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

    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium

    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

        Activity

          People

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

            Dates

              Created:
              Updated:
              Resolved: