Uploaded image for project: 'CDA Specification Feedback'
  1. CDA Specification Feedback
  2. CDA-1585

STU-1585 - Laboratory content

    XMLWordPrintableJSON

Details

    • Change Request
    • Status: Applied (View Workflow)
    • High
    • Resolution: Persuasive with Modification
    • Public Health Case Report - Electronic Initial Case Report (eICR) (CDA)
    • 1.1.1
    • Public Health
    • Narrative Guidance
    • Hide

      Persuasive with Modification made 2019-03-07 00:00:00.0 with vote Laura Conn/Sarah Gaunt: 15-0-0//(Impact: Compatible, substantive; Category: Correction; Version: null)//Will add guidance to address #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." #2 would be addressed as part of PH follow-up activity, at this time eICRs are not being populated with previous encounter lab results Mover: Laura Conn Second: Sarah Gaunt Vote: 15-0-0 03/07/2019

      Show
      Persuasive with Modification made 2019-03-07 00:00:00.0 with vote Laura Conn/Sarah Gaunt: 15-0-0//(Impact: Compatible, substantive; Category: Correction; Version: null)//Will add guidance to address #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." #2 would be addressed as part of PH follow-up activity, at this time eICRs are not being populated with previous encounter lab results 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

      eICR 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 Wording

      what 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?

      Attachments

        Activity

          People

            Unassigned Unassigned
            lconn Laura Conn
            Watchers:
            1 Start watching this issue

            Dates

              Created:
              Updated:
              Resolved: