Details
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Change Request
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Resolution: Persuasive with Modification
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Medium
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US QI Core (FHIR)
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current
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Clinical Quality Information
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QICore Condition Encounter Diagnosis
QICore Encounter -
QI-Core Profiles
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Floyd Eisenberg/Jen Seeman: 24-0-0
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Enhancement
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Non-compatible
Description
uSCDI v2 requires Encounter diagnosis. US Core 3.1.1 and subsequent versions address this issue using Encounter.reasonCode and Encounter.reasonReference. US Core does not require Must Support for Encounter.diagnosis. US Core further limits the terminology binding for Encounter.type as https://hl7.org/fhir/us/core/ValueSet-us-core-encounter-type.html. The SNOMED hierarchy included in the binding represent clinician-patient interactions. Current measures use value sets from a different SNOMED hierarchy representing facility/location-based visits. Some (but not all) of the existing eCQM uses for Encounter.type are using concepts originating in abstraction-based measures which is what may have led to the hierarchy used. However, clinically-based measures should be using the same hierarchy as suggested by US Core's terminology binding.
Suggest remove Must Support from Encounter.diagnosis (especially from onAdmission extension and on rank and diagnosis type). And, recommend use of Claim for principal or primary diagnosis or OnAdmission. Will create a new tracker for the Encounter.type if needed.
Attachments
Issue Links
- relates to
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FHIR-41340 Change all US Core dependent QI-Core Profiles to inherit US Core Profiles 'as-is'
- Resolved - No Change