S&I+Framework+CEDD+Value+Set+Index

=Introduction to Value Sets=

The CEDD Value Set Index contains recommended value sets drawn from work with the Health IT Standards Committee, Beacon Communities, and State HIE programs. These value sets have also been drawn from the Consolidated CDA Guide and its supporting value sets. The index draws heavily from work done in the development of HITSP C80 and much of its while also recognizing some of the unique challenges that are faced when dealing with value sets in the S&I Framework:


 * Many value sets are short, but some are dynamic and large (the list of lab tests in LOINC, Results in SNOMED, not to mention diagnostic codes, etc.)
 * Variations in the size and dynamic nature of terminologies that make it difficult for to find the ultimate “source of truth”. This is especially critical when these sets are points of conformance.

=Usage of S&I Framework Value Sets= The following rules apply in the use of these value sets within the S&I Framework


 * Wherever possible, this guidance will adhere to the recommendations of the Health IT Standards Committee on vocabularies and controlled terminologies. In those cases where a value set that aligns to these recommendations cannot be found, an alternative value set is proposed that may use a different vocabulary.
 * Implementers from the ONC Beacon Communities and ONC State HIE Programs (sometimes referred to as ONC Initiative Partners, or OIPs) have provided value set recommendations in some areas where implementers wish to provide a set of most commonly used codes
 * In almost all cases, the value set adopted has been aligned to the Consolidated CDA Guide.

=Value Set Development Process= The CEDD Value Set Index will also be represented in the S&I Repository and on the S&I Framework CEDD Wiki site, with a web page that explains what the S&I Framework has reused or defined for value sets and include the links to the sources, including UMLS, HL7, CDC, et al. This work has not been defined as of publication of Draft version 0.1 of this document, but further information will be added as work progresses.

The following figure provides an overview of the proposed process for value set refinement and development within the S&I Framework:

Computable Value Sets
A direct interface has been developed from the S&I Framework to UMLS to allow for the extraction of computable value sets. Current value sets supported within the Value Set Index include:
 * Transitions of Care
 * Query Health
 * Provider Directory
 * Laboratory Reporting Interface

Documentation
The S&I Framework CEDD Value Set Index is documented in the following links:


 * **[|S&I Framework - Clinical Element Data Dictionary (CEDD) - Value Set Index]** || The CEDD Value Set Index is the main document that is used to define value sets that are used within the S&I Framework and its implementation guidance. Current support is available for the following initiatives in this version:


 * Transitions of Care
 * Provider Directory

Version 0.2 of this index will include support for the following initiatives:


 * Query Health
 * Laboratory Reporting Interface (including LOINC In-Scope Test Lists) ||
 * S&I Framework CEDD Value Set Alignment Matrix || The CEDD Value Set Alignment Matrix provides a matrix overview of the S&I Framework CEDD Value Sets and provides alignment to the Health IT Standards Committee. The matrix includes the following alignments:

=CEDD Value Set Index Links=
 * Alignment of Health IT Standards Committee recommendations to work done in developing S&I Framework CEDD Value Sets
 * Alignment of current S&I Framework CEDD Value Sets to S&I Framework initiatives
 * High-Level Listing of Value Set Source and URL, along with brief description ||