HL7 representatives, persons with expertise in the federally-required MDS and OASIS instruments, and others have established precedence1, 2, 3 by outlining the following terminology integration steps that support the assessment instrument content exchanged in the functional status section of CCD:
Step 1: Encode to a standard coding system: encode assessment instruments' functional status and assessment items into LOINC.
Step 2: Concept matching to a standard medical terminology: where possible match LOINC codes of the assessment instruments' items with one or more equivalent terms from a standard medical terminology. The suggested medical terminology is often SNOMED.
Step 3: Insert the LOINC codes of the assessment instrument items (e.g., items from the MDS) (and their SNOMED equivalents) into the functional status section of the CCD.
Step 4 (Messaging): the CCD is an HL7 CDA document that is sent as a sequence of HL7 messages.
"StratEng.pdf" (pdf, 1.74Mb)
"StratEng-A.pdf" (pdf, 198.14Kb)
"StratEng-B.pdf" (pdf, 534.93Kb)
"StratEng-C.pdf" (pdf, 214.97Kb)
"StratEng-D.pdf" (pdf, 4.65Mb)
"StratEng-D1.pdf" (pdf, 12.32Mb)
"StratEng-D2a.pdf" (pdf, 3.62Mb)
"StratEng-D2b.pdf" (pdf, 3.58Mb)
"StratEng-E.pdf" (pdf, 3.66Mb)
"StratEng-F.pdf" (pdf, 162.5Kb)
"StratEng-G.pdf" (pdf, 340.24Kb)
"StratEng-H.pdf" (pdf, 173.91Kb)
"StratEng-I.pdf" (pdf, 194.52Kb)
"StratEng-J.pdf" (pdf, 311.03Kb)
"StratEng-K.pdf" (pdf, 4Mb)
"StratEng-L.pdf" (pdf, 2.33Mb)