Details
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Change Request
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Resolution: Persuasive with Modification
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Medium
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FHIR Core (FHIR)
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R4
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Patient Administration
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Encounter
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FHIR-16148 Encounter.reason and Encounter.diagnosis
Description
Encounter.diagnosis currently requires a reference to either a Condition or Procedure. However, in many cases, the diagnosis (or diagnoses) on an encounter are just lists of codes (ICD-10, SNOMED, etc.) entered by clinical/billing staff and not actually separate entities in the chart which could be represented as a full resource on their own. For example, the admitting diagnosis may be simply W56.22 (Struck by Orca), and the patient might end up with a several Condition resources describing the results of that (broken bones, concussion, etc.) and the Procedure resources that are performed in the process of treatment.
It seems like Condition.code (which is a CodeableConcept referring to value set Condition/Problem/Diagnosis Codes) is a more appropriate representation for this kind of data, and the Conditions & Procedures documented on an encounter should be separate elements from any of the diagnoses (admitting, primary, working, discharge, etc.).
Attachments
Issue Links
- duplicates
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FHIR-16148 Encounter.reason and Encounter.diagnosis
- Published