Value set -Hospital Measures-ECG Grouping Value Set (2.16.840.1.113883.3.666.5.735)" - Why is the SNOMED code not included?

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    • Type: Terminology
    • Resolution: Fixed
    • Priority: Major
    • Component/s: ValueSet
    • None
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      Both AMI 8a and AMI 7a had significant VS corrections for the April 2013 annual update to allow both ICD diagnoses for interpreted ECGs and SNOMED codes for the same.

      • New OID and VS name with the LOINC code for the impression is Hospital Measures-ECG impression [2.16.840.1.113883.3.666.5.3023]
      • Following VS are gone: Hospital Measures-ECG" [2.16.840.1.113883.3.666.5.735] and its two grouped extensional value sets: 2.16.840.1.113883.3.666.5.972 and 2.16.840.1.113883.3.666.5.973
      • OID 2.16.840.1.113883.3.666.5.1098 has the same (I think the content is the same) but the name is changed from "Hospital Measures - Acute or Evolving MI" to "Hospital Measures - Acute or Evolving MI SNOMED-CT" and it's now grouped into a new grouping VS "Hospital Measures-Acute or Evolving MI" [2.16.840.1.113883.3.666.5.3022]
      • That same new grouping value set also groups a new VS "Hospital Measures-Acute or Evolving MI ICD-10" [2.16.840.1.113883.3.666.5.3023] which has most of the codes that were in the "ECG" VS before. Jo changed some of these codes when it was moved (see below). This grouping VS does not have an ICD-9-CM value set included.
      • Grouping "Hospital Measures-LBBB" has a new OID [2.16.840.1.113883.3.666.5.3021] and now groups the prior VS Hospital Measures-LBBB ICD-9 [2.16.840.1.113883.3.666.5.1143] AND Hospital Measures-LBBB ICD-10 [2.16.840.1.113883.3.666.5.1144] plus this new SCT VS - "Hospital Measures-LBBB SNOMED-CT" [2.16.840.1.113883.3.666.5.3019]
      o The existing I-9 and I-10 VS each only have one remaining concept, per the note below.
      • Hospital Measures-ST-segment elevation [2.16.840.1.113883.3.666.5.1096] is no longer included.
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      Both AMI 8a and AMI 7a had significant VS corrections for the April 2013 annual update to allow both ICD diagnoses for interpreted ECGs and SNOMED codes for the same. • New OID and VS name with the LOINC code for the impression is Hospital Measures-ECG impression [2.16.840.1.113883.3.666.5.3023] • Following VS are gone: Hospital Measures-ECG" [2.16.840.1.113883.3.666.5.735] and its two grouped extensional value sets: 2.16.840.1.113883.3.666.5.972 and 2.16.840.1.113883.3.666.5.973 • OID 2.16.840.1.113883.3.666.5.1098 has the same (I think the content is the same) but the name is changed from "Hospital Measures - Acute or Evolving MI" to "Hospital Measures - Acute or Evolving MI SNOMED-CT" and it's now grouped into a new grouping VS "Hospital Measures-Acute or Evolving MI" [2.16.840.1.113883.3.666.5.3022] • That same new grouping value set also groups a new VS "Hospital Measures-Acute or Evolving MI ICD-10" [2.16.840.1.113883.3.666.5.3023] which has most of the codes that were in the "ECG" VS before. Jo changed some of these codes when it was moved (see below). This grouping VS does not have an ICD-9-CM value set included. • Grouping "Hospital Measures-LBBB" has a new OID [2.16.840.1.113883.3.666.5.3021] and now groups the prior VS Hospital Measures-LBBB ICD-9 [2.16.840.1.113883.3.666.5.1143] AND Hospital Measures-LBBB ICD-10 [2.16.840.1.113883.3.666.5.1144] plus this new SCT VS - "Hospital Measures-LBBB SNOMED-CT" [2.16.840.1.113883.3.666.5.3019] o The existing I-9 and I-10 VS each only have one remaining concept, per the note below. • Hospital Measures-ST-segment elevation [2.16.840.1.113883.3.666.5.1096] is no longer included.

      The following value set - Hospital Measures-ECG Grouping Value Set (2.16.840.1.113883.3.666.5.735)- is used in AMI7a.

      It has 2 values in it -
      794.31 Nonspecific abnormal electrocardiogram [ECG] [EKG] ICD9CM 2012 2.16.840.1.113883.6.103

      R94.31 Abnormal electrocardiogram [ECG] [EKG] ICD10CM 2012 2.16.840.1.113883.

      Why is a SNOMED value not included for this grouping value set?

      SNOMED CT code - Electrocardiogram abnormal (finding) (102594003) - would be appropriate to use here.

      Since SNOMED CT is an acceptable standard and EHRs are being asked to capture concepts using it, if a client captures this concept as the above SNOMED CT code, it would not be considered valid within the measure logic where this value set is being evauated since this SNOMED CT code is not part of the value set, thereby leading to inaccurate results.

      Vendors could do mappings between I9, I10 and SNOMED CT but a simple solution by the measure developer can prevent so much unnecessary effort for the community at large.

      Any guidance on your thoughts on this issue would be very much appreciated.

      Thanks!

        1. AMI7a-HospitalMeasures-ECGvalueset-MissingSNOMEDcode.docx
          13 kB

            Assignee:
            Julia Skapik (Inactive)
            Reporter:
            Manish Parekhji
            Abt Associate (Inactive), Deborah Krauss (Inactive)
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              Updated:
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