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  1. FHIR Specification Feedback
  2. FHIR-32010

Add text to Extensible binding to indicate that some US Core value sets can always provide a mapped code

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    • Change Request
    • Status: Published (View Workflow)
    • Medium
    • Resolution: Persuasive with Modification
    • US Core (FHIR)
    • 3.2.0
    • Cross-Group Projects
    • US Core Condition Codes
      US Core Procedure Codes
    • 5.4.1.2
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      Agree with modification of the suggested language:
      For the US Core Procedure Codes value set and the US Core Condition Code value sets, the value set includes a number of high-level abstract codes. For data not captured by the system transmitting the information, all effort should be made to automatically convert coded data to a fine-grained code from the specified value set. If automated conversion to a fine-grained code is not possible, the system can provide the existing code or the free text, and a high-level abstract code, such as SNOMED CT 'Procedure', in order to remain conformant with the extensible binding.

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      Agree with modification of the suggested language: For the US Core Procedure Codes value set and the US Core Condition Code value sets, the value set includes a number of high-level abstract codes. For data not captured by the system transmitting the information, all effort should be made to automatically convert coded data to a fine-grained code from the specified value set. If automated conversion to a fine-grained code is not possible, the system can provide the existing code or the free text, and a high-level abstract code, such as SNOMED CT 'Procedure', in order to remain conformant with the extensible binding.
    • Jean Duteau/Brett Marquard:9-0-0
    • Clarification
    • Non-substantive

    Description

      Although the existing language is good, I feel that one additional piece of guidance is needed to indicate to implementers that some of the bound value sets are broad enough that a code can always be found to map to.

      Here is a suggested point to add to this section to make that clear:

      NOTE: For the US Core Procedure Codes value set and the US Core Condition Code value sets, the value set includes a number of high-level abstract codes.  For data not captured by the system transmitting the information, all effort should be made to automatically convert coded data to a fine-grained code from the specified value set. If automated conversion to a fine-grained code is not possible, the system can provide the existing code or the free text, but the system SHALL also provide a coding from a high-level abstract code, such as SNOMED CT 'Procedure', in order to remain conformant with the binding.

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            jduteau Jean Duteau
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              Updated:
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