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  1. FHIR Specification Feedback
  2. FHIR-40379

Correct codes in DocumentationTypeValueSet and Documentation Observation

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US PACIO Advance Directive Interoperability (FHIR)
    • 0.1.0
    • Patient Empowerment
    • Documentation Types
    • Hide

      Make the following changes to DocumentationTypeVS:

      • Remove the SNOMED codes 304253006 (Not for resuscitation), 714748000 (Has advance care plan), as these are not documents.
      • Remove remove codes from http://snomed.info/sct where concept is-a 425392003  (Does not represent documents, should only use LOINC)
      • Remove codes from http://snomed.info/sct where concept is-a 423876004 (Should only use LOINC)
      • Remove LOINC 75320-2 (use 45473-6 instead)
      • Add 45473-6 (Advance directive/living will completed)

      After these changes, DocumentationTypeVS has the following possible values:

      • 81352-7 (Medical Order for Life-Sustaining Treatment, Physician Order for Life-Sustaining Treatment, or a similar medical order is in place [Reported]
      • 81351-9 (Do Not Resuscitate, Do Not Attempt Resuscitation, or Allow Natural Death order is in place [Reported]
      • 45473-6 (Advance directive/living will completed)

      All have Yes, No, Undetermined, as defined in LL50-6.

       

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      Make the following changes to DocumentationTypeVS: Remove the SNOMED codes 304253006 (Not for resuscitation), 714748000 (Has advance care plan), as these are not documents. Remove remove codes from http://snomed.info/sct where concept is-a 425392003  (Does not represent documents, should only use LOINC) Remove codes from http://snomed.info/sct where concept is-a 423876004 (Should only use LOINC) Remove LOINC 75320-2 (use 45473-6 instead) Add 45473-6 (Advance directive/living will completed) After these changes, DocumentationTypeVS has the following possible values: 81352-7 (Medical Order for Life-Sustaining Treatment, Physician Order for Life-Sustaining Treatment, or a similar medical order is in place [Reported] 81351-9 (Do Not Resuscitate, Do Not Attempt Resuscitation, or Allow Natural Death order is in place [Reported] 45473-6 (Advance directive/living will completed) All have Yes, No, Undetermined, as defined in LL50-6.  
    • Abigail Watson / Dave Hill : 7-0-1
    • Correction
    • Non-compatible

    Description

      The DocumentationTypesVS are meant to be document types used by the document Observation profile to indicate that a particular document type is known to exist or not. This VS needs to be modified.

       

      To PADI-DocumentationObservation, fix the Observation Code (which is currently LOINC 75320-2 "Advance Directive"), to a fixed code of LOINC 77599-9

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            corey_spears Corey Spears
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              Updated:
              Resolved: