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  1. FHIR Specification Feedback
  2. FHIR-27864

Update binding to LOINC Diagnostic codes value set

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    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 URL:
    • Related Page(s):
      genomics
    • Grouping:
    • Resolution Description:
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      • 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.

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

                Dates

                Created:
                Updated:
                Resolved: