Consolidated CDA - Templates

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Consolidated CDA - Templates

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Medication Activity – Effective date

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Issues (3)

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Change Request Status = Closed ( ccda-issue-21 ): Erratum-423 Update to allow an effectiveTime with just a TS to support single dose [CONF:7508]

Type

Change Request

Status

Change Request Status = Closed

Priority

Normal

Events

Tracking / Status = Closed	2017-09-13 02:40:43 : Tracking by Lisa Nelson
Description	This one was complex. We needed to add a choice and add the first choice element. Then move the element that was outside of the choice, into the choice (temple tool) Finally we applied the notes into the descriptions and added references to record the needed conformance labels.

Assignment

2017-08-28 23:25:09 : Assigned To dr Kai U. Heitmann by Lisa Nelson

Tracking / Status = Feedback needed	2017-08-28 23:25:00 : Tracking by Lisa Nelson
Description	Totally confused by CONF numbers. Lots of complex conditional logic in the expression of the conformance statement.

Tracking / Status = Feedback needed	2017-08-25 14:55:53 : Tracking by Lisa Nelson
Description	We need to understand how CONF numbers are working. Should the statements we add be matching to the CONF #.Where are the conformance numbers reported in the errata list for C-CDA R1.1 coming from????

Assignment

2017-08-25 14:54:19 : Assigned To Didi Davis by Lisa Nelson

Tracking / Status = In Progress

2017-08-25 14:53:58 : Tracking by Lisa Nelson

Tracking / Status = Open	2017-08-25 14:53:33 : Tracking by Lisa Nelson
Description	Finding: -Update to allow an effectiveTime with just a TS to support a single dose. The pharmacy work group considers our current modeling to be incorrect. Suggestion: -Conformance Statements Prior to Change 8. SHALL contain exactly one [1..1] effectiveTime (CONF:7508) such that it a. SHALL contain exactly one [1..1] low (CONF:7511). b. SHALL contain exactly one [1..1] high (CONF:7512). - Conformance Statements After Change 8. SHALL contain exactly one [1..1] effectiveTime (CONF:7508) such that it Note: This effectiveTime represents either the medication duration (i.e., the time the medication was started and stopped) or the single-administration timestamp. a. SHOULD contain zero or one [0..1] @value (CONF:26525). Note: indicates a single-administration timestamp b. SHOULD contain zero or one [0..1] low (CONF:26526). Note: indicates when medication started c. MAY contain zero or one [0..1] high (CONF:26527). Note: indicates when medication stopped d. This effectiveTime SHALL contain either a low or a @value but not both (CONF:26528). Further explanation: -CONF:7508

Change Request Status = Closed ( ccda-issue-22 ): Erratum-572 Add template for free text Sig. [CONF:????]

Type

Change Request

Status

Change Request Status = Closed

Priority

Normal

Events

Tracking / Status = Closed

2017-09-10 03:59:57 : Tracking by Lisa Nelson

Assignment

2017-08-29 00:02:13 : Assigned To dr Kai U. Heitmann by Lisa Nelson

Tracking / Status = Feedback needed	2017-08-29 00:02:03 : Tracking by Lisa Nelson
Description	Reviewed on 8/28. This is more complicated and the Erratum does not provide enough guidance. We need to study how this was implemented in C-CDA R2.1 and then add a new template in C-CDA R1.1 and then modify existing templates to contain this new templates. This will be a more challenging type of change than the others. We think that the text element needs to be added back in CONF:7501 (for C-CDA R2.1). This is still needed for proper text linking. The comment about it being used for the Free Text Sig info was the part that was wrong. Only that guidance should have been removed.

Tracking / Status = Feedback needed

2017-08-25 18:14:10 : Tracking by Lisa Nelson

Assignment

2017-08-25 18:13:16 : Assigned To Didi Davis by Lisa Nelson

Tracking / Status = In Progress	2017-08-25 18:12:56 : Tracking by Lisa Nelson
Description	Need to learn how to make a new template.

Tracking / Status = In Progress	2017-08-25 18:12:35 : Tracking by Lisa Nelson
Description	Here is how Medication Free Text Sig template was added in C-CDA R2.1: 27. MAY contain zero or more [0..*] entryRelationship (CONF:1098-32907) such that it a. SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32908). b. SHALL contain exactly one [1..1] Medication Free Text Sig (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.147) (CONF:1098-32909). Not sure how we will address the use of these Conformance ID's???

Assignment

2017-08-25 18:09:10 : Assigned To Lisa Nelson by Lisa Nelson

Tracking / Status = Open	2017-08-25 18:09:09 : Tracking by Lisa Nelson
Description	Finding: -Add guidance for free text Sig. Suggestion: -Conformance Statements Prior to Update: C-CDA R1.1 states the freeTextSig is sent in the substanceAdministration/text. Per pharmacy WG, this is incorrect. - Conformance Statements After Update: 1. new template created for Medication Free Text Sig 2.16.840.1.113883.10.20.22.4.147 2. Medication Activity templates includes optional containment of the new Medication Free Text Sig template. Further explanation: -[CONF:32770] Not sure this conformance number makes sense.

Change Request Status = Closed ( ccda-issue-36 ): Erratum 705 Update value set binding on the substanceAdministration/administrationUnitCode [CONF:7519]

Type

Change Request

Status

Change Request Status = Closed

Priority

Normal

Events

Tracking / Status = Closed

2017-09-05 22:27:26 : Tracking by Lisa Nelson

Assignment

2017-09-01 21:12:40 : Assigned To dr Kai U. Heitmann by Lisa Nelson

Tracking / Status = Feedback needed	2017-09-01 21:12:32 : Tracking by Lisa Nelson
Description	See tab 705. Same issue as in the Immunization Template.

Assignment

2017-08-30 13:05:46 : Assigned To Didi Davis by Lisa Nelson

Tracking / Status = Feedback needed	2017-08-30 13:05:36 : Tracking by Lisa Nelson
Description	Seems straight forward. Just want to walk through the steps of changing the valueset together.

Assignment

2017-08-30 13:04:43 : Assigned To Lisa Nelson by Lisa Nelson

Tracking / Status = Open	2017-08-30 13:04:42 : Tracking by Lisa Nelson
Description	Finding: -Update value set binding on the substanceAdministration/administrationUnitCode Suggestion: -Conformance Statements prior to change: Medication Activity (urn:oid:2.16.840.1.113883.10.20.22.4.16) 14. MAY contain zero or one [0..1] administrationUnitCode, which SHALL be selected from ValueSet Medication Product Form 2.16.840.1.113883.3.88.12.3221.8.11 DYNAMIC (CONF:8846). - Conformance Statements After Change: Update the concepts to new Value Set AdministrationUnitDoseForm (2.16.840.1.113762.1.4.1021.30). Further explanation: CONF:7519

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