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  1. FHIR Specification Feedback
  2. FHIR-31507

Clarification on "Missing Data" section

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Core (FHIR)
    • 3.1.1
    • Cross-Group Projects
    • General Guidance
    • Missing Data, Must Support
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      update Must Support Bullet:

       

      From 

      "In situations where information on a particular data element is missing and the US Core Responder knows the precise reason for the absence of data, US Core Responders SHALL send the reason for the missing information using values (such as nullFlavors) from the value set where they exist or using the dataAbsentReason extension."

      To

      http://build.fhir.org/ig/HL7/US-Core/conformance-expectations.html#must-support-elements

       

      changes:

      1) change the SHALL to SHOULD

      2)  reference the missing and masked section for missing and masked data.

      http://build.fhir.org/ig/HL7/US-Core/general-guidance.html#missing-data
      http://build.fhir.org/ig/HL7/US-Core/general-guidance.html#suppressed-data

      3) clarify when to use codes and extensions in last phrase

       

      Show
      update Must Support Bullet:   From  "In situations where information on a particular data element is missing and the US Core Responder knows the precise reason for the absence of data, US Core Responders  SHALL  send the reason for the missing information using values (such as nullFlavors) from the value set where they exist or using the dataAbsentReason extension." To http://build.fhir.org/ig/HL7/US-Core/conformance-expectations.html#must-support-elements   changes: 1) change the SHALL to SHOULD 2)  reference the missing and masked section for missing and masked data. http://build.fhir.org/ig/HL7/US-Core/general-guidance.html#missing-data http://build.fhir.org/ig/HL7/US-Core/general-guidance.html#suppressed-data 3) clarify when to use codes and extensions in last phrase  
    • Brett Marquard/Eric Haas: 17-0-3
    • Clarification
    • Compatible, substantive

    Description

      Quote from "Must Support" section:

      In situations where information on a particular data element is missing and the US Core Responder knows the precise reason for the absence of data, US Core Responders SHALL send the reason for the missing information using values (such as nullFlavors) from the value set where they exist or using the dataAbsentReason extension.

      Quote from "Missing Data" section:

      If the source system does not have data for a required data element (in other words, where the minimum cardinality is > 0), the core specification provides guidance which is summarized below:

      For non-coded data elements, use the DataAbsentReason Extension in the data type
      Use the code unknown - The value is expected to exist but is not known.

      There is a kind of conflict on what DAR code to be included.
      Question 1: if the element is optional + MS, shall it use the any DAR code or unknown only?
      Question 2: if the element is required, shall it use unknown only?
      Question 3: if the element is required + MS, shall it use unknown only? (the second quote says "required" not "required and Must Support")

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            Unassigned Unassigned
            yunwwang Yunwei Wang
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              Created:
              Updated:
              Resolved: