Details
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Change Request
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Resolution: Persuasive
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Medium
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US QI Core (FHIR)
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4.1.0 [deprecated]
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Clinical Quality Information
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QICore Communication Not Done
QICore Device Not Requested
QICore Immunization Not Done
QICore Medication Not Requested
QICore Not Done ValueSet
QICore Procedure Not Done
QICore Service Not Requested
QICoreMedicationAdministrationNotDone [deprecated]
QICoreMedicationDispenseNotDone [deprecated]
QICoreObservationNotDone [deprecated]
QICoreTaskNotDone [deprecated] -
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Juliet Rubini/Peter Muir:18-0-0
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Correction
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Non-substantive
Description
Given this example:
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<vaccineCode> <extension url="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet"> <valueCanonical value="http://cts.nlm.nih.gov/fhir-r3/ValueSet/2.16.840.1.113883.3.464.1003.196.11.1220"/> </extension> <text value="Influenza, seasonal, injectable, preservative free"/> </vaccineCode>
{{}}The problem is that the text doesn't match the extension both structurally and detail
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The text is the concept, but the concept is not a concept, it's a value set. And the text is for the first concept in the value set, not the set of things the value set describes.
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And so the rendering of the concept in the IG publisher, and any other system, isn't a correct statement of what's going on, and I don't think it's clinically safe
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And nor did the IG explain to me in any meaningfully way how I would use that extension to say something clinically meaningful, and nor did I find resolving the value set reference in the example at all straight forward
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Please make sure the use of this extension is clearly implementable in a safe way.
See this Zulip chat for more information: https://chat.fhir.org/#narrow/stream/179252-IG-creation/topic/QI.20Core.20Issues
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Grahame Grieve: the problem is that the text doesn't match the extension both structurally and detail
Grahame Grieve: the text is the concept, but the concept is not a concept, it's a value set. And the text is for the first concept in the value set, not the set of things the value set describes.
Grahame Grieve: and so the rendering of the concept in the IG publisher, and any other system, isn't a correct statement of what's going on, and I don't think it's clinically safe
Grahame Grieve: and nor did the IG explain to me in any meaningfully way how I would use that extension to say something clinically meaningful, and nor did I find resolving the value set reference in the example at all straight forward
Grahame Grieve: but we need to get this thing done. Can the committee take this up as a future work item and make sure that's clearly implementable in a safe way in the fut
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