Encoding and Modeling Workgroup Tess Settergren, MHA, MA, RN-BC Independent Stephanie Hartleben, MHA, MSN, RN-BC Clinical Informatics Manager Elsevier June 6, 2019

Purpose Develop and disseminate LOINC and SNOMED CT for electronic health record nursing data elements and incorporate them into a framework and repository for dissemination.

Key Priorities Intensify Terminology and Modeling Focus Formalize Framework/Processes Using Pain and CLABSI (Peripheral, IV, CVC) Disseminate Deliverables

Active Workgroup Members Andi Plotsky Angela Anderson AA, IV Anita Reger Bonnie Westra Christine Spisla HD, IV, PA Cyndalynn Tilley ED, PA Debra Konicek Gordon Moyer Holly Miller Jane Carrington Janet Cuddigan John Lussier PM Kari Ballou Kelly Harris Lisa Anderson Liz McCool Lynda Hardy Luke Jobman PM Maria Hendrickson IV Marisa Wilson Mary Hook AA Mischa Adams ED Nikki Vande Garde PA Rachel Tharp IV Roberta Severin Se-Hee Jung Samira Ali ED, IV, PM Stephanie Hartleben* AA, ED, IV, PA Susan Matney HD Tess Settergren* AA, IV, PA Young Park IV Yvonne Mugford Small Workgroup Membership Admission Assessment Task Force - AA Education Content Development - ED Heuristics Development – HD Pain Model Scale Author Information – PM PIV/CVC Model – IV Physiologic Assessment Review – PA Co-chair – *

Full Group Meeting Dates 8.10.2018 (LOINC training) 9.19.2018 10.17.2019 12.12.2018 1.16.2019 2.20.2019 3.20.2019 4.17.2019 5.15.2019

Accomplishments Complete PIV/CVC modeling and mapping Team analyzed past work Added back interventions (originally omitted) Technical review in progress Clinical content validation planned Inclusion of proprietary assessment tools in LOINC Pain assessment proprietary tools author info sent to LOINC LOINC will contact authors after we send prioritized list

Accomplishments Pain Model Content Education Mapping completed LOINC Nursing Subcommittee review completed Scale Author Information Compiled for LOINC Education LOINC Training completed (targeted for workgroup) Developing content for Education Work Group SINI preconference in planning for 2020

Accomplishments Heuristics/Style Guide Draft reviewed and presented to group at May meeting Publish Basic Physiologic Assessment in VSAC Team reviewing the Physiologic Assessment now for QA purposes (consistency)

Next Steps PIV/CVC clinical content & model review (Information Model Validation team survey process) prior to LOINC/SNOMED CT mapping Repeat targeted LOINC training; record to educate broader audience Prioritize Pain assessment tools for LOINC publication

Next Steps Refine mapping heuristics & publish toolkit Plan presentations for 2019-2020 (including SINI) to increase awareness Abstract submitted for presentation at North Dakota Center for Nursing Conference October, 2019

Questions Tess Settergren, MHA, MA, RN-BC Independent tesssettergren@gmail.com Stephanie Hartleben, MHA, MSN, RN-BC Clinical Informatics Manager Elsevier s.hartleben@elsevier.com