CDA+-+Section+Analysis

//Proposed// Section Heuristics

 * 1) An Entry must be interpretable outside of its section
 * 2) Increased section granularity is acceptable, but may require updated prose
 * HS guides are open so having additional sections is acceptable.
 * 1) If there are two section templates that are identical or very close, we should strive to get rid of one of them.

Issues Under Consideration

 * Discharge Summary - Section Cardinality

Section Decisions
Rich Kernan will follow up with Marie Swall and Dave Carlson to discuss V.A. Issue #7 and what resources ONC may be able to provide. ||
 * **Topic** || **Section(s)** || **Decision** ||
 * * H&P uses a single templateId
 * 2.16.840.1.113883.10.20.2.7
 * 3 LOINC codes
 * 51848-0: ASSESSMENT
 * 51847-2: ASSESSMENT AND PLAN
 * 18776-5: PLAN
 * Procedure Note uses one templateId per code
 * 51848-0: 2.16.840.1.113883.10.20.18.2.13
 * 51847-2: 2.16.840.1.113883.10.20.18.2.14
 * 18776-5: 2.16.840.1.113883.10.20.1.10 || Assessment and Plan || Decided the Assessment and Plan section will use a single templateId for each LOINC code ||
 * Overlap between LOINC codes for Surgical Operations note and Procedures note in certain sections || * Anesthesia
 * Description
 * Disposition
 * Estimated Blood Loss
 * Findings
 * Indications Planned Procedure
 * Specimens Taken || Decided to use the Procedure Note codes for both the Operative Note and Procedure Note if no conflict in LOINC code definition ||
 * VLER concern regarding making Section Entries required, instead of optional. || All || Given ONC guidance that human readability trumps interoperability, decided that Section Entries cannot be made required for overall CDA Consolidation.