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  1. FHIR Specification Feedback
  2. FHIR-26591

Goal.Description value set has mostly inadequate values

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • FHIR Core (FHIR)
    • R4
    • Patient Care
    • Goal
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      Replace the value set with ALL clinical findings to the following codes: 

      2004005 | Normal blood pressure (finding)|
      301475006 | Does negotiate obstacles (finding)|
      282192007 | Able to walk up stairs (finding)|
      161922009 | No cough (situation)|
      228367002 | Does not misuse drugs (situation)|
      1157152000 | Not at risk of elopement from healthcare setting (situation)|
      19063003 | Arthroplasty of knee (procedure)|
      700000006 | Vaginal delivery of fetus (procedure)|

      271651005 | Stable blood pressure (finding) 

      716424007 | Able to mobilize over uneven ground (finding)

       

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      Replace the value set with ALL clinical findings to the following codes:  2004005 | Normal blood pressure (finding)| 301475006 | Does negotiate obstacles (finding)| 282192007 | Able to walk up stairs (finding)| 161922009 | No cough (situation)| 228367002 | Does not misuse drugs (situation)| 1157152000 | Not at risk of elopement from healthcare setting (situation)| 19063003 | Arthroplasty of knee (procedure)| 700000006 | Vaginal delivery of fetus (procedure)| 271651005 | Stable blood pressure (finding)  716424007 | Able to mobilize over uneven ground (finding)  
    • Rob Eastwood / Emma Jones : 3-0-0
    • Clarification
    • Non-substantive

    Description

      We have defined a value set for Goal.description - which is good as an example that some goals can be coded.

      But the value set has mostly inadequate values - most are (undesirable) clinical findings which is conceptually not the same as a goal. It could be argued (that was my 2nd guess) that the goal.description actually describes the condition you want to remove, but that would be inconsistent with the element definition, and would include a serious ambiguity, by having goals like "non-smoker" and "Disorder of pancreas" without any indication that the goal is presence of the former and absence of the latter.  

       

      Suggest having a new extensional value set. 

       

      https://chat.fhir.org/#narrow/stream/179166-implementers/topic/Goal.2Edescription

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            costateixeira Jose Costa-Teixeira
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              Updated:
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