Specification - Extended

HL7 CDA® R2 IG: C-CDA Templates for Clinical Notes DSTU Release 2.1 - US Realm

Document Description

extended per extended per TSC tracker 12437, again with 14128 and jira.hl7.org/browse/TSC-38

Existing Wording

There's already been some consternation over DSTU comment #1276, (http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=1276#) which had an emergency fix errata released in May 2018. Right now, the conformance statements read: 10. MAY contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet Medication Route FDA urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:1198-8839). a. The routeCode, if present, SHOULD contain zero or more [0..*] translation, which SHALL be selected from ValueSet Medication Route urn:oid:2.16.840.1.113762.1.4.1099.12 DYNAMIC (CONF:1198-32960). I'm still a little worried about this--do we really want to forbid routeCode translations outside the Medication Route value set? Or should we relax "SHALL be selected from ValueSet Medication Route" to "SHOULD?"

Proposed Wording

The routeCode, if present, SHOULD contain zero or more [0..*] translation, which SHOULD be selected from ValueSet Medication Route urn:oid:2.16.840.1.113762.1.4.1099.12 DYNAMIC (CONF:1198-32960).