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  1. FHIR Specification Feedback
  2. FHIR-41528

QI Core Version 6.0 ImmunizationNotDone Update recommendations

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • US QI Core (FHIR)
    • current
    • Clinical Quality Information
    • Immunization negation example
      Immunization negation with code example
      QICore Immunization Not Done
    • QI-Core Examples
      QI-Core Profiles
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      Change recommendations for QI-Core ImmunizationNotDone (version 6.0):

      QI-Core Profile-based path  **  Action Include in QI-Core 6.0 Justification
      Immunization.id   KEEP YES  
      Immunization.implicitRules   KEEP YES Present in US Core
      Immunization.modifierExtension   KEEP YES Present in US Core
      Immunization.status   KEEP YES USCDI – for QI-Core, required to be disjoint from ImmunizationNotDone for with required binding to ImmunizationStatusCodes and FIXED VALUE = not-done
      Immunization.statusReason   KEEP YES for ImmunizationNotDone use extensible binding to QICoreNegationCodes
      Immunization.vaccineCode   KEEP YES USCDI US Core and QI-Core with same extensible binding to CVX Vaccines Administered Vaccine Set
      Immunization.vaccineCode.extension:notDoneValueSet   KEEP YES What wasn't administered
      URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet
      Immunization.patient   KEEP YES (Reference QI-Core Patient) USCDI US Core references US Core Patient – change to QI-Core Patient
      Immunization.encounter   REMOVE NO No use case to constrain to a specific encounter
      Immunization.[occurrence[x] http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-immunization-definitions.html#key_Immunization.occurrence[x]]   REMOVE NO Immunization did not occur (Cardinality of the element is 1..1)
      Immunization.recorded   KEEP YES Not present in USCDI/US Core but required for Immunization Not Done documentation
      Immunization.primarySource   KEEP YES USCDI US Core – Boolean – yes/no
      Immunization.isSubpotent   REMOVE NO US Core – not USCDI but in US Core Key Element table even though not indicated as Must Support
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      Change recommendations for QI-Core ImmunizationNotDone (version 6.0): QI-Core Profile-based path  **  Action Include in QI-Core 6.0 Justification Immunization. id   KEEP YES   Immunization. implicitRules   KEEP YES Present in US Core Immunization. modifierExtension   KEEP YES Present in US Core Immunization. status   KEEP YES USCDI – for QI-Core, required to be disjoint from ImmunizationNotDone for with required binding to ImmunizationStatusCodes and FIXED VALUE = not-done Immunization. statusReason   KEEP YES for ImmunizationNotDone use extensible binding to QICoreNegationCodes Immunization. vaccineCode   KEEP YES USCDI US Core and QI-Core with same extensible binding to CVX Vaccines Administered Vaccine Set Immunization.vaccineCode.extension: notDoneValueSet   KEEP YES What wasn't administered URL:   http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet Immunization. patient   KEEP YES (Reference QI-Core Patient) USCDI US Core references US Core Patient – change to QI-Core Patient Immunization. encounter   REMOVE NO No use case to constrain to a specific encounter Immunization.[occurrence [x] http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-immunization-definitions.html#key_Immunization.occurrence[x]]   REMOVE NO Immunization did not occur (Cardinality of the element is 1..1) Immunization. recorded   KEEP YES Not present in USCDI/US Core but required for Immunization Not Done documentation Immunization. primarySource   KEEP YES USCDI US Core – Boolean – yes/no Immunization. isSubpotent   REMOVE NO US Core – not USCDI but in US Core Key Element table even though not indicated as Must Support
    • Floyd Eisenberg/Jen Seeman: 24-0-0
    • Enhancement
    • Non-compatible

    Description

      Consistent with recommended updates for QI-Core 6.0, update QI-Core ImmunizationNotDone consistent with the modeling recommended in FHIR-41468 for QI-Core Immunization.

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            jen_seeman Jennifer Seeman
            feisenberg Floyd Eisenberg
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              Created:
              Updated:
              Resolved: