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  1. FHIR Specification Feedback
  2. FHIR-26060

Change US Core Condition Code Value Set Logical Definition

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    Details

    • Type: Change Request
    • Status: Applied (View Workflow)
    • Priority: Medium
    • Resolution: Not Persuasive with Modification
    • Specification:
      US Core (FHIR)
    • Raised in Version:
      3.1.0
    • Work Group:
      Cross-Group Projects
    • Related Page(s):
      Profiles and Extensions
    • Resolution Description:
      Hide

      US Core Condition Value set should continue to be defined intensionally as 

      SNOMEDCT
           Include

      • concept descendantOf ("404684003:Clinical finding (finding)")
      • OR
      • concept descendantOf ("243796009:Situation with explicit contex...")

      and add

      • OR
      • descendantOf ("272379006 | Event (event) "

      C-CDA Value set should be updated to align with with the addition of the "Event" hierarchy

      (Please see comment below)

      Show
      US Core Condition Value set should continue to be defined intensionally as  SNOMEDCT      Include concept descendantOf ("404684003:Clinical finding (finding)") OR concept descendantOf ("243796009:Situation with explicit contex...") and add OR descendantOf ("272379006 | Event (event) " C-CDA Value set should be updated to align with with the addition of the "Event" hierarchy (Please see comment below)
    • Resolution Vote:
      Eric Haas/Drew Torres: 6-0-0
    • Change Category:
      Enhancement
    • Change Impact:
      Compatible, substantive

      Description

      The current definition for FHIR STU 3 version 3.1.0 has the following logical definition for US Core Condition Codes:

       

       

      Requested Change:

      Please change:

      To be:

      • Include codes from http://snomed.info/sct where concept is-a 413350009 (Finding with explicit context (situation))
      • Include codes from http://snomed.info/sct where concept is-a 182985004 (Response to treatment (situation))

       

      Justification:

      The current logical definition includes all concepts in the 243796009 | Situation with explicit context (situation) hierarchy.  There are concepts such as 129125009 |  Procedure with explicit context (situation) and 57177007 | Family history with explicit context (situation) in this hierarchy that should not be included in as a clinical condition for the subject of the medical record. Procedures belong in another section and Family History concepts apply to family members that are not the subject of the medical record (i.e. father, mother, etc.). Since this is an intentional value set definition, the user must be able to extract the components of the value set using transitive closure, so specifying a sub-domain as part of the logical definition is appropriate.

      If appropriate, the definition change should apply to US Core STU 3.1.0.

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            Assignee:
            Unassigned Unassigned
            Reporter:
            jwsnyderdh John Snyder
            Watchers:
            3 Start watching this issue

              Dates

              Created:
              Updated:
              Resolved:
              Vote Date: