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  1. FHIR Specification Feedback
  2. FHIR-29639

Remove Statistic.modelCharacteristic.valueCodeableConcept and other adjustments related to its removal

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • FHIR Core (FHIR)
    • R5
    • Clinical Decision Support
    • Evidence
    • Content
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      Workgroup agrees with the proposed changes, but suggests further simplifying the value by:

      Remove valueBoolean, only use case is "not MetaAnalysis", moving that to a new code for "not meta analysis" (out of scope for this change, to be considered by the CodeSystem development group)

      Remove valueRange, no use case

      So the value element is no longer a choice, only SimpleQuantity

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      Workgroup agrees with the proposed changes, but suggests further simplifying the value by: Remove valueBoolean, only use case is "not MetaAnalysis", moving that to a new code for "not meta analysis" (out of scope for this change, to be considered by the CodeSystem development group) Remove valueRange, no use case So the value element is no longer a choice, only SimpleQuantity
    • Brian Alper/Khalid Shahin: 15-0-0
    • Enhancement
    • Non-compatible
    • R5

    Description

      Problem to solve: Coding statistic model characteristics is unnecessarily complicated by having a codeable concept for the model characteristic and a separate codeable concept for the method of addressing that characteristic.

       

      Use case and best practices: Coding a meta-analysis using the Paule-Mandel method of Tau estimation. Code the Paule-Mandel method was used for Tau estimation. It is obvious in this coding that tau was being estimated (so no need to separately code that Tau estimation was done)

       

      Importance and tradeoffs: Reporting statistical models is often incomplete. At times the misapplication or misinterpretation of the statistical model can lead to significantly different results. We are not aware of a scaled system for clear communication of statistical models and creating a standard for this electronic data exchange is also establishing such a system. This proposed FHIR change simplifies the resource with no obvious negative consequences. There has only been 1 instance of Evidence Resources using the more complicated model so far and it can be changed easily, so backwards compatibility is not a concern.

       

      Changes to be made:

      1. Statistic.modelCharacteristic.value[x], remove valueCodeableConcept option
      2. Statistic.modelCharacteristic.code becomes 1..1
      3. Add 56 codes to the StatisticModelCode code system

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            khalid_shahin Khalid Shahin
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              Updated:
              Resolved: