1. National Trauma Data Standard: CDA
23 January 2014

2. Trauma - WGM Agenda 1: Guide
CDA implementation guide
Changes applied from ballot comments
Ask for withdrawal of negatives
Publish as DSTU
Coding approach
AAAM (under ACS OID)
Answer codes
Leave as LOINC, or temporarily as NTDS?
Project period for DSTU: 1 year (ballot Jan 2015)
DSTU data scenarios
DSTU criteria: one successful send & import

3. Example Invent ACS question codes with same semantics
IS_01: pre-dot; IS_02: severity; IS_03: region; IS_04: AIS version; IS_05: ISS
Specified
Code: “IS_01”; System: “aCS-NTDB”; OID: “ ”; text: “injury code”
Or “pre-dot code”?
Value: from System: “AIS”; OID: “ ”
Annotation: licensed AIS users may use the pre-dot code, the NTDS OID for the AIS system, and some resolution of the text presentation; see AAAM.org for more information
Not specified (instance example)
Value: “711001”; System: “AIS”; OID: “ ”; text: “Amputation [traumatic] partial or complete, at shoulder [unilateral]”

4. Trauma - WGM Agenda 2: DSTU
DSTU period
Rationale & transition assumptions for implementers
Training Friday, 1/24/14
Criteria (including test data)
Target date to finish
Wiki
Biweekly meetings
Use Gforge to track change requests & issues
WGM meetings
Process
Slides in Training presentation

5. Trauma - WGM Agenda 3: DSTU
Implementers implement the specification
Modify application code to generate a document when needed
Validate document against xsd
Send document to NTDS to confirm it can be validated & imported correctly
NTDS (DI) develops receipt capability

6. Our DSTU Process : Issue Resolution

7. Our DSTU Process: Issue Resolution
You identify issue and create Bug (“New”)
I triage and put it on the agenda
Priority, grouping similar items
We discuss at biweekly project meeting
Resolve or reject
I modify the guide if necessary
Changes also published on Wiki

8. Our DSTU Process: Publication

9. Our DSTU Process: Publication
Determine need for new version
Determine scope and date for new version
Generate document
Post to GForge
If appropriate, forward to HL7 for publication on DSTU site