Comment:

The CCDS (https://www.healthit.gov/sites/default/files/topiclanding/2018-04/2015Ed_CCG_CCDS.pdf) require the use of a "procedure" - as the context for an implant. Since the CCDA 2.1 already supports the surrounding procedure, it's useful to provide the same contextual information through a FHIR "search".

"Exchanging unique device identifier(s) using the "Product Instance" which is

embedded in the "Procedure Activity Procedure" in the C-CDA Release 2.1 is

intended to make this information more easily retrievable. [see also 80 FR 62695]

Note that the 2015 Edition final rule refers to the "Procedure Activity Procedure

Section" and we clarify that this is not a Section.":

Summary:

Add an "Implant Procedure" profile to describe the context of an implantable device in the required implantable device list.