Approve minutes from, committee approved minutes below.
Value Set Issues
Order fulfillment conformance statement that are contradictory
Matt - Orders Fulfilled in the InfullfillmentOf area of the header. We will look at this next week.
|Appendix C has a constraint with root, extension and NULL of UNK|
|The Provenance entry in the Appendix C is inconsistent with the author entry in the C-CDAr2.1 IG in terms of allowable values and it is misleading.|
|For the UDI information, can we get clarification on whether it is possible to send other information when we do not have the DI information?|
Appendix B UDI
Figure 1: Unique Device Identifier (UDI) Organizer Template ID root is incorrect
Table 9 of the Companion Guide recommends the LOINC codes 11502-2 for Laboratory Narrative notes and 11526-1 for Pathology Narrative notes. However, these codes aren't actually included in the Note Types value set (urn:oid:2.16.840.1.113818.104.22.168.68) as required by the Notes Section and Note Activity templates in Appendix A. Likewise, although no specific LOINC code is recommended for Imaging Narrative notes, the value set doesn't include any codes from the value set recommended for imaging notes in Table 8 (urn:oid:22.214.171.124.4.1.12009.10.2.5).
|In Appendix C, I read the Provenance - Author Participation template as saying you can use the same trick as in the standard C-CDA Author Participation template to reference an author already defined elsewhere in the document:|
The assignedAuthor/id may be set equal to (a pointer to) an id on a participant elsewhere in the document (header or entries) or a new author participant can be described here.
That is, that it's okay to do this:
<id extension="1386639318" root="2.16.840.1.113883.4.6" />
assuming the document actually contains a full entry for the author with that id somewhere else.
But when an author containing the Provenance - Author Participation templateId does this, it raises a handful of schematron errors that still enforce the SHALL constraint on the representedOrganization (CONF:4440-4 and children):
|The following unimplemented constraints use the expression "not(.)" throughout the main Companion Guide schematron file:|
Typically unimplemented constraints use a dummy expression like "not(tested)" that always returns false (since the current element doesn't have a child named "tested"), but in this case, we're asserting that the current node is null, which returns false, makes the assertion fail, and triggers a false positive schematron error.
MessageRe: #2014 The C-CDA R2.1 Companion Guide identifies 2.16.840.1.1138126.96.36.199.68 as the value set to reference for clinical note types at the section and activity level. However, some of the codes referenced in the Companion Guide are not included in this value set. ? Laboratory (11502-2) ? Pathology (11526-1) ? Diagnostic Imaging (18748-4) Can you please confirm that these are the correct codes to use for the note types identified by USCDI? We need to discuss with Rob M on why the exclusion criteria is needed. It seems to exclude these codes.
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