IHE CDA Technical Issues

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In reviewing the PCC FT document and the CDA Supplement, I ran into some technical issues/inconsistencies. I will make formal CP's for them, but this is a page for a comprehensive summary.


CP Number CP Submitted Document Section Name Issue
TBD Not Yet CDA Sup 6.3.3.2.47 Psychomotor Development section Need LOINC code
TBD Not Yet CDA Sup 6.3.3.2.53 Notification Alerts and Reminders
  1. Improper OID (ends in .x)
  2. Needs LOINC code
TBD Not Yet CDA Sup 6.3.3.2.59 Cancer Diagnosis Need LOINC code
TBD Not Yet CDA Sup 6.3.3.4.32 Admission Physical Exam Need LOINC code
TBD Not Yet CDA Sup 6.3.3.5.05 Consultations
  1. Title is consultations, but text says ED Consultations.
  2. LOINC code seems to indicate a person rather than a description of consultations
TBD Not Yet
  1. PCC TF2 FT
  2. CDA Sup
  1. 6.3.3.6.01
  2. 6.3.3.5.03
Care Plan Duplicate OID and section definition
TBD Not Yet CDA Sup 6.3.3.6.16 Diet and Nutrition Need LOINC code
TBD Not Yet CDA Sup 6.3.3.6.22 Invasive Airway Value listed for LOINC code does not look like a LOINC code (NEMSIS EProtocols.01 (1)). Need confirmation that this is a LOINC code, or it is from a different coding scheme and our template needs a change, or we need a real LOINC code.
TBD Not Yet CDA Sup 6.3.3.6.23 Ventilator Usage Text description of the section is incomplete
TBD Not Yet PCC TF2 FT
  1. 6.3.3.7.3
  2. 6.3.3.7.9
Transport Mode Duplicate OID and section definition
TBD Not Yet CDA Sup 6.3.3.7.8 Mass Casualty Incident Value listed for LOINC code does not look like a LOINC code (NA – NEMSIS EScene.07). Need confirmation that this is a LOINC code, or it is from a different coding scheme and our template needs a change, or we need a real LOINC code.
TBD Not Yet CDA Sup 6.3.3.7.11 Provider Level Value listed for LOINC code does not look like a LOINC code (NEMSIS DConfiguration.02). Need confirmation that this is a LOINC code, or it is from a different coding scheme and our template needs a change, or we need a real LOINC code.
TBD Not Yet FT 6.3.3.8.1 Unknown The CDA Supplement says to add 6.3.3.8.3. The FT document has no 6.3.3.8.1. I have no idea what was in that part of the document. If it was deleted on purpose (or never existed), we should probably change the CDA supplement or put in a 6.3.3.8.1 that is "Blank on purpose".
TBD Not Yet FT 6.3.3.8.2 Coded Patient Education and Consents Mary Jungers found this referenced somewhere, but the definition is not to be found in the FT document or CDA supplement. We should make sure it is supposed to exist and document properly.