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[{"label":"CDA Document Level Template","value":"0","attributes":{"class":"","xxforms-open":"false"},"children":[{"label":"MU2 Clinical Summary (MU2)","value":"1","attributes":{"class":"node-template-active","xxforms-open":"false"}},{"label":"MU2 Consultation Note (MU2)","value":"2","attributes":{"class":"node-template-active","xxforms-open":"false"}},{"label":"MU2 Continuity of Care Document (CCD) (MU2)","value":"3","attributes":{"class":"node-template-active","xxforms-open":"false"}},{"label":"MU2 Discharge Summary (MU2)","value":"4","attributes":{"class":"node-template-active","xxforms-open":"false"}},{"label":"MU2 General Header Constraints (MU2)","value":"5","attributes":{"class":"node-template-active","xxforms-open":"false"}},{"label":"MU2 H&P Note (MU2)","value":"6","attributes":{"class":"node-template-active","xxforms-open":"false"}},{"label":"MU2 Transition Of Care (MU2)","value":"7","attributes":{"class":"node-template-active","xxforms-open":"false"}},{"label":"MU2 Transition Of Care Ambulatory Summary (MU2)","value":"8","attributes":{"class":"node-template-active","xxforms-open":"false"}},{"label":"MU2 Transition Of Care Inpatient Summary (MU2)","value":"9","attributes":{"class":"node-template-active","xxforms-open":"false"}},{"label":"MU2 VDT Ambulatory Summary (MU2)","value":"10","attributes":{"class":"node-template-active","xxforms-open":"false"}},{"label":"MU2 VDT Inpatient Summary (MU2)","value":"11","attributes":{"class":"node-template-active","xxforms-open":"false"}},{"label":"MU2 VDT Summary (MU2)","value":"12","attributes":{"class":"node-template-active","xxforms-open":"false"}}]},{"label":"CDA Section Level Template","value":"13","attributes":{"class":"","xxforms-open":"false"},"children":[{"label":"Admission Diagnosis Section (V3)","value":"14","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Admission Medications Section (entries optional) (V3)","value":"15","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Advance Directives Section (entries optional) (V3)","value":"16","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Allergies and Intolerances Section (entries optional) (V3)","value":"17","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Assessment and Plan Section (V2)","value":"18","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Assessment Section","value":"19","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Chief Complaint and Reason for Visit Section","value":"20","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Chief Complaint Section","value":"21","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Discharge Diagnosis Section (V3)","value":"22","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Discharge Diet Section (DEPRECATED)","value":"23","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Discharge Medications Section (entries optional) (V3)","value":"24","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Discharge Medications Section (entries required) (V3)","value":"25","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Encounters Section (entries optional) (V3)","value":"26","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Family History Section (V3)","value":"27","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Functional Status Section (V2)","value":"28","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"General Status Section","value":"29","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"History of Past Illness Section (V3)","value":"30","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"History of Present Illness Section","value":"31","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Hospital Consultations Section","value":"32","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Hospital Course Section","value":"33","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Hospital Discharge Instructions Section","value":"34","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Hospital Discharge Physical Section","value":"35","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Hospital Discharge Studies Summary Section","value":"36","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Immunizations Section (entries optional) (V3)","value":"37","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Instructions Section (V2)","value":"38","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Medical Equipment Section (V2)","value":"39","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Medications Administered Section (V2)","value":"40","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Medications Section (entries optional) (V2)","value":"41","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"MU2 Allergies Section (entries required) (MU2)","value":"42","attributes":{"class":"node-template-active","xxforms-open":"false"}},{"label":"MU2 Encounters Section (entries required) (MU2)","value":"43","attributes":{"class":"node-template-active","xxforms-open":"false"}},{"label":"MU2 Immunizations Section (entries required) (MU2)","value":"44","attributes":{"class":"node-template-active","xxforms-open":"false"}},{"label":"MU2 Medications Section (entries required) (MU2)","value":"45","attributes":{"class":"node-template-active","xxforms-open":"false"}},{"label":"MU2 Problem Section (entries required) (MU2)","value":"46","attributes":{"class":"node-template-active","xxforms-open":"false"}},{"label":"MU2 Social History Section (MU2)","value":"47","attributes":{"class":"node-template-active","xxforms-open":"false"}},{"label":"MU2 Vital Signs Section (entries required) (MU2)","value":"48","attributes":{"class":"node-template-active","xxforms-open":"false"}},{"label":"Payers Section (V3)","value":"49","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Physical Exam Section (V3)","value":"50","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Plan of Treatment Section (V2)","value":"51","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Problem Section (entries optional) (V3)","value":"52","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Procedures Section (entries optional) (V2)","value":"53","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Procedures Section (entries required) (V2)","value":"54","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Reason for Referral Section (V2)","value":"55","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Reason for Visit Section","value":"56","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Results Section (entries optional) (V3)","value":"57","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Results Section (entries required) (V3)","value":"58","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Review of Systems Section","value":"59","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Vital Signs Section (entries optional) (V3)","value":"60","attributes":{"class":"node-template-","xxforms-open":"false"}}]},{"label":"CDA Entry Level Template","value":"61","attributes":{"class":"","xxforms-open":"true"},"children":[{"label":"Allergy Concern Act (V3)","value":"62","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Encounter Activity (V3)","value":"63","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Immunization Activity (V3)","value":"64","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Medication Activity (V2)","value":"65","attributes":{"class":"node-template-","xxforms-open":"true"},"selected":true},{"label":"MU2 Smoking Status Observation (MU2)","value":"66","attributes":{"class":"node-template-active","xxforms-open":"false"}},{"label":"Problem Concern Act (V3)","value":"67","attributes":{"class":"node-template-","xxforms-open":"false"}},{"label":"Vital Signs Organizer (V3)","value":"68","attributes":{"class":"node-template-","xxforms-open":"false"}}]},{"label":"Template type not specified","value":"69","attributes":{"class":"","xxforms-open":"false"},"children":[{"label":"Assigned Entity (MU2)","value":"70","attributes":{"class":"node-template-active","xxforms-open":"false"}}]}]
Medication Activity (V2) –
Issues (6)
Change Request Status = Closed (ccda-issue-102): Erratum-1106 Incorrect OID on ActStatus value set
TypeChange RequestStatusChange Request Status = Closed PriorityNormal
Events
Tracking / Status = Closed 2017-10-03 21:24:14: Tracking by Lisa Nelson
Assignment2017-09-30 20:42:54: Assigned To Didi Davis by Lisa Nelson
Description
The conformance statement on statusCode/@code is missing...Our template does not match with the erratum assumptions.  Nor does it match with the C-CDA R2.1 pdf.  Need to review with Didi.

Reviewed and now we know how to make the additional StatusCode/@code  attribute.
Tracking / Status = Open 2017-09-30 20:41:20: Tracking by Lisa Nelson
Assignment2017-09-22 02:28:01: Assigned To Lisa Nelson by Lisa Nelson
Tracking / Status = Open 2017-09-22 02:28:00: Tracking by Lisa Nelson
Description
Finding:
-Incorrect OID on ActStatus value set 

Suggestion:
-Prior Value Set OID: 2.16.840.1.113883.1.11.159331
-Value Set OID after update:  2.16.840.1.113883.1.11.15933

Further explanation:

1098-32360
Change Request Status = Closed (ccda-issue-115): Erratum-1272 Remove "IVL_TS" for effectiveTime (CONF:1098-7508
TypeChange RequestStatusChange Request Status = Closed PriorityNormal
Current Labels
 
 (DT) Data types 
Events
Tracking / Status = Closed 2017-10-16 16:27:24: Tracking by Lisa Nelson
 
 DT 
Tracking / Status = Feedback needed 2017-10-12 20:03:10: Tracking by Lisa Nelson
 
 DT 
Description
I tried just removing the datatype of IVL_TS, but then got a resource error trying to save the template.  Will see if Didi recalls how to do this one, or try to find the other example of what we did.
Assignment2017-09-30 19:23:08: Assigned To dr Kai U. Heitmann by Lisa Nelson
Description
Datatype Issue
Tracking / Status = Open 2017-09-30 19:22:50: Tracking by Lisa Nelson
Description
The effective element does not permit me to modify the datatype to just be TS.  Would i pick datatype not-set?  Or, modify by hand in Temple editor?
Assignment2017-09-22 03:42:39: Assigned To Lisa Nelson by Lisa Nelson
Tracking / Status = Open 2017-09-22 03:42:38: Tracking by Lisa Nelson
Description
Finding:

-Remove "IVL_TS" from Table 337 for effectiveTime (CONF:1098-7508), and correct the schematron rule so it does not require effectiveTime to be IVL_TS.

Suggestion:

-Prior Conformance:
effectiveTime 1…1 SHALL IVL_TS 1098-7508
-Conformance After Update:
effectiveTime 1…1 SHALL           1098-7508

Further explanation:

-CONF:1098-7508

Change Request Status = Cancelled (ccda-issue-148): Erratum-1381 doseQuantity and administratinUnitCode should never both be present
TypeChange RequestStatusChange Request Status = Cancelled PriorityNormal
Events
Tracking / Status = Cancelled 2017-09-28 21:49:59: Tracking by Lisa Nelson
Description
Erratum was removed from the set of errata to be included in the R2.1 errata package.
Assignment2017-09-28 15:35:45: Assigned To dr Kai U. Heitmann by Lisa Nelson
Description
Conditional Conformance
Assignment2017-09-26 18:39:14: Assigned To Lisa Nelson by Lisa Nelson
Tracking / Status = Open 2017-09-26 18:39:13: Tracking by Lisa Nelson
Description
Finding:
-doseQuantity and administratinUnitCode should never both be present

Suggestion:
-Prior Conformance:
None
-Conformance After Update:
The doseQuanity/@unit and administrationUnitCode/@code SHALL NOT [0..0] both be present 

Further explanation:
-32951
Change Request Status = Closed (ccda-issue-152): Erratum-1276 Created Medication Route Value Set to align with FHIR, CQM, NCPDP. Current set included incorrect concepts
TypeChange RequestStatusChange Request Status = Closed PriorityNormal
Current Labels
 
 (VALUESET) Value Set Issue 
Events
Tracking / Status = Closed 2017-10-23 22:33:34: Tracking by Lisa Nelson
 
 VALUESET 
Assignment2017-10-16 22:55:40: Assigned To Lisa Nelson by Lisa Nelson
 
 VALUESET 
Tracking / Status = In Progress 2017-10-16 22:55:10: Tracking by Lisa Nelson
 
 VALUESET 
Tracking / Status = In Progress 2017-10-16 22:54:49: Tracking by Lisa Nelson
Assignment2017-09-28 15:27:53: Assigned To Didi Davis by Lisa Nelson
Assignment2017-09-26 19:21:30: Assigned To Lisa Nelson by Lisa Nelson
Tracking / Status = Open 2017-09-26 19:21:29: Tracking by Lisa Nelson
Description
Finding:
-Created Medication Route Value Set to align with FHIR, CQM, NCPDP. Current set included incorrect concepts.

Suggestion:
-Prior Conformance:
10. MAY contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet Medication Route FDA urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC 
-Conformance After Update:
10. MAY contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet Medication Route urn:oid:2.16.840.1.113762.1.4.1099.12 DYNAMIC

Further explanation:

-8839
Change Request Status = Closed (ccda-issue-179): CS-20180129-01 doseQuantity should allow nullFlavor
TypeChange RequestStatusChange Request Status = Closed PriorityNormal
Current Labels
 
 (CS) Customer Support 
Events
Tracking / Status = Closed 2018-06-04 21:07:23: Tracking by Didi Davis
 
 CS 
Description
Issue was not closed when customer informed.  Verified the issue was addressed by rerunning the original document provided. https://gazellecontent.sequoiaproject.org/EVSClient/detailedResult.seam?type=CDA&oid=1.3.6.1.4.1.12559.11.28.1641

This  https://gazellecontent.sequoiaproject.org/EVSClient/detailedResult.seam?type=CDA&oid=1.3.6.1.4.1.12559.11.28.13274 rerun proves that ccda212121 no longer errors with NULL in element. 
Assignment2018-01-31 02:28:11: Assigned To Abderrazek Boufahja by Lisa Nelson
Tracking / Status = In Progress 2018-01-31 02:28:00: Tracking by Lisa Nelson
Description
Issue was resolved by removing the mandatory flag for the doseQuantity element. 

Resolution was reported to the customer.
Assignment2018-01-31 02:24:09: Assigned To Lisa Nelson by Lisa Nelson
Tracking / Status = Open 2018-01-31 02:24:08: Tracking by Lisa Nelson
Description
Finding:

-I am seeing an unexpected error when attempting to validate a CCD using the Sequoia C-CDA R2.1 validator.  It is not allowing a nullFlavor for the “doseQuantity” element in the “Medication Activity (V2)” template.  However, the C-CDA R2.1 spec doesn’t state that nullFlavor isn’t allowed, nor does it require the @code attribute.  See info and screenshots below.

 

File Name: patient_CCDA_CCD_R2_1_altered.xml

OID : 1.3.6.1.4.1.12559.11.28.1641

Schematron :  N/A (Version N/A)

Schematron Validation Result :  N/A

Validation Date :  1/29/18 6:01:04 PM (CET GMT+0100)

Model Based Validator :  HL7 - C-CDA R2.1 - Meaningful Use Stage 3 (Version N/A)

Model Based Validation Result :  FAILED   SC

Permanent link :  https://gazellecontent.sequoiaproject.org/EVSClient/detailedResult.seam?type=CDA&oid=1.3.6.1.4.1.12559.11.28.1641

Data Visibility :  Private - Owned By kstevenson / DOD

 

 

 

 

I believe the nullFlavor should be allowed for the “doseQuantity” element since it isn’t specifically not allowed and none of the attributes of the doseQuantity element are specifically required.

Suggestion:

-

Further explanation:

-

Change Request Status = Closed (ccda-issue-195): Errata 1276 - add translation on routeCode
TypeChange RequestStatusChange Request Status = Closed PriorityHigh
Events
Tracking / Status = Closed 2018-07-02 22:39:07: Tracking by Lisa Nelson
Description
We replaced the incorrect value set oid with the correct one: 2.16.840.1.113762.1.4.1099.12
Tracking / Status = In Progress 2018-06-25 19:25:29: Tracking by Lisa Nelson
Description
This template is locked and I can't edit it.
Tracking / Status = In Progress 2018-05-30 16:58:18: Tracking by Didi Davis
Description

Text from the May 2018 updated Volume 2 HL7 documentation with Errata #1276 applied on page 600
2.16.840.1.113883.10.20.22.4.16 (2014-06-09) Medication Activity (V2) 

SHOULD contain zero or one  [0..1]  routeCode, which SHALL be selected from ValueSet Medication Route FDA urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:1098-7514).

a. The routeCode, if present, SHOULD contain zero or more  [0..*]  translation, which SHOULD be selected from ValueSet Medication Route urn:oid:2.16.840.1.113762.1.4.1099.12 DYNAMIC (CONF:1098-32950).


Assignment2018-05-07 23:44:48: Assigned To Abderrazek Boufahja by Lisa Nelson
Tracking / Status = Open 2018-05-07 21:43:56: Tracking by Lisa Nelson
Description
Finding:

-Errata 1276 - add translation on routeCode

Suggestion:

- M edication Activity (V2)

1.    SHOULD contain zero or one [0..1] routeCode, which SHALL be selected from ValueSet Medication Route FDA urn:oid:2.16.840.1.113883.3.88.12.3221.8.7 DYNAMIC (CONF:1098-7514).

a.    The routeCode, if present, SHOULD contain zero or more [0..*] translation, which SHALL be selected from ValueSet Medication Route urn:oid:2.16.840.1.113762.1.4.1099.12 DYNAMIC ( CONF:1098-32950).

Further explanation:

-

 
 
Structure Definitions (External repositories)