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  1. Other Specification Feedback
  2. OTHER-2508

CDA Recorded Sex or Gender - Patient Record Type - Use Act reference/ExternalAct instead

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Highest Highest
    • Cross Paradigm Gender Harmony - Sex and Gender Representation (OTHER)
    • 1.0.0-ballot
    • Structured Documents
    • STU
    • CDA Gender Harmony
    • Hide

      Keep the "PatientRecordType" template but:

      Change the Name of the template to: SourceRecordFieldType. This means the reference to this template in the RSG template must also be changed.

      Change template description to: Type of recorded sex or gender. The name of the field within the source document where this sex or gender property is initially recorded.

      Change conformance #3 (observation.code for the template) from:
      SHALL contain exactly one [1..1] code="184216000" Patient record type (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:4536-177).
      to:
      SHALL contain exactly one [1..1] code="48766-0" Information Source (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:4536-177).

      Change last conformance (#6) from:
      SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be
      selected from ValueSet Recorded Sex Or Gender Type urn:oid:2.16.840.1.113883.11.19757 (CONF:4536-179).

      a. This value SHALL contain exactly one [1..1] @code (CONF:4536-183).
      TO:
      SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code MAY be
      selected from ValueSet Recorded Sex Or Gender Type urn:oid:2.16.840.1.113883.11.19757 (CONF:4536-179).
      a. May contain ORGINALTEXT (To include the original text string name of the field.)

      In addition, these changes mean that the following change must occur in the main RSG template:

      Original:
      8. SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet Recorded Sex Or Gender Type urn:oid:2.16.840.1.113883.11.19757 (CONF:4536-93).

      originalText is the value of the field from the source document.

      a. This value MAY contain zero or one [0..1] originalText (CONF:4536-185).

      New:

      8. SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code MAY be selected from ValueSet administrative-gender urn:oid:2.16.840.1.113883.4.642.3.1 (CONF:4536-93).

      (this is the FHIR valueset http://hl7.org/fhir/ValueSet/administrative-gender)

      Show
      Keep the "PatientRecordType" template but: Change the Name of the template to: SourceRecordFieldType. This means the reference to this template in the RSG template must also be changed. Change template description to: Type of recorded sex or gender. The name of the field within the source document where this sex or gender property is initially recorded. Change conformance #3 (observation.code for the template) from: SHALL contain exactly one [1..1] code="184216000" Patient record type (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:4536-177). to: SHALL contain exactly one [1..1] code="48766-0" Information Source (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:4536-177). Change last conformance (#6) from: SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet Recorded Sex Or Gender Type urn:oid:2.16.840.1.113883.11.19757 (CONF:4536-179). a. This value SHALL contain exactly one [1..1] @code (CONF:4536-183). TO: SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code MAY be selected from ValueSet Recorded Sex Or Gender Type urn:oid:2.16.840.1.113883.11.19757 (CONF:4536-179). a. May contain ORGINALTEXT (To include the original text string name of the field.) In addition , these changes mean that the following change must occur in the main RSG template : Original: 8. SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet Recorded Sex Or Gender Type urn:oid:2.16.840.1.113883.11.19757 (CONF:4536-93). originalText is the value of the field from the source document. a. This value MAY contain zero or one [0..1] originalText (CONF:4536-185). New: 8. SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code MAY be selected from ValueSet administrative-gender urn:oid:2.16.840.1.113883.4.642.3.1 (CONF:4536-93). (this is the FHIR valueset http://hl7.org/fhir/ValueSet/administrative-gender )
    • Ben F/Rob M:4-0-0
    • Enhancement
    • Compatible, substantive

      For Patient Record Type - Use Act reference/ExternalAct instead

      If encoded could use the ExternalAct.code, and if not could use ExternalAct.text

       

       

            seanmuir Sean Muir
            GDolin Gay Dolin
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              Created:
              Updated:
              Resolved: