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  1. CDA Specification Feedback
  2. CDA-20112

NullFlavor guidance misalignment: Gender Identity Obs & Sexual Orientation Obs

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • C-CDA R2.1 Companion Guide (CDA)
    • 3.1.0-ballot [deprecated]
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      We will make the following changes:

      1) Rebind Gender Identity to the nullFlavor value set including only OTH and ASKU

      2) Adjust Sexual Orientation terminology binding from "MAY" to "SHOULD"

      3) Add to existing inline narrative guidance for Sexual Orientation such that it reads as follows:

      To represent additional orientations, set nullFlavor="OTH". To represent "choose not to disclose", set nullFlavor="ASKU". To represent "Don't know", set nullFlavor="UNK"

      4) Add similar inline narrative guidance to Gender Identity:

      To represent additional Gender Identities, set nullFlavor="OTH". To represent "choose not to disclose", set nullFlavor="ASKU".

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      We will make the following changes: 1) Rebind Gender Identity to the nullFlavor value set including only OTH and ASKU 2) Adjust Sexual Orientation terminology binding from "MAY" to "SHOULD" 3) Add to existing inline narrative guidance for Sexual Orientation such that it reads as follows: To represent additional orientations, set nullFlavor="OTH". To represent "choose not to disclose", set nullFlavor="ASKU". To represent "Don't know", set nullFlavor="UNK" 4) Add similar inline narrative guidance to Gender Identity: To represent additional Gender Identities, set nullFlavor="OTH". To represent "choose not to disclose", set nullFlavor="ASKU".
    • Ryan Zoellner / Gay Dolin : 10-0-0
    • Correction
    • Compatible, substantive

    Description

      Sexual Orientation Obs's nullFlavor conformance does not match Gender Identity Obs:

      "This value MAY contain zero or one [0..1] @nullFlavor, which MAY be selected from ValueSet Other or unknown or refused to answer urn:oid:2.16.840.1.113762.1.4.1021.103 DYNAMIC (CONF:4515-192)."

      • G.I. is a MAY, followed by a SHOULD.
      • G.I. is also missing this bit which would apply to both: "To represent additional orientations, set nullFlavor="OTH". To represent "choose not to disclose", set nullFlavor="ASKU"."
      • Comparing to the USCDI guidance, I do not really see a reasoning for the difference

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            Brett.Marquard Brett Marquard
            rzoellner Ryan Zoellner
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              Updated:
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