logicahealth / vha-kbs-knarts

VHA Knowledge-Based Systems clinical knowledge artifact content development program.
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The terminology used in the "reason for cardiology arrhythmia consult" section is inaccurate compared with white paper #146

Open catherinestaes opened 6 years ago

catherinestaes commented 6 years ago

https://github.com/preston/vha-kbs-knarts/blob/ae40edff2b5ec1d2111beac1cf57ce6b28074d23/content/cardiology_ep_arrhythmias_devices/b36/20180507REVISED-CDSK_KRprt_CRDT_B36EP.xml#L1793

the terminology shown below in the xml is not fully representing the following elements listed in the white paper - see page 7. --"Pacemaker/ICD follow-up"

                            <item>
                                <codes>
                                    <code code="1221000205105 |Cardiology consultation and report (procedure)" codeSystem="SNOMED CT"/>
                                </codes>
                                <displayText value="Pacemaker followup"/>
                            </item>
                            <item>
                                <codes>
                                    <code code="1221000205105 |Cardiology consultation and report (procedure)" codeSystem="SNOMED CT"/>
                                </codes>
                                <displayText value="ICD follow-up"/>
                            </item>

This same issue is also applicable for this item in the white paper: "Primary prevention pacemaker/ICD implant". it is currently in the xml as shown below. note the display text says 'primary prevention', but the terminology has no indication this is intended for primary prevention.

                            <item>
                                <codes>
                                    <code
                                        code="[1221000205105 |Cardiology consultation and report (procedure)]
                                    ->(363702006 |Has focus (attribute))->[307280005 |Implantation of cardiac pacemaker (procedure)]"
                                        codeSystem="SNOMED CT"/>
                                </codes>
                                <displayText value="Primary prevention pacemaker"/>
                            </item>
                            <item>
                                <codes>
                                    <code
                                        code="[1221000205105 |Cardiology consultation and report (procedure)]
                                    ->(363702006 |Has focus (attribute))->[395218007 |Implantation of internal cardiac defibrillator (procedure)]"
                                        codeSystem="SNOMED CT"/>
                                </codes>
                                <displayText value="ICD Implant"/>
                            </item>
WendelynB commented 6 years ago

Technical Review_TSR.
Validation of TSR selected for Pacemaker/ICD follow-up Validation of Primary prevention pacemaker/ICD implant"-display text says 'primary prevention', but the terminology has no indication this is intended for primary prevention.