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  1. FHIR Specification Feedback
  2. FHIR-40210

Need more explanation about value set expansion profiles

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Quality Measures (FHIR)
    • 4.0.0-ballot [deprecated]
    • Clinical Quality Information
    • STU
    • Measure Terminology Service Capability Statement [deprecated]
    • Measure Terminology Service [deprecated]
    • 10.1.3
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      Changes to CapabilityStatement for Measure Terminology Service:
      ValueSet:
      Add MAY search parameter for "expansion"

      Library:
      Add two new MAY search parameters, one named "contained-parameter-name", and the other named "expansion-identifier".
      Add the SearchParameter resources
      Update http://hl7.org/fhir/us/cqfmeasures/2023Jan/measure-terminology-service.html to describe how to use the two new parameters to
      1. search for expansion identifiers, and
      2. search for CQFM quality program Library resources for a given expansion identifier

      For the ValueSet $expand operation, 
      Add CanonicalVersion, ForceCanonicalVersion, checkCanonicalVersion from CRMI $crmi.package

      In http://hl7.org/fhir/us/cqfmeasures/2023Jan/measure-terminology-service.html#expansion-rules

      add "When processing an expand (or any artifact operation that will encounter canonical references), when an unversioned canonical reference is encountered, the manifest is consulted to determine a version of the artifact to be used for that reference."

      Show
      Changes to CapabilityStatement for Measure Terminology Service: ValueSet: Add MAY search parameter for "expansion" Library: Add two new MAY search parameters, one named "contained-parameter-name", and the other named "expansion-identifier". Add the SearchParameter resources Update http://hl7.org/fhir/us/cqfmeasures/2023Jan/measure-terminology-service.html to describe how to use the two new parameters to 1. search for expansion identifiers, and 2. search for CQFM quality program Library resources for a given expansion identifier For the ValueSet $expand operation,  Add CanonicalVersion, ForceCanonicalVersion, checkCanonicalVersion from CRMI $crmi.package In http://hl7.org/fhir/us/cqfmeasures/2023Jan/measure-terminology-service.html#expansion-rules add "When processing an expand (or any artifact operation that will encounter canonical references), when an unversioned canonical reference is encountered, the manifest is consulted to determine a version of the artifact to be used for that reference."
    • Bryn Rhodes/Juliet Rubini: 22-0-0
    • Enhancement
    • Non-compatible

    Description

      The requirements for measure terminology service should align with VSAC's notion of expansion identifiers for a program release, such as "eCQM Update 2019-05-10". Searching to discover what expansion identifiers are available MUST be supported. Value set searching, given an expansion identifier, and returning the value sets associated with that expansion identifier, MUST be supported. This assumes that an expansion identifier such as "eCQM Update 2019-05-10" is applicable to multiple value sets across multiple measures. Given an OID or other identifier for a value set, searching for the set of expansion identifiers must be supported. Given a ValueSet.identifier, the ability to retrieve the ValueSet for a specific expansion identifier is required. The ability to $expand a ValueSet for a specific expansion identifier is required. Note the VSAC approach for assigning logical ids (ValueSet.id) seems to have changed. https://cts.nlm.nih.gov/fhir/ValueSet?_id=2.16.840.1.113883.3.526.3.1240&_format=json for example returns a Bundle with 7 entries with .id: 2.16.840.1.113883.3.526.3.1240-20190315, 2.16.840.1.113883.3.526.3.1240-20170504, etc (i.e., the OID followed by a date, not just the OID and using meta.versionId to indictate different versions).

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            bryn.rhodes Bryn Rhodes
            mitrep9g Paul Denning
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              Created:
              Updated:
              Resolved: