Ballot SubmissionTriage & Committee ResolutionBallot Comment Tracking
Comment NumberBallotChapterSectionPage #Line #Artifact IDResource(s)HTML Page name(s)URLVote and TypeSub-categoryTracker #Existing WordingProposed WordingBallot CommentSummaryIn person resolution requestedComment groupingScheduleTriage NotePubsDisposition WGDispositionDisposition Comment or Retract/Withdraw detailsDisposition/Retract/ Withdrawal DateMover / seconderFor AgainstAbstainRetracted / WithdrawnDisposition External OrganizationResponsible PersonChange AppliedSubstantive ChangeSubmitted ByOrganizationOn behalf ofCommenter EmailSubmitter Tracking IDReferred ToReceived FromNotes
1PH11.4.5NEGThe actual OID for the CCHD IG is 2.16.840.1.113883.9.800. This should be added to the section on profile IDs and updated in all the example messages (MSH-21)Block 1PHPersuasiveThe example messages will be updated to use the new OID.2020-02-13Craig Newman/Lura Daussat2100YesNoCraig NewmanAltarum
2PH11.4.5A-SAdd an explanation of how the CCHD OID may be used to manage artifacts like value sets and profile IDs.Block 1PHPersuasiveSection 1.4.5 will be updated to indicate that an OID has been assigned by the HL7 registry to the IG. The OID will be used to define the message profile ID in MSH-21 and future versions of the IG may use it to assign OIDs to value sets.2020-02-13Craig Newman/Lura Daussat2100YesNoCraig NewmanAltarum
3PH33.1.245A-SACK^VARIES^ACKACK^R01^ACKIn general, the MSH-9.2 trigger event ID for ACKs does vary, depending on the message type being acknoweldged. However, the only outbound message type defined in this IG is ORU^R01^ORU_R01, so the only ACK trigger event ID that could ever be returned is "R01" (which is explicitly specified by Conformance Statement MSH_CCHD02_5215675 on page 46). Therefore, I suggest re-labeling the ACK profile name for the Sec. 3.1.2 header (at the top of page 45 as well as the Table of Contents on page 5) to "ACK^R01^ACK" instead of "ACK^VARIES^ACK."ACK profile name / section headerBlock 1PHPersuasiveThe title of the ACK message profile will be updated to ACK^R01^ACK2020-02-13Craig Newman/Lura Daussat2100YesNoDanny WiseAllscripts
4PH33.1.245A-TACK^Varies^ACK5ERR (segment)In the ACK profile definition, the ERR segment has a Conditional Usage, so there is a Conditional Predicate defined below it. However, the "Location" for that condition is "ACK^Varies^ACK5" -- shouldn't this more clearly indicate it's referring to the ERR segment specifically?Conditional Predicate LocationBlock 1PHPersuasiveThe current location value (ACK^Varies^ACK) indicates that the conformance statement is applied at the message level because it involves interactions between multiple segments. The Location will be updated to read "ERR"2020-02-13Craig Newman/Lura Daussat2100YesNoDanny WiseAllscripts
5PH33.1.245A-TConditional Predicates Message:Conditional PredicatesWhat does the word "Message:" signify for the label over the Conditional Predicates table? None of the other Conditional Predicates tables in this IG include the word "Message" in their labels (nor is it present over the same table in the EHDI IG), though they are all field-level conditions and not segment-level conditions.Conditional Predicate table labelBlock 1PHNot persuasiveThe "Message" indicates that the predicate involves interactions between multiple segments. It should be added in the EHDI ACK profile rather than removed from this IG2020-02-13Craig Newman/Lura Daussat2100NoDanny WiseAllscripts
6PH1.4.5A-SAs new versions of this IG are published, the profile IDs will be updated to include a new version identifier (e.g. n1.0 will be updated to n1.1 if a new dot release is published). As new versions of this IG are published, the profile IDs will be updated to include a new profile version identifier (e.g. is version n1.0 would define profile version n1.0 and a new dot release (n1.1) would create the profile version will be updated to n1.1 if a new dot release is published). Either make the ig version and the profile verison in a 1:1 relationship, i.e. each ig verison m.n would define a new profile version m.n, or if necessary, an ig version m.n could create profile versions m.n, m.n.1 m.n.2 ..., etc. In any event each specification document should clearly state which versions of the profile(s) are to used with the document. Block 1PHPersuasive with modThe existing text will be updated to read: As new versions of this IG are published, the profile IDs will be updated to include a new version identifier. This IG will use the version identifier "n1.0" to construct profile IDs. Future versions of the IG will use a different version identifier when constructing profiles. For example, if the next release is dot release 1.1, then the profiles defined in that IG will use the version identifier "n1.1" (e.g. CCHD-ORU_n1.1).2020-02-13Craig Newman/Lura Daussat2100YesNoJohn RobertsTennessee Dept of HealthJohn Robertsjohn.a.roberts@tn.gov
7PH2.2.4.120A-SMSH|^~\&|CCHD Screening Device^2.16.840.1.113883.9.97^ISO|MSH|^~\&|CCHD Screening Device^2.16.840.1.113883.19.1^ISO| (an invalid OID) or MSH|^~\&|CCHD Screening Device^2.16.840.1.113883.19.1^ISO| (a valid OID, albeit not appropriate in context)In examples use the ISO values from the HL7 examples tree (…113883.19). The first OID in the message points to: Olympic Area Agency on Aging 2.16.840.1.113883.9.97. Ther are two benefits for using the examples tree: you can instantly see a message creator who does not know much about OIDs and you shield your production oids from traffic that is not in production.Block 1PHPersuasive with modExample OIDs (ie. those not part of MSH-21) will be updated to use 2.16.840.1.113883.19 (the HL7 example OID).2020-02-13Craig Newman/Lura Daussat2100YesNoJohn RobertsTennessee Dept of Health
8PH2.2.4.426A-SMSA|CA|201907010005 - ERR||MSH^1^12^1^1 MSA|AA|201907010005 - ERR||MSH^1^12^1^1 1. The Ack indicates (MSA-1 CA) that the ACK message is a accepted (successful) message. Suggest making the example an applicaton accepted (successfule) status "AA'.PHConsidered for future useThe Use Case diagram in section 2.2.3 indicates that the ACK message in scope for the IG is the communication level ACK (rather than an application level ACK). While application level ACKs are not prohibited (the IG is silent on how MSH-16 is populated), it seems appropriate that the example ACK message use an MSA-1 value of CA. Adding requirements surrounding application level ACKs will be considered in furture versions.2020-02-13Craig Newman/Lura Daussat2100NoNoJohn RobertsTennessee Dept of Health
9PH3.1.127A-AThe ORU message contains pre-adopted occupational data segments (OH2 and OH3) that allows trading partners to agree to exchange occupational data for the next of kin for the newborn subject if warranted by the implementation requirements. … Note that while v2.9 does allow occupational data to be exchanged for the subject of the message, because of the nature of the patients covered by this IG (i.e. newborns), we have chosen not to pre-adopt the OH* segments associated with the patient (PID) segment. no changeAlthough it may get some negative comment the implementaton of the OH* segments looks like a great compromise and the proejct team should get a gold star.The ORU message contains pre-adopted occupational data segments (OH2 and OH3) that allows trading partners to agree to exchange occupational data for the next of kin for the newborn subject if warranted by the implementation requirements. … Note that while v2.9 does allow occupational data to be exchanged for the subject of the message, because of the nature of the patients covered by this IG (i.e. newborns), we have chosen not to pre-adopt the OH* segments associated with the patient (PID) segment. Block 1PHConsidered - No action required2020-02-13Craig Newman/Lura Daussat2100NoNoJohn RobertsTennessee Dept of Health
10PH3.1.1.127A-SConformance Statements ID MSH_CCHD01-15 Description MSH-15 SHALL contain the constant value 'AL' drawn from the code system 'HL70155'. Conformance Statements ID MSH_CCHD01-15 Description MSH-15 SHALL contain the constant value 'ER' drawn from the code system 'HL70155'. ID MSH_CCHD01-16 Description MSH-16 SHALL contain the constant value 'AL' drawn from the code system 'HL70155'. The Accept Acknowlegement (-15) codes are required meaning all errors and rejects detected up to but not including the actual receiving application result status ARE required but the Applicaton Acknowledgement (-16) is NOT required? This is at least inconsistent and perhaps should be reversed: application ack status (-16) is AL Always Required but Accept Ack Types is not (NE) or errors only (ER) required. Accept acknowledgement (all types) [are AL/are not] NE required; Application Acknowledgement (all types) are ER Errors/Rejects only are required.PHConsidered for future useThe scope of the document is to include the exchange of accept (communication level) ACKs (thus MSH-15 is constrained to AL). The guide is silent on the use of application level ACKs (MSH-16 is required to be populated but can be any value agreed up by trading partners). We feel that this guarantees ensured transmission of the data but doesn't place any processing requirements on the receiving system. Adding requirements surrounding application level ACKs will be considered in furture versions.2020-02-13Craig Newman/Lura Daussat2100NoNoJohn RobertsTennessee Dept of Health
11PH3.1.1.127A-SValue Set Bindings Location MSH_CCHD01-15 Single Code Value AL Location MSH_CCHD01-16 Value Set ID 0155 Value Set Name Accept/Application … Single Code Value AL Value Set Bindings Location MSH_CCHD01-15 Single Code Value ER Location MSH_CCHD01-16 Value Set ID 0155 Value Set Name Accept/Application … Single Code Value AL (see the comment for the other comment number for the same section 3.1.1.1)Accept acknowledgement (all types) [are AL/are not] NE required; Application Acknowledgement (all types) are ER Errors/Rejects only are required.PHConsidered for future useThe scope of the document is to include the exchange of accept (communication level) ACKs (thus MSH-15 is constrained to AL). The guide is silent on the use of application level ACKs (MSH-16 is required to be populated but can be any value agreed up by trading partners). We feel that this guarantees ensured transmission of the data but doesn't place any processing requirements on the receiving system. Adding requirements surrounding application level ACKs will be considered in furture versions.2020-02-13Craig Newman/Lura Daussat2100NoNoJohn RobertsTennessee Dept of Health
12PHNEGCurrent wording: “Sending and receiving of serial number of pulse oximetry device”; for OBX-18 Equipment Instance Identifier – the serial number is used Instead this should identify the device by the UDI for the device– the UDI is an instance identifier. Note: all pulse oximetry devices should have UDIs (Class II or III) and should have UDI placed on the device.YesPHPersuasiveThe description of OBX-18 will be updated to indicate that the UDI should be placed in OBX-18.1 (with a reference to the base standard for guidance on how to populate the OID in OBX-18.3). The data type for OBX-18 will be an EI flavor that will require EI.1, EI.3 and EI.4 to supporting sending a UDI. It will also require support for EI.2 so that a model and manufacturer can be send if a UDI is not available.2020-02-13Craig Newman/Lura Daussat2100YesNoBehnaz MinaeiUS FDA Marti Velezis43907
13PH22.2.21814-15A-SA nurse places a pulse oximeter probe on a newborn's right hand (preductal) and a foot (postductal) to take sequential measurements on a baby's oxygen saturation levels.Adding point that some places obtain measures simultaneously. Both sequentially and simultaneously work fine and there is no data that one way is better than the other.Block 1Persuasive with modUpdate the text to read: A nurse places a pulse oximeter probe on a newborn's right hand (preductal) and a foot (postductal) to take measurements (either sequential or simultaneously) on a baby's oxygen saturation levels. 2020-02-13Craig Newman/Lura Daussat2100YesNoXidong DengCDC
14PH22.2.21816-18NEGThe pulse oximeter records the peripheral oxygen saturation levels (SpO2), the perfusion index (measurement of how strong the pulse is), signal quality (a quality indicator in waveform data), and pulse rate at each body site.Not all pulse oximeters record perfusion index or give a clear indicator of signal qualityBlock 1Persuasive with modUpdate the text to read: The pulse oximeter records measurements potentially including the peripheral oxygen saturation levels (SpO2), the perfusion index (measurement of how strong the pulse is), signal quality (a quality indicator in waveform data), and pulse rate at each body site (note that not all devices capture every type of measurement).2020-02-13Craig Newman/Lura Daussat2100YesNoXidong DengCDC
15PH22.2.21819-21NEGFor CCHD screening, SpO2 values are required measurements for detecting CCHD, however the other data elements are important for quality control of the screen.perfusion index, signal quality, and pulse rate are important for quality control, but I don’t think anyone collects this on a routine basis. More important elements for quality control include timing of test and proper interpretation of test.PHPersuasive with modAdd text to indicate that not all observation types will be collected by all devices or in all scenarios, but the IG has provided guidance on how to exchange these observations to help guide trading partners if they decide these measurements are in scope.2020-02-13Craig Newman/Lura Daussat2100YesNoXidong DengCDC
16PH33.1.1.6427NEGOBXs for perfusion index preductal and perfusion index postductal by oximetryMany studies have looked at perfusion index to see if it can help, and it really hasn't panned outPHPersuasive with modAdd text to indicate that not all observation types will be collected by all devices or in all scenarios, but the IG has provided guidance on how to exchange these observations to help guide trading partners if they decide these measurements are in scope.2020-02-13Craig Newman/Lura Daussat2100YesNoXidong DengCDC
17PH33.1.1.64210A-TPerfusion Index is recorded is recorded using a pulse oximetry device during the screen.Perfusion Index is recorded using a pulse oximetry device during the screen.Removed typo/repeated wording "is recorded"Block 1PersuasiveText will be updated as suggested2020-02-13Craig Newman/Lura Daussat2100YesNoXidong DengCDC