Stream: implementers
Topic: Australian CDA
Peter Gee (Jun 01 2016 at 03:37):
Grahame - had two questions for you if you are free: want to make a CDA of a home medication review, a service by pharmacists to report back to a GP with a series of issues found & recommendations on patient care. The specialist letter look like a good fit to me. what do you think? how is adoption of parsing specialist of letters by GP software?
Grahame Grieve (Jun 01 2016 at 03:45):
An Australian CDA question?
Peter Gee (Jun 01 2016 at 03:45):
yes.
Grahame Grieve (Jun 01 2016 at 03:46):
you should at least ask on the Australian stream
Peter Gee (Jun 01 2016 at 03:46):
sorry new to this
Peter Gee (Jun 01 2016 at 13:41):
having trouble understanding cardinality of a clinical indication of medicines. page 161 of the NEHTA CDA specialist letter states that the cardinality is 0..1 meaning that it is optional with 1 answer - but medicines can have more than one indication.??
Lloyd McKenzie (Jun 01 2016 at 17:05):
Were you able to find the Australian stream? (If you hover over "streams" you'll get a gear icon that lets you select the desired streams
Yunwei Wang (Jun 01 2016 at 20:10):
or use this link directly https://chat.fhir.org/#subscriptions
Peter Gee (Jun 01 2016 at 23:28):
hey so I am new the development with CDA. I am converting a Home Medication Review into a specialist letter. I haven't got far enough into it to try out the compliance tool that NEHTA developed yet. At the moment I am focussing on medications. Reviewing the NEHTA specialist letter documentation it states that the cardinality of medication indications is 0..1 but medications can be indicated for more than one condition. So I wondered how to implement that?
Grahame Grieve (Jun 01 2016 at 23:37):
there's no link between condition and medication in the CDA - very simple beasts
Peter Gee (Jun 01 2016 at 23:56):
sorry - clinical indication https://www.nehta.gov.au/implementation-resources/clinical-documents/EP-1796-2014/NEHTA-0966-2012 page 161
Grahame Grieve (Jun 01 2016 at 23:56):
that's just text - so collapse the text together
Peter Gee (Jun 01 2016 at 23:57):
can it not be encoded as a snomed concept??
Grahame Grieve (Jun 02 2016 at 00:01):
well, you could, but that would an extension to the specialist letter, which requires it to be text
Peter Gee (Jun 02 2016 at 00:01):
thanks. text it is
Peter Gee (Jun 02 2016 at 00:06):
if a change type is "unchanged" what would the "recommendation or change" block have in it? Page 164/167
Grahame Grieve (Jun 02 2016 at 00:07):
n/a
Peter Gee (Jun 02 2016 at 00:16):
thanks, so that is a text of "n/a" like: <entryRelationship typeCode="RSON"><act classCode="INFRM" moodCode="EVN"><code code="103.10177" codeSystem="1.2.36.1.2001.1001.101" codeSystemName="NCTIS Data Components" displayName="Change Reason" /><text>n/a</text></act></entryRelationship>
Last updated: Apr 12 2022 at 19:14 UTC
