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  1. CDA Specification Feedback
  2. CDA-1411

STU-1411 - appended documents

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    • Change Request
    • Status: Applied (View Workflow)
    • Medium
    • Resolution: Persuasive with Modification
    • Public Health Case Report - Electronic Initial Case Report (eICR) (CDA)
    • 1.1.1
    • Public Health
    • Narrative Guidance
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      Persuasive with Modification made 2019-01-15 00:00:00.0 with vote Laura Conn/Sunanda McGarvey: 18-0-0//(Impact: Compatible, substantive; Category: Clarification; Version: null)//Will update as suggested, with guidance and examples and will also make setId and versionNumber required elements Disposition Date: 01/15/2019 Mover/Seconder: Laura Conn/Sunanda McGarvey Vote: 18-0-0

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      Persuasive with Modification made 2019-01-15 00:00:00.0 with vote Laura Conn/Sunanda McGarvey: 18-0-0//(Impact: Compatible, substantive; Category: Clarification; Version: null)//Will update as suggested, with guidance and examples and will also make setId and versionNumber required elements Disposition Date: 01/15/2019 Mover/Seconder: Laura Conn/Sunanda McGarvey Vote: 18-0-0
    • Laura Conn/Sunanda McGarvey : 18-0-0
    • Clarification
    • 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

      The current 1.1 eICR IG does not include any guidance for eICR versioning, either replacing an eICR with a new eICR or appending an eICR to another eICR document.

      Proposed Wording

      Although the CDA base standard allows for documents to be replaced or appended, it is recommended to constrain out “appended” eICR documents in the eICR IG. Unlike replacement documents, for appended documents, the parent document remains a current component of the patient record. Therefore, all appended “addendums” and its parent are all read by report recipients. This means integrated disease surveillance systems will always have the current information about an event in one document (the most recent), with no processing overhead but at a possible cost of increased storage. If a complete history of the reporting is needed, the system will have to maintain a copy of all of these eICR documents, which will introduce storage capacity issues and processing capacity issues within the disease surveillance systems.

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            Unassigned Unassigned
            justine_maxwell Justine Maxwell
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              Updated:
              Resolved: