Procedure Activity effective Time Procedure Act Observation Design
Procedure Activity effective. Time Procedure Act Observation
Design Change Request • http: //www. hl 7. org/dstucomments/showdetail_comment. cfm? com mentid=1997
Action #1: • Alter a portion of section description in: • 2. 61 Procedures Section (entries optional) (V 2) • 2. 61. 1 Procedures Section (entries required) (V 2) • From: • This section describes all interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient historically at the time the document is generated. • To: • This section describes all historical or current interventional, surgical, diagnostic, or therapeutic procedures or treatments pertinent to the patient at the time the document is generated.
Action #2 • Require effective. Time in: • Procedure Activity Act (V 2) (optional) (Currently SHALL) • Procedure Activity Procedure (V 2) (optional) (Currently SHOULD) • Procedure Activity Observation (V 2) (optional) (Currently SHOULD)
Action #3 • Add primitive computable conformance statements to effective. Time to restrict effective time to procedures either completed or still in progress at the time of document generation in: • Procedure Activity Act (V 2) (optional) (Currently SHALL) • Procedure Activity Procedure (V 2) (optional) (Currently SHOULD) • Procedure Activity Observation (V 2) (optional) (Currently SHOULD) • First: • Check everywhere the above templates are used to ensure • Applicable • Doesn’t break anything
Action #3 – Background check The Procedure Templates are contained in: Template … Procedure … Act … Observation Reaction Observation (V 2) (optional) X Medical Equipment Section (V 2) (optional) X Anesthesia Section (V 2) (optional) X Procedures Section (entries optional) (V 2) (optional) X X X Procedures Section (entries required) (V 2) (optional) X X X Planned Intervention Act (V 2) X (optional)* X X X Medical Equipment Organizer X (optional) Intervention Act (V 2) (optional)
Background check result: • No breaking of conceptual or conformance statements found • However – new errata discovered wrt Planned Intervention Act (V 2) • To be discussed later – but the text in this template: “All interventions referenced in a Planned Intervention Act must have mood. Codes indicating that are planned (have not yet occurred). ” • Given that the Procedure templates being discussed require mood. Code “EVN”, the fact that they are contained in “Planned Intervention” is clearly an errata. • Related question to be discussed: Does C-CDA schematron support this rule?
Conformance #’s affected Conformance statements that will need additional primitive statements: • Procedure Activity Act (V 2) • CONF: 1098 -8299 • Procedure Activity Procedure (V 2) • CONF: 1098 -7662 • Procedure Activity Observation (V 2) • CONF: 1098 -8246
Proposed Primitive Statement: • If an entry effective. Time/@value or effective. Time/low is present, then it must be equal to or before the document header effective. Time. • If an entry effective. Time/high is present and the entry status. Code is “active” then it must be after the document header effective. Time
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