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 WordingeICR 1.0 comment 1092 brought forward for eICR 1.1 (original commenter Catherine Staes) Laboratory content: 42 requested elements are already included. the following requested elements are 'missing' and could be assessed to understand if it is feasible to include in the eICR: - Previous testing for hepatitis A B or C [ISSUE #1: the eICR should include all results for a lab test ordered during the current encounter- ie include all the hepatitis results from a hepatitis panel. ISSUE #2: for some diseases, lab results from previous encounters are useful for interpreting the current case. Therefore, the eICR could include: 1. previous lab test results of the same type included in the current encounter (this requires a search of patient's lab data 2. data viewed by clinician(s) caring for the patient based on log data. 3. data pulled based on a response from public health saying we need this specific additional lab data with then is appended to the eICR These additional items need further analysis: - lung biopsy/pathology sample obtained (yes/no) (requested for silicosis) these two requested elements would be information generated by the laboratory, so not sure they could be expected to be included in the eICR: - name of test manufacturer [Name of test and manufacturer, as available] - Specimens sent to CDC, date specimen sent, and specimen or tissue type This request is based on the analysis of section VI-C in the CSTE position statements. see: https://cste.confex.com/cste/2016/webprogram/Paper7005.html
Proposed Wordingwhat laboratory tests are included in the eICR? Can the implementation guide specify to include past hepatitis tests if a hepatitis test is the trigger for the case report? Can we include pathology samples sent to the lab?