Specification - Extended HL7 CDA® R2 IG: C-CDA Templates for Clinical Notes DSTU Release 2.1 - US Realm
Document Description extended per extended per TSC tracker 12437, again with 14128 and jira.hl7.org/browse/TSC-38
Existing Wording3. This patient SHALL contain exactly one [1..1] birthTime (CONF:1198-5298). a. SHALL be precise to year (CONF:1198-5299). b. SHOULD be precise to day (CONF:1198-5300). For cases where information about newborn's time of birth needs to be captured. c. MAY be precise to the minute (CONF:1198-32418).
Proposed WordingIt is unclear whether the intention here was to preclue nullFlavor. The Schematron has been written so that if you don't have a year it errors (i.e. precludes nullFlavor). Was this the intention (2015 ONC requirements state that technology should allow null value when birth is unknown)? If this is not the intention, change Schematron to allow nullFlavor.