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Type:
Change Request
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Resolution: Unresolved
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Priority:
Medium
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C-CDA Templates Clinical Notes (CDA)
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2.1.0.1 [deprecated]
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Structured Documents
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Templates [deprecated]
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3.42
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Clarification
Immunizations use the CVX code system, and most terms in that code system are for vaccines. However CVX codes 95 - 98 are a special case because they represent tuberculin skin test procedures, not actual immunizations. So I think we should provide explicit guidance in the Immunization Medication Information (V2) template on how to handle those codes. I can see two options.
Option 1: Explicitly allow those codes even though they aren't really immunizations. That implies we would have to allow a translation child element for CPT-4 code 86580. So either we would have to expand value set 2.16.840.1.113762.1.4.1010.8 to include that one CPT-4 code, or add another MAY constraint for a new value set containing just that one CPT-4 code.
Option 2: Explicitly disallow those codes and state that they should go into the Procedures Activity Procedure (V2) entry template. That implies we would have to update conformance statement 1098-19207 to state that the code MAY be selected from CVX.
- relates to
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FHIR-31899 Write usage note for non-vaccination CVX codes
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- Resolved - change required
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