Details
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Change Request
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Resolution: Persuasive with Modification
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Medium
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US Core (FHIR)
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current
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Cross-Group Projects
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STU
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US Core Condition Profile [deprecated]
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General Guidance
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10.87.1.1, 2.1.1.6
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Brett Marquard/Eric Haas: 15-0-0
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Clarification
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Non-substantive
Description
Section 10.87.1.1 says
*The status element has the following constraints: SHALL be present if verification status is not entered-in-error and SHALL NOT be present if verification Status is entered-in-error.
Section 2.1.1.6 says
where the minimum cardinality is > 0
- Condition.clinicalStatus
Both of these imply that Condition.clinicalStatus is required, but the Condition.clinicalStatus has cardinality 0..1 and the invariant con-3 is only applicable to problems (not diagnoses)
con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item (: clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty())
Can the sections above be clarified to include the additional context that clinicalStatus is only required when it's a problem (i.e. clinicalStatus can be empty when category is encounter-diagnoses)?
This has been a frequent implementer question (how to handle diagnoses on claims without a clinicalStatus) per:
Attachments
Issue Links
- is voted on by
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BALLOT-26668 Negative - Michelle Miller : 2022-Jan-FHIR US CORE R4.1 STU
- Closed
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BALLOT-30889 Negative - Will Winterer : 2022-Jan-FHIR US CORE R4.1 STU
- Closed
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BALLOT-30897 Negative - Lucas Hearn : 2022-Jan-FHIR US CORE R4.1 STU
- Closed
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BALLOT-30905 Negative - Kevin Larsen : 2022-Jan-FHIR US CORE R4.1 STU
- Closed
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BALLOT-30966 Negative - Sheila Connelly : 2022-Jan-FHIR US CORE R4.1 STU
- Closed
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BALLOT-31121 Negative - Linda Michaelsen : 2022-Jan-FHIR US CORE R4.1 STU
- Closed
- relates to
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FHIR-35318 US Core Condition - add optional verificationStatus search parameter
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- Published
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