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  1. FHIR Specification Feedback
  2. FHIR-41093

Immunization Site - backwards and incomplete mapping

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Highest Highest
    • US C-CDA on FHIR (FHIR)
    • 1.2.0-ballot
    • Cross-Group Projects
    • STU
    • C-CDA Immunization approachSiteCode to FHIR Immunization Site [deprecated]
      FHIR Immunization Site to C-CDA Immunization approachSiteCode
    • C-CDA to FHIR Immunizations
      Terminology Maps (Concept Maps)
    • Hide

      Include FHIR-CDA concept map for 2 examples given. 

      For CDA-FHIR, no concept map necessary, other than data type guidance link.

      Fix the links.

      Show
      Include FHIR-CDA concept map for 2 examples given.  For CDA-FHIR, no concept map necessary, other than data type guidance link. Fix the links.
    • Jay Lyle/John D'Amore: 18-0-6
    • Clarification
    • Non-substantive

    Description

      A number of issues here:

      • The C-CDA to FHIR Immunizations mapping page lists the FHIR->CDA concept map instead of the CDA->FHIR concept map
      • Neither of these concept maps appear on the list of terminology maps
      • Both of these concept maps appear woefully incomplete (though.... so does the example FHIR value set; the code system, at least, has more values - but it's the v3 ActSite system which seems less useful that just preserving the original SNOMED value from C-CDA)

      Additionally, no vendors provided examples of mapping this C-CDA->FHIR, it is only a MAY in C-CDA, and it is not mentioned in US Core. (I don't disagree with the field-mapping logically - these are equivalent fields; there are just several issues with the current concept mapping guidance).

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            jdamore John D'Amore
            benjamin Benjamin Flessner
            Benjamin Flessner
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            Dates

              Created:
              Updated:
              Resolved: