Stream: C-CDA
Topic: actStatus question
Vassil Peytchev (May 29 2020 at 14:49):
SueAnn Svaby said:
The C-CDA R2.1 Companion Guide states: "Most clinical statements designed for C-CDA have a completed status, but a select few include a state model expressed using the Act.statusCode." The Companion Guide also acknowledges: "Determination of the Act.statusCode depends on the interplay between an act’s various components including effectiveTime and other clinical status observations that may be pertinent for determining the status of the act within the available Act.statusCode state model." To me this indicates that the actStatus is generally something that can be determined based on the data present.
So my question is (from a certification standpoint): If the actStatus always = 'completed' for a particular entry, does my software need to support the ability for the user to select any of the valid values in a specific actStatus value set." For instance, the value set for ProblemAct statusCode = completed | aborted | active | suspended. If we can determine that the problem is either 'active' or 'completed', do I need to give the user the ability to indicate 'aborted' or/and 'suspended' in addition? I find it strange that the actClass is required but the clinical problem status is optional. Any guidance is greatly appreciated.
I don't think that actStatus needs to be supported beyond completed (unless, of course, there is a specific template that needs to be supported and that indicates a different value).
Last updated: Apr 12 2022 at 19:14 UTC
