Uploaded image for project: 'FHIR Specification Feedback'
  1. FHIR Specification Feedback
  2. FHIR-34534

Consider updating choice type for Encounter.referenceReason to mirror US Core

    XMLWordPrintableJSON

Details

    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US QI Core (FHIR)
    • 4.1.0 [deprecated]
    • Clinical Quality Information
    • QICore Encounter
    • Hide

      US Core references base FHIR references for resources that US Core does not profile. QI-Core, however, does profile some of these base FHIR Resources and the References should be to QI-Core profiles rather than the base FHIR Resources. Specific changes to apply:

      • QI-Core Encounter.participant.individual - currently references QI-CorePractitioner - to be consistent with US Core, add QI-CorePractitionerRole and QI-CoreRelatedPerson and only have Must Support for Practitioner.
      • ADD Must Support for QI-Core Encounter.reasonReference and reference QI-Core ConditionEncounterDiagnosis (new profile), ADD MS for QI-Core Condition, QI-Core ImmunizationRecommendation, QI-Core Procedure, QI-Core Observation.
        ALSO:
      1. Add a ConditionEncounterDiagnosis profile based on US Core's new ConditionEncounterDiagnosis profile
      2. Retain Must Support for Encounter.diagnosis and assure that Encounter.diagnosis.condition can Reference QI-CoreCondition, QI-CoreConditionEncounterDiagnosis, and add QI-CoreProcedure as well to avoid the need to have a procedure extension. This is consistent with base FHIR R4 and proposed R5 definitions forEncounter.diagnosis.condition as "The diagnosis or procedure relevant to the encounter" - in BOTH R4 and R5.
      Show
      US Core references base FHIR references for resources that US Core does not profile. QI-Core, however, does profile some of these base FHIR Resources and the References should be to QI-Core profiles rather than the base FHIR Resources. Specific changes to apply: QI-Core Encounter.participant.individual - currently references QI-CorePractitioner - to be consistent with US Core, add QI-CorePractitionerRole and QI-CoreRelatedPerson and only have Must Support for Practitioner. ADD Must Support for QI-Core Encounter.reasonReference and reference QI-Core ConditionEncounterDiagnosis (new profile), ADD MS for QI-Core Condition, QI-Core ImmunizationRecommendation, QI-Core Procedure, QI-Core Observation. ALSO: Add a ConditionEncounterDiagnosis profile based on US Core's new ConditionEncounterDiagnosis profile Retain Must Support for Encounter.diagnosis and assure that Encounter.diagnosis.condition can Reference QI-CoreCondition, QI-CoreConditionEncounterDiagnosis, and add QI-CoreProcedure as well to avoid the need to have a procedure extension. This is consistent with base FHIR R4 and proposed R5 definitions forEncounter.diagnosis.condition as "The diagnosis or procedure relevant to the encounter" - in BOTH R4 and R5.
    • Abdulah Rafiqi/Ben Hamlin 13-0-0
    • Enhancement
    • Non-compatible

    Description

      US Core version 4 uses the following choice types for encounter.referenceReason:

       reasonReference SΣ 0..1 Reference([US Core Condition Profile http://hl7.org/fhir/us/core/StructureDefinition-us-core-condition.html] S | US Core Procedure Profile | Observation | ImmunizationRecommendation)

      Consider updating QICoreEncounter.reasonReference to mirror as QICore currently points to base resources.

      Attachments

        Activity

          People

            feisenberg Floyd Eisenberg
            jrubini Juliet K. Rubini
            Watchers:
            4 Start watching this issue

            Dates

              Created:
              Updated:
              Resolved: