Specification - Extended

HL7 CDA® R2 Implementation Guide: Quality Reporting Document Architecture I (QRDA I) Release 1, STU Release 5.2 - US Realm

Document Description

extended per TSC approval Jira TSC-68, errata by CTO

Existing Wording

QRDA Schematron Error In SubstanceRecommended: SHALL contain exactly one [1..1] effectiveTime (CONF:1098-30468) such thatThis effectiveTime SHALL contain either a low or a @value but not both (CONF:1098-32947). This may also be an issue with the Implementation Guide. It is unclear what QDM Attribute would be reported as this effectiveTime for Substance Recommended (Note: This effectiveTime represents either the medication duration or the timestamp when the single administration should occur). In QDM, Substance Recommended only has an Author dateTime. What time would be expected to be reported here?

Proposed Wording

Author dateTime is represented using the Author (V2) template. Substance Recommended inherited the SHALL effectiveTime from its parent Planned Medication Activity. Add clarification that since Substance Recommended only has an author dateTime that is represented using Author (V2) template, for the required effectiveTime data element, it can be reported using effectiveTime/low with a nullFlavor.