Details
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Change Request
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Resolution: Persuasive
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Highest
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US C-CDA on FHIR (FHIR)
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1.2.0-ballot
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Cross-Group Projects
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STU
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CF-medication
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C-CDA to FHIR Medications
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Jay Lyle/John D'Amore: 16-0-6
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Clarification
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Non-substantive
Description
US Core Medication request literally says:
MedicationRequest.dosageInstruction.text = (USCDI) Free text dosage instructions e.g. SIG
So the free-text sig entryRelationship should map here.
Meanwhile, the patientInstructions should come from the Instruction Activity. Currently this is mapped to .dosageInstruction.additionalInstruction - which, if the activity is coded, does seem to make sense. However, if the activity is just in text (via act.text; or act.code.originalText when code does not have any value), then .dosageInstruction.patientInstruction feels like a more appropriate place for this. In any case, again - this was not demonstrated by any vendors at connectathons, is not required by C-CDA, and is not mentioned in USCDI / US Core (unlike free-text sig), so perhaps this mapping should just be omitted for now.
Attachments
Issue Links
- is voted on by
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BALLOT-49301 Negative - Benjamin Flessner : 2023-May-FHIR IG CCDA R1 STU
- Withdrawn
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BALLOT-49397 Negative - Gay Dolin : 2023-May-FHIR IG CCDA R1 STU
- Withdrawn
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BALLOT-49471 Negative - Mike Paetz : 2023-May-FHIR IG CCDA R1 STU
- Balloted
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BALLOT-49522 Negative - Nick Hatt : 2023-May-FHIR IG CCDA R1 STU
- Balloted
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BALLOT-49582 Negative - Matthew Moore : 2023-May-FHIR IG CCDA R1 STU
- Balloted