Working Group

I) Documenting Seeing the Patient Again

  •  Type of Service:  Progress, LP173213-2
  • Subject Mater Domain:  All SMD's that see patients
  • Setting:  If patient in hospital then use Hospital (LP173065-6).  If patient is in the community as a referral service or primary care, use Outpatient (LP173051-6).  
  • Role:  Any non-physician role
  • Display Name:  
    • If we we use the LCN the display name will be very long e.g.:  Internal Medicine Outpatient Progress Note.  
    • Mix of words used in the community to describe a follow-up note.  
    • If we replace 'Outpatient Progress Note ' with "Clinic", then "Progress Note" can also carry the meaning of 'Hospital ', and we can remove "Hospital" from the inpatient progress notes, shortening all the display names and standardizing the terms.    Internal Medicine Progress Note is from Hospital and Internal Medicine Clinic Note is from a community clinic.   

Agreed :

BW: 5
NS: 4
DL: 5
MK:5
ML: 3


II) Emergency Department Visit Note

Discussed at previous meeting

Choice:

1) SMD: Emergency Medicine
 Setting: unspecified
 Role: unspecified
 Type: Note
 LOINC: 34878-9

2) SMD: unspecified
 Setting: Emergency Department
 Role: unspecified
 Type: Note.
LOINC: 34111-5

3) SMD: Emergency Medicine
 Setting: Emergency Department
 Role: unspecified
 Type: Note
 LOINC: not available

Choice: 1

BW: 5
NS: 4
DL: 4
MK:4
ML: 5