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  1. CDA Specification Feedback
  2. CDA-20074

Inconsistent Value Set reference from Smoking Status Template

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • C-CDA Templates Clinical Notes (CDA)
    • 2.1.0.6 [deprecated]
    • Structured Documents
    • Templates [deprecated]
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      Change the following text from a conformance statement to a note as follows:

      Current:
      If the patient's current smoking status is unknown, @code SHALL contain '266927001' (Unknown if ever smoked) from ValueSet Current Smoking Status ( 2.16.840.1.113883.11.20.9.38 STATIC 2014-09-01) (CONF:1098-31019).

      Updated:
      NOTE: When a patient's current smoking status is unknown, use '266927001' (Unknown if ever smoked) which is included in ValueSet Current Smoking Status (2.16.840.1.113883.11.20.9.38).

      Additionally, add the following conformance statement:
      This value SHALL NOT contain @nullFlavor

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      Change the following text from a conformance statement to a note as follows: Current: If the patient's current smoking status is unknown, @code SHALL contain '266927001' (Unknown if ever smoked) from ValueSet Current Smoking Status ( 2.16.840.1.113883.11.20.9.38 STATIC 2014-09-01) (CONF:1098-31019). Updated: NOTE: When a patient's current smoking status is unknown, use '266927001' (Unknown if ever smoked) which is included in ValueSet Current Smoking Status (2.16.840.1.113883.11.20.9.38). Additionally, add the following conformance statement: This value SHALL NOT contain @nullFlavor
    • Russ Ott/David Carlson: 8-0-0
    • Clarification
    • Non-substantive

    Description

      The Smoking Status template *Smoking Status - Meaningful Use (V2) [observation, 2.16.840.1.113883.10.20.22.4.78, release 2014-06-09, open]* has an inconsistency in the constraint formation for the value elements.

      Currently says:
      SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:1098-14810).

      This value SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Smoking Status 2.16.840.1.113883.11.20.9.38 DYNAMIC (CONF:1098-14817).

      If the patient's current smoking status is unknown, @code SHALL contain '266927001' (Unknown if ever smoked) from ValueSet Current Smoking Status ( 2.16.840.1.113883.11.20.9.38 STATIC 2014-09-01) (CONF:1098-31019).

      Change to say:

      SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:1098-14810).

      This value SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Smoking Status 2.16.840.1.113883.11.20.9.38 DYNAMIC (CONF:1098-14817).

      If the patient's current smoking status is unknown, @code SHALL contain '266927001' (Unknown if ever smoked) from ValueSet Current Smoking Status ( 2.16.840.1.113883.11.20.9.38 STATIC 2014-09-01 DYNAMIC) (CONF:1098-31019).

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            GDolin Gay Dolin
            LisaRNelson Lisa R. Nelson
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              Created:
              Updated:
              Resolved: