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Type:
Change Request
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Resolution: Persuasive with Modification
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Priority:
Medium
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FHIR Core (FHIR)
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DSTU1 [deprecated]
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Structured Documents
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Composition
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Calvin Beebe / Brett Marquard: 29-0-2
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Clarification
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Non-substantive
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DSTU1 [deprecated]
Existing Wording: Narrative only sections can be created by setting Content to a resource of the appropriate type and only populating the narrative portion of the resource. If the meaning of the section is such that an appropriate resource does not exist, the List resource should be used. (In some cases, the a resource may have mandatory elements that preclude the resource containing only narrative. This will be addressed in a future release, but for now, List should be used in these circumstances as well.)
Proposed Wording: Narrative only sections can be created by using a List and placing narrative in the List text element.
Comment:
The Section List text element should be used to hold the narrative of a section. This should be true for sections with entries, where the narrative is derived from the listed resources, it should be true for sections which contain a mix of free text and entries in a list, where the narrative is the only safe and complete representation of the clincial content of the document, and this should be true for sections which only contain free text narrative. In that way, a simple rule is created, the authenticated narrative content of a document is found in the Section List text field.
The current wordng is overly complex, it can all be simplifed by referencing the Section List text as the source of truth and the authendicated narrative content of a document's section.
- is voted on by
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BALLOT-2032 Negative - Calvin E. Beebe : 2015-May-FHIR SDC R1
- Balloted