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  1. FHIR Specification Feedback
  2. FHIR-26297

Enhance value set definition for US Core Procedure Codes

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    • Type: Change Request
    • Status: Resolved - No Change (View Workflow)
    • Priority: Medium
    • Resolution: Not Persuasive
    • Specification:
      US Core (FHIR)
    • Raised in Version:
      3.1.0
    • Work Group:
      Cross-Group Projects
    • Related Page(s):
      Profiles and Extensions
    • Resolution Description:
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      The SNOMED 129125009 | Procedure with explicit context (situation) hierarchy has too many codes that would introduce variability in how thing are represented in FHIR Procedure (affecting other resource/profiles as well). For example: 

      • Procedure refused (183944003)
      • Procedure not done (416237000)
      • Procedure stopped (394908001)
      • etc.

      When the concept focus is the medical record, such states/situations, are already covered in procedure structural elements and vocabulary binding such as found in  Procedure.status, Procedure.statusReason

      If this hierarchy was added, the logic rules would have to be developed/described to handle this likley redundancy

      Show
      The SNOMED 129125009 | Procedure with explicit context (situation) hierarchy has too many codes that would introduce variability in how thing are represented in FHIR Procedure (affecting other resource/profiles as well). For example:  Procedure refused (183944003) Procedure not done (416237000) Procedure stopped (394908001) etc. When the concept focus is the medical record, such states/situations, are already covered in procedure structural elements and vocabulary binding such as found in  Procedure.status, Procedure.statusReason If this hierarchy was added, the logic rules would have to be developed/described to handle this likley redundancy
    • Resolution Vote:
      Brett Marquard/Eric Haas: 5-0-4

      Description

      The current logical definition for US Core Procedure Codes states:

       
      This example value set defines a set of codes that can be used to indicate the type of procedure: a specific code indicating type of procedure performed, from CPT, SNOMED CT, or HCPCS Level II Alphanumeric Codes.

      Copyright Statement: CPT copyright 2014 American Medical Association. All rights reserved. This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement

      This value set includes codes from the following code systems:

       

      Request:

      Please Expand the list of allowed SNOMED concepts to include all children of 129125009 | Procedure with explicit context (situation)

      {{}}

      Justification:{{}}

      These are valid snomed procedure concepts where the focus of the concept is the subject of the medical record.

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            Unassigned Unassigned
            Reporter:
            jwsnyderdh John Snyder
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