FHIR Chat · 20211019-03 Medications or Procedures because of a reaction · cda to fhir

Stream: cda to fhir

Topic: 20211019-03 Medications or Procedures because of a reaction


view this post on Zulip Lisa Nelson (Nov 01 2021 at 00:39):

When documenting an Allergy reaction in C-CDA the template allows multiple medications and multiple procedures to be included. These are large and deep templates, and possibly recursive. How do we manage this? 

These entryRelationships have inversionInd=true. It means: these medications were administered (or ordered) because of the reaction the patient had.  Or: these procedures were performed or ordered because of the reaction the patient had.

Proposed Resolution:
CF: Model small templates in line, especially if values depend on context. 

FC: use entryRelationships to other needed templates.  We'll need to consider each case to determine the correct typeCode, or consider if we can provide a general principle for when to use which typeCode and when inversionInd needs to be true.


Last updated: Apr 12 2022 at 19:14 UTC