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  1. CDA Specification Feedback
  2. CDA-1806

STU-1806 - Allow ICD-10-PCS for Procedure Note documentationOf/serviceEvent/code

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • C-CDA Templates Clinical Notes (CDA)
    • Structured Documents
    • Templates [deprecated]
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      Correct as proposed. ServiceEvent was not updated to align with updated made in procedure templates. This needs to be done as stated: The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD-9-CM Procedures (codeSystem 2.16.840.1.113883.6.104), ICD-10-PCS (codeSystem 2.16.840.1.113883.6.4), CPT-4 (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8511).

      Show
      Correct as proposed. ServiceEvent was not updated to align with updated made in procedure templates. This needs to be done as stated: The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD-9-CM Procedures (codeSystem 2.16.840.1.113883.6.104), ICD-10-PCS (codeSystem 2.16.840.1.113883.6.4), CPT-4 (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8511).
    • Gay Dolin / Emma Jones: 15-0-0
    • Correction
    • Compatible, substantive

    Description

      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 Wording

      Section 1.1.17.4.iv doesn't include ICD-10-PCS as an allowed code system. It has now supplanted ICD-9 in the US realm. ---- The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD9 CM Procedures (codeSystem 2.16.840.1.113883.6.104), CPT-4 (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8511).

      Proposed Wording

      The value of Clinical Document /documentationOf/serviceEvent/code SHALL be from ICD-9-CM Procedures (codeSystem 2.16.840.1.113883.6.104), ICD-10-PCS (codeSystem 2.16.840.1.113883.6.4), CPT-4 (codeSystem 2.16.840.1.113883.6.12), or values descending from 71388002 (Procedure) from the SNOMED CT (codeSystem 2.16.840.1.113883.6.96) ValueSet 2.16.840.1.113883.3.88.12.80.28 Procedure DYNAMIC (CONF:1198-8511).

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            rosemaryh Rosemary Hofstede
            nradov Nick Radov
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            Dates

              Created:
              Updated:
              Resolved: