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  1. FHIR Specification Feedback
  2. FHIR-37987

Make changes to ADI Participant Consent profile

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US PACIO Advance Directive Interoperability (FHIR)
    • 0.1.0
    • Patient Empowerment
    • ADI Participant Consent
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      Based on discussions and agreement with CBCP, make the following changes:

      • Add extension HCAPriority of a CodeableConcept type with a required binding to https://cts.nlm.nih.gov/fhir/res/ValueSet/2.16.840.1.113762.1.4.1046.35
      • Remove the ValueSet PADIConsentActorRoleVS
      • Add CodeSystem PADIHCADecisionMakingCS with the following code:
        • Code: decision-making
        • Display: Healthcare decision making
        • Definition: Healthcare decisions to accept or reject healthcare interventions
      • Remove the ValueSet PADIHCADecisionsCS
      • To ValueSet PADIHCADecisionsVS remove codes from PADIHCADecisionsCS
      • To ValueSet PADIHCADecisionsVS add codes from PADIHCADecisionMakingCS
      • Make the following changes to PADI-ParticipantConsent:
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      Based on discussions and agreement with CBCP, make the following changes: Add extension HCAPriority of a CodeableConcept type with a required binding to https://cts.nlm.nih.gov/fhir/res/ValueSet/2.16.840.1.113762.1.4.1046.35 Remove the ValueSet PADIConsentActorRoleVS Add CodeSystem PADIHCADecisionMakingCS with the following code: Code: decision-making Display: Healthcare decision making Definition: Healthcare decisions to accept or reject healthcare interventions Remove the ValueSet PADIHCADecisionsCS To ValueSet PADIHCADecisionsVS remove codes from PADIHCADecisionsCS To ValueSet PADIHCADecisionsVS add codes from PADIHCADecisionMakingCS Make the following changes to PADI-ParticipantConsent: Add extension to Consent.provision.actor with cardinality 0..1 Change Consent.provision.actor.role to a fixed value of http://terminology.hl7.org/CodeSystem/v3-RoleClass |AGNT Add Consent.provision.code binding US Core Procedure Codes  ( extensible )
    • Brian Meshell / Dave Hill : 7 - 0 - 0
    • Correction
    • Non-compatible

    Description

      The ADI Participant Consent resource is used to identify a persons Health Care Agents (HCAs) as well as the healthcare decisions that the HCA is being authorized to make on behalf of the individual. 

      Currently the HCA is being identified in Consent.provision.actor.reference

      with the role being an indication of their order of contact (Primary HCA to contact, secondary/next if the primary is unavailable or unwilling, etc)

      The decisions that the HCAs are being authorized to make are currently captured in Consent.provision.action with an IG defined CodeSystem identifying certain decisions based on procedures. This is less than ideal as it is preferable to be able to use actual procedure codes in some way and put it in a right to make a decision about context in some fashion.

       

      With same discussion with CBCP, it seems these approaches may not be ideal. Identify a better approach with CBCP and make changes to the profile.

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            Unassigned Unassigned
            corey_spears Corey Spears
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              Created:
              Updated:
              Resolved: