Consolidated CDA (Sequoia)

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Consolidated CDA (Sequoia) - Templates

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Templates


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Templates [{"label":"CDA Document Level Template","value":"0","attributes":{"class":"","xxforms-open":"false"},"children":[{"label":"Care Plan (V2) (2.1)","value":"1","attributes":{"class":"node-reptemplate-draft","xxforms-open":"false"}},{"label":"Consultation Note (V3) (2.1)","value":"2","attributes":{"class":"node-reptemplate-draft","xxforms-open":"false"}},{"label":"Continuity of Care Document (CCD) (V3) (2.1)","value":"3","attributes":{"class":"node-reptemplate-draft","xxforms-open":"false"}},{"label":"Diagnostic Imaging Report (V3) (2.1)","value":"4","attributes":{"class":"node-reptemplate-draft","xxforms-open":"false"}},{"label":"Discharge Summary (V3) (2.1)","value":"5","attributes":{"class":"node-reptemplate-draft","xxforms-open":"false"}},{"label":"History and Physical (V3) (2.1)","value":"6","attributes":{"class":"node-reptemplate-draft","xxforms-open":"false"}},{"label":"Operative Note (V3) (2.1)","value":"7","attributes":{"class":"node-reptemplate-draft","xxforms-open":"false"}},{"label":"Procedure Note (V3) (2.1)","value":"8","attributes":{"class":"node-reptemplate-draft","xxforms-open":"false"}},{"label":"Progress Note (V3) (2.1)","value":"9","attributes":{"class":"node-reptemplate-draft","xxforms-open":"false"}},{"label":"Referral Note (V2) (2.1)","value":"10","attributes":{"class":"node-reptemplate-draft","xxforms-open":"false"}},{"label":"Transfer Summary (V2) (2.1)","value":"11","attributes":{"class":"node-reptemplate-draft","xxforms-open":"false"}},{"label":"Unstructured Document (V3) (2.1)","value":"12","attributes":{"class":"node-reptemplate-draft","xxforms-open":"false"}},{"label":"US Realm Header (V3) (2.1)","value":"13","attributes":{"class":"node-reptemplate-draft","xxforms-open":"false"}},{"label":"US Realm Header for Patient Generated Document (V2) (2.1)","value":"14","attributes":{"class":"node-reptemplate-draft","xxforms-open":"false"}}]},{"label":"CDA Header Level Template","value":"15","attributes":{"class":"","xxforms-open":"false"},"children":[{"label":"Provenance - Assembler Participation (C-CDA R2.1)","value":"16","attributes":{"class":"node-template-pending","xxforms-open":"false"}}]},{"label":"CDA Section Level Template","value":"17","attributes":{"class":"","xxforms-open":"false"},"children":[{"label":"Admission Diagnosis Section (V3) (2.1)","value":"18","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Admission Medications Section (entries optional) (V3) (2.1)","value":"19","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Advance Directives Section (entries optional) (V3) (2.1)","value":"20","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Advance Directives Section (entries required) (V3) (2.1)","value":"21","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Allergies and Intolerances Section (entries optional) (V3) (2.1)","value":"22","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Allergies and Intolerances Section (entries required) (V3) (2.1)","value":"23","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Anesthesia Section (V2) (2.1)","value":"24","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Assessment and Plan Section (V2) (2.1)","value":"25","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Assessment Section (2.1)","value":"26","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Care Teams Section (C-CDA R2.1)","value":"27","attributes":{"class":"node-template-pending","xxforms-open":"false"}},{"label":"Chief Complaint and Reason for Visit Section (2.1)","value":"28","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Chief Complaint Section 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(2.1)","value":"36","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Discharge Medications Section (entries required) (V3) (2.1)","value":"37","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Encounters Section (entries optional) (V3) (2.1)","value":"38","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Encounters Section (entries required) (V3) (2.1)","value":"39","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Family History Section (V3) (2.1)","value":"40","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Fetus Subject Context (2.1)","value":"41","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Findings Section (DIR) (2.1)","value":"42","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Functional Status Section (V2) (2.1)","value":"43","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"General Status Section (2.1)","value":"44","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Goals Section (2.1)","value":"45","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Health Concerns Section (V2) (2.1)","value":"46","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Health Status Evaluations and Outcomes Section (2.1)","value":"47","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"History of Present Illness Section (2.1)","value":"48","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Hospital Consultations Section (2.1)","value":"49","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Hospital Course Section (2.1)","value":"50","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Hospital Discharge Instructions Section (2.1)","value":"51","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Hospital Discharge Physical Section (2.1)","value":"52","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Hospital Discharge Studies Summary Section (2.1)","value":"53","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Immunizations Section (entries optional) (V3) (2.1)","value":"54","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Immunizations Section (entries required) (V3) (2.1)","value":"55","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Implants Section (DEPRECATED) (2.1)","value":"56","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Instructions Section (V2) 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(2.1)","value":"79","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Problem Section (entries required) (V3) (2.1)","value":"80","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Procedure Description Section (2.1)","value":"81","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Procedure Disposition Section (2.1)","value":"82","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Procedure Estimated Blood Loss Section (2.1)","value":"83","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Procedure Findings Section (V3) (2.1)","value":"84","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Procedure Implants Section (2.1)","value":"85","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Procedure Indications Section (V2) 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(2.1)","value":"93","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Review of Systems Section (2.1)","value":"94","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Social History Section (V3) (2.1)","value":"95","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Subjective Section (2.1)","value":"96","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Surgery Description Section (DEPRECATED) (2.1)","value":"97","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Surgical Drains Section (2.1)","value":"98","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Vital Signs Section (entries optional) (V3) (2.1)","value":"99","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Vital Signs Section (entries required) (V3) (2.1)","value":"100","attributes":{"class":"node-template-draft","xxforms-open":"false"}}]},{"label":"CDA Entry Level Template","value":"101","attributes":{"class":"","xxforms-open":"true"},"children":[{"label":"Admission Medication (V2) (2.1)","value":"102","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Advance Care Planning Intervention (V1) (C-CDA R2.1)","value":"103","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Advance Directive Observation (V4) (C-CDA R2.1)","value":"104","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Advance Directive Organizer (V3) (C-CDA R2.1)","value":"105","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Age Observation (2.1)","value":"106","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Allergy - Intolerance Observation (V2) (2.1)","value":"107","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Allergy Concern Act (V3) (2.1)","value":"108","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Allergy Status Observation (2.1 2019-06-20)","value":"109","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Assessment Scale Observation (2.1)","value":"110","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Assessment Scale Supporting Observation (2.1)","value":"111","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Authorization Activity (2.1)","value":"112","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Birth Sex Observation (C-CDA R2.1)","value":"113","attributes":{"class":"node-template-pending","xxforms-open":"false"}},{"label":"Boundary Observation 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R2.1)","value":"121","attributes":{"class":"node-template-pending","xxforms-open":"false"}},{"label":"Characteristics of Home Environment (2.1)","value":"122","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Code Observations (2.1)","value":"123","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Cognitive Status Problem Observation (DEPRECATED) (2.1)","value":"124","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Comment Activity (2.1)","value":"125","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Company Name Observation (C-CDA R2.1)","value":"126","attributes":{"class":"node-template-pending","xxforms-open":"false"}},{"label":"Coverage Activity (V3) (2.1)","value":"127","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Criticality Observation 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(2.1)","value":"135","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Encounter Activity (V3) (2.1)","value":"136","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Encounter Diagnosis (V3) (2.1)","value":"137","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Entry Reference (2.1)","value":"138","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Estimated Date of Delivery (2.1)","value":"139","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Expiration Date Observation (C-CDA R2.1)","value":"140","attributes":{"class":"node-template-pending","xxforms-open":"false"}},{"label":"External Document Reference (2.1)","value":"141","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Family History Death Observation (2.1)","value":"142","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Family History Observation (V3) (2.1)","value":"143","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Family History Organizer (V3) (2.1)","value":"144","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Functional Status Observation (V2) (2.1)","value":"145","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Functional Status Organizer (V2) (2.1)","value":"146","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Functional Status Problem Observation (DEPRECATED) (2.1)","value":"147","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Goal Observation (2.1)","value":"148","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Handoff Communication Participants (2.1)","value":"149","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Health Concern Act (V2) 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(V3) (2.1)","value":"194","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Postprocedure Diagnosis (V3) (2.1)","value":"195","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Precondition for Substance Administration (V2) (2.1)","value":"196","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Pregnancy Observation (2.1)","value":"197","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Preoperative Diagnosis (V3) (2.1)","value":"198","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Pressure Ulcer Observation (DEPRECATED) (2.1)","value":"199","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Priority Preference (2.1)","value":"200","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Problem Concern Act (V3) (2.1)","value":"201","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Problem Observation (V3) (2.1)","value":"202","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Problem Status (2.1)","value":"203","attributes":{"class":"node-template-draft","xxforms-open":"true"},"selected":true},{"label":"Procedure Activity Act (V2) (2.1)","value":"204","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Procedure Activity Observation (V2) (2.1)","value":"205","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Procedure Activity Procedure (V2) (2.1)","value":"206","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Procedure Context (2.1)","value":"207","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Product Instance (2.1)","value":"208","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Prognosis Observation (2.1)","value":"209","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Progress Toward Goal Observation (2.1)","value":"210","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Prohibition Instruction (C-CDA R2.1)","value":"211","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Purpose of Reference Observation (2.1)","value":"212","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Quantity Measurement Observation (2.1)","value":"213","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Reaction Observation (V2) (2.1)","value":"214","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Referenced Frames Observation (2.1)","value":"215","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Result Observation (V3) (2.1)","value":"216","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Result Organizer (V3) (2.1)","value":"217","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Risk Concern Act (V2) (2.1)","value":"218","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Section Time Range Observation (C-CDA R2.1)","value":"219","attributes":{"class":"node-template-pending","xxforms-open":"false"}},{"label":"Self-Care Activities (ADL and IADL) (2.1)","value":"220","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Sensory Status (2.1)","value":"221","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Serial Number Observation (C-CDA R2.1)","value":"222","attributes":{"class":"node-template-pending","xxforms-open":"false"}},{"label":"Series Act (2.1)","value":"223","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Service Delivery Location (2.1)","value":"224","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Severity Observation (V2) (2.1)","value":"225","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Smoking Status - Meaningful Use (V2) (2.1)","value":"226","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Social History Observation (V3) (2.1)","value":"227","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"SOP Instance Observation (2.1)","value":"228","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Study Act (2.1)","value":"229","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Substance Administered Act (2.1)","value":"230","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Substance or Device Allergy - Intolerance Observation (V2) (2.1)","value":"231","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Text Observation (2.1)","value":"232","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Tobacco Use (V2) (2.1)","value":"233","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"UDI Organizer (C-CDA R2.1)","value":"234","attributes":{"class":"node-template-pending","xxforms-open":"false"}},{"label":"Vital Sign Observation (V2) (2.1)","value":"235","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Vital Signs Organizer (V3) (2.1)","value":"236","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Wound Characteristic (2.1)","value":"237","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Wound Measurement Observation (2.1)","value":"238","attributes":{"class":"node-template-draft","xxforms-open":"false"}}]},{"label":"HL7 V2/V3 Datatype Level Template","value":"239","attributes":{"class":"","xxforms-open":"false"},"children":[{"label":"US Realm Address (AD.US.FIELDED) (2.1)","value":"240","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"US Realm Date and Time (DT.US.FIELDED) (2.1)","value":"241","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"US Realm Date and Time (DTM.US.FIELDED) (2.1)","value":"242","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"US Realm Patient Name (PTN.US.FIELDED) (2.1)","value":"243","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"US Realm Person Name (PN.US.FIELDED) (2.1)","value":"244","attributes":{"class":"node-template-draft","xxforms-open":"false"}}]},{"label":"Template type not specified","value":"245","attributes":{"class":"","xxforms-open":"false"},"children":[{"label":"Author Participation (2.1)","value":"246","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Conditional USCDI Conformance Checks (2023)","value":"247","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Physician of Record Participant (V2) (2.1)","value":"248","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Physician Reading Study Performer (V2) (2.1)","value":"249","attributes":{"class":"node-template-draft","xxforms-open":"false"}},{"label":"Provenance - Author Participation (C-CDA R2.1)","value":"250","attributes":{"class":"node-template-pending","xxforms-open":"false"}}]}]

Problem Status –

Issues (4)

Change Request Status = Closed (ccda-issue-60): Erratum-793 Undeprecate Problem Status Observation

Type

Change Request

Status

Change Request Status = Closed

Priority

Normal

Events

Tracking / Status = Closed

2017-10-09 22:41:19: Tracking by Lisa Nelson

Assignment	2017-10-03 06:34:08: Assigned To dr Kai U. Heitmann by Lisa Nelson
Description	Can't modify the artifact

Assignment

2017-09-18 06:12:02: Assigned To Lisa Nelson by Lisa Nelson

Tracking / Status = Open	2017-09-18 05:39:58: Tracking by Lisa Nelson
Description	Finding: -Undeprecate Problem Status Observation Suggestion: - Prior Conformance - 3.80Problem Status (DEPRECATED) [observation: identifier urn:hl7ii:2.16.840.1.113883.10.20.22.4.6:2014-06-09 (open)] ... 3.SHALL contain exactly one [1..1] templateId (CONF:1098-7359) such that it a.SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.6" (CONF:1098-10518). Conformance After Update 3.81 Problem Status [observation: identifier urn:oid:2.16.840.1.113883.10.20.22.4.6 (open)] Published as part of Consolidated CDA Templates for Clinical Notes (US Realm) DSTU R1.1 Table 421: Problem Status Contexts Contained By: Contains: Problem Observation (V3) (optional) The Problem Status records whether the indicated problem is active, inactive, or resolved. Further explanation: -

Change Request Status = Closed (ccda-issue-68): Erratum-815 Reference Undeprecated Template

Type

Change Request

Status

Change Request Status = Closed

Priority

Normal

Events

Tracking / Status = Closed

2017-10-09 22:46:33: Tracking by Lisa Nelson

Assignment	2017-10-03 06:24:10: Assigned To dr Kai U. Heitmann by Lisa Nelson
Description	Cannot update artifact.

Assignment

2017-09-18 06:43:55: Assigned To Lisa Nelson by Lisa Nelson

Tracking / Status = Open	2017-09-18 06:43:54: Tracking by Lisa Nelson
Description	Finding: - Reference undeprecated template Suggestion: -Fix the template name to remove (DEPRECATED) -Fix the purpose description to say: The Problem Status records whether the indicated problem is active, inactive, or resolved. Further explanation: - name and description

Change Request Status = Closed (ccda-issue-126): Erratum-1357 Undeprecate the template

Type

Change Request

Status

Change Request Status = Closed

Priority

Normal

Events

Tracking / Status = Closed	2017-10-23 20:18:08: Tracking by Lisa Nelson
Description	It seemed like the template description has already been updated. I am closing this issue.

Assignment

2017-10-09 17:11:45: Assigned To Lisa Nelson by Lisa Nelson

Tracking / Status = In Progress	2017-10-03 20:18:21: Tracking by Kai Heitmann
Description	The Template Status has been re-set to DRAFT

Assignment	2017-09-29 23:12:14: Assigned To dr Kai U. Heitmann by Lisa Nelson
Description	Art Decor says this artifact cannot be updated.

Assignment

2017-09-22 05:05:54: Assigned To Lisa Nelson by Lisa Nelson

Tracking / Status = Open	2017-09-22 05:05:53: Tracking by Lisa Nelson
Description	Finding: -Resurect the template and update DYNAMIC bound value sets Suggestion: -Prior Conformance: 3.80 Problem Status (DEPRECATED) [observation: identifier urn:hl7ii:2.16.840.1.113883.10.20.22.4.6:2014-06-09 (open)] Table 425: Problem Status (DEPRECATED) Contexts Contained By: Contains: Problem Observation (V3) (optional) The Problem Status records whether the indicated problem is active, inactive, or resolved. THIS TEMPLATE HAS BEEN DEPRECATED IN C-CDA R2 AND MAY BE DELETED FROM A FUTURE RELEASE OF THIS IMPLEMENTATION GUIDE. USE OF THIS TEMPLATE IS NOT RECOMMENDED. Reason for deprecation: Per the explanation in Volume 1, Section 3.2 "Determining a Clinical Statement's Status", the status of a problem is determined based on attributes of the Problem Observation. -Conformance after update: 3.81 Problem Status [observation: identifier urn:oid:2.16.840.1.113883.10.20.22.4.6 (open)] Published as part of Consolidated CDA Templates for Clinical Notes (US Realm) DSTU R1.1 Table 421: Problem Status Contexts Contained By: Contains: Problem Observation (V3) (optional) The Problem Status records whether the indicated problem is active, inactive, or resolved. Further explanation: -Does the value set need to be changed too?

Change Request Status = Closed (ccda-issue-202): CONF: 81-* replaced former CONF: 1098-*

Type

Change Request

Status

Change Request Status = Closed

Priority

High

Current Labels

(CS) Customer Support

(TOOLING) Tooling questions or issues

Events

Tracking / Status = Closed	2018-12-05 21:13:16: Tracking by Kai Heitmann CS TOOLING
Description	This has been fixed. I have no idea how the former CONF Ids came in. CONF numbers are specified at the Reference filed in the template editor.

Assignment

2018-12-05 07:55:13: Assigned To dr Kai U. Heitmann by Didi Davis

TOOLING

Tracking / Status = Open	2018-12-05 07:55:12: Tracking by Didi Davis CS TOOLING
Description	Finding: -While updating the CONF references as reported by customer under open JIRA/Sequoia-127 ticket, it was discovered that this template does not match the HL7 CCDA R2.1 IG requirements. Suggestion: -See page #758 of Guide 1. SHALL contain exactly one [1..1] @classCode ="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC ) (CONF:81-7357). 2. SHALL contain exactly one [1..1] @moodCode ="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC ) (CONF:81-7358). 3. SHALL contain exactly one [1..1] templateId (CONF:81-7359) such that it a. SHALL contain exactly one [1..1] @root ="2.16.840.1.113883.10.20.22.4.6" (CONF:81-10518). 4. SHALL contain exactly one [1..1] code (CONF:81-19162). a. This code SHALL contain exactly one [1..1] @code ="33999-4" Status (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1 STATIC ) (CONF:81-19163). 5. SHOULD contain zero or one [0..1] text (CONF:81-7362). a. The text, if present, SHOULD contain zero or one [0..1] reference (CONF:81-15593). i. The reference, if present, SHALL contain exactly one [1..1] @value (CONF:81-15594). 1. This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:81-15595). 6. SHALL contain exactly one [1..1] statusCode (CONF:81-7364). a. This statusCode SHALL contain exactly one [1..1] @code ="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC ) (CONF:81-19113). 7. SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet Problem Status urn:oid:2.16.840.1.113883.3.88.12.80.68 DYNAMIC (CONF:81-7365). Further explanation: -Discuss with Kai how to edit this template to comply with IG requirements and ask how this could have been so out of alignment.

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