esMD+Content+Requirements

__**Related Standards** __ [|HITSP C62] (v1.1) - Unstructured Document

The following analysis was provided by Rim Cotheren
 * __Content Requirements __**

This initial analysis was based on v1.1 of the HITSP C62 Unstructured Document Component and on Revision 6.0 of the IHE IT Infrastructure Technical Framework Volume 3 (revision 5, referenced in the C62 specification, could not be located)
 * C62 Unstructured Document**

a. There is no obvious place to include NPI as part of the structured fields within document should it not be included in the Authorization Framework as a required assertion element. i. It does not appear to be part of ClinicalDocument/author/assignedAuthor/assignedPerson. ii. Should the Profile add some field to C62 to incorporate this field? iii. Should the C62 specification be changed to add a mechanism to include the NPI as part of this element? b. Patient identifiers are limited to those of the submitting organization. There is no obvious place to include an identifier for the patient ID in the receiving organization, and by extension, for a claim ID or RAC request ID or other identifier from CMS. i. My understanding is that CDA document should reflect information within the organization that produced them. ii. That would suggest that the C62 should not include any identifier from the receiving organization. c. I found no reason to change the required/required if known/optional status of any fields within the C62. Should we be considering something I may have missed?