Uploaded image for project: 'Other Specification Feedback'
  1. Other Specification Feedback
  2. OTHER-2358

5.2.2 Assessment and plan - which | what C-CDA structure should be used to include pharmacist recommendation on vaccination

    XMLWordPrintableJSON

Details

    • Icon: Question Question
    • Resolution: Considered - Question answered
    • Icon: Medium Medium
    • Pharmacist Consultation Note (OTHER)
    • 1.0
    • Pharmacy
    • Assessment and plan
    • Hide

      Immunization entries are permitted to have @moodCode='INT" (Intent) to indicate an immunization that the patient will/should receive.

      See C-CDA Online Immunization Activity (3)

      ".... Immunization Activities in "INT" mood are reflections of immunizations a clinician intends a patient to receive. .... "

      Alternatively, Planned Immunization Activity can be used in Plan of Treatment Section see C-CDA Online Planned Immunization Activity

      This template represents planned immunizations. ....

      Show
      Immunization entries are permitted to have @moodCode='INT" (Intent) to indicate an immunization that the patient will/should receive. See C-CDA Online Immunization Activity (3) ".... Immunization Activities in "INT" mood are reflections of immunizations a clinician intends a patient to receive. .... " Alternatively, Planned Immunization Activity can be used in Plan of Treatment Section see C-CDA Online Planned Immunization Activity This template represents planned immunizations. ....

    Description

      CDAR2 IG CCDA Clinnotes R1 DSTU .1 2015 included the following Immunization information:

      3.65 Planned Immunization Activity contains the following templates:

      • Indication (v2) (optional)
      • Priority Preference (optional)
      • Instruction (v2) (optional)
      • Author Participation (optional)
      • Immunization Medication Information (v2) required)
      • Precondition for Substance Administration (v2) (optional)

      The Planned Immunization Activity template, (as per the 2015 C-CDA IG), does not appear to include template | structure for pharmacist recommendations on patient's vaccination

      The Instruction (v2) template cannot support this requirement either:
      It is used to record patient instructions
      The value set appears to be patient education related

      Question:
      Should the pharmacist recommendation (to prescriber) on patient's vaccination be included in the "Plan of treatment section.text"?
      Plan of treatment secton.text (free text)

      If yes, this specification should provide clear instructions on how to use "Plan of treatment section.text" for such purpose
      Also, there is the risk of overloading this Plan of treatment section.text element

      If no, what C-CDA structure should be used to carry pharmacist recommendations?

      Attachments

        Activity

          People

            Unassigned Unassigned
            chuscmi Stephen Chu
            Watchers:
            1 Start watching this issue

            Dates

              Created:
              Updated:
              Resolved: