DRAFT

Child Health Terminology Demonstration Project

Implementing Policy Statements as Interoperable Computerized Question/Answer Set (QAS) Templates

Over-All Goal

The pediatric community would like to explore the feasibility of using a template method for mapping pediatric clinical content to terminology systems to assist EHR system developers in enhancing the pediatric usability of their systems.

CAP/STS Project Opportunity

Join with volunteers from CAP/STS to work through a SNOMED terminology template using the AAP policy statement on Developmental Surveillance and Screening. Use this opportunity to determine what is involved in producing a template model for a sample AAP policy statement.

CAP Volunteers

  • Develop a “consensus-derived” QAS template derived from the policy statement and clinical algorithm.
  • Create QAS terms and data items using Template Editor and produce a printout suitable for examination, discussion and editing by volunteers.
  • Provide pediatric volunteers with education on using the QAS template.
  • Provide input into recommendations for future work.

Pediatric Volunteers

(5-6 volunteers withdomain-specific expertise; familiarity with informatics a plus but not necessary; 8-12 hour commitment from each)

  • Review the AAP policy statement on Developmental Surveillance and Screening and the draft materials prepared by CAP to become familiar with project content.
  • Participate in an educational webcast demo ofthe SNOMED template.
  • Participate in 1-3 working webcast sessions to refine the QAS template.
  • Provide input into recommendations for future work.

Project Deliverables

  • Adocument depicting a mock-up of the logic behind the policy statement as implemented in an idealized EMR.
  • Pilot project scope document with detailed description of resource requirements to assign or create SNOMED CT codes and/or other metadata to the QAS items and to develop a white paper, journal article or some kind of informational offering provided to the standards community regarding how one might proceed in defining terminology requirements in pediatrics using the template method.
  • Note: pilot project will likely require financial resources to cover assistance from expert clinical editors as well as STS SNOMED training for pilot project volunteers. Could explore grant opportunities jointly with CAP.

Possible Future Benefits

  • Template approach to mapping pediatric terms with terminology systems facilitates use of a common interoperable language for pediatric terminology.
  • Terms can be used to facilitatemeasures of quality assessments between practices and institutions.
  • Template might be used as “pseudocode” to assist EHR vendors in developing decision support to implement policies.
  • Other.

College of American Pathologists Volunteers

  • Richard Moldwin
  • Two additional expert clinician editors from CAP-STS staff

Potential Pediatric Volunteers

  • Paul Biondich
  • Christy Bryant
  • Willa Drummond
  • Michael Gould
  • Craig Joseph
  • George Kim
  • Gregg Lund
  • Jeannie Marcus
  • Andy Spooner
  • Geraldine Wade
  • Timothy Williams

AAP Policy Statement Content Expert(s) Volunteer(s)

  • Paul Lipkin

Facilitators

  • Jen Mansour, AAP
  • Beki Marshall, AAP
  • Joy Kuhl, Alliance for Pediatric Quality

1