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  1. FHIR Specification Feedback
  2. FHIR-16148

Encounter.reason and Encounter.diagnosis

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    Details

    • Type: Change Request
    • Status: Triaged (View Workflow)
    • Priority: Medium
    • Resolution: Unresolved
    • Specification:
      FHIR Core (FHIR)
    • Raised in Version:
      STU3
    • Work Group:
      Patient Administration
    • Outstanding Negatives:
      STU
    • Related Artifact(s):
      Encounter
    • Resolution Description:
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      The committee has decided that further analysis is required here, and will attend to after R4 is released.

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      The committee has decided that further analysis is required here, and will attend to after R4 is released.
    • Change Category:
      Clarification

      Description

      Recommend further updating and clarifying Encounter.reason and Encounter.diagnosis. It seems the intent is to represent reasons for the encounter that can be either diagnoses or procedures in these two attributes, with one being a code and one being a structure. However, the approach is confusing, as is the name (e.g., why is a procedure called a diagnosis?). Also, the Encounter.diagnosis.role (DiagnosisRole) is insufficiently expressive as a 0..1 attribute. For example, the approach does allow saying – facility billing discharge diagnosis. Recommend making this attribute 0..* and adding notions of facility vs. professional billing. Also, recommend clarifying how to rank diagnoses and procedures expressed by the reason attribute. Suggest also reviewing CIMI modeling for this concept for potential synergy.

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              Assignee:
              Unassigned Unassigned
              Reporter:
              claude.nanjo Claude Nanjo
              Request in-person:
              Claude Nanjo
              Watchers:
              2 Start watching this issue

                Dates

                Created:
                Updated: