Stream: implementers
Topic: Multi-encounter CCD composiiton?
Mike Henderson (Dec 26 2018 at 21:38):
The hardcopy/PDF CDA Implementation Guide for C-CDA characterizes the Continuity of Care Document (CCD) as "covering one or more healthcare encounters." However, as I read it, the C-CDA on FHIR CCD Profile only allows specification of a single Composition.encounter. Is there some way I can list multiple encounters in a composition that spans multiple encounters?
René Spronk (Dec 27 2018 at 08:56):
Create a new encounter (referenced by Composition.encounter) which has as its components the various encounters described by the CCD ?
Mike Henderson (Dec 27 2018 at 14:01):
It turns out I hadn't dug deeply enough. There is a designated Composition.section in which I can list references to 0..* Encounter instances.
It would be even better if there were a section in which I could list references to 0..* instances of EpisodeOfCare...
Mike Henderson (Dec 27 2018 at 14:25):
...for which I suppose I could use Composition.event.detail for now, right?
René Spronk (Dec 30 2018 at 15:54):
Sure, EpisodeOfCare is a clinical event.
Note that Composition.encounter is intended to be a from-to time range, in case one is searching for documents related to a certain point in time or timeframe (similar to XDS). That's probably the reason why it ahs a 0..1 cardinality.
Last updated: Apr 12 2022 at 19:14 UTC
