CSCR-001 Act Reference
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| Submitted by: Heath Frankel | Revision date: 30-Oct-06 |
| Submitted date: 30-Oct-06 | Change request ID: • CSCR-C12-0411-001 |
Issue
Messages with a large amount of clinical information (clinical statements) are likely to relate to statements already present within the message or within a system. Rather than requiring to duplicate these statements with the potential of inconsistencies and duplication it would be more appropriate to reference the existing statement.
Recommendation
Include into the clinical statement a ActReference clone of Act which contains only the classCode, moodCode and id attributes. This clone should be constrained to be only a leaf of a clinical statement and should not allow any further ActRelationship associations.
Rationale
ActRef is used to refer to a full instance of any clinical statement. The classCode and moodCode of the reference shall have the same values as the act to which reference is being made. According to the context of use the referenced Act may be in the current communication or in a previously communicated message and available from a shared repository (PSIS)
Discussion
Proposal is to add ActRef to the choice box as identified in the visio diagram. There is a "typo" in the visio diagram that the SourceOf/TargetOf should be SourceOf to the inner one, the TargetOf the outer one, and the entry point is the outer one. Concern is that this proposal introduces a discrepancy with entity references and the classes are already in the choice box. Education on how referencing is done. Is the proposal addressing something that is broken that needs to be fixed or addresses something what is missing? ActRef to be used to reference other acts inside the message or elsewhere where only an identifier is necessary. There were some XML concerns, but update mode should not be a problem.
Recommended Action Items
Since there were not enough participants at the time we concluded the topic, we could not vote. However, there is positive support from the participants. Final vote to occur when we have quorum.
