Opportunities for Engaging Long-Term and Post-Acute Care Providers in Health Information Exchange Activities: Exchanging Interoperable Patient Assessment Information. Summary of Technical Tools and Resources Developed

12/01/2011

This study developed several tools, highlighted in Table 3, to facilitate the application, widespread use, and dissemination of content standards related to the MDS or OASIS assessment information.

TABLE 3. Resources to Support Application of Content and Exchange Standards to MDS and OASIS
  Implementation Resource     Description     Appendix  
Content Standardization
Rosetta Stone Mapping Guidelines and Heuristics This resource offers the guidelines and rules that were used to map recognized HIT vocabularies -- specifically, LOINC® and SNOMED CT -- to the MDS and OASIS assessments, and the use of coded vocabularies in an HL7 messaging standard (the CDA Patient Assessment Questionnaire Implementation Guide) to enable the interoperable transmission of these assessments. The exchange standard enables assessments to be represented as intended by assessment developer (using a "model of use" format) and enables the re-use of assessment content (i.e., using the model of meaning format). C: Rosetta Stone Mapping Guidelines and Heuristics
MDS 3.0 Rosetta Stone This resource maps each MDS 3.0 question and answer to applicable terminologies and code sets including LOINC®, SNOMED, ICD-9-CM and ICD-10. This is expected to be a useful reference for nursing home EHR vendors and HIE organizations. D: MDS 3.0 Rosetta Stone
The MDS value set of diagnosis concepts file provides a set of SNOMED concepts to illustrate how the MDS problem/diagnosis section could be semi-populated from the EHR. D: MDS Value Set of Diagnosis Concepts
OASIS Rosetta Stone This resource maps each OASIS question and answer to applicable terminologies and code sets including LOINC®, SNOMED, ICD-9-CM and ICD-10. This is expected to be a useful reference for home health EHR vendors and HIE organizations. E: OASIS Rosetta Stone
Rosetta Stone for MDS Assessment Summary A technical resource in Excel which identifies the MDS item selected for the summary, the related SNOMED concept, LOINC code, CCD Section, and analyzed compatibility with HITSP C32 requirements. K: MDS Assessment Summary Rosetta Stone
Rosetta Stone for OASIS Assessment Summary A technical resource in Excel which identifies the OASIS item selected for the summary, the related SNOMED concept, LOINC code, CCD Section, and analyzed compatibility with HITSP C32 requirements. L: OASIS Assessment Summary Rosetta Stone
Exchange Format Standardization
Current Standards Landscape A discussion about the current standards and their application to assessment content and enabling re-use of health information. This resource could be used by LTPAC providers and vendors to facilitate their awareness and understanding. F: Current Standards Landscape
Interoperability Toolkit This appendix document provides a summary of the technical tools available in the toolkit. G: Interoperability Toolkit
HL7 CDA Implementation Guide This guide describes how to represent questions and answers in PAIs as an HL7 CDA document. The implementation guide represents the MDS 3.0 as an example of a CDA patient assessment document. G: Interoperability Toolkit CDA Implementation Guide for Assessment Instruments
MDS Conversion/ Validation Utilities Various tools for transforming the MDS from a CDA format to the CMS transmission format and tools to validate the conversion. G: MDS Transform Tool and Validator
CCD Guidance and Considerations This document provides general information on how to design a valid CCD document using patient assessment content from the MDS. G: MDS CCD Design Document
Standards Development and Adoption Recommendations Provides recommendations for advancing and accelerating the use of HIT and EHRs in the LTPAC industry based on existing standards and known gaps. Discusses the relationship of existing and potential national policy strategies in relating to the standards recommendations. H: Standards Development and Adoption Recommendations

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