Specification - Extended HL7 CDA® R2 Implementation Guide: Public Health Case Report, Release 2: the Electronic Initial Case Report (eICR), Release 1, STU Release 1.1 - US Realm
Document Description extended per TSC Tracker 12574, extension TSC GF 15952, JIRA TSC-29, TSC-123
Existing WordingThis effectiveTime SHALL contain exactly one [1..1] high (CONF:3284-21). Note: PatientEncounter.thruDateTime. This value is associated with the patient's departure (e.g. discharge). a. This high SHALL NOT contain [0..0] @nullFlavor (CONF:3284-403).
Proposed WordingRemove both conformance statements. Including these conformance statements precludes sending a message for an inpatient stay patient who has not yet been discharged. Especially for long term stay patients, it may be desirable to send messages before they have a high time on their encounter.