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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Highest Highest
    • C-CDA Templates Clinical Notes (CDA)
    • NULL
    • Structured Documents
    • Templates [deprecated]
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      May 7, 2020 Pretty clearly this is a design change and not an errata. Need some research into the ONC rule to see if this is a reasonable proposal. 20200730 Proposal to add a constraint on SHALL @code which precludes use of null flavors as identified in Vol 1. Motion - add a constraint on SHALL @code which precludes use of null flavors as identified in Vol 1. NickR/LisaN 21 in favor, 0 opposed, 0 abstain

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      May 7, 2020 Pretty clearly this is a design change and not an errata. Need some research into the ONC rule to see if this is a reasonable proposal. 20200730 Proposal to add a constraint on SHALL @code which precludes use of null flavors as identified in Vol 1. Motion - add a constraint on SHALL @code which precludes use of null flavors as identified in Vol 1. NickR/LisaN 21 in favor, 0 opposed, 0 abstain
    • Nick Radov/Lisa Nelson: 21-0-0
    • 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

      1.1.1 Properties ... 8. SHALL contain exactly one [1..1] confidentialityCode, which SHOULD be selected from ValueSet HL7 BasicConfidentialityKind urn:oid:2.16.840.1.113883.1.11.16926 STATIC (CONF:1198-5259).

      Proposed Wording

      8. SHALL contain exactly one [1..1] confidentialityCode, which SHOULD be selected from ValueSet HL7 BasicConfidentialityKind urn:oid:2.16.840.1.113883.1.11.16926 STATIC (CONF:1198-5259) and SHALL NOT have a nullFlavor attribute. ---- We have seen cases where CCDs contained null confidentialityCode elements. There's really no valid business case for that; no one should generate a document in the first place if they aren't sure what level of confidentiality applies. So I assume those were just mistakes. We should explicitly prohibit nulls here in the specification.

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            rosemaryh Rosemary Hofstede
            nradov Nick Radov
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              Created:
              Updated:
              Resolved: