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  1. FHIR Specification Feedback
  2. FHIR-35937

Consider Encounter.reason and reasonCode must support flags

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    • Icon: Change Request Change Request
    • Resolution: Not Persuasive
    • Icon: Medium Medium
    • US Core (FHIR)
    • 4.1.0 [deprecated]
    • Cross-Group Projects
    • US Core Encounter Profile
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      Background

      MS introduced on Encounter.reason when Encounter profile added in version 2.0.0 end of 2018. USCDI V2 introduced Encounter but no reason element.

      see attached image: 

       

      Since this is not new, we are proposing no action.

       

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      Background MS introduced on Encounter.reason when Encounter profile added in version 2.0.0 end of 2018. USCDI V2 introduced Encounter but no reason element. see attached image:    Since this is not new, we are proposing no action.  
    • Eric Haas / Brett Marquard: 13-0-0

      Currently we have Encounter.reason and reasonCode as must support.  We also have Condition.encounter.  The fate of Condition.encounter is a bit up in the air (as of 2022-02-03), due to FHIR-34553, but the possible resolutions to that tracker are very likely to have encounter diagnoses being represented via Condition.encounter.

       

      I think we should either have MS on Encounter.reason* properties, OR a requirement on Condition.encounter (either MS or equivalent conditional narrative, as proposed in FHIR-34553).  I don't think we should have requirements on BOTH.

       

      Note: While US Core is not based on FHIR R5, in R5, PA and PC made (/are making) some major changes to Encounter.diagnosis and Condition.encounter.  FHIR-16148.   I'm not sure we have enough clarity from ONC about what they mean by "Encounter Diagnosis to really align with the R5 modeling though...  

       

            Unassigned Unassigned
            cooper.thompson Cooper Thompson
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              Created:
              Updated:
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