Elaine Ayres Iona Thraen Laura Heermann Rob Hausam Russ Leftwich Stephen Chu ------------------------------------------------------------------------------------------------ Review Rules CCDA 1.1 CCDA 2.0 CCDA 2.1 Notes Shall Changed to Should/May Will change it back Shall to Shall Removed (silent) Will add to 2.1 Shall from 2.0 Should/May Removed (silent) Will remain silent from 2.0 but implementers can add to 2.1 (Silent) Shall/Should/may (if Will add to 2.1 Shall/Should/may (if constraint to not prohibited) not prohibited) 2.0 CCDA 1.1 CCDA 2.0 CCDA 2.1 Old Coding Changed to New coding Will use old In code element system system value Will use new In translation value Keep the constraint the same Admission Diagnosis section - Fixes the section code element (an errata change) - 1.1 had LOINC code for 'Hospital Admission Diagnosis', 2.0 had LOINC code for 'Admission diagnosis' (enables 1.1 implementations to look in code during import) - both code and translations are Shalls and all attributes are Shalls. Advance Directive Observation - CONF:1198-8651 ADtypeCodes (SNOMED) used in the code element (1.1) and LOINC code (2.0) used in translation. Note: CCDA 2.0 did not specify a specific AD type, just a generic LOINC code for "Advanced Directive" -and that a SNOMED code can be used in the observation value element. Allergies Section -
Elaine Ayres Iona Thraen Laura Heermann Rob Hausam Russ Leftwich Stephen Chu ------------------------------------------------------------------------------------------------ Review Rules CCDA 1.1 CCDA 2.0 CCDA 2.1 Notes Shall Changed to Should/May Will change it back to Shall Shall Removed from 2.0 (silent) Will add to 2.1 Shall Should/May Removed from 2.0 (silent) Will remain silent but implementers can add to 2.1 (Silent) constraint to 2.0 Shall/Should/may (if not prohibited) Will add to 2.1 Shall/Should/may (if not prohibited) CCDA 1.1 CCDA 2.0 CCDA 2.1 Old Coding system Changed to New coding system Will use old value In code element Will use new value In translation Keep the constraint the same Admission Diagnosis section - Fixes the section code element (an errata change) - 1.1 had LOINC code for 'Hospital Admission Diagnosis', 2.0 had LOINC code for 'Admission diagnosis' (enables 1.1 implementations to look in code during import) - both code and translations are Shalls and all attributes are Shalls. Advance Directive Observation - CONF:1198-8651 ADtypeCodes (SNOMED) used in the code element (1.1) and LOINC code (2.0) used in translation. Note: CCDA 2.0 did not specify a specific AD type, just a generic LOINC code for "Advanced Directive" -and that a SNOMED code can be used in the observation value element. Allergies Section -
2015-07-12_HL7-C-CDA-v2-1-DSTU-Update_PCWG_feedback-final.docx