1. All Recurring Key Themes The below list includes themes across many of the different presentations to date. The next 2 slides address how these may be incorporated into the Technical Expression. 1.All mappings are Purpose and Goal Specific 2.Hierarchy within mappings is important to ensure the concepts are appropriately mapped and can be drilled down to a granular level 3.A centralized Data Dictionary or central Terminology System is used to store mappings and is common practice in many healthcare organizations 4.As Standards such as ICD9, SNOMED CT, LOINC etc. are modified and updated, ongoing maintenance of mappings can be challenging 5.Identifying a Best Match OR Alternate/Default Map is necessary since concepts may not always have an exact map 6.It is important to identify the context of the queries to understand what information is being requested (example - Ordered drug vs. Administered drug) 7.Ongoing maintenance of mappings is very resource intensive and requires dedicated skilled resources such as Clinicians/ Informaticists 8.Many mapping tools and resources are publicly available or accessible that can be leveraged by organizations and further developed, refined, and maintained for use 9.Most Concept Mapping tools maintain data in its original form 1

2. Recurring Key Themes – Direct impact to Technical Framework The below list includes themes across many of the different presentations to date. The key themes in blue below directly impact the Technical Framework of QH. All others are addressed on the next slide. 1.All mappings are Purpose and Goal Specific 2.Hierarchy within mappings is important to ensure the concepts are appropriately mapped and can be drilled down to a granular level 3.A centralized Data Dictionary or central Terminology System is used to store mappings and is common practice in many healthcare organizations 4.As Standards such as ICD9, SNOMED CT, LOINC etc. are modified and updated, ongoing maintenance of mappings can be challenging 5.Identifying a Best Match OR Alternate/Default Map is necessary since concepts may not always have an exact map 6.It is important to identify the context of the queries to understand what information is being requested (example - Ordered drug vs. Administered drug) 7.Ongoing maintenance of mappings is very resource intensive and requires dedicated skilled resources such as Clinicians/ Informaticists 8.Many mapping tools and resources are publicly available or accessible that can be leveraged by organizations and further developed, refined, and maintained for use 9.Most Concept Mapping tools maintain data in its original form 2

3. Recurring Key Themes Do not directly impact Technical Framework However, Important to consider While not all key themes on the last slide may directly impact the Technical Framework, it is important to consider some of the key themes seen in the C2C presentation series (in green below) 1.All mappings are Purpose and Goal Specific 2.Hierarchy within mappings is important to ensure the concepts are appropriately mapped and can be drilled down to a granular level 3.A centralized Data Dictionary or central Terminology System is used to store mappings and is common practice in many healthcare organizations 4.As Standards such as ICD9, SNOMED CT, LOINC etc. are modified and updated, ongoing maintenance of mappings can be challenging 5.Identifying a Best Match OR Alternate/Default Map is necessary since concepts may not always have an exact map 6.It is important to identify the context of the queries to understand what information is being requested (example - Ordered drug vs. Administered drug) 7.Ongoing maintenance of mappings is very resource intensive and requires dedicated skilled resources such as Clinicians/ Informaticists 8.Many mapping tools and resources are publicly available or accessible that can be leveraged by organizations and further developed, refined, and maintained for use 9.Most Concept Mapping tools maintain data in its original form 3