TOC+CEDD+BC+Data+Elements

include component="page" wikiName="siframework" page="TOC Header" =Transitions of Care Clinical Element Data Dictionary (CEDD): Roadmap for Definition of BC Data Elements= The table below contains the roadmap for defining the data elements that have been classified as non-core data elements by the WG. To review the classifications of data elements, visit the ToC Classification of Data Elements wiki page. The table includes the data element groups, required subject matter expert outreach, action items and notes, owners of each group and an estimated deadline for completion.

Works in Progress
Ultimately, all of the data element groups, outlined below, will be included in the next version of the Transitions of Care CEDD. Until then, the owners assigned to data element groups below should capture their work in a working document, which can be accessed below.


 * **Name of Artifact** || **Description/Purpose of Artifact** || **Date** || **Owner** ||
 * [|Nutrition Presentation] || This presentation captures the "Diet" data element groups, as identified by Lindsey Hoggle, and other nutrition experts. || 10-13-2011 || Lindsey Hoggle ||
 * [|Nutrition Presentation 2] || This presentation captures the "Diet" data element groups, with additional definitional details, as identified by Lindsey Hoggle and other nutrition experts. || 10-19-2011 || Lindsey Hoggle ||
 * [|Nutrition Presentation 3] || This revised document captures the "Diet" related data elements || 11-03-2011 || Lindsey Hoggle ||
 * [|Physical Activity Data Elements] || This document is a preliminary build out of the Physical Activity data element model. || 11-7-2011 || Lindsey Hoggle ||

**Roadmap for BC Data Elements**
Plan(s) Recommendations ||= B ||  || * Clarify what data elements this might contain Holly Miller || October 6, 2011: Phase 1: Current State Phase 2: SMEs TBD || In Progress (Need Definitions) ||
 * = ===**Data Element Group**=== ||= ===**Priority Level**=== ||= ===Subject Matter Expert (SME) Outreach=== ||= ===**Action items & Notes**=== ||= ===**Owner**=== || ===Deadline for Completion=== || ===// Status Updates //=== ||
 * Admitting and Discharging Diagnoses ||= B || * No further outreach required || * Analyze existing Diagnosis sections/entries in Consolidated CDA Guide || Harm Team || October 6, 2011 || Complete ||
 * Behavioral Health History ||= B || * Social health users might have more specific information
 * Need to reach out to the behavioral health community to verify
 * Need behavioral health expertise (case management) to complete section examples and guidance for B & C || * Need to determine if there are additional behavioral models that can be leveraged
 * Have definitions but need to fill in the examples and guidance
 * Section in CDA to capture non-XML information (narrative) - protected information need permission
 * Ioana Singuraneau & Richard Thoreson have been recommended as SMEs who can support the work || Harm Team || November 2011 || Complete ||
 * Care Team Members ||= B || * No further outreach required || * Will be specific instances of person's information that exists
 * Need to accommodate having the individuals identity including an NPI or some sort of ID in their care team role to serve as a job description
 * Align with work of Provider Directories Initiative to define care team members || Russell || November 2011 || In Progress ||
 * Consultant(s) Assessment(s) and
 * Will need to understand how these data elements will be captured || Harm Team || November 2011 || In Progress ||
 * Diet ||= B || * Lindsey Hoggle conducting outreach to dieticians to complete this group || * Resources exist to populate data elements, provided by ADA
 * Specifically called out for MU Stage 2
 * SNOMED vocabularies already capture
 * Consolidated CDA Ballot contains "placeholders" for future work in this area || Lindsey Hoggle || October 13, 2011 || Complete ||
 * Equipment ||= B ||  || * Mapped currently to Medical Equipment section of the Consolidated CDA Guide
 * Verify needed elements || Harm Team || October 6, 2011 || Complete ||
 * Family History ||= B || * No further outreach required || * Given the template ID can review the past work incorporate the info
 * Most EHR vendors have extensive family history data || Harm Team || October 13, 2011 || Complete ||
 * History of Present Illness ||= B || * No further outreach required || * Leverage past work || Harm Team || October 13, 2011 || In Progress ||
 * Immunization History ||= B || * No further outreach required || * Leverage past work || Harm Team || October 13, 2011 || Complete ||
 * Invasive and Non-Invasive Procedures ||= B || * No further outreach required || * Analyze Procedures sections/entries in the Consolidated CDA Guide || Harm Team || October 6, 2011 || Complete ||
 * Medical History ||= B || * Schedule meeting with Bob Yencha, week of September 29, 2011 || * Recommend specific ICD-10 codes
 * Develop visual representation for ease of understanding || Harm Team || October 6, 2011 || Complete ||
 * Medication History ||= B || * No further outreach required || * Analyze Medications sections/entries in the Consolidated CDA Guide || Harm Team || October 6, 2011 || Complete ||
 * Operative Summary ||= B || * No further outreach required || * Leverage past work
 * Clarify what elements need to be added, two different sections in CDA || Harm Team || October 13, 2011 || Complete ||
 * Patient Instructions ||= B || * Schedule meeting with Bob Yencha, week of September 29, 2011 || * Can contact to clinical community as well as speech and language
 * Order of instructions and content of instructions are different
 * Discharge instructions typically have relevant information
 * Patient Goal = i.e. fingerstick in glucose less than 150
 * Lindsey Hoggle and Laura Heermann to conduct stakeholder outreach for Phase 2 of the work || Harm Team
 * Pending Tests and Procedures ||= B || * No further outreach required || * Analyze Procedures sections/entries in the Consolidated CDA Guide || Harm Team || October 6, 2011 || In Progress (Need Definitions) ||
 * Physical Exam ||= B || * No further outreach required || * Analyze Exam-related sections/entries in the Consolidated CDA Guide || Harm Team || October 6, 2011 || In Progress (Need Definitions) ||
 * Reason for Consult Request ||= B || * Reach out to Holly and Russell for input, week of October 6, 2011 || * Leverage past work || Harm Team || October 13, 2011 || Complete ||
 * Results ||= B ||  || * Further breakdown of group required || Harm Team || October 13, 2011 || In Progress (Need Definitions) ||
 * Review of Systems ||= B || * No further outreach required || * Analyze Review of Systems section in the Consolidated CDA Guide || Harm Team || October 6, 2011 || In Progress (Need Definitions) ||
 * Social History ||= B || * Reach out to Holly and Russell for input, week of October 6, 2011 || * Analyze Social History section in the Consolidated CDA Guide || Harm Team || October 13, 2011 || Complete ||
 * Surgical/Procedure History ||= B || * Reach out to Holly and Russell for input, week of October 6, 2011 || * Analyze Surgical-related sections/entries in the Consolidated CDA Guide
 * Analyze Procedure-related sections/entries in the Consolidated CDA Guide || Harm Team || October 13, 2011 || In Progress (Need Definitions) ||
 * Vital Signs ||= B || * No further outreach required || * Most data elements are populated (Federal Health Information, Consolidated CDA, HITSP C32), need to confirm || Harm Team || October 6, 2011 || Complete ||
 * Anticipatory Guidance ||= C ||  ||   || SMEs TBD || Considered out of scope for Phase 1 || In Progress (Need Definitions) ||
 * Follow-Up Appointments ||= C ||  ||   || SMEs TBD || Considered out of scope for Phase 1 || In Progress (Need Definitions) ||
 * Goals ||= B || * Requires outside expertise to complete
 * Complete research scan to determine what organizations are working to store and complete goals (e.g., patient care community at HL7) for future work
 * Potential SME: Annette Watson, nominate other subject matter experts || * Care Planning SWG has identified data elements in support of goals through the development of the Roadmap
 * Laura Heermann to conduct outreach to additional SMEs, specifically, case managers || Laura Heermann || November 2011 || In Progress (Need Definitions) ||
 * Health Literacy ||= C ||  ||   || SMEs TBD || Considered out of scope for Phase 1 || In Progress (Need Definitions) ||
 * Health Maintenance ||= C ||  ||   || SMEs TBD || Considered out of scope for Phase 1 || Complete ||
 * Patient Consent Directive ||= C ||  || * Needs to be aligned to the S&I Framework Data Segmentation Initiative and their work on privacy
 * Patient Consent Directive stored in confidentiality codes, aligned to data elements
 * Review existing consent directive work in the field and work done by IHE, HITSP, HL7, etc... || Informed by Data Segmentation Initiative || Considered out of scope for Phase 1 ||  ||
 * Patient Consent Procedures ||= C ||  || * HL7 consideration || SMEs TBD || Considered out of scope for Phase 1 ||   ||
 * Patient Self-Management ||= C ||  ||   || SMEs TBD || Considered out of scope for Phase 1 ||   ||
 * Physical Activity ||= C ||  ||   || SMEs TBD || Considered out of scope for Phase 1 ||   ||
 * Social Determinants of Health ||= C ||  || * Review CDC Social Determinants of Health Data Set Directory - @http://www.cdc.gov/dhdsp/docs/data_set_directory.pdf || SMEs TBD || Considered out of scope for Phase 1 ||   ||
 * Activities of Daily Living ||= C ||  ||   || SMEs TBD || Considered out of scope for Phase 1 ||   ||
 * Instrumental Activities of Daily Living ||= C ||  ||   || SMEs TBD || Considered out of scope for Phase 1 ||   ||
 * Outcome of Adverse Reactions ||= C ||  ||   || SMEs TBD || Considered out of scope for Phase 1 ||   ||
 * Restorative Care ||= C || * Align with LTPAC WG || * Need to determine what the specific data elements are and categorize || Informed by LTPAC WG || Considered out of scope for Phase 1 ||  ||

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