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  1. CDA Specification Feedback
  2. CDA-20419

Make Improvements for use of Discharge Disposition Value Set

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    • Icon: Change Request Change Request
    • Resolution: Not Persuasive
    • Icon: Medium Medium
    • C-CDA Templates Clinical Notes (CDA)
    • 2.1.0.7 [deprecated]
    • Structured Documents
    • Templates [deprecated]
      Value sets [deprecated]
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      CDA-20004 made the change to EncounterActivity template.

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      CDA-20004 made the change to EncounterActivity template.
    • Jean Duteau / Brett Marquard : 15-0-0

    Description

      Consider updating the Discharge Disposition value set to use a unified value set which is based on an HL7 Code System and also is used by FHIR. This change would affect the following C-CDA Templates and Constraints:

      Encounter Activity (V3) [encounter, 2.16.840.1.113883.10.20.22.4.49, release 2015-08-01, open]

      MAY contain zero or one [0..1] sdtc:dischargeDispositionCode (CONF:1198-32176).
      Note: The prefix sdtc: SHALL be bound to the namespace urn:hl7-org:sdtc. The use of the namespace provides a necessary extension to CDA R2 for the use of the dischargeDispositionCode element
      • This sdtc:dischargeDispositionCode SHOULD contain exactly [0..1] code, which SHOULD be selected from ValueSet 2.16.840.1.113883.3.88.12.80.33 NUBC UB-04 FL17-Patient Status (code system 2.16.840.1.113883.6.301.5) DYNAMIC or, if access to NUBC is unavailable, from CodeSystem 2.16.840.1.113883.12.112 HL7 Discharge Disposition (CONF:1198-32177).
      • This sdtc:dischargeDispositionCode SHOULD contain exactly [0..1] codeSystem, which SHOULD be either CodeSystem: NUBC 2.16.840.1.113883.6.301.5 OR CodeSystem: HL7 Discharge Disposition 2.16.840.1.113883.12.112 (CONF:1198-32377).

      And in
      Discharge Summary (V3) [ClinicalDocument, 2.16.840.1.113883.10.20.22.1.8, release 2015-08-01, open]

      SHALL contain exactly one [1..1] componentOf (CONF:1198-8471).
      • This componentOf SHALL contain exactly one [1..1] encompassingEncounter (CONF:1198-8472).
      o This encompassingEncounter SHALL contain exactly one [1..1] effectiveTime (CONF:1198-32611).
       This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-8473).
       This effectiveTime SHALL contain exactly one [1..1] high (CONF:1198-8475).
      o This encompassingEncounter SHALL contain exactly one [1..1] dischargeDispositionCode, which SHOULD be selected from ValueSet NUBC UB-04 FL17 Patient Status 2.16.840.1.113883.3.88.12.80.33 DYNAMIC (CONF:1198-8476).

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            LisaRNelson Lisa R. Nelson
            Lisa R. Nelson
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              Created:
              Updated:
              Resolved: