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  1. FHIR Specification Feedback
  2. FHIR-41347

Composition - MDI to EDRS attester should not have data absent reason extension

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • Medicolegal Death Investigation (MDI) (FHIR)
    • current
    • Public Health
    • Composition - MDI to EDRS [deprecated]
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      We will remove the data-absent-reason extension from the Composition - MDI to EDRS attester.

      We will add guidance on using the data-absent-reason to the data element descriptions of both the author and the attester and include a new example file.

      We will update the Best Practice page on absent data.

      We will change the author from [1..*] to [1..1] and update its description

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      We will remove the data-absent-reason extension from the Composition - MDI to EDRS attester. We will add guidance on using the data-absent-reason to the data element descriptions of both the author and the attester and include a new example file. We will update the Best Practice page on absent data. We will change the author from [1..*] to [1..1] and update its description
    • Diana Wright / Craig Newman : 27-0-0
    • Correction
    • Non-substantive

    Description

      Bi-directional flows using Composition - MDI to EDRS need to have the author and attester empty/blank in some initial drafts (for example, an MDI case management system searches the EDRS and receives a case file with partial info that includes no author or attester).

      Currently, the Composition.attester includes an extension for data-absent-reason (http://hl7.org/fhir/StructureDefinition/data-absent-reason0, whereas the author does not.

      Both author and attester can be empty by using the data-absent-reason extension without including the extension in the profile structure.

      FHIR experts strongly recommend removing the data-absent-reason extension from the profile structure and simply including an example file that shows implementers how to do use it in an instance and adding a brief explanation to the data element. (For example, see http://hl7.org/fhir/us/odh/StructureDefinition-odh-PastOrPresentJob-definitions.html#diff_Observation.valueCodeableConcept.)

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            dianawright Diana Wright
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