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  1. FHIR Specification Feedback
  2. FHIR-11029

Coding.userSelected is insufficient - 2016-09 core #48

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    • Icon: Change Request Change Request
    • Resolution: Not Persuasive
    • Icon: Medium Medium
    • FHIR Core (FHIR)
    • DSTU2
    • Terminology Infrastructure
    • Datatypes
    • 2.22.0.4 coding
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      The "text" element shows what the user saw. And user selected applies to the entire post-coordinated structure present in the coding. The sole purpose of this element is that this is the original user-selected concept and other codings are therefore translations. It's not to capture the detailed nuances of the exact process by which user selection occurred. If this were needed, it could be handled by an extension.

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      The "text" element shows what the user saw. And user selected applies to the entire post-coordinated structure present in the coding. The sole purpose of this element is that this is the original user-selected concept and other codings are therefore translations. It's not to capture the detailed nuances of the exact process by which user selection occurred. If this were needed, it could be handled by an extension.
    • Ted Klein/Grahame Grieve: 6-0-0
    • Enhancement

    Description

      Comment:

      A Boolean choice for "User-selected" seems insufficient.

      If the code is user-selected, might we need to distinguish between selecting the system display or the local display? Might it be selected as part of a larger, post-coordinated structure? Is the alternative (BL:F) an ex post facto human encoding, nlp encoding, a system default, or mapping (shading into the local display selection)? This element may benefit from more specific semantics.

      including:

      >User-selected = select actual code or system display, including selection of UI structure recorded as expression

      >User-implied = select local display

      >Derived = translated into a code by nlp (real-time or later) or separate manual process.

      >Default = supplied by system because not specified

      If two values are really sufficient, it still may be preferable to encode in order to support current clarity and future eventualities. BLs seem like an invitatation to ambiguity.

      Summary:

      Coding.userSelected is insufficient

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            jlyle Jay Lyle
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              Updated:
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