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Difference between revisions of "Confidentiality code support in ClinicalStatement choices"
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Return to [[Structured Documents TC|SDTC]] page; Return to [[:category:CDA R3 Formal Proposals|CDA R3 Formal Proposals]] page. | Return to [[Structured Documents TC|SDTC]] page; Return to [[:category:CDA R3 Formal Proposals|CDA R3 Formal Proposals]] page. | ||
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|| '''Submitted by:''' Ioana Singureanu | || '''Submitted by:''' Ioana Singureanu | ||
| − | || '''Revision date:''' | + | || '''Revision date:''' 12/1/2009 |
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|| '''Submitted date:''' 11/17/2009 | || '''Submitted date:''' 11/17/2009 | ||
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== Issue == | == Issue == | ||
Currently there is no way to specify the confidentiality and sensitivity of a act, observation, procedure, etc. choice in a ClinicalStatement. This information is often required in specifying the Consent Directive or Privacy Policy. | Currently there is no way to specify the confidentiality and sensitivity of a act, observation, procedure, etc. choice in a ClinicalStatement. This information is often required in specifying the Consent Directive or Privacy Policy. | ||
| + | ===Severity:High=== | ||
| + | High: The workaround is an ambiguous use of "Precondition" in place of a security indicator. | ||
| + | [[Community-Based Collaborative Care|CBCC WG Wiki]] | ||
== Recommendation == | == Recommendation == | ||
* Add "confidentialityCode" property to the classes avaialable as choices in POCD_MT000040.Entry (clinicalStatement) | * Add "confidentialityCode" property to the classes avaialable as choices in POCD_MT000040.Entry (clinicalStatement) | ||
| − | |||
== Rationale == | == Rationale == | ||
| Line 25: | Line 27: | ||
== Discussion == | == Discussion == | ||
The item was introduced during the SDWG meeting - Nov. 17th, 2009. | The item was introduced during the SDWG meeting - Nov. 17th, 2009. | ||
| + | This proposal would replace the current workaround using "Precondition": | ||
| + | <precondition typeCode="PRCN"> | ||
| + | <criterion classCode="OBS" moodCode="EVN.CRT"> | ||
| + | <!-- Sensitivity - sometimes set on client's | ||
| + | instruction --> | ||
| + | <code code="N" codeSystemName="HL7Confidentiality" | ||
| + | codeSystem="2.16.840.1.113883.5.25" | ||
| + | displayName="Normal"/> | ||
| + | </criterion> | ||
| + | </precondition> | ||
| + | with this RIM-based attribute: | ||
| + | |||
| + | <confidentialityCode code="N"/> | ||
== Recommended Action Items == | == Recommended Action Items == | ||
| Line 31: | Line 46: | ||
== Resolution == | == Resolution == | ||
| − | + | April 13, 2010 SDWG: Comes along with decision to use RIM as right side of CDA R3 (therefore approved). Opposed: 0; Abstain: 0; In favor: 7. | |
Latest revision as of 21:38, 13 April 2010
Return to SDTC page; Return to CDA R3 Formal Proposals page.
| Submitted by: Ioana Singureanu | Revision date: 12/1/2009 |
| Submitted date: 11/17/2009 | Change request ID: <<Change Request ID>> |
Contents
Issue
Currently there is no way to specify the confidentiality and sensitivity of a act, observation, procedure, etc. choice in a ClinicalStatement. This information is often required in specifying the Consent Directive or Privacy Policy.
Severity:High
High: The workaround is an ambiguous use of "Precondition" in place of a security indicator. CBCC WG Wiki
Recommendation
- Add "confidentialityCode" property to the classes avaialable as choices in POCD_MT000040.Entry (clinicalStatement)
Rationale
Needed for Consent Directive representations.
Discussion
The item was introduced during the SDWG meeting - Nov. 17th, 2009. This proposal would replace the current workaround using "Precondition": <precondition typeCode="PRCN">
<criterion classCode="OBS" moodCode="EVN.CRT">
with this RIM-based attribute:
<confidentialityCode code="N"/>
Recommended Action Items
Resolution
April 13, 2010 SDWG: Comes along with decision to use RIM as right side of CDA R3 (therefore approved). Opposed: 0; Abstain: 0; In favor: 7.
