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  1. FHIR Specification Feedback
  2. FHIR-32387

Allow exceptional cases where diagnosis is not available in structured form

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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:
      1.16.0
    • Work Group:
      Clinical Interoperability Council
    • Related Artifact(s):
      Brachytherapy Treatment Phase
      Radiotherapy Course Summary Profile
      Teleradiotherapy Treatment Phase
    • Grouping:
    • Resolution Description:
      Hide

      This invariant is included in:

      • CancerRelatedMedicationRequest
      • CancerRelatedMedicationAdministration
        -Cancer Related Surgical Procedure
        -RadiotherapyCourseSummary

      The severity will be softened from error to warning.

      Show
      This invariant is included in: CancerRelatedMedicationRequest CancerRelatedMedicationAdministration -Cancer Related Surgical Procedure -RadiotherapyCourseSummary The severity will be softened from error to warning.
    • Resolution Vote:
      Saul Kravitz/Marti Velezis: 9-0-0
    • Change Category:
      Correction
    • Change Impact:
      Compatible, substantive

      Description

      (re-entered as change request instead of question):

      The constraint mcode-reason-required requires that a diagnosis SHALL be present. This should not be a limitation in practice, as it makes hardly sense to record treatment but no diagnosis. However, technically it is possible to define and record a treatment without properly recording the diagnosis. There are no technical measures that prevent treating without a diagnosis in structured form. Should in this case the treatment summary could not be exposed (as it is invalid according to this constraint). Suggested change is to change the severity of the invariant to warning.

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              Assignee:
              Unassigned Unassigned
              Reporter:
              mvonsieb Martin von Siebenthal
              Watchers:
              1 Start watching this issue

                Dates

                Created:
                Updated:
                Resolved:
                Vote Date: