Mapping Special Interest Group Conference call 4 November

Mapping Special Interest Group Conference call 4 November 2013 20: 00 UTC https: //www 1. gotomeeting. com/join/834437049 Meeting ID: 834 -437 -049 Audio will be provided with Go. To. Meeting

Agenda • • Map. SIG Minutes of face-to-face meeting – JRC Technical committee report; RF 2 map standard – JRC Mapping to ICF - JMillar Workplan review and discussion: • Implementation SIG: “Mapping to SNOMED CT” • Implementation SIG report –JKola • Comments from vendor community - CHall Map Education guidelines – KG, RS Report from Mapping Service Team – KG, DM • Report on extension maps - Group Next call 12/9/2013 2000 UTC?

Upcoming Meetings • Map. SIG Call December 9 th 2000 UTC? (remember daylight time) • AMIA November 16 -20 th Washington DC Map. SIG

Allergy List: CDA R 2 “Allergy to penicillin with hives” Map. SIG <section> <code="10155 -0" code. System="2. 16. 840. 1. 113883. 6. 1" code. System. Name="LOINC" /> <title>Allergies and Adverse Reactions</title> - <text> - <list> <item>Penicillin - Hives</item> <item>Aspirin - Wheezing</item> <item>Codeine - Itching and nausea</item> </list> </text> - <entry> - <observation class. Code="OBS" mood. Code="EVN"> <code xsi: type="CD" code="247472004" code. System="2. 16. 840. 1. 113883. 6. 96" code. System. Name="SNOMED CT" display. Name="Hives" /> <status. Code code="completed" /> - <entry. Relationship type. Code="MFST"> - <observation class. Code="OBS" mood. Code="EVN"> <code xsi: type="CD" code="91936005" code. System="2. 16. 840. 1. 113883. 6. 96" code. System. Name="SNOMED CT" display. Name="Allergy to penicillin" /> <status. Code code="completed" /> </observation> </entry. Relationship> </observation> </entry> - <entry>

SNOMED CT v 20130731 91936005|Allergy to penicillin(finding)| • IS_A=Propensity to adverse reactions(disorder) • Causative agent=? 373270004|Penicllinclass of antibiotic(substance)| • Has definitional manifestation= 416093006|Allergic reaction to drug(disorder)| User guide permits: 373270004|Penicillin – class of antibiotic(substance)| 6369005|Penicillin –class of antibiotic(pharmaceutical/biological product)| Map. SIG

Ambulatory Setting Test Data 2014 Stage 2 NIST criteria(proposed) TD 170. 314. a. 7 – 1: Electronically Record Active Medication Allergies • “Allergy to sulfamethoxazole with wheezing” • • • Map. SIG Allergy: Sulfamethoxazole [Rx. Norm: 10180] Reaction: Wheezing Status: Vendor-supplied (e. g. Active)

CDA 2 IHE Consolidation Map. SIG

CDA 2 IHE Consolidation “Allergy to codeine 30 mg/ml” Map. SIG <observation class. Code="OBS" mood. Code="EVN"> <!-- allergy observation template --> <template. Id root="2. 16. 840. 1. 113883. 10. 22. 4. 7"/> <id root="4 adc 1020 -7 b 14 -11 db-9 fe 1 -0800200 c 9 a 66"/> <code="ASSERTION" code. System="2. 16. 840. 1. 113883. 5. 4"/> <status. Code code="completed"/> <effective. Time> <low value="20060501"/> </effective. Time> <value xsi: type="CD" code="419511003" display. Name="Propensity to adverse reactions to drug" code. System="2. 16. 840. 1. 113883. 6. 96" code. System. Name="SNOMED CT"> <original. Text> <reference value="#reaction 2"/> </original. Text> </value> <participant type. Code="CSM"> <participant. Role class. Code="MANU"> <playing. Entity class. Code="MMAT"> <code="763049" display. Name="Codeine 30 mg/ml" code. System="2. 16. 840. 1. 113883. 6. 88" code. System. Name="Rx. Norm"> <original. Text> <reference value="#reaction 2"/> </original. Text> </code> </playing. Entity> </participant. Role> </participant> </observation>

CDA 2 IHE Consolidation “Allergy to codeine with nausea” Map. SIG <observation class. Code="OBS" mood. Code="EVN"> <template. Id root="2. 16. 840. 1. 113883. 10. 22. 4. 9"/> <!-- Reaction observation template --> <id root="4 adc 1020 -7 b 14 -11 db-9 fe 1 -0800200 c 9 a 64"/> <code null. Flavor="NA"/> <text> <reference value="#reaction 1"/> </text> <status. Code code="completed"/> <effective. Time> <low value="20070501"/> <high value="20090227130000+0500"/> </effective. Time> <value xsi: type="CD" code="422587007" code. System="2. 16. 840. 1. 113883. 6. 96" codesystem. Name=SNOMED CT display. Name="Nausea"/> <entry. Relationship type. Code="SUBJ" inversion. Ind="true"> <observation class. Code="OBS" mood. Code="EVN"> <!-- ** Severity observation ** --> <template. Id root="2. 16. 840. 1. 113883. 10. 22. 4. 8"/> . . </observation> </entry. Relationship> </observation>

CDA 2 IHE Consolidation “Allergy to codeine with severe nausea” Map. SIG <observation class. Code="OBS" mood. Code="EVN"> <template. Id root="2. 16. 840. 1. 113883. 10. 22. 4. 9"/> <!-- Reaction observation template --> <id root="4 adc 1020 -7 b 14 -11 db-9 fe 1 -0800200 c 9 a 64"/> <code null. Flavor="NA"/> <text> <reference value="#reaction 1"/> </text> <status. Code code="completed"/> <effective. Time> <low value="20070501"/> <high value="20090227130000+0500"/> </effective. Time> <value xsi: type="CD" code="422587007" code. System="2. 16. 840. 1. 113883. 6. 96" codesystem. Name=SNOMED CT display. Name="Nausea"/> <entry. Relationship type. Code="SUBJ" inversion. Ind="true"> <observation class. Code="OBS" mood. Code="EVN"> <!-- ** Severity observation ** --> <template. Id root="2. 16. 840. 1. 113883. 10. 22. 4. 8"/> . . </observation> </entry. Relationship> </observation>

US Realm MU Stage 2 “Allergy to penicillin with severe hives” • IS_A=Propensity to adverse reactions(disorder) • Causative agent=Rx. NORM 7689|Penicillins| • Has manifestation=247472004|Weal(disorder)| • Severity=24484000|Severe(qualifier)| Map. SIG