Uploaded image for project: 'FHIR Specification Feedback'
  1. FHIR Specification Feedback
  2. FHIR-30212

Need to update the value set and tighten the binding strength on dischargeDisposition

    XMLWordPrintableJSON

    Details

    • Type: Change Request
    • Status: Deferred (View Workflow)
    • Priority: Medium
    • Resolution: Considered for Future Use
    • Specification:
      US Core (FHIR)
    • Raised in Version:
      3.1.1
    • Work Group:
      Cross-Group Projects
    • Related Artifact(s):
      USCoreEncounterProfile
    • Resolution Description:
      Hide

      Once USCDI Draft V2 is finalized the team will align where possible. The plan is to not address any USCDI Draft V2 updates in this version which will be published Early Q2 2021.  Refer to the US Core Roadmap: https://confluence.hl7.org/display/CGP/

      Show
      Once USCDI Draft V2 is finalized the team will align where possible. The plan is to not address any USCDI Draft V2 updates in this version which will be published Early Q2 2021.  Refer to the US Core Roadmap:  https://confluence.hl7.org/display/CGP/
    • Resolution Vote:
      Brett Marquard/Eric Haas: 17-0-3

      Description

      Encounter Disposition is included for consideration in USCDI V2 as a Level 2 data element under the Encounter data class. https://www.healthit.gov/isa/uscdi-data/encounter-disposition The proposed data element definition points to the value set used in FHIR for the Encounter Resource (Encounter.hospitalization.dischargeDisposition), but which only carries an example binding strength in FHIR R4. The US Core Encounter Profile does not tighten that requirement at the moment. The problem is the mapping between the NUBC-based set of concepts and the new HL7 Value Set is the mapping is not straightforward/useful, IMO. The correspondences just aren’t well aligned enough, IMO. Clarifying a mapping between previously suggested/used concepts from NUBC and the new possible (which needs to at a minimum be tightened to recommended in the US Core Encounter profile) set of concepts from the FHIR value set.

        Attachments

          Issue Links

            Activity

              People

              Assignee:
              Unassigned Unassigned
              Reporter:
              LisaRNelson Lisa R. Nelson
              Watchers:
              3 Start watching this issue

                Dates

                Created:
                Updated:
                Resolved:
                Vote Date: