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Specification:

US Core (FHIR)
Raised in Version:

4.0.0
Work Group:

Cross-Group Projects
Related Artifact(s):

US Core DocumentReference Profile
Grouping:
- USCoreVarianceRequest
Resolution Description:

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The US-Core DocumentReference profile requires a category. The value set binding is extensible so if a Personal Advance Plan is not considered a clinical-note, then a different code could be used.

CGP does not see the need for a variance at this time since it is allowed to send a different code and we feel that a category should be sent as the US-Core profile indicates.

Motion: Brett Marquard / Floyd Eisenberg: 12-0-0

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The US-Core DocumentReference profile requires a category. The value set binding is extensible so if a Personal Advance Plan is not considered a clinical-note, then a different code could be used. CGP does not see the need for a variance at this time since it is allowed to send a different code and we feel that a category should be sent as the US-Core profile indicates. Motion: Brett Marquard / Floyd Eisenberg: 12-0-0

US Core DocumentReference profile requires the category be a clinical note (http://hl7.org/fhir/us/core/ValueSet/us-core-documentreference-category|clinical-note)
However, The Advance Directive Interoperability (ADI) DocumentReference profile (http://build.fhir.org/ig/HL7/fhir-pacio-adi/StructureDefinition-PADI-DocumentReference.html) needs to include the Personal Advance Care Plan, which is not a clinical note. A request for US Core to relax this requirement in the DocumentReference profile was declined (~~FHIR-35762~~)

This is required before the balloted version of ADI STU1 can be published.

relates to

FHIR-36712 Remove inheritance of US Core DocumentReference from ADI Profile of DocumentReference

FHIR-35762 Enable the use of US Core for non-provider specified data