Details
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Change Request
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Resolution: Persuasive
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Medium
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C-CDA Templates Clinical Notes (CDA)
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2.1.0.6 [deprecated]
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Structured Documents
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Templates [deprecated]
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Brett Marquard / Matt S : 20-0-0
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Enhancement
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Compatible, substantive
Description
See CDA-20003 for background. The Referral Note template contains the following conformance statements:
- SHOULD contain zero or more [0..*] participant (CONF:1198-31642) such that it
- SHALL contain exactly one [1..1] @typeCode="IND" Indirect (CodeSystem: HL7ParticipationType 2.16.840.1.113883.5.90) (CONF:1198-31924).
- SHALL contain exactly one [1..1] associatedEntity (CONF:1198-31643).
- This associatedEntity SHALL contain exactly one [1..1] @classCode, which SHALL be selected from ValueSet INDRoleclassCodes 2.16.840.1.113883.11.20.9.33 DYNAMIC (CONF:1198-31925).
- This associatedEntity SHALL contain exactly one [1..1] associatedPerson (CONF:1198-31644).
- This associatedPerson SHALL contain at least one [1..*] US Realm Patient Name (PTN.US.FIELDED) (identifier: 2.16.840.1.113883.10.20.22.5.1) (CONF:1198-31645).
As written, these disallow the use of a patient contact with a free-text name (as in the CDA-20003 example), since the US Realm Patient Name template requires discrete name fields (given, family, etc.).
The US Realm Patient Name template should be relaxed to US Realm Person Name instead, to allow the use of free-text names here.
