Specification - Extended HL7 CDA® R2 IG: C-CDA Templates for Clinical Notes DSTU Release 2.1 - US Realm
Document Description extended per extended per TSC tracker 12437, again with 14128 and jira.hl7.org/browse/TSC-38
Existing WordingIn the Comment Activity template (2.16.840.1.113883.10.20.22.4.64): 5. SHALL contain exactly one [1..1] text (CONF:81-9430). a. This text SHALL contain exactly one [1..1] reference (CONF:81-15967). i. This reference SHALL contain exactly one [1..1] @value (CONF:81-15968). 1. This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:81-15969).
Proposed WordingEverywhere else in C-CDA we relaxed the constraint regarding reference/@value from SHALL to SHOULD. Recommend doing the same here, changing CONF:81-15967 from SHALL to SHOULD.