Working Group September - Plan

Unique Agenda Items

1) Update on Provincial engagement, CIHI and Health Canada

2) Isabelle's document ontology design

3) Do we specify Setting = Hospital for Admission, Discharge, Consult?

Modified Concept Creation Guide for ToS = Admission Evaluation

	Preferred	Allowable	Roll Up Term	Summary
Kind of Document	Note	Note	Note	Note
Type of Service	Admission Evaluation	Admission Evaluation	Admission Evaluation	Admission Evaluation
Subject Matter Domain	Any	Any	Suppressed	Must
Role	Suppressed	Restricted to Any except physician roles such as Medical Student, Attending, Physician, Fellow, Resident	Suppressed	May - if non-physician
Setting	Hospital and any facility that requires an admission and discharge. Excluding units within the hospital, such as: ICU, Emergency Dept, Observation unit, Pharmacy, Recovery Room	Hospital and any facility that requires an admission and discharge. Excluding units within the hospital, such as: ICU, Emergency Dept, Observation unit, Pharmacy, Recovery Room	Hospital	Hospital typically
LOINC	Many	Many	67852-4
Display Guideline	Remove 'Evaluation Note'	Remove 'Evaluation Note'	Remove 'Evaluation Note'	Remove 'Evaluation Note'
Note		Only use SMD if one discipline/SMD cared for the patient during the hospitalization, but this is not required.	Most likely a hospital admission. Even if it is nursing/subacute facility, Hospital is reasonably accurate. This gives a consistent code.

Revised Concept Creation Guide for ToS = Discharge

	Preferred	Allowable	Roll Up Term	Summary
Kind of Document	Note	Note	Note	Note
Type of Service	Discharge Summary	Discharge Summary	Discharge Summary	Discharge Summary
Subject Matter Domain	Suppressed	Any	Suppressed	May
Role	Suppressed	Suppressed	Suppressed	Never
Setting	Hospital and any facility that requires an admission and discharge. Excluding units within the hospital, such as: ICU, Emergency Dept, Observation unit, Pharmacy, Recovery Room	Hospital and any facility that requires an admission and discharge. Excluding units within the hospital, such as: ICU, Emergency Dept, Observation unit, Pharmacy, Recovery Room	Hospital	Usually 'Hospital'
LOINC	34105-7	Many	34105-7	34105-7
Display Guideline	Remove 'Note'	Remove 'Note'	Remove 'Note'	Remove 'Note'
Note		Only use SMD if one discipline/SMD cared for the patient during the hospitalization, but this is not required.	Most likely hospital discharge. Even if it is nursing/subacute facility, Hospital is reasonably accurate. This gives a consistent code.

Revised Concept Creation Guide for ToS = Consultation

	Preferred	Preferred	Allowable	Roll Up Term	Summary
Kind of Document	Note	Note	Note	Note	Note
Type of Service	Consultation Note	Consultation Note	Consultation Note	Consultation Note	Consultation Note
Subject Matter Domain	Any	Any	Any	Suppressed	Must
Role	Suppressed	Restricted to Any except physician roles such as Medical Student, Attending, Physician, Fellow, Resident	Restricted to Any except physician roles such as Medical Student, Attending, Physician, Fellow, Resident	Suppressed	May - if non-physician
Setting	Suppressed	Suppressed	Any	Suppressed	May- if necessary
LOINC	May available	Some	Some	11488-4
Display Guideline	Remove 'Note' from name	Remove 'Note' from name	Remove 'Note' from name	Remove 'Note' from name	Remove 'Note' from name
Note	Role of physician is most likely so not specified	This option is for authors like NPs or PA's	Specifying the setting does not change the expected content of the document. Therefore, it is not supported by ontology principles