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  1. FHIR Specification Feedback
  2. FHIR-39196

Is SFCU at the resource level precise enough?

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    • Icon: Change Request Change Request
    • Resolution: Not Persuasive with Modification
    • Icon: Highest Highest
    • FHIR Core (FHIR)
    • R5
    • Patient Administration
    • Extension Registry
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      Specific guidance on how and when to use SFCU is being added to the GHP IG.  After much discussion, our approach to the FHIR base spec is to be fairly vague on guidance, and instead refer to the GHP IG for guidance, so that we might iterate on that guidance and resolve differing perspectives in a venue that is more easily updated.

       

      There are two documents we are drafting:

      1. Updates to the FHIR specification to defer to the GHP IG:  https://docs.google.com/document/d/1ne73sA_4pQvmFy1w9FgGg1Z8M6zwCkryuC96vDjsMcw/edit
      2. Updates to SFCU and guidance: https://docs.google.com/document/d/16n4a4xs7Vm9ri4s_HsvPqfjvkpQ8KnRN/edit

       

      As this tracker is against the FHIR core spec, the resolution here will simply be that we will include language that defers this guidance to the GHP IG (described in the link in #1 above).  The actual answer to your question may be addressed in the GHP IG, though likely on different timelines than the FHIR R5 publication cycle.  Also, determining to which entity contextual extensions on Observation apply is a discussion for the owner of the Observation resource (i.e., O&O).

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      Specific guidance on how and when to use SFCU is being added to the GHP IG.  After much discussion, our approach to the FHIR base spec is to be fairly vague on guidance, and instead refer to the GHP IG for guidance, so that we might iterate on that guidance and resolve differing perspectives in a venue that is more easily updated.   There are two documents we are drafting: Updates to the FHIR specification to defer to the GHP IG:   https://docs.google.com/document/d/1ne73sA_4pQvmFy1w9FgGg1Z8M6zwCkryuC96vDjsMcw/edit Updates to SFCU and guidance: https://docs.google.com/document/d/16n4a4xs7Vm9ri4s_HsvPqfjvkpQ8KnRN/edit   As this tracker is against the FHIR core spec, the resolution here will simply be that we will include language that defers this guidance to the GHP IG (described in the link in #1 above).  The actual answer to your question may be addressed in the GHP IG, though likely on different timelines than the FHIR R5 publication cycle.  Also, determining to which entity contextual extensions on Observation apply is a discussion for the owner of the Observation resource (i.e., O&O).
    • Rob McClure / Brian Postlethwaite : 8-0-2
    • Enhancement
    • Non-substantive
    • R5

      Consider whether there are cases where an extension on the resource is not precise enough. For example, if SFCU is applied to Observation, does it indicate the SFCU of the Observation.subject, or the Observation.focus (perhaps a RelatedPerson)? How can we differentiate? There may be other similar gaps.

      (Comment 4 - imported by: Ron G. Parker)

            Unassigned Unassigned
            Rongparker Ron G. Parker
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