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  1. FHIR Specification Feedback
  2. FHIR-26230

encounter dx on admit needed?

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    • Type: Change Request
    • Status: Published (View Workflow)
    • Priority: Highest
    • Resolution: Not Persuasive with Modification
    • Specification:
      US Da Vinci Alerts (FHIR)
    • Raised in Version:
      0.2.0
    • Work Group:
      Infrastructure & Messaging
    • Related Page(s):
      (many)
    • Related Section(s):
      Da Vinci Notifications Patient Admit/Discharge Use Case
    • Grouping:
    • Resolution Description:
      Hide

      it is our mutual experience that a diagnosis or a provisional diagnosis is available long before discharge - including a diagnosis on an admit/discharge notification allows the recipient to determine if additional action is required.

      add clarifying text

      Show
      it is our mutual experience that a diagnosis or a provisional diagnosis is available long before discharge - including a diagnosis on an admit/discharge notification allows the recipient to determine if additional action is required. add clarifying text
    • Resolution Vote:
      Riki Merrick / Craig Newman: 3-0-1
    • Change Category:
      Clarification
    • Change Impact:
      Non-substantive

      Description

      The stated purpose of this is for "sending unsolicited notifications to the appropriate actors when triggered by an event or request". The example use case is for admission and discharge. On the html web page listed (or here http://hl7.org/fhir/us/davinci-alerts/2020FEB/usecases.html) Figure 5 shows the encounter diagnosis. It isn't required but including it seems very odd. Typically an encounter diagnosis is not available until well after discharge. If the purpose is to give an immediate notification when a patient is discharged, then why would you even list this element. It puts pressure on implementers to try to provide it or at least to look into it. Why not just leave it off and allow systems to query for it later?

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              Assignee:
              Unassigned Unassigned
              Reporter:
              rberge Ruth Berge
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