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  1. FHIR Specification Feedback
  2. FHIR-38545

PractitionerRole.code versus PractitionerRole.specialty

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    • Icon: Change Request Change Request
    • Resolution: Considered for Future Use
    • Icon: Highest Highest
    • US National Directory Attestation and Verification (FHIR)
    • 1.0.0-ballot
    • Patient Administration
    • STU
    • NatDir PractitionerRole
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      We will consider this ballot comment when we work with the HL7 terminology leadership and determine the appropriate code systems, value sets and repository (e.g., THO) for a number of code systems and value sets referenced in the combined IG.  Consideration will also be given to compatibility with the current value sets for Plan Net.

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      We will consider this ballot comment when we work with the HL7 terminology leadership and determine the appropriate code systems, value sets and repository (e.g., THO) for a number of code systems and value sets referenced in the combined IG.  Consideration will also be given to compatibility with the current value sets for Plan Net.
    • Bob Dieterle / Brian Postlethwaite: 9-0-0

      PractitionerRole.code is defined as "Roles which this practitioner may perform" and PractitionerRole.specialty is defined as "Specific specialty of the practitioner". While there seems to be subtle differences in these fields' definitions, there is overlap in their respective value sets. The PractitionerRole.code value set of PractitionerRoleVS (defined as "Codes for the capabilities that an individual, group, or organization is acknowledged to have in a payer network, including general codes from the HL7 PractitionerRole Code System.") has some specific values and related less specific values, such as "Dentist" and "Dental Provider" or "Speech Language Pathologist" and "Speech, Language and Hearing Service Providers" but this is not the case with other values, for example there is "Dietary and Nutritional Service Provider" but not "Registered Dietitian" (please add Registered Dietitian if this list remains in its current state) and "Pharmacy Service Providers" from one code system but "Pharmacist" is included from a different code system. These don't seem like capabilities, rather specialties. In contrast, the IndividualAndGroupSpecialtiesVS value set for PractitionerRole.specialty has only the more specific values, such as "Dentist", "Speech-Language Pathologist", "Registered Dietitian", etc. Additionally, the PractitionerRole.code value set also has values such as "Admitting Privileges" and "Member Of", which seem more like capabilities which make the the intended use of PractitionerRole.code and its value set confusing.

            Unassigned Unassigned
            bgradl Becky Gradl
            Becky Gradl
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