Details
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Change Request
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Resolution: Persuasive with Modification
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Highest
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C-CDA R2.1 Companion Guide (CDA)
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3.1.0-ballot [deprecated]
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Structured Documents
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(many)
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6.2.1.1
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R Ott/L Nelson: 19-0-0
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Enhancement
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Non-substantive
Description
In other contexts (assessments of functioning), we have been hesitant to use the Assessment Scale Observation (V2) 2.16.840.1.113883.10.20.22.4.69:2022-06-01 and its contained Assessment Scale Supporting Observation 2.16.840.1.113883.10.20.22.4.86 for panels that are not actually "scales". That is, on these assessments, the independent questions are not used to form an overall (or subscale) score. Many SDOH-related assessments are similar to these functioning assessments in that they do not have scores, totals, or variables that carry the overall impression. Additionally, they don't necessarily fit this template's tidy definition of "a collection of observations that together yield a summary evaluation of a particular condition." In fact, they may span many multitudes of conditions. Further, some of the individual observations/items might well yield their own clinical/social implications (as well as being taken together in a broader screening/assessment context). Consider PRAPARE, for example.
It would be helpful to clarify whether/how the Assessment Scale Observation structure should be used for assessments that a) don't have total/summary variables, and b) assessments that span multiple conditions and/or have multiple subscales.
Attachments
Issue Links
- is voted on by
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BALLOT-27106 Affirmative - Daniel Vreeman : 2022-Jan-CDAR2 IG CCDA COMPANION R2 STU
- Closed
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BALLOT-28424 Affirmative - Michelle L. Dougherty : 2022-Jan-CDAR2 IG CCDA COMPANION R2 STU
- Closed
- relates to
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FHIR-35364 Streamline representation of SDOH screening instruments
- Published
- mentioned in
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