Uploaded image for project: 'FHIR Specification Feedback'
  1. FHIR Specification Feedback
  2. FHIR-27864

Update binding to LOINC Diagnostic codes value set

    XMLWordPrintableJSON

    Details

    • Type: Change Request
    • Status: Waiting for Input (View Workflow)
    • Priority: Medium
    • Resolution: Persuasive with Modification
    • Specification:
      Genomics Reporting (FHIR)
    • Raised in Version:
      1.0
    • Work Group:
      Clinical Genomics
    • Related Page(s):
      genomics
    • Grouping:
    • Resolution Description:
      Hide
      • REQUIRE fixed value to category (GENETICS) (it is optional today, 0..*)
        • --> DiagnosticReport.category cardinality will be: 1..*
      • Create a new ValueSet including genomic diagnostic report codes which are suitable from LOINC. Example binding to this VS.
        --> evaluate if the IG Publisher Tooling is capable of filtering LOINC on specific properties
        LOINC Categories/Property to Filter: (HL7.GENETICS, HL7.CYTOGENETICS, and many more & Scale = Doc), evaluate if this ends up in a suitable VS.
      • Remove current fixed value to code
      • Bind code to new ValueSet (preferred)
      Show
      REQUIRE fixed value to category (GENETICS) (it is optional today, 0..*) --> DiagnosticReport.category cardinality will be: 1..* Create a new ValueSet including genomic diagnostic report codes which are suitable from LOINC. Example binding to this VS. --> evaluate if the IG Publisher Tooling is capable of filtering LOINC on specific properties LOINC Categories/Property to Filter: (HL7.GENETICS, HL7.CYTOGENETICS, and many more & Scale = Doc), evaluate if this ends up in a suitable VS. Remove current fixed value to code Bind code to new ValueSet (preferred)
    • Change Impact:
      Non-compatible

      Description

      In reference to https://jira.hl7.org/browse/FHIR-19831

      After removing the fixed value binding of DianosticReport.code = 81247-9, I'd like to suggest that we update the terminology binding to LOINC more broadly, such as binding to this value set: http://hl7.org/fhir/valueset-report-codes.html.

      Additionally, we could set the binding to extensible to allow more flexibility and provide textual guidance in leveraging LOINC parts to finding LOINC codes specific to genomic tests.

        Attachments

          Issue Links

            Activity

              People

              Assignee:
              patrick-werner Patrick Werner
              Reporter:
              liz.amos Liz Amos
              Watchers:
              4 Start watching this issue

                Dates

                Created:
                Updated:
                Resolved: