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  1. CDA Specification Feedback
  2. CDA-20444

Align value set used in Problem Observation template to align with value set used in US Core Condition

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • 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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      In the January ballot, we intend to, within the Problem Observation template, point to the US Core Condition Codes value set.

      We'll make sure that the US Core Condition Codes value set gets an OID assigned to it. The C-CDA Problem Observation template will bind its value to that new OID.

      Details of the binding will be developed during the ballot.

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      In the January ballot, we intend to, within the Problem Observation template, point to the US Core Condition Codes value set. We'll make sure that the US Core Condition Codes value set gets an OID assigned to it. The C-CDA Problem Observation template will bind its value to that new OID. Details of the binding will be developed during the ballot.
    • Gay Dolin / Lisa Nelson: 17 - 0 -0
    • Enhancement
    • Compatible, substantive

    Description

      In order to align C-CDA and FHIR US Core Profiles, update the C-CDA Problem Observation template to bind to the same value set as used in the US Core Condition profile for Condition.code.

      C-CDA Problem Observation.code current binding is:

      SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Problem Type (SNOMEDCT) 2.16.840.1.113883.3.88.12.3221.7.2 DYNAMIC (CONF:1198-9045).
      If code is selected from ValueSet Problem Type (SNOMEDCT) 2.16.840.1.113883.3.88.12.3221.7.2 DYNAMIC, then it SHALL have at least one [1..*] translation, which SHOULD be selected from ValueSet Problem Type (LOINC) 2.16.840.1.113762.1.4.1099.28 DYNAMIC (CONF:1198-32950) (CONF:1198-32950).

      Change to use this Value Set:
      http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code (an OID will need to be assigned to this value set.)

      This change will remove provider burden forcing the need to create translations between SNOMED-CT and ICD.

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            jduteau Jean Duteau
            LisaRNelson Lisa R. Nelson
            Lisa R. Nelson
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              Created:
              Updated:
              Resolved: