Opportunities for Engaging Long-Term and Post-Acute Care Providers in Health Information Exchange Activities: Exchanging Interoperable Patient Assessment Information. 6. Comments Used For MDS Concepts Not Mappable To Snomed CT

12/01/2011

For MDS/OASIS concepts that do not have an equivalent/proximal parent mapping to SNOMED CT, the following comments have been used in the Rosetta Stones (MoM tab, column G) to illustrate why the concept is not mappable.

Rosetta Stone Comment Concept Not Mappable -- MDS Example Concept Not Mappable -- OASIS Example
Concept Not Mapped (Reason #1) --This demographic/ administrative data element is mapped to the CDA Header or is not relevant/useful to other providers/clinicians. A0310A -- Type of assessment: OBRA M0010_CCN CMS
Certification Number
Concept Not Mapped (Reason #2) -- No comparable SNOMED CT concept is available for either 1:1 equivalent or most proximal parent mapping. H0400 -- Frequently incontinent (2 or more episodes of bowel incontinence, but at least one continent bowel movement) M1055_PPV_RSN_NOT_RCVD_AGNCY
Not indicated; patient does not meet age/condition guidelines for PPV
Concept Not Mapped (Reason #3) -- Data element is a complex expression that is not mappable to a single SNOMED CT concept and requires post coordination.* K0100C -- Swallow disorder: cough/choke with meals/meds M1100_PTNT_LVG_STUTN
Patient Lives Alone - Around the clock

M2040_PRIOR_MGMT_ORAL_MDCTN
Prior Med Mgmt: Oral Medications

Concept Not Mapped (Reason #4) -- Negated/frequency/qualifier data elements addressed through the vendor information model or in the CCD. G0400A -- No impairment M1240_FRML_PAIN_ASMT
No standardized assessment conducted
Concept Not Mapped (Reason #5) -- Ambiguous concepts such as "none", "other", "unknown", etc., cannot be mapped to SNOMED CT. P0100D -- Restraints used in bed: other M1410_RESPTX_NONE
Respiratory Treatments: None of the Above
Concept Not Mapped (Reason #6) -- Question responses are free text format and do not provide a fixed concept for SNOMED CT mapping. A1100B -- Preferred language M1016_CHGREG_ICD1
Regimen Change in Past 14 Days: ICD Code 1
*NOTE: This study did not undertake activities to post-coordinate complex, compound MDS data elements.

 

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