Details
-
Change Request
-
Resolution: Persuasive with Modification
-
Medium
-
FHIR Core (FHIR)
-
STU3
-
Patient Administration
-
Encounter
-
-
Brian Postlethwaite/Alexander Henket: 10-0-0
-
Clarification
-
Non-substantive
-
R5
Description
Existing Wording: Current Diagnosis Role value set elements:
> Admission diagnosis
> Discharge diagnosis
> Chief complaint
> Comorbidity diagnosis
> Pre-op diagnosis
> Post-op diagnosis
> Billing
Update cardinality of Encounter.diagnosis.use by relaxing the cardinality at the base resource level to 0... Cardinality should be 0.. as the values can overlap. E.g., a diagnosis may be both a discharge and billing diagnosis.
Clarify what a "comorbidity diagnosis" is. Since a diagnosis is almost by definition a comorbidity, this seems redundant.
Add in elements needed for quality measures such as for HEDIS, CMS: Present-on-admission diagnosis, and as subset of billing - facility billing diagnosis, professional billing diagnosis. Rename billing to billing diagnosis.
—
Please note that this issue was submitted to US Core (Tracker # 20094) but it was deemed outside the control of that group and has thus been resubmitted to Patient Administration.