Details
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Change Request
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Resolution: Persuasive with Modification
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Medium
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C-CDA Templates Clinical Notes (CDA)
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2.1.0.7 [deprecated]
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Structured Documents
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Templates [deprecated]
Value sets [deprecated] -
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Gay Dolin / Lisa Nelson: 17 - 0 -0
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Enhancement
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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.