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  1. CDA Specification Feedback
  2. CDA-20381

Update PACP to be consistent with FHIR: Add No Healthcare Agent Included Reason

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • Personal Advance Care Plan (CDA)
    • 1.3.0-Ballot [deprecated]
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      1. We will update the Healthcare Agent Appointment Section to bind the @nullFlavor to a new value set called  No Healthcare Agent Included Reason which contains concepts that align with a corresponding value set in the FHIR ADI guide which is bound to Composition.section.emptyreason.
      2. Also will update the Healthcare Agent Appointment Section to have the following description:

      This section records the appointment of healthcare agents.

      It should include appointment of a primary healthcare agent and may include an alternate healthcare agent and a second alternate healthcare agent.

      It should indicate when each healthcare agent was appointed, and should indicate if and when the role has been accepted.

      It may include other information relating to specific powers granted to or limitations placed upon the healthcare agents.

      If no healthcare agents have been appointed, the section SHALL explicitly indicate the reason why no information is included for healthcare agent appointments by using the nullFlavor attribute for the section and choosing an appropriate value from the No Healthcare Agent Included Value Set.

      Below is a mapping table that shows how the CDA and FHIR value sets align. Note: The next iteration of the FHIR ADI IG, they will make change to use the VSAC value set so that only a single value set will exist for this purpose. 

      IG Code Display
      FHIR ADI unknown Unknown
      PACP UNK unknown
      FHIR ADI asked-unknown Asked But Unknown
      PACP ASKU asked but unknown
      FHIR ADI temp-unknown Temporarily Unknown
      PACP NAV temporarily unavailable
      FHIR ADI not-asked Not Asked
      PACP NASK not asked
      FHIR ADI asked-declined Asked But Declined
      PACP NI NoInformation
      FHIR ADI not-applicable Not Applicable
      PACP NA not applicable
      FHIR ADI unsupported Unsupported
      PACP INV invalid
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      We will update the Healthcare Agent Appointment Section to bind the @nullFlavor to a new value set called  No Healthcare Agent Included Reason which contains concepts that align with a corresponding value set in the FHIR ADI guide which is bound to Composition.section.emptyreason. Also will update the Healthcare Agent Appointment Section to have the following description: This section records the appointment of healthcare agents. It should include appointment of a primary healthcare agent and may include an alternate healthcare agent and a second alternate healthcare agent. It should indicate when each healthcare agent was appointed, and should indicate if and when the role has been accepted. It may include other information relating to specific powers granted to or limitations placed upon the healthcare agents. If no healthcare agents have been appointed, the section SHALL explicitly indicate the reason why no information is included for healthcare agent appointments by using the nullFlavor attribute for the section and choosing an appropriate value from the No Healthcare Agent Included Value Set. Below is a mapping table that shows how the CDA and FHIR value sets align. Note: The next iteration of the FHIR ADI IG, they will make change to use the VSAC value set so that only a single value set will exist for this purpose.  IG Code Display FHIR ADI unknown Unknown PACP UNK unknown FHIR ADI asked-unknown Asked But Unknown PACP ASKU asked but unknown FHIR ADI temp-unknown Temporarily Unknown PACP NAV temporarily unavailable FHIR ADI not-asked Not Asked PACP NASK not asked FHIR ADI asked-declined Asked But Declined PACP NI NoInformation FHIR ADI not-applicable Not Applicable PACP NA not applicable FHIR ADI unsupported Unsupported PACP INV invalid
    • Natasha K / Lisa R : 18 - 0 - 0
    • Enhancement
    • Non-substantive
    • 1.3.0-Ballot [deprecated]

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            Unassigned Unassigned
            nkreisle Natasha Kreisle
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