PHCR eICR R2 STU1.1 Update Comments

November 2016 - HL7 CDA® R2 Implementation Guide: Public Health Case Report, Release 1, STU Release 1.1 - US Realm - Available for Comment

This wiki page will support review and feedback for proposed updates to the HL7 CDA® R2 Implementation Guide: Public Health Case Report, Release 1, STU Release 1.1 - US Realm.

This IG consists of two volumes:

• Volume 1 provides narrative introductory and background material pertinent to this implementation guide, including information on how to understand and use the templates in Volume 2.
• Volume 2 contains the Clinical Document Architecture (CDA) templates for this guide along with lists of templates, code systems, and value sets used.

For commenting prior to reconciliation and publication, the STU update Implementation Guide and its related files are available to HL7 members here: Update_for_Comment_CDAR2_IG_PHCASERPT_R2_D1.1_2016DEC.

As an STU update, this new version will not go through the usual HL7 balloting process but will use the STU Update Process with industry review on the HL7 wiki.

The changes in this update can be summarized as follows:

Volume 1 Typo corrections, non-substantive wording changes were made throughout the document but these changes will not be detailed.

• New chapters/sections/appendices (only the top heading-level of the addition is noted):
  • 1.3 Organization of the Guide
  • 1.6 Current Project
  • 3 CDA R2 Background
  • 5.2 Stand-Alone Templates
  • 5.4 Trigger Code Templates
  • Appendix A — Acronyms and Abbreviations
  • Appendix B — High Level Change Log
  • Appendix C — Extensions to CDA R2
• Updated chapters/sections:
  • 4 Using This Implementation Guide
    • replaced "Conventions used in this implementation guide" section
  • 4.1 Conformance Conventions Used in This Guide
  • 4.2 Templates and Conformance Statements
  • 4.3 XML Conventions Used in This Guide
    • Split chapter "Data Requirements and IG Template Specifications Organization" into the following two chapters:
  • 5 eICR IG Specific Conformance Guidance
  • 6 eICR Data Requirements
    • Updated tables and diagrams to reflect new data elements and added sections (see above)

Volume 2

• Document-Level Templates
  • No new document-level templates were added.
  • Initial Public Health Case Report Document (eICR) was versioned to V2:
    • Added containment for C-CDA R2.1: Plan of Treatment (V2) Section
    • Added containment for Birth Sex Observation
    • Added @sdtc:deceasedInd
    • Updated constraint for @sdtc:deceasedTime
    • Added guidance for using county in an address
    • Updated examples
• Section-Level Templates
  • One new section-level template was added:
    • C-CDA R2.1: Plan of Treatment (V2) Section
  • Entry-Level Templates
    • Five new entry-level templates were added:
    • C-CDA R2.1 Companion Guide: Birth Sex Observation
    • C-CDA R2.1 Based: Initial Case Report Trigger Code Lab Test Order
    • C-CDA R2.1 Based: Initial Case Report Trigger Code Problem Observation
    • C-CDA R2.1 Based: Initial Case Report Trigger Code Result Observation
    • Travel History
• Value Sets
  • Seven new value sets were added:
    • Initial Case Report Trigger Code Result Status
    • ONC Administrative Sex
    • Reportable Conditions Trigger Code Value set
    • Trigger code for condition name (RCTC subset)
    • Trigger code for laboratory test names (RCTC subset)
    • Trigger code for laboratory test orders (RCTC subset)
    • Trigger code for organism or substance (RCTC subset)

Review Note: Travel History template: As this is a new template and not based on any existing template, we encourage detailed review and feedback around the utility and design of this template

During the one week comment period running from November xx-xx, 2016, please submit your comments below including at least your name, item, existing wording, proposed wording, and comment.

Thank you.

Enter your comments below this line by clicking on the Comments (edit) link.

Comments

Example comment:

Name: HL7 Commenter

Item: Volume 2, Template XXXX

Existing wording: CONF: xxxxx-xx SHOULD contain exactly 1..1

Proposed wording: CONF: xxxxx-xx SHALL contain exactly 1..1

---

Name: Sarah Gaunt Item: Volume 1: 4.1 Templates and Conformance Conventions Existing wording: This heading is at the wrong level - it needs to be indented on level so that it is nested under 4.1 Conformance Conventions Used in this Guide Proposed wording: Indent 4.1 Templates and Conformance Conventions one level so that it is 4.1.1 Templates and Conformance Conventions