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  1. FHIR Specification Feedback
  2. FHIR-32341

Encounter class hierarchy needs work

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • FHIR Core (FHIR)
    • R4
    • Patient Administration
    • Encounter
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      Encounter.class will be updated to be:

      Encounter.class 0..* CodeableConcept <ValueSet info Below> (Preferred)

      The new value set will be created with codes that represent at a minimum these concepts:

      • inpatient
      • outpatient
      • observation
      • emergency
      • virtual
      • community

      from this code system: https://terminology.hl7.org/3.1.0/CodeSystem-v3-ActCode.html / _ActEncounterCode

      This will be a preferred binding, which we hope/expect to expand over time to include other common classifications.

       

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      Encounter.class will be updated to be: Encounter.class 0..* CodeableConcept <ValueSet info Below> (Preferred) The new value set will be created with codes that represent at a minimum these concepts: inpatient outpatient observation emergency virtual community from this code system: https://terminology.hl7.org/3.1.0/CodeSystem-v3-ActCode.html  / _ActEncounterCode This will be a preferred binding, which we hope/expect to expand over time to include other common classifications.  
    • Brian Postlethwaite / Stephen Chu : 10-0-0
    • Enhancement
    • Non-compatible
    • R5

    Description

      The hierarchy here doesn't seem to be complete.  For example, home health, pre-admission and virtual would presumably all be sub-types of outpatient?  If not, then the definitions need to be refined.  If we're going to have an extensible value set, the relationships and boundaries between the concepts need to be extremely clear so that when implementers map, there's no confusion about what maps to what.

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            Unassigned Unassigned
            lloyd Lloyd McKenzie
            Floyd Eisenberg, Lloyd McKenzie, Paul Denning, Rob McClure
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              Created:
              Updated:
              Resolved: