Issue: ICU Location is being captured by 2 different value sets each using a different vocabulary standard

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    • Type: Annual Update
    • Resolution: Delivered
    • Priority: Major
    • Component/s: ValueSet
    • None
    • Manish Parekhji
    • Truven Health Analytics
    • Which value set do we use? If we use both then one of the other measure calculation will be inaccurate
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      The Abt team discussed this ticket and decided to create two new SNOMED value sets for ICU locations and non-locatons to match the two existing HL7 value sets, and the two HL7 value sets are "Hospital Measures-ICU Locations HL7 Value Set (2.16.840.1.113883.3.666.5.1083)" and "Hospital Measures-Non-ICU Locations HL7 Value Set (2.16.840.1.113883.3.666.5.1084)." In doing so, we not only eliminate the code system discrepancy challenge as originally stated by this ticket, but also provide SNOMED code system, which is official code system required by CMS blueprint. Then these two SNOMED value sets will be merged into two grouping value sets by combining with the existing HL7 value sets. The developers of PN-6 and SCIP-9 will need to update their measures with the new grouping value sets.

      Thank you for your question. The measure will include the new group value set during the next scheduled EH measure update.
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      The Abt team discussed this ticket and decided to create two new SNOMED value sets for ICU locations and non-locatons to match the two existing HL7 value sets, and the two HL7 value sets are "Hospital Measures-ICU Locations HL7 Value Set (2.16.840.1.113883.3.666.5.1083)" and "Hospital Measures-Non-ICU Locations HL7 Value Set (2.16.840.1.113883.3.666.5.1084)." In doing so, we not only eliminate the code system discrepancy challenge as originally stated by this ticket, but also provide SNOMED code system, which is official code system required by CMS blueprint. Then these two SNOMED value sets will be merged into two grouping value sets by combining with the existing HL7 value sets. The developers of PN-6 and SCIP-9 will need to update their measures with the new grouping value sets. Thank you for your question. The measure will include the new group value set during the next scheduled EH measure update.

      Issue: ICU Location is being captured by 2 different value sets each using a different vocabulary standard.

      PN-6 - uses HL7 vocabulary for ICU Location (Attribute: "Facility location: Hospital Measures-ICU Locations" using "Hospital Measures-ICU Locations HL7 Value Set (2.16.840.1.113883.3.666.5.1083)")

      The value for NICU in this HL7 value set are
      1039-7 - NICU Level II/III
      1040-5 - NICU Level III

      Breast Feeding (CMS9v1)- uses Attribute: "Facility location: Hospital Measures-Non-ICU Locations" using "Hospital Measures-Non-ICU Locations HL7 Value Set (2.16.840.1.113883.3.666.5.1084)"

      The value for NICU in the SNOMED CT value set is
      405269005 - NICU(environment)

      Both seem like the same concept.

      A hospital EHR, for a patient, will capture the ICU location, using one of the other value set but not both.

      If hospital uses HL7 ICU location value set then the Breast Feeding measure will return false for NICU. And if the hospital uses SNOMED CT value for NICU then PN6 measure will be false for NICU.

      How should we handle this?

      My suggestion is that the Breast Feeding measure be updated to use the HL7 location codes for NICU as provided above.

      Thanks

            Assignee:
            Julia Skapik (Inactive)
            Reporter:
            Manish Parekhji
            Deborah Krauss (Inactive)
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