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  1. FHIR Specification Feedback
  2. FHIR-39258

Intensional and Extensional Reference to Code Group is not consistent

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Highest Highest
    • FHIR Core (FHIR)
    • R5
    • Terminology Infrastructure
    • STU
    • ValueSet
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      Current text:

      An intensional value set is typically algorithmically defined. That is, the code group is defined as a rule e.g. all codes with the word diabetes in their description. The key benefit of intensional code groups is that they can be dynamically updated. Dynamic updating helps healthcare organizations keep current when new drugs (and their associated codes) become available or codes for diseases and other clinical concepts change. An intensional value set designed to contain all of the drugs in the beta blocker category can automatically receive a new beta blocker's code as soon as it hits the market.

      Change to this value:

      An intensionally defined value set may be algorithmically defined e.g. all codes with the word diabetes in the description. A key benefit of intensionally defined value sets is that their expansion can be dynamically updated without changing the value set definition. This helps healthcare organizations keep current for example, when new drugs (and their associated codes) become available or codes for diseases and other clinical concepts are added. 

       

       

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      Current text: An intensional value set is typically algorithmically defined. That is, the code group is defined as a rule e.g. all codes with the word diabetes in their description. The key benefit of intensional code groups is that they can be dynamically updated. Dynamic updating helps healthcare organizations keep current when new drugs (and their associated codes) become available or codes for diseases and other clinical concepts change. An intensional value set designed to contain all of the drugs in the beta blocker category can automatically receive a new beta blocker's code as soon as it hits the market. Change to this value: An intensionally defined value set may be algorithmically defined e.g. all codes with the word diabetes in the description. A key benefit of intensionally defined value sets is that their expansion can be dynamically updated without changing the value set definition. This helps healthcare organizations keep current for example, when new drugs (and their associated codes) become available or codes for diseases and other clinical concepts are added.      
    • Reuben Daniels/Rob Hausam: 2-0-0
    • Clarification
    • Non-substantive
    • R5

    Description

      Current text:

      An intensional value set is typically algorithmically defined. That is, the code group is defined as a rule e.g. all codes with the word diabetes in their description. The key benefit of intensional code groups is that they can be dynamically updated. Dynamic updating helps healthcare organizations keep current when new drugs (and their associated codes) become available or codes for diseases and other clinical concepts change. An intensional value set designed to contain all of the drugs in the beta blocker category can automatically receive a new beta blocker's code as soon as it hits the market.

      The text references "code group". Suggest replacing "code group" with something like "set of qualifying concepts" or "set of concepts identified by the algorithm" - or the expansion.

      3rd sentence: The key benefit of intensional code groups is that they can be dynamically updated.

      The expansion may be dynamically updated, depends on what is decided to do with the "code group" reference. 

      Code groups aren't defined anywhere, and we should keep to the known components of a ValueSet (definition & expansion) unless a code group is something very different. 

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            Unassigned Unassigned
            carmela_couderc Carmela A. Couderc
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              Updated:
              Resolved: