Uploaded image for project: 'FHIR Specification Feedback'
  1. FHIR Specification Feedback
  2. FHIR-25556

Preferred binding on Outcome element is overly strict

    XMLWordPrintableJSON

    Details

    • Type: Change Request
    • Status: Applied (View Workflow)
    • Priority: Medium
    • Resolution: Persuasive with Modification
    • Specification:
      FHIR Core (FHIR)
    • Raised in Version:
      R5
    • Work Group:
      Patient Care
    • Related Artifact(s):
      AdverseEvent
    • Resolution Description:
      Hide

      Example binding where concept is-a "Adverse incident outcome categories (finding)
      SCTID: 405533003" (this should replace the current NCI value set)

      • Adverse incident resulting in death (finding)
      • Adverse incident resulting in potentially permanent but not disabling damage (finding)
      • Adverse incident resulting in potentially permanent disabling damage (finding)
      • Transient abnormality unnoticed by the patient (finding)
      • Transient abnormality with full recovery (finding)
      Show
      Example binding where concept is-a "Adverse incident outcome categories (finding) SCTID: 405533003" (this should replace the current NCI value set) Adverse incident resulting in death (finding) Adverse incident resulting in potentially permanent but not disabling damage (finding) Adverse incident resulting in potentially permanent disabling damage (finding) Transient abnormality unnoticed by the patient (finding) Transient abnormality with full recovery (finding)
    • Resolution Vote:
      Jean Duteau / Hugh Glover: 11-0-1
    • Change Category:
      Enhancement
    • Change Impact:
      Compatible, substantive

      Description

      The AdverseEvent.outcome CodeableConcept has a Preferred binding to a list of NCI UMLS codes.  That does not seem appropriate since it enforces the use of NCI codes on anyone using the AdverseEvent resource for any of the codes that encapsulate the outcome that we need to convey.  This should be an Example binding.  

        Attachments

          Issue Links

            Activity

              People

              Assignee:
              Unassigned Unassigned
              Reporter:
              jduteau Jean Duteau
              Watchers:
              3 Start watching this issue

                Dates

                Created:
                Updated:
                Resolved:
                Vote Date: