Syndrome Definition Committee Monthly Meeting Overview

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The Syndrome Definition Committee's monthly meeting will take place on April 1, 2020, from 1-2 pm ET. The agenda includes an overview of the previous call, discussions on new CCDD categories, CSTE Guidance Document updates, suicide-related syndrome definitions, ESSENCE coding tips, and more. Various topics such as COVID-19-like illnesses and free text queries will be covered during the meeting.


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  1. Syndrome Definition Committee Monthly Meeting April 1, 2020 1-2 pm ET Co-chairs: Rasneet Kumar rskumar@Tarrantcounty.com Rosa Ergas rosa.ergas@state.ma.us

  2. Todays Agenda Overview of last call on March 3, 2020 Meeting recordings are available in the Knowledge Repository Current Topics New CCDD Categories Slack Channel CSTE Guidance Document - Thought Bridge Suicide-related syndrome definitions and ED-SNSRO project update CDC Division of Violence and Injury Prevention Discussions ESSENCE coding tips and tricks CLI Free text query

  3. Overview of March call

  4. Current Topics New CCDD Categories added since March CDC Influenza DD v1 Fever and Cough-SOB-DiffBr v1 Fever and Cough-SOB-DiffBr neg Influenza DD v1 ILI Neg Influenza Mention v1 New Syndrome Subsyndrome CCDD Combined Category field in ESSENCE Slack Channel Injury-fall query Coronavirus slack channel Lots of discussion on low visits, data sources, ESSENCE best practices

  5. CSTE Guidance Document Barbara Massoudi, Thought Bridge

  6. Suicide-related syndrome definitions and ED-SNSRO project update Marissa Zwald, CDC Division of Violence and Injury Prevention

  7. ESSENCE Syntax: !TERM! Users often want to make sure a term stands alone as an individual word in a field and doesn t appear inside another word To do this with FEVER, we would have to do the following queries FEVER (no wild cards) FEVER ^ (Starts with Fever <space>) ^ FEVER (ends with <space Fever) ^ FEVER ^ (wrapped with <space> Fever <space>) Making your query for the term FEVER,OR,FEVER ^,OR,^ FEVER,OR,^ FEVER ^ Instead, you can replace this string with !FEVER!

  8. Free text COVID-19-like Illness Chief complaint History (Also apply to Triage Notes, Clinical Impression): ^fever^,and,(,^Can t breath^,or,^cant breath^,or,^cannot breath^,or,^difficulty breath^,or,^difficult to breath^,or,^hard to breath^,or,^unable to breath^,or,^dyspenea^,or,^bronchospasam^,or,^grasping for breath^,or,^problem breath^,or,^trouble breath^,or,^working to breath^,or,^not breath^,or, ^SOB^,or,^short of breath^,or,^shortness of breath^,or,(,^cough^,andnot,(,^cough up^,or,^coughed up^,or,^coughing up^,),),),andnot,^no fever^ Discharge Diagnosis: ISNULL,or,^,andnot,(,^[;/ ]J09^,or,^[;/ ]J10^,or,^[;/ ]J11^,or,^[;/ ]487.[018][;/ ]^,or,^[;/ ]487[018][;/ ]^,or,^488.[018][19]^,or,^488[018][19]^,or,^442696006^,or,^442438000^,or,^6142004^,or,^195878008^,or,^ 24662006^,or,^57089007^,) Admit Reason Combo: ISNULL,or,^,andnot,(,^[;/ ]J09^,or,^[;/ ]J10^,or,^[;/ ]J11^,or,^[;/ ]487.[018][;/ ]^,or,^[;/ ]487[018][;/ ]^,or,^488.[018][19]^,or,^488[018][19]^,or,^442696006^,or,^442438000^,or,^6142004^,or,^195878008^,or,^ 24662006^,or,^57089007^,)

  9. Next Steps Mental Health Syndrome Next call May 6, 2020 from 1-2 pm ET

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