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  1. FHIR Specification Feedback
  2. FHIR-35820

Change QICore Specimen value set bindings where items are Must Support

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    • Change Request
    • Resolution: Persuasive
    • Medium
    • US QI Core (FHIR)
    • 4.1.0 [deprecated]
    • Clinical Quality Information
    • QICore Specimen
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      Specimen.collection.bodySite uses http://hl7.org/fhir/R4/valueset-body-site.html ; change binding to "Preferred" Specimen.type uses http://terminology.hl7.org/ValueSet/v2-0487 ; change binding to "Preferred" Specimen.processing.procedure uses http://hl7.org/fhir/ValueSet/specimen-processing-procedure ; change binding to "Preferred" (Note that the LOINC term for observables may include the method as part of the concept.)
    •  Linda Michaelsen/Floyd Eisenberg: 17-0-0 approved
    • Enhancement
    • Non-compatible

    Description

      The following elements of QICoreSpecimen are Must Support but have example bindings. Update these items to Preferred bindings:

      • QICoreSpecimen
        • Specimen.collection.bodySite uses http://hl7.org/fhir/R4/valueset-body-site.html Change to "Preferred" Consider note to OO to consider update to more recent version of SNOMED
        • Specimen.type uses http://terminology.hl7.org/ValueSet/v2-0487 This value set is referenced as an example value set only in the QI-Core profile QICoreSpecimen which references Codeable Concept and references a "for example" to this value set. It derives directly from FHIR Specimen that references this value set. The LabObservation comes from US Core and does not include specimen.type as a Must Support. Perhaps Specimen.collection.bodySites should remain Must Support and Specimen.type relax the Must Support (FHIR has Specimen.type as example as well).
        • Specimen.processing.procedure uses http://hl7.org/fhir/ValueSet/specimen-processing-procedure – These are SNOMED procedures - Change to "Preferred" Note that the LOINC term for observables may include the method as part of the concept.

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              bryn.rhodes Bryn Rhodes
              feisenberg Floyd Eisenberg
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