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  1. CDA Specification Feedback
  2. CDA-20368

Notes in Vol 2 not listed as conformance statements

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • Personal Advance Care Plan (CDA)
    • 1.3.0-Ballot [deprecated]
    • Structured Documents
    • Templates
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      1. "The ids MAY reference the id of a person or organization entity specified elsewhere in the document."
      will be updated to
      "The ids reference the id of a person or organization entity specified elsewhere in the document."

      2. "Note: Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode *SHALL* be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30"
      will be updated to Note: When participant/@typeCode is IND, select associatedEntity/@classCode from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes

      3. Note: The versionNumber shall include the prior document's versionNumber.
      will be updated to
      Note: The versionNumber holds the prior document's versionNumber.

      4. "The component SHALL have EITHER exactly one [1..1] nonXMLBody OR exactly one [1..1] structuredBody. The BodyChoice constraint is imposed by the base CDA standard."
      will be updated to
      "A PACP document has EITHER exactly one [1..1] nonXMLBody OR exactly one [1..1] structuredBody. The BodyChoice constraint is imposed by the base CDA standard."
      5. "If no healthcare agents have been appointed, the section SHALL explicitly
      indicate the reason that no information is included for healthcare agent appointments by using the nullFlavor attribute for the section."
      will be updated to
      "If no healthcare agents have been appointed, the [NEW TEMPLATE NAME WILL NEED TO GO HERE] can be used to explicitly indicate the reason that no information is included for healthcare agent appointments."

      6. "Note: The text element SHALL include a reference to the corresponding human readable information represented in the narrative text of the section."
      will be removed

      7. "SHALL be type Boolean where true means the person does have an order regarding life sustaining treatment and false means the person does not have an order regarding life sustaining treatment (CONF:4445-33153)."

      will be removed and updated into a note on (CONF:4445-33127) that states:

      "True means the person does have an order regarding life sustaining treatment and false means the person does not have an order regarding life sustaining treatment."

      8. "If a URL is referenced, then it SHOULD have a corresponding linkHTML element in narrative block (CONF:4445-33150)."

      will be removed and updated into a note on @value (CONF:4445-33396)

      "Note: This @value represents the URL of the referenced document.
      If a URL is referenced, include a corresponding linkHTML element in the narrative block."

      9. Organ Donation Observation "The originalText, if present, SHOULD contain zero or one [0..1] reference/@value. This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (CONF:4445-33477)."

      will be updated to

      i. The originalText, if present, SHOULD contain zero or one [0..1] reference/@value. (CONF:XXXX-XXXXX)
      1. This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (CONF:4445-33477).

      10. "SHOULD contain zero or one [0..1] originalText (CONF:4445-33516).
      The originalText, if present, SHOULD contain zero or one [0..1] reference/@value.
      This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (CONF:4445-33518)."

      will be updated to

      b. SHOULD contain zero or one [0..1] originalText (CONF:4445-33516).
      i. The originalText, if present, SHOULD contain zero or one [0..1] reference/@value. (CONF:XXXX-XXXXX)
      1. This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (CONF:4445-33518).

      11. "The text element SHALL include a reference to the corresponding human readable information represented in the narrative text of the section."
      will be removed

      12. Personal Intervention Preference "An Intervention Act SHALL reference a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry. The following entryRelationship represents an Entry Reference to Goal Observation."

      will be updated to

      "An Intervention Act references a Goal Observation in order to indicate the reason for doing the intervention. If the Goal Observation is already described in the CDA document, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry by id."

      13. "An Intervention Act SHALL reference a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry. The following entryRelationship represents an Entry Reference to Goal Observation."

      will be updated to

      "An Intervention Act references a Goal Observation in order to indicate the reason for doing the intervention. If the Goal Observation is already described in the CDA document, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry by id."

      Show
      1. "The ids MAY reference the id of a person or organization entity specified elsewhere in the document." will be updated to "The ids reference the id of a person or organization entity specified elsewhere in the document." 2. "Note: Unless otherwise specified by the document specific header constraints, when participant/@typeCode is IND, associatedEntity/@classCode * SHALL * be selected from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes STATIC 2011-09-30" will be updated to Note: When participant/@typeCode is IND, select associatedEntity/@classCode from ValueSet 2.16.840.1.113883.11.20.9.33 INDRoleclassCodes 3. Note: The versionNumber shall include the prior document's versionNumber. will be updated to Note: The versionNumber holds the prior document's versionNumber. 4. "The component SHALL have EITHER exactly one [1..1] nonXMLBody OR exactly one [1..1] structuredBody. The BodyChoice constraint is imposed by the base CDA standard." will be updated to "A PACP document has EITHER exactly one [1..1] nonXMLBody OR exactly one [1..1] structuredBody. The BodyChoice constraint is imposed by the base CDA standard." 5. "If no healthcare agents have been appointed, the section SHALL explicitly indicate the reason that no information is included for healthcare agent appointments by using the nullFlavor attribute for the section." will be updated to "If no healthcare agents have been appointed, the [NEW TEMPLATE NAME WILL NEED TO GO HERE] can be used to explicitly indicate the reason that no information is included for healthcare agent appointments." 6. "Note: The text element SHALL include a reference to the corresponding human readable information represented in the narrative text of the section." will be removed 7. "SHALL be type Boolean where true means the person does have an order regarding life sustaining treatment and false means the person does not have an order regarding life sustaining treatment (CONF:4445-33153)." will be removed and updated into a note on (CONF:4445-33127) that states: "True means the person does have an order regarding life sustaining treatment and false means the person does not have an order regarding life sustaining treatment." 8. "If a URL is referenced, then it SHOULD have a corresponding linkHTML element in narrative block (CONF:4445-33150)." will be removed and updated into a note on @value (CONF:4445-33396) "Note: This @value represents the URL of the referenced document. If a URL is referenced, include a corresponding linkHTML element in the narrative block." 9. Organ Donation Observation "The originalText, if present, SHOULD contain zero or one [0..1] reference/@value. This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (CONF:4445-33477)." will be updated to i. The originalText, if present, SHOULD contain zero or one [0..1] reference/@value. (CONF:XXXX-XXXXX) 1. This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (CONF:4445-33477). 10. "SHOULD contain zero or one [0..1] originalText (CONF:4445-33516). The originalText, if present, SHOULD contain zero or one [0..1] reference/@value. This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (CONF:4445-33518)." will be updated to b. SHOULD contain zero or one [0..1] originalText (CONF:4445-33516). i. The originalText, if present, SHOULD contain zero or one [0..1] reference/@value. (CONF:XXXX-XXXXX) 1. This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (CONF:4445-33518). 11. "The text element SHALL include a reference to the corresponding human readable information represented in the narrative text of the section." will be removed 12. Personal Intervention Preference "An Intervention Act SHALL reference a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry. The following entryRelationship represents an Entry Reference to Goal Observation." will be updated to "An Intervention Act references a Goal Observation in order to indicate the reason for doing the intervention. If the Goal Observation is already described in the CDA document, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry by id." 13. "An Intervention Act SHALL reference a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry. The following entryRelationship represents an Entry Reference to Goal Observation." will be updated to "An Intervention Act references a Goal Observation in order to indicate the reason for doing the intervention. If the Goal Observation is already described in the CDA document, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry by id."
    • Natasha Kreisle / Gay Dolin: 12-0-0
    • Clarification
    • Compatible, substantive
    • 1.3.0-Ballot [deprecated]

    Description

      Review all notes in Vol 2 to confirm if there should be conformance # related to the SHOULD/SHALL/MAY text and if not, reword to not add ambiguity to conformances.

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            nkreisle Natasha Kreisle
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              Created:
              Updated:
              Resolved: