Details
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Question
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Resolution: Considered - Question answered
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Medium
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Pharmacist Consultation Note (OTHER)
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1.0
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Pharmacy
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Assessment and plan
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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?
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