Change History
Version: 1.0; Status: RC3
- Third Release Candidate
- Version 1.0 RC3 includes changes to meet the requirements for sending discharge summaries to GP for mental health adult patients.
- New Schemas for the Section Templates
- COCD_TP000089GB01-InvestigationsResultsSection
- COCD_TP000091GB01-ReferrerDetailsSection
- COCD_TP000090GB01-PatientConcernsExpectationsAndWishesSection
- COCD_TP000088GB01-InformationAndAdviceGivenSection
- Ammended Schemas following feedback from implementers
- COCD_TP145243GB02-DischargingSpecialty - ID and code attributes are made required and also allowing orginalText in the code attribute. Note the GB01 version has been kept for backwards compatibility.
- COCD_TP000084GB01-PersonAndCarerConcernsExpectationsAndWishesSection - removed the default code of TBA in the model for the SectionTypeSnCT vocabulary and corrected the tabular view.
- Constraints
- The Section Choice, NPFIT-500004#Section – has been ammended to include the new section templates.
- The Discharging Specialty Choice, NPFIT-300004#Role - has been ammended to include COCD_TP145243GB02
Version: 1.0; Status: RC2
- Schemas
- Corrected a defect in the schema of COCD_TP146084GB01 (RiskToPerson), where the code attribute was incorrectly fixed to a 222701000000104. The model, tabular view and schema have been corrected, to allow the code attribute to take any value from the RiskToPersonSnCT subset.
- Amended COCD_TP146422GB02 (DNACPRDecision), by removing entryRelationship4.ResuscitationStatus. The model, tabular view and schema have been corrected.
- Amended RelevantPastMedicalSurgicalAndMentalHealthHistorySection (COCD_TP000083GB01), to include SignificantPastMedicalHistory (COCD_TP146083GB01) in the choice. The model, tabular view and schema have been corrected.
- Constraints
- Allergies And Adverse Reactions Section, NPFIT-300004#Act - has been corrected to include the old version of AllergicOrAdverseReactionEvent (COCD_TP146060GB01) for backwards compatibility.
- Crisis Care Plan Section, NPFIT-300008#Act – EoLCarePlan (COCD_TP146077GB01) has been removed from the choice.
- Crisis Care Plan Section, NPFIT-300008#Act – SignificantPastMedicalHistory (COCD_TP146083GB01) has been removed from the choice.
- Person and Carers Concerns, Expectations and Wishes Section, NPFIT-300022#Act – PatientDeathInformation (COCD_TP146078GB01) has been removed from the choice.
- Relevant Past Medical Surgical And Mental Health History Section, NPFIT-300023#Act – SignificantPastMedicalHistory (COCD_TP146083GB01) is included in the the choice.
- Vocabulary
- DNACPRprefSnCT - added a new value of 845151000000104, "Not aware of do not attempt cardiopulmonary resuscitation clinical decision (finding)". This vocabulary has changed to reflect the model change to COCD_TP146422GB02 (DNACPRDecision).
Version: 1.0; Status: RC1
- First Release Candidate
- Changes made following internal review and review comments from the Healthy London Partnership London Digital Programme End of Life Care Co-ordination project.
- Main Model - ClinicalDocument.MessageType is no longer fixed to a particular value
- POCD_RM000042GB01-StructuredHeadings.mif is a generic model and therefore the MessageType should not be fixed. The CDA Profile Specification document for the domain identifies which MessageType value should be used.
- Templates
- COCD_TP146073GB01-AnticipatoryMedicineBoxIssueProcedure.mif has changed, by linking this to a new template COCD_TP146088GB01-Medications-Supplied.
- COCD_TP146056GB01-CrisisCareObservation.mif, improvements to the tabular view description.
- COCD_TP146066GB02-Procedure.mif, has changed, by linking to AnatomicalSite and Laterality classes.
- Correction to the description of the originalText in the value attribute across all template tabular views.
- Constraint
- NPFIT-300013#Act - RiskToPatient has been removed from the history section, NPFIT-300013#Act. However, COCD_TP146063GB02-Diagnosis.mif and COCD_TP146066GB01-Procedure.mif have been added to the history section, to cater for the needs of other domains.
- NPFIT-300009#Act - remove AdvanceStatement, PatientDeathInformation and PersonalCarePreference from NPFIT-300009#Act (PatientAndCarerConcernsSection). Note, PatientAndCarerConcernsSection will be kept as this is a generic CDA model, and other domains may need this section, however PatientAndCarerConcernsSection will be disallowed in the NHS Digital End of Life Constraints Document.
- NPFIT-300022#Act - A new constraint, has been added as a coded entry choice to COCD_TP000084GB01-PersonAndCarerConcernsExpectationsAndWishesSection.mif. This constraint carries a choice of AdvanceStatement, PatientDeathInformation and PersonalCarePreference.
- NPFIT-300014#Act - Accommodation has been removed from the SafetyAlerts section choice.
- Examples
- Examples amended to ensure originalText is used.
- Examples amended to ensure a number of data items which would normally be recorded in just the section text are recorded in a coded entry, for risks to patient/others, safeguarding issues, significant past medical history and mobility.
- Data Types
- References to an originalText XML attribute are changed to originalText XML element.
- Cross References
- These are included for ease of navigation for this release.
Version: 1.0; Status: Draft B
- Second Draft
- Second draft version (Version 1.0 Draft B) includes changes to meet the requirements for the Healthy London Partnership London Digital Programme End of Life Care Co-ordination project.
- Section Templates - The following have been amended by the addition of Coded Entries:
- COCD_TP000010GB01-PatientAndCarerConcernsSection.mif
- COCD_TP000037GB01-DiagnosesSection.mif
- COCD_TP000044GB01-LegalInformationSection.mif
- COCD_TP000040GB01-MedicationsAndMedicalDevicesSection.mif
- COCD_TP000064GB01-HistorySection.mif
- COCD_TP000039GB01-SafetyAlertsSection.mif
- COCD_TP000043GB01-SocialContextSection.mif
- COCD_TP000083GB01-RelevantPastMedicalSurgicalAndMentalHealthHistorySection.mif
- COCD_TP000085GB01-CrisisCarePlanSection.mif
- COCD_TP000086GB01-EndOfLifeSection.mif
- Templates - New templates included for this release:
- COCD_TP145007UK04-RelatedEntity.mif
- COCD_TP146052GB01-MedicationsAdministered.mif
- COCD_TP146053GB01-DiscontinuedMedications.mif
- COCD_TP146054GB01-MedicalDevices.mif
- COCD_TP146055GB01-PersonalCarePreference.mif
- COCD_TP146056GB01-CrisisCareObservation.mif
- COCD_TP146057GB01-Prognosis.mif
- COCD_TP146058GB01-AuthoritytoLastingPowerofAttorney.mif
- COCD_TP146059GB01-AdvanceDecisionToRefuseTreatment.mif
- COCD_TP146060GB02-AllergicOrAdverseReactionEvent.mif
- COCD_TP146063GB02-Diagnosis.mif
- COCD_TP146070GB01-TissueAndOrganDonation.mif
- COCD_TP146071GB01-SafeGuarding.mif
- COCD_TP146072GB01-PatientAndCarerConcerns.mif
- COCD_TP146073GB01-AnticipatoryMedicineBoxIssueProcedure.mif
- COCD_TP146074GB01-Accommodation.mif
- COCD_TP146075GB01-Housing.mif
- COCD_TP146076GB01-Mobility.mif
- COCD_TP146077GB01-EoLCarePlan.mif
- COCD_TP146078GB01-PatientDeathInformation.mif
- COCD_TP146079GB01-SocialOrPersonalCircumstance.mif
- COCD_TP146081GB01-RiskToPatient.mif
- COCD_TP146083GB01-SignificantPastMedicalHistory.mif
- COCD_TP146084GB01-RiskToPerson.mif
- COCD_TP146085GB01-Service.mif
- COCD_TP146086GB01-ClinicalRisk.mif
- COCD_TP146087GB01-AdvanceStatement.mif
- COCD_TP146093GB01-LegalStatus.mif
- COCD_TP146422GB02-DNACPRDecision.mif
- Templates - Some existing templates have been changed, for example tabular view amendments:
- COCD_TP146060GB01-AllergicOrAdverseReactionEvent.mif
- COCD_TP146062GB01-Admission.mif
- COCD_TP146066GB01-Procedure.mif
- COCD_TP146067GB01-Discharge.mif
Version: 1.0; Status: Draft A
- First Draft
- First draft version (Version 1.0 Draft A) developed to use all structured headings.