Difference between revisions of "Procedure or Act unknown not done"
| Line 8: | Line 8: | ||
=Background= | =Background= | ||
Out of several projects over here the question came up: Is there a | Out of several projects over here the question came up: Is there a | ||
| − | recommended way in HL7 to say that it is unknown whether | + | ''recommended'' way in HL7 to say that it is '''unknown''' whether |
| − | Procedure or | + | * Procedure or Act X occurred (or is planned) or that |
| − | + | * A specific problem is unknown | |
| + | * A Procedure or Act is not done? | ||
I saw different approaches and would like to hear what can recommended to | I saw different approaches and would like to hear what can recommended to | ||
| Line 19: | Line 20: | ||
==Lloyd== | ==Lloyd== | ||
| − | The Act.uncertaintyCode is probably the best way | + | Unknown: The Act.uncertaintyCode is probably the best way. |
| + | |||
==Kai== | ==Kai== | ||
| − | + | Act.uncertaintyCode is one option I saw… Personally I am not convinced that expressing | |
"unknown" and "unsure" is the always the same. | "unknown" and "unsure" is the always the same. | ||
| + | |||
==Gaby, Keith== | ==Gaby, Keith== | ||
Per consolidated CDA, I believe what you are saying would be | Per consolidated CDA, I believe what you are saying would be | ||
Revision as of 15:32, 16 January 2013
This page documents an Open MnM Hot Topic, i.e. a methodology issue requiring a resolution from Modeling and Methodology.
Contents
Background
Out of several projects over here the question came up: Is there a recommended way in HL7 to say that it is unknown whether
- Procedure or Act X occurred (or is planned) or that
- A specific problem is unknown
- A Procedure or Act is not done?
I saw different approaches and would like to hear what can recommended to the HL7 community.
So far
Condensed conversations so far
Lloyd
Unknown: The Act.uncertaintyCode is probably the best way.
Kai
Act.uncertaintyCode is one option I saw… Personally I am not convinced that expressing "unknown" and "unsure" is the always the same.
Gaby, Keith
Per consolidated CDA, I believe what you are saying would be
<entry>
<substanceAdministration moodCode="EVN" classCode="SBADM" nullFlavor="NI">
<text>I do not know whether or not patient received an anticoagulant drug</text>
<consumable>
<manufacturedProduct>
<manufacturedLabeledDrug>
<code code="81839001" displayName="anticoagulant drug" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
...
More
Use actionNegationInd. Unfortunately actionNegationInd is immutable and thus a structural attribute. Again you cannot use it to express a null flavor here. It is unavailable in CDA R2, too.
Seeking for recommendations
This should work for CDA R2, "old style V3" (as long as we have DSTUs or standards in this state) and new V3 messaging. This would not necessarily mean one solution if not possible (e.g. introduction of actionNegationInd which isn't present in CDA R2).
I am seeking for a "strong" recommendation from InM.
