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 WordingConformance statement 3284-1 (componentOf is 1..1 SHALL) overrides the basic CDA conformance statement 1198-9955 (componentOf is 0..1 MAY). In doing so, we preclude situations that may occur outside of the normal componentOf/encompassingEncounter structure. Some concepts critical to a case report (such as diagnoses) may be updated outside of the course of an encounter with the patient and should be allowed to send valid messages.
Proposed WordingRemove the conformance statement 3284-1 and the underlying conformances within the componentOf. Allow pre-existing conformance statement 1198-9955 to remain as a way of indicating preference to receive encompassingEncounter details when available.