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  1. FHIR Specification Feedback
  2. FHIR-39603

Injury Place Encoding for SuperMICAR concepts

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    • Icon: Change Request Change Request
    • Resolution: Considered for Future Use
    • Icon: Medium Medium
    • US Vital Records Death Reporting (VRDR) (FHIR)
    • 2.0.0
    • Public Health
    • Place Of Injury
    • Artifacts Summary
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      No requirement has been identified - will be raised again if considered critical.

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      No requirement has been identified - will be raised again if considered critical.
    • Robert Passas/Saul Kravitz : 25-0-0

    Description

      The IJE specification says that INJPL (coded place of injury) can be specified with EITHER Supermicar codes (letters) or TRX codes (numbers).
      The SuperMicar valueset (first column) is larger than the TRX valueset (2nd column) by 7 codes..   NCHS uses the TRX valueset.   Some of the jurisdictions wanted to 
      create records using SuperMicar codes.

      The answer list that is the source of our LOINC codes for this does not include the highlighted 7 concepts -- https://loinc.org/LL1051-3/.

       

      A 0 (Home) is equivalent to LA14084-0 (Home)
      C 1 (Residential Institution) is equivalent to LA14085-7 (Residential Institution)
      F 2 (School, Other Institutions, Administrative Area) is equivalent to LA14086-5 (School)
      N 3 (Sports and Recreation Area) is equivalent to LA14088-1 (Sports or Recreation Area)
      K 4 (Street/highway) is equivalent to LA14089-9 (Street or highway)
      I 5 (Trade and Service Area) is equivalent to LA14090-7 (Trade or service area)
      G 6 (Industrial and Construction Area) is equivalent to LA14091-5 (Industrial or construction area)
      B 7 (Farm) is equivalent to LA14092-3 (Farm)
      Q 9 (Unspecified Place) is equivalent to LA14093-1 (Unspecified)
      O 8  (Other) is equivalent to OTH (Other)
      D <?> Military Residence   SCT/224683003
      E <?>Hospital   SCT/22232009
      H <?> Garage/Warehouse   SCT/272506004 or SCT/257727001
      J <?> Mine/Quarry   SCT/257640001
      L <?> Public Recreation Area   SCT/702703009 Outdoor Public Site
      M <?> Institutional Recreation Area   <?> No good SCT code
      P <?> Other specified place   <?>. How does this differ from O

      Questions:

      1. Should we support the full 17 code valueset for INJPL in the VRDR IG?
      1. Should we define local codes for the 7 missing concepts?  THere are no existing LOINC codes.  An initial look finds that there are SNOMED environment codes available that would cover 4 of the 7 precisely, 1/7 imprecisely.  Leaving 2 that would require local codes.

       
       

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            saul_kravitz Saul Kravitz
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            Dates

              Created:
              Updated:
              Resolved: