Difference between revisions of "TF-PCC-CP-0025"

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; Domain : [[Patient Care Coordination]]
 
; Domain : [[Patient Care Coordination]]
 
; Change Proposal Number : {{PAGENAME}}
 
; Change Proposal Number : {{PAGENAME}}
; Status : incoming
+
; Status : assigned
 
; Last Updated : 09:47, 4 March 2008 (CST)
 
; Last Updated : 09:47, 4 March 2008 (CST)
 
; Assigned : [[User:Kboone|Kboone]]
 
; Assigned : [[User:Kboone|Kboone]]

Revision as of 10:50, 19 May 2008

Change Proposal TF-PCC-CP-0025

Official Change Proposal Template is a WORD document found at ftp://ftp.ihe.net/Document_templates/IHE_Change_Proposal-Template-V10.doc

The Change Proposal Template that you use is dependent on the committee.

Tracking Information

Domain
Patient Care Coordination
Change Proposal Number
TF-PCC-CP-0025
Status
assigned
Last Updated
09:47, 4 March 2008 (CST)
Assigned
Kboone

Change Proposal Summary

Title
Incompatible CCD Parents for Health Status
Submission Date
09:47, 4 March 2008 (CST)
Profile Affected
TF-PCC
TF Version
2024
Volume and Section

Rationale

Health Status (1.3.6.1.4.1.19376.1.5.3.1.4.1.2) lists two CCD template IDs as parents (2.16.840.1.113883.10.20.1.57 and 2.16.840.1.113883.10.20.1.51). However, when running the provided example through CCD schematron rules, this entry fails. This is because the two CCD templates are not compatible.

From CCD CONF-508, CONF-512 and CONF-513 (page 85 of CCD) we can see that a status observation (2.16.840.1.113883.10.20.1.57) shall have exactly one code which is "33999-4".

However CCD CONF-166 (page 31) states: "A problem healthstatus observation (templateId 2.16.840.1.113883.10.20.1.51) SHALL be a conformant status observation (templateId 2.16.840.1.113883.10.20.1.57) (as defined in section 5.1 "Type" and "Status" values), except that the value for "Observation / code" in a problem healthstatus observation SHALL be "11323-3" "Health status" 2.16.840.1.113883.6.1 LOINC STATIC." The code value cannot be both "33999-4" and "11323-3".

It appears that 2.16.840.1.113883.10.20.1.51 is very similar to 2.16.840.1.113883.10.20.1.57, but strictly speaking it does not inherit from that observation.

The correction would be to remove the requirement that an IHE Health Status (1.3.6.1.4.1.19376.1.5.3.1.4.1.2) include both template IDs. My guess is that the intention would be that the only true parent is a problem healthstatus observation (templateId 2.16.840.1.113883.10.20.1.51) as this shares the LOINC code (11323-3) used by Health Status (1.3.6.1.4.1.19376.1.5.3.1.4.1.2). In other words, remove 2.16.840.1.113883.10.20.1.57. Once this restriction is removed, the CCD schematron rules pass this entry.

Content

media:cp.doc