Text Block Revision Details

Return to SDTC page; Return to CDA R3 Formal Proposals page.

See CDA R3 Formal Proposals for instructions on using this form. Failure to adhere to these instructions may result in delays. Editing of formal proposals is restricted to the submitter and SDTC co-chairs. Other changes will be undone. Comments can be captured in the associated discussion page.

Submitted by: Victor Brodsky	Revision date: 11/19/2009
Submitted date: 11/19/2009	Change request ID:

Issue

For revisions of the Text Block portion, it is impossible to document who made the revision and when.

Recommendation

Add "revisedBy="", revisedByDisplayName="" and timestamp="" to content tag

Rationale

In surgical pathology, if the resident or fellow composes the diagnosis portion of the document, a secretary transcribes the clinical history from the requisition form, another secretary starts voice transcription of the gross description today, and a third one completes the voice transcription of the gross description tomorrow (because some specimen parts came in the next day), while the accessioners transcribed part names, an attending's secretary typed up the final diagnosis, and the attending physician himself edited it before finally adding his signature, a single document's path inside a pathology laboratory can become complicated and documenting revision details is important for quality control. Since the revisedBy="" could uniquely identify the person to a given organization, it would also be good to possibly provide an ldap server reference, although the could be the next step.

Resolution

March 23, 2010 SDWG: Detailed revision tracking should be done on the act, and therefore additional narrative block markup isn't needed. Opposed: 0; Abstain: 0; In favor: 6.