FHIR Chat · Hl7 v3( CDA) xml files · CDA

Stream: CDA

Topic: Hl7 v3( CDA) xml files

view this post on Zulip Er.Madhav Adhikari (Apr 01 2022 at 08:17):

Hello, as per the hl7 release document(https://vico.org/CDAR22005_HL7SP/infrastructure/cda/cda.htm#link) , we come to know that narrative block and entry block consists same level of data structure , however, my vendor sent file where some narrative data were missed in the entry tag. Could you please help me ? how this work narrative and entry block link together in section of body in xml ?

view this post on Zulip René Spronk (Apr 01 2022 at 08:33):

the CDA R2 specification doesn't mandate the use of explicit links between the narrative and the entries. Both narrative and entries are contained in a section, so one knows that the entries (all of them jointly) express 'the same' information as the section narrative.

view this post on Zulip Er.Madhav Adhikari (Apr 01 2022 at 08:59):

@René Spronk ,
For example I have following one section ,
I cant find the value of Vaccine and Standard Description table header (like boostrix intramuscular suspension 5-2.5-18.5) in the any tags of entry tags. Is any alternative code or a way of look into this missing values in xml files ? or is this as per specification ?

<section>
<templateId root="2.16.840.1.1138835.10.20.22.2.2.1"/>
<templateId root="2.16.840.1.67113883.10.20.22.2.2"/>
<code code="14136934-6" codeSystem="2.16.840.1.11388378.6.1" codeSystemName="LOINC" displayName="Immunizations"/>
<title>Immunizations</title>
<text><table border="1" width="100%">
<thead>
<tr>
<th>Vaccine</th>
<th>Administration Date</th>
<th>Standard Description</th>
<th>CVX Code</th>
<th>Dose</th>
</tr>
</thead>
<tbody>
<tr>
<td ID="Immunization1">boostrix intramuscular suspension 5-2.5-18.5</td>
<td>2015/02/23</td>
<td>boostrix intramuscular suspension 5-2.5-18.5</td>
<td>115</td>
<td>0.5 mL</td>
</tr>
</tbody>
</table></text>
<entry typeCode="DRIV">
<substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
<templateId root="2.16.840.1.113883.10.20.22.4.52"/>
<id extension="1742318923374970" root="1.2.840.113619.21.1.47789063007f03140889.3.5"/>
<id extension="1742318864371420" root="1.2.840.113619.21.1.477890630f0703140889.3.9"/>
<id extension="Append" root="1.2.840.113619.21.1.47789063007031f40889.3.20"/>
<text><reference value="#Immunization1"/></text>
<statusCode code="completed"/>
<effectiveTime xsi:type="IVL_TS">
<low value="20150223172800-0500"/>
<high value="20150223172800-0500"/>
</effectiveTime>
<repeatNumber nullFlavor="UNK"/>
<routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="NCI Thesaurus"/>
<approachSiteCode code="LD" codeSystem="2.16.840.1.1138d83.6.96" codeSystemName="SNOMED CT"/>
<doseQuantity unit="mL" value="0.5"/>
<administrationUnitCode codeSystem="2.16.840.1.1133883.3.26.1.1" codeSystemName="NCI Thesaurus" nullFlavor="UNK"/>
<consumable typeCode="CSM">
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.54"/>
<manufacturedMaterial>
<code code="115" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
<originalText><reference value="#Immunization1"/></originalText>
<translation code="58160084211" codeSystem="2.16.840.1.113883.6.69" codeSystemName="NDC"/>
</code>
<lotNumberText>D93LR</lotNumberText>
</manufacturedMaterial>
<manufacturerOrganization>
<name>GlaxoasdSmithxyKline</name>
<standardIndustryClassCode code="SKB"/>
</manufacturerOrganization>
</manufacturedProduct>
</consumable>
<performer typeCode="PRF">
<assignedEntity classCode="ASSIGNED">
<id extension="1661162967007780" root="1.2.840.113619.21.1.4778906300703140889.2.2"/>
<id extension="e9a9c7ad-13f8-4456-8103-f125abd6f0ad" root="2.16.840.1.113883.4.6"/>
<addr use="WP"><streetAddressLine>2011 WINDSORDFew SPRING ROAD</streetAddressLine><city>Augucsta</city><state>GA</state><postalCode>30c06-4957</postalCode><country>USXG</country></addr>
<telecom nullFlavor="NI" use="WP"/>
<assignedPerson>
<name><given>IvyDFY</given><family>Dantignac, MA</family></name>
</assignedPerson>
</assignedEntity>
</performer>
<author>
<time value="20150318172618"/>
<assignedAuthor>
<id nullFlavor="NI"/>
</assignedAuthor>
</author>
</substanceAdministration>
</entry>
<entry typeCode="DRIV">
<substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
<templateId root="2.16.840.1.113883.10.20.22.4.5ew2"/>
<id extension="1758787667481010" root="1.2.840.113619.21.1.477890rew6300703140889.3.5"/>
<id extension="1740318839155030" root="1.2.840.113619.21.1.47789er06300703140889.3.9"/>
<id extension="Office Visit" root="1.2.840.113619.21.1.47789ef06300703140889.3.20"/>
<text><reference value="#Immunization2"/></text>
<statusCode code="completed"/>
<effectiveTime xsi:type="IVL_TS">
<low value="20150223135350-0500"/>
<high value="20150223135350-0500"/>
</effectiveTime>
<repeatNumber nullFlavor="UNK"/>
<routeCode codeSystem="2.16.840.1.113883.3.2rwrf6.1.1" codeSystemName="NCI Thesaurus" nullFlavor="UNK"/>
<approachSiteCode codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" nullFlavor="NA"/>
<doseQuantity nullFlavor="NI"/>
<administrationUnitCode codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="NCI Thesaurus" nullFlavor="UNK"/>
<consumable typeCode="CSM">
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.1045.20.22.4.54"/>
<manufacturedMaterial>
<code code="33" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
<originalText><reference value="#Immunization2"/></originalText>
<translation codeSystem="2.16.840.1.113883.6.69" codeSystemName="NDC"/>
</code>
</manufacturedMaterial>
<manufacturerOrganization nullFlavor="NA"/>
</manufacturedProduct>
</consumable>
<performer nullFlavor="UNK" typeCode="PRF">
<assignedEntity classCode="ASSIGNED">
<id extension="1f84fd84-acfe-4d12-8cc7-a8bd41756740" root="2.16.85640.1.113883.4.6"/>
<addr use="WP"><streetAddressLine>2011 WINDxxxdfSOR SPRING ROAD</streetAddressLine><city>Augufsfsta</city><state>GA</state><postalCode>3090566-4957</postalCode><country>USTY</country></addr>
<telecom use="WP" value="tel:+1-706-798-1756457800"/>
<assignedPerson>
<name nullFlavor="UNK"/>
</assignedPerson>
</assignedEntity>
</performer>
<author>
<time value="20150223141012"/>
<assignedAuthor>
<id nullFlavor="NI"/>
</assignedAuthor>
</author>
</substanceAdministration>
</entry>

</section>

view this post on Zulip René Spronk (Apr 01 2022 at 09:27):

Well, there are two SubstanceAdministrations in the entries, with IDs #immunization1 and #immuniation2, but the text for the second substanceadministration and the #imminization2 link are not shown as part of the text.

<td ID="Immunization1">boostrix intramuscular suspension 5-2.5-18.5</td>
<td>2015/02/23</td>
<td>boostrix intramuscular suspension 5-2.5-18.5</td>
<td>115</td>
<td>0.5 mL</td>

The source of your CDA document is wrong: a) both substanceadministrations should be documented in the text, and b) (IF one uses linkages, which is in and itself not mandatory in the CDA standard, unless your CDA implementation guide requires it) each SubstanceAdministration should link to the correct 'row' of text in the text part.

view this post on Zulip René Spronk (Apr 01 2022 at 09:38):

Given that this (your CDA snippet) appears to be (or: tries to be) conformant to the US CCDA Implementation Guide, what does that guide state as to the use of entry-text linkages ?

view this post on Zulip Er.Madhav Adhikari (Apr 01 2022 at 11:59):

@René Spronk Sorry for inconvenienced.
The actual snippet as below:
I cant find the value of Vaccine and Standard Description table header (like boostrix intramuscular suspension 5-2.5-18.5) in the any tags of entry tags.

<section>
<templateId root="2.16.840.1.113883.10.20.22.2.2.1"/>
<templateId root="2.16.840.1.113883.10.20.22.2.2"/>
<code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Immunizations"/>
<title>Immunizations</title>
<text><table border="1" width="100%">
<thead>
<tr>
<th>Vaccine</th>
<th>Administration Date</th>
<th>Standard Description</th>
<th>CVX Code</th>
<th>Dose</th>
</tr>
</thead>
<tbody>
<tr>
<td ID="Immunization1">boostrix intramuscular suspension 5-2.5-18.5</td>
<td>2015/02/23</td>
<td>boostrix intramuscular suspension 5-2.5-18.5</td>
<td>115</td>
<td>0.5 mL</td>
</tr>
<tr>
<td ID="Immunization2">pneumovax</td>
<td>2015/02/23</td>
<td/>
<td>33</td>
<td>Unknown</td>
</tr>
<tr>
<td ID="Immunization3">flu vax</td>
<td>2015/02/23</td>
<td/>
<td>141</td>
<td>Unknown</td>
</tr>
</tbody>
</table></text>
<entry typeCode="DRIV">
<substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
<templateId root="2.16.840.1.113883.10.20.22.4.52"/>
<id extension="1742318923374970" root="1.2.840.113619.21.1.4778906300703140889.3.5"/>
<id extension="1742318864371420" root="1.2.840.113619.21.1.4778906300703140889.3.9"/>
<id extension="Append" root="1.2.840.113619.21.1.4778906300703140889.3.20"/>
<text><reference value="#Immunization1"/></text>
<statusCode code="completed"/>
<effectiveTime xsi:type="IVL_TS">
<low value="20150223172800-0500"/>
<high value="20150223172800-0500"/>
</effectiveTime>
<repeatNumber nullFlavor="UNK"/>
<routeCode code="C28161" codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="NCI Thesaurus"/>
<approachSiteCode code="LD" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"/>
<doseQuantity unit="mL" value="0.5"/>
<administrationUnitCode codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="NCI Thesaurus" nullFlavor="UNK"/>
<consumable typeCode="CSM">
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.54"/>
<manufacturedMaterial>
<code code="115" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
<originalText><reference value="#Immunization1"/></originalText>
<translation code="58160084211" codeSystem="2.16.840.1.113883.6.69" codeSystemName="NDC"/>
</code>
<lotNumberText>D93LR</lotNumberText>
</manufacturedMaterial>
<manufacturerOrganization>
<name>GlaxoWGWKline</name>
<standardIndustryClassCode code="SKB"/>
</manufacturerOrganization>
</manufacturedProduct>
</consumable>
<performer typeCode="PRF">
<assignedEntity classCode="ASSIGNED">
<id extension="1661162967007780" root="1.2.840.113619.21.1.4778906300703140889.2.2"/>
<id extension="e9a9c7ad-13f8-4456-8103-f125abd6f0ad" root="2.16.840.1.113883.4.6"/>
<addr use="WP"><streetAddressLine>20 ROAD</streetAddressLine><city>usta</city><state>GA</state><postalCode>30904546-4957</postalCode><country>XYZ</country></addr>
<telecom nullFlavor="NI" use="WP"/>
<assignedPerson>
<name><given>XYZ</given><family>PQR, MA</family></name>
</assignedPerson>
</assignedEntity>
</performer>
<author>
<time value="20150318172618"/>
<assignedAuthor>
<id nullFlavor="NI"/>
</assignedAuthor>
</author>
</substanceAdministration>
</entry>
<entry typeCode="DRIV">
<substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
<templateId root="2.16.840.1.113883.10.20.22.4.52"/>
<id extension="1758787667481010" root="1.2.840.113619.21.1.4778906300703140889.3.5"/>
<id extension="1740318839155030" root="1.2.840.113619.21.1.4778906300703140889.3.9"/>
<id extension="Office Visit" root="1.2.840.113619.21.1.4778906300703140889.3.20"/>
<text><reference value="#Immunization2"/></text>
<statusCode code="completed"/>
<effectiveTime xsi:type="IVL_TS">
<low value="20150223135350-0500"/>
<high value="20150223135350-0500"/>
</effectiveTime>
<repeatNumber nullFlavor="UNK"/>
<routeCode codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="NCI Thesaurus" nullFlavor="UNK"/>
<approachSiteCode codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" nullFlavor="NA"/>
<doseQuantity nullFlavor="NI"/>
<administrationUnitCode codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="NCI Thesaurus" nullFlavor="UNK"/>
<consumable typeCode="CSM">
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.54"/>
<manufacturedMaterial>
<code code="33" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
<originalText><reference value="#Immunization2"/></originalText>
<translation codeSystem="2.16.840.1.113883.6.69" codeSystemName="NDC"/>
</code>
</manufacturedMaterial>
<manufacturerOrganization nullFlavor="NA"/>
</manufacturedProduct>
</consumable>
<performer nullFlavor="UNK" typeCode="PRF">
<assignedEntity classCode="ASSIGNED">
<id extension="1f84fd84-acfe-4d12-8cc7-a8bd41756740" root="2.16.840.1.113883.4.6"/>
<addr use="WP"><streetAddressLine>20 ROAD</streetAddressLine><city>usta</city><state>GA</state><postalCode>3090sdcfs6-4957</postalCode><country>XYZ</country></addr>
<telecom use="WP" value="tel:+1-704566-798-1700"/>
<assignedPerson>
<name nullFlavor="UNK"/>
</assignedPerson>
</assignedEntity>
</performer>
<author>
<time value="20150223141012"/>
<assignedAuthor>
<id nullFlavor="NI"/>
</assignedAuthor>
</author>
</substanceAdministration>
</entry>
<entry typeCode="DRIV">
<substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
<templateId root="2.16.840.1.113883.10.20.22.4.52"/>
<id extension="1758787806755220" root="1.2.840.113619.21.1.4778906300703140889.3.5"/>
<id extension="1740318839155030" root="1.2.840.113619.21.1.4778906300703140889.3.9"/>
<id extension="Office Visit" root="1.2.840.113619.21.1.4778906300703140889.3.20"/>
<text><reference value="#Immunization3"/></text>
<statusCode code="completed"/>
<effectiveTime xsi:type="IVL_TS">
<low value="20150223135350-0500"/>
<high value="20150223135350-0500"/>
</effectiveTime>
<repeatNumber nullFlavor="UNK"/>
<routeCode codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="NCI Thesaurus" nullFlavor="UNK"/>
<approachSiteCode codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" nullFlavor="NA"/>
<doseQuantity nullFlavor="NI"/>
<administrationUnitCode codeSystem="2.16.840.1.113883.3.26.1.1" codeSystemName="NCI Thesaurus" nullFlavor="UNK"/>
<consumable typeCode="CSM">
<manufacturedProduct classCode="MANU">
<templateId root="2.16.840.1.113883.10.20.22.4.54"/>
<manufacturedMaterial>
<code code="141" codeSystem="2.16.840.1.113883.12.292" codeSystemName="CVX">
<originalText><reference value="#Immunization3"/></originalText>
<translation codeSystem="2.16.840.1.113883.6.69" codeSystemName="NDC"/>
</code>
</manufacturedMaterial>
<manufacturerOrganization nullFlavor="NA"/>
</manufacturedProduct>
</consumable>
<performer nullFlavor="UNK" typeCode="PRF">
<assignedEntity classCode="ASSIGNED">
<id extension="d490c0eb-efe1-4513-8569-7a68c60def4d" root="2.16.840.1.113883.4.6"/>
<addr use="WP"><streetAddressLine>20 ROAD</streetAddressLine><city>usta</city><state>GA</state><postalCode>3090scs6-4957</postalCode><country>XYZ</country></addr>
<telecom use="WP" value="tel:+1-706453-798-1700"/>
<assignedPerson>
<name nullFlavor="UNK"/>
</assignedPerson>
</assignedEntity>
</performer>
<author>
<time value="20150223141003"/>
<assignedAuthor>
<id nullFlavor="NI"/>
</assignedAuthor>
</author>
</substanceAdministration>
</entry>

</section>

view this post on Zulip René Spronk (Apr 01 2022 at 12:33):

<td ID="Immunization1">boostrix intramuscular suspension 5-2.5-18.5</td> is the text snippet for "A Substanceadministration of (ManufacturedProduct) CVX code 115".

<substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="false">
< SNIP >
<text><reference value="#Immunization1"/></text>

The above references the string "boostrix intramuscular suspension 5-2.5-18.5". All of which seems correct to me.

view this post on Zulip Er.Madhav Adhikari (Apr 01 2022 at 14:12):

@René Spronk Thank you so much .It is really helpful.
I will be more clear if you help me to find <td ID="Result2">BLOOD UR DIP</td> text snippet in entry block.

<section>
<templateId root="2.16.840.1.113883.10.20.22.2.3.1"/>
<templateId root="2.16.840.1.113883.10.20.22.2.3"/>
<code code="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Relevant diagnostic tests and/or laboratory data"/>
<title>Results</title>
<text><table border="1" width="100%">
<thead>
<tr>
<th>Date</th>
<th>Name</th>
<th>Value</th>
<th>Unit</th>
<th>Range</th>
<th>Flag</th>
<th>Description</th>
</tr>
</thead>
<tbody>
<tr>
<td colspan="7">
<content ID="ResultsProc1" styleCode="Bold">Lab Report: CMP, CBC, HB1C, B12FOL, FT4, TSH...</content>
</td>
</tr>

<tr>
<td>2015/05/25</td>
<td ID="Result1">K SERUM</td>
<td>4.7</td>
<td>MMOL/L</td>
<td>3.5-5.1</td>
<td/>
<td>Potassium [Moles/volume] in Serum or Plasma</td>
</tr>

<tr>
<td colspan="7">
<content ID="ResultsProc2" styleCode="Bold">Office Visit: 4 month f/u; SAWV</content>
</td>
</tr>
<tr>
<td>2016/04/11</td>
<td ID="Result2">BLOOD UR DIP</td>
<td>negative</td>
<td/>
<td/>
<td/>
<td>blood in urine (hemoglobin) by dipstick</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode="DRIV">
<organizer classCode="BATTERY" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.1"/>
<id root="2c087b97-1fc5-4df9-9573-e412102d8b68"/>
<code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Lab Report: CMP, CBC, HB1C, B12FOL, FT4, TSH..." nullFlavor="NA" xsi:type="CE"/>
<statusCode code="completed"/>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
<id extension="14292-1432580830000" root="1.2.840.113619.21.1.4778906300703140889.3.6"/>
<id extension="1748278834063190" root="1.2.840.113619.21.1.4778906300703140889.3.9"/>
<id extension="Lab Report" root="1.2.840.113619.21.1.4778906300703140889.3.20"/>
<code code="2823-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Potassium [Moles/volume] in Serum or Plasma" xsi:type="CE">
<translation code="2823-3" codeSystem="1.2.840.113619.21.1.4778906300703140889" codeSystemName="LN" displayName="K"/>
<translation code="14292" codeSystem="1.2.840.113619.21.3.2527" codeSystemName="GE_HDID_SYSTEM" displayName="potassium, serum"/>
<translation code="MLI-14292" codeSystem="1.2.840.113619.21.1.4778906300703140889" codeSystemName="Local" displayName="K"/>
<translation codeSystem="1.2.840.113619.21.1.4778906300703140889" codeSystemName="GEFolder" displayName="Chemistry"/>
</code>
<text><reference value="#Result1"/></text>
<statusCode code="completed"/>
<effectiveTime>
<low value="20150525150710-0400"/>
<high value="20150525150710-0400"/>
</effectiveTime>
<value unit="MMOL/L" value="4.7" xsi:type="PQ"/>
<interpretationCode nullFlavor="NA"/>
<methodCode nullFlavor="NA"/>
<author>
<time value="20150526170035"/>
<assignedAuthor>
<id nullFlavor="NI"/>
</assignedAuthor>
</author>
<referenceRange>
<observationRange>
<text>3.5-5.1</text>
</observationRange>
</referenceRange>
</observation>
</component>
</organizer>
</entry>
<entry typeCode="DRIV">
<organizer classCode="BATTERY" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.1"/>
<id root="840749a8-b538-44cf-8b7f-7c67dca7bf78"/>
<code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Office Visit: 4 month f/u; SAWV" nullFlavor="NA" xsi:type="CE"/>
<statusCode code="completed"/>
<component>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
<id extension="4998-1460397115000" root="1.2.840.113619.21.1.4778906300703140889.3.6"/>
<id extension="1776001938377640" root="1.2.840.113619.21.1.4778906300703140889.3.9"/>
<id extension="Office Visit" root="1.2.840.113619.21.1.4778906300703140889.3.20"/>
<code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="blood in urine (hemoglobin) by dipstick" nullFlavor="UNK" xsi:type="CE">
<translation codeSystem="1.2.840.113619.21.1.4778906300703140889" codeSystemName="GEFolder" displayName="Urinalysis"/>
<translation code="4998" codeSystem="1.2.840.113619.21.3.2527" codeSystemName="GE_HDID_SYSTEM" displayName="blood in urine (hemoglobin) by dipstick"/>
</code>
<text><reference value="#Result2"/></text>
<statusCode code="completed"/>
<effectiveTime>
<low value="20160411135155-0400"/>
<high value="20160411135155-0400"/>
</effectiveTime>
<value xsi:type="ST">negative</value>
<interpretationCode nullFlavor="NA"/>
<methodCode nullFlavor="NA"/>
<author>
<time value="20160411150235"/>
<assignedAuthor>
<id nullFlavor="NI"/>
</assignedAuthor>
</author>
<referenceRange>
<observationRange nullFlavor="NI"/>
</referenceRange>
</observation>
</component>
</organizer>
</entry>
</section>

view this post on Zulip René Spronk (Apr 01 2022 at 15:04):

A simple text search for #Result2 produces:

<text><reference value="#Result2"/></text>
<statusCode code="completed"/>
<effectiveTime>
<low value="20160411135155-0400"/>
<high value="20160411135155-0400"/>
</effectiveTime>
<value xsi:type="ST">negative</value>

view this post on Zulip Er.Madhav Adhikari (Apr 01 2022 at 15:30):

Yes I found other values as you mentioned . I am looking BLOOD UR DIP value in entry block (<td ID="Result2">)

view this post on Zulip René Spronk (Apr 02 2022 at 06:48):

A simple text search for #Result2 returns the exact location..

view this post on Zulip Nabin Pandey (Apr 02 2022 at 14:47):

I am also going through the above conversation and thanks you @René Spronk for any elaboration on this. I am just adding one question that in summary no data were missed in entry block of respective narrative block?

view this post on Zulip René Spronk (Apr 03 2022 at 07:17):

The information in (all of the) entries seems to be present in the text. Note that entries will contain more detailed information than that which is in the text, which is fine with CDA. The narrative text should be a summary for human consumption, not the exchaustive detail as covered in the entries.

One additional note: the references are from the entries to the narrative text (and not the other way around). And: most CDA implementations actually don't include explicit references.

view this post on Zulip Nabin Pandey (Apr 04 2022 at 08:43):

Thank you @René Spronk for the details

Last updated: Apr 12 2022 at 19:14 UTC


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