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    • Change Request
    • Status: Applied (View Workflow)
    • Medium
    • Resolution: Persuasive
    • Public Health Case Report - Electronic Initial Case Report (eICR) (CDA)
    • 1.1.1
    • Public Health
    • Templates
    • conformance statement 3284-305
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      Persuasive made 2019-03-07 00:00:00.0 with vote Laura Conn/Sarah Gaunt: 15-0-0//(Impact: Compatible, substantive; Category: Correction; Version: null)//Part 1: 3284-305 - the entry/organizer/component/observation/code SHALL have an @code - this issue has already been taken care as suggested by this comment by Comment 1694 which has been voted on and has a disposition comment: "Update CONF:3284-305 This code SHOULD contain exactly one [1..1] @code, which MAY be selected from ValueSet Trigger code for laboratory test names (RCTC subset) urn:oid:2.16.840.1.113762.1.4.1146.42 DYNAMIC (CONF:3284-305)." Part 2: Will create a new template that is a trigger code template at the organizer level - so that triggering could happen either at the organizer level or the contained observation level (or both). Mover: Laura Conn Second: Sarah Gaunt Vote: 15-0-0 03/07/2019

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      Persuasive made 2019-03-07 00:00:00.0 with vote Laura Conn/Sarah Gaunt: 15-0-0//(Impact: Compatible, substantive; Category: Correction; Version: null)//Part 1: 3284-305 - the entry/organizer/component/observation/code SHALL have an @code - this issue has already been taken care as suggested by this comment by Comment 1694 which has been voted on and has a disposition comment: "Update CONF:3284-305 This code SHOULD contain exactly one [1..1] @code, which MAY be selected from ValueSet Trigger code for laboratory test names (RCTC subset) urn:oid:2.16.840.1.113762.1.4.1146.42 DYNAMIC (CONF:3284-305)." Part 2: Will create a new template that is a trigger code template at the organizer level - so that triggering could happen either at the organizer level or the contained observation level (or both). Mover: Laura Conn Second: Sarah Gaunt Vote: 15-0-0 03/07/2019
    • Laura Conn/Sarah Gaunt : 15-0-0
    • Correction
    • Compatible, substantive

    Description

      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 Wording

      Conformance statements: 3284-270 - The templateId is an observation-level template. 3284-305 - the entry/organizer/component/observation/code SHALL have an @code The conjunction of these two statements appears to significantly reduce what can be flagged as reportable in an eICR. For example, a narrative, note or non-discrete result cannot be flagged because 3284-305 cannot be met with a standard code system and a nullFlavor is not allowed. Clustered organism results appear to also be unable to be flagged. They are often included at the entry/organizer/component/organizer level, with antibiotic susceptabilities included as additional components under that. Since the organizer level is where the organism code is likely to be included, it would seem to make sense to flag that level as being the reportable piece. This cannot be met because of conformance 3284-270 being an observation-level template.

      Proposed Wording

      Remove conformance statement 3284-305. Consider an addition of a new template or modification of the existing template defined by conformance 3284-270 to allow flagging organizers as well for the case of cluster/organism results.

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            Unassigned Unassigned
            john_stamm John Stamm
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            Dates

              Created:
              Updated:
              Resolved: