CSCR-069 Rename various ActClassContainer codes

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Submitted by: Bob Dolin	Revision date: Sept 30, 2006
Submitted date: Sept 30, 2006	Change request ID: CSCR-069

Issue

The use and meaning of “entry” and “organizer” is not consistent across CDA, Clinical Statement, and the ActClassContainer hierarchy. The intent of this proposal is to realign the various usages. No changes are needed to definitions or to the ActClass hierarchy itself.

CDA uses the notion of “entry” to describe any clinical statement within a document section, and uses “organizer” to name one of the clones in the clinical statement choice box whose ActClass values are limited to either “BATTERY” or “CLUSTER”. CDA never talks about “containers”.

Clinical Statement uses “organizer” to name one of the clones in the clinical statement choice box whose ActClass values are anything in the ActClassContainer hierarchy. Clinical Statement doesn’t talk about “entries” or “containers”.

The current ActClassContainer hierarchy looks like this:

  - ActClassContainer
     - COMPOSITION
        - DOC
     - ENTRY
        - BATTERY
        - CLUSTER
     - EXTRACT
        - EHR
     - FOLDER
     - ORGANIZER
        - CATEGORY
        - DOCBODY
        - DOCSECT
        - TOPIC

Recommendation

• Submit a RIM Harmonization proposal to rename ActClassContainer codes as shown:

  - ActClassContainer --> ActClassOrganizer
     - COMPOSITION
        - DOC
     - ENTRY --> GROUPER
        - BATTERY
        - CLUSTER
     - EXTRACT
        - EHR
     - FOLDER
     - ORGANIZER --> CONTAINER
        - CATEGORY
        - DOCBODY
        - DOCSECT
        - TOPIC

• The RIM Harmonization proposal would also change definitions accordingly