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  1. FHIR Specification Feedback
  2. FHIR-36745

Need practitionerRole in Encounter.participant.individual as it supports specialty taxonomy which is needed in some quality scenarios

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US QI Core (FHIR)
    • 4.1.1
    • Clinical Quality Information
    • QICore Encounter
    • 10.18.1.2
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      QI-Core PractitionerRole (like US Core PractitionerRole) has Must Support for PractitionerRole.specialty - the value set binding needs to be updated to the US Core 5.0.0 change to reference the HealthcareProviderTaxonomy rather than the current USCore Provider Specialty (NUCC) value set. See FHIR-37365
      See FHIR-34534 which indicates that Encounter.participant needs to add Reference to PractitionerRole and RelatedPerson.

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      QI-Core PractitionerRole (like US Core PractitionerRole) has Must Support for PractitionerRole.specialty - the value set binding needs to be updated to the US Core 5.0.0 change to reference the HealthcareProviderTaxonomy rather than the current USCore Provider Specialty (NUCC) value set. See FHIR-37365 See FHIR-34534 which indicates that Encounter.participant needs to add Reference to PractitionerRole and RelatedPerson.
    • Juliet Rubini/Abdullah Rafiqi: 15-0-0
    • Enhancement
    • Non-compatible

    Description

      It is important when you evaluate an Encounter from a provider with an E&M code that you be able to know his specialty for some quality measures.  Example is a 99213 for an opthalmologist might quality as an opthalmology exam for some measures if the dr is a provider.  Having the ability to link to the practitionerRole and from that to the Practition.  The practitionerRole.specialty gives you that information.

      Note that Anne Smith can give additional insight

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            feisenberg Floyd Eisenberg
            lmichaelsen Linda Michaelsen
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