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  1. FHIR Specification Feedback
  2. FHIR-32340

LocationQualifier replacing Laterality

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    Details

    • Type: Change Request
    • Status: Published (View Workflow)
    • Priority: Medium
    • Resolution: Persuasive
    • Specification:
      US Minimal Common Oncology Data Elements (mCODE) (FHIR)
    • Raised in Version:
      current
    • Work Group:
      Clinical Interoperability Council
    • Related Artifact(s):
      Primary Cancer Condition Profile
      Secondary Cancer Condition Profile
      Tumor Specimen Profile
    • Grouping:
    • Resolution Description:
      Hide

      The LocationQualifer will be replaced by a  laterality (as in STU1) and body location qualifier components, as proposed.

      This change would be made to every place the Location Qualifier (now BodyLocationQualifier) extension is used:
         - Primary Cancer Condition, Secondary Cancer Condition
         - Tumor Specimen, Genetic Specimen
         - Cancer Related Surgical Procedure

      LateralityVS would include: (as per STU1)
         - left
         - right
         - right and left
         - midline

      The BodyLocationQualifier would include:

      • Include codes from http://snomed.info/sct where concept is-a 106233006 (Topographical modifier)
      • Include codes from http://snomed.info/sct where concept is-a 272424004 (Relative sites)
        excluding the codes in the LateralityVS that are under topgraphical modifier.

       

      Show
      The LocationQualifer will be replaced by a  laterality (as in STU1) and body location qualifier components, as proposed. This change would be made to every place the Location Qualifier (now BodyLocationQualifier) extension is used:    - Primary Cancer Condition, Secondary Cancer Condition    - Tumor Specimen, Genetic Specimen    - Cancer Related Surgical Procedure LateralityVS would include: (as per STU1)    - left    - right    - right and left    - midline The BodyLocationQualifier would include: Include codes from  http://snomed.info/sct  where concept is-a 106233006 (Topographical modifier) Include codes from  http://snomed.info/sct  where concept is-a 272424004 (Relative sites) excluding the codes in the LateralityVS that are under topgraphical modifier.  
    • Resolution Vote:
      Saul Kravitz/Sherita Alai:4-0-0
    • Change Category:
      Correction
    • Change Impact:
      Non-compatible
    • Pre Applied:
      Yes

      Description

      With the replacement of Laterality  http://hl7.org/fhir/us/mcode/StructureDefinition-mcode-laterality.html  and related value set, http://hl7.org/fhir/us/mcode/ValueSet-mcode-laterality-vs.html to a more broad Location Qualifier, http://build.fhir.org/ig/HL7/fhir-mCODE-ig/StructureDefinition-mcode-location-qualifier.html  with associated value set http://build.fhir.org/ig/HL7/fhir-mCODE-ig/ValueSet-mcode-location-qualifier-vs.html    

      laterality is no longer distinguished as a separate data element. Laterality is a critical qualifier that  informs patient care, and without a clear understanding of laterality, miscommunication could occur. 

      Laterality concepts are part of the Location Qualifier value set and are not distinguished from other, more general body location qualifiers. 

      Suggest keeping laterality, and adding a more generic Body Location Qualifier extension with value set that does not include laterality concepts. 

      In person resolution requested by CDC, Radiation Therapy and Registry Reporting terminology teams. 

      FYI Sharon Sebastian

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              Assignee:
              Unassigned Unassigned
              Reporter:
              carmela_couderc Carmela A. Couderc
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                Updated:
                Resolved:
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