Opportunities for Engaging Long-Term and Post-Acute Care Providers in Health Information Exchange Activities: Exchanging Interoperable Patient Assessment Information. Overview Of Existing Standard/specification For Functional Status

12/01/2011

Table I-2 lists the current standards/specifications related to functional status definition and presentation. The key problems to be resolved include:

  • Standardizing the HL7 CDA Functional Status representation to reflect question/answer pattern and assertion patterns. This standardization includes making proposed changes to the new Consolidated CDA Functional Status Section as needed.

  • Standardizing the functional status concept value set master file.

  • Standardizing the mapping methodology between multiple standard terminologies (for example, the mapping between LOINC functional status answer codeto the corresponding SNOMED CT code).

TABLE I-2: Current Standards/Specifications related to Functional Status
Existing
Standard
Selected
Terminology
CDA
Template
Representation
Pattern
HL7 CCD LOINC and SNOMED   CCD problem observation template and CCD result observation template Question/Answer pattern  

Assertion pattern

HITSP C32 LOINC and SNOMED Constraint CCD result observation template Question/Answer pattern

Assertion pattern

HL7 CDA R2 LOINC and SNOMED Functional Status Question/Answer pattern

Assertion pattern

MDS LOINC and SNOMED Same as CCD result observation template Question/Answer pattern
IHE Functional Status Assessment Profile (2008)   LOINC and SNOMED CCD problem observation template and CCD result observation template   Question/Answer pattern

Assertion pattern

 

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