CDA R2 Errata

Section 4.3.5.8: List

• Cardinality of listType attribute is ambiguous. Section 4.3.5.8 says it's required, but it is optional in the normative narrative block markup (and is not present in the example that we distributed).

Section 3: CDA Document Exchange in HL7 Messages

• Table 4: HL7 V3 Medical Records :: CDA Mapping will need to be updated when the V3 Medical Records ballot becomes normative.

Section 1.2.2 The “A” in “CDA”

• Example 2 – hierarchy isn’t correct. Bottom 4 bullets each need to move one step to the right.

Section 4 CDA R-MIM

• (Technical Correction) Visio diagram doesn't show ObservationInterpretation as vocabulary for Observation.interpretationCode (even though it does appear in the Hierarchical Description).

Section A.2 Sample CDA Instance

• Where Observation.classCode=”COND”, refer to latest recommendations from Patient Care TC regarding how to value Observation.statusCode.

• Incorrect OID. Change OID from “2.16.840.1.113883.5.10588” to “2.16.840.1.113883.5.111” here:

 <healthCareFacility classCode="DSDLOC">
   <code code="GIM" codeSystem="2.16.840.1.113883.5.10588" displayName="General internal medicine clinic"/>
 </healthCareFacility>

• Incorrect LOINC codes. Replace 10153-2, 10223-2, 10157-2 respectively with: 11348-0 HISTORY OF PAST ILLNESS, 10200-4 PHYSICAL FINDINGS HEART, 10157-6 HISTORY OF FAMILY MEMBER DISEASES

• Incorrect Date. Replace “200004071530” with “200004071430” as shown.

 <observation classCode="OBS" moodCode="EVN">
   <code code="251076008" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Cuff blood pressure"/>
   <statusCode code="completed"/>
   <effectiveTime value="200004071430"/>
   <targetSiteCode code="368208006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Left arm"/>
   <entryRelationship typeCode="COMP">
     <observation classCode="OBS" moodCode="EVN">
       <code code="271649006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Systolic BP"/>
       <statusCode code="completed"/>
       <effectiveTime value="200004071530 --> 200004071430"/>
       <value xsi:type="PQ" value="132" unit="mm[Hg]"/>
     </observation>
   </entryRelationship>
   <entryRelationship typeCode="COMP">
     <observation classCode="OBS" moodCode="EVN">
       <code code="271650006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Diastolic BP"/>
       <statusCode code="completed"/>
       <effectiveTime value="200004071530 --> 200004071430"/>
       <value xsi:type="PQ" value="86" unit="mm[Hg]"/>
     </observation>
   </entryRelationship>
 </observation>