent date of verification/signature --> <time value="201102013"/> <participantRole> ... </participantRole> </participant> <participant typeCode="CST"> <participantRole classCode="AGNT"> ... </participantRole> </participant> <reference typeCode="REFR"> <seperatableInd value="false"/> <externalDocument> ... </externalDocument> </reference> </observation></entry>
© 2012 Lantana Consulting Group, www.lantanagroup.com7
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