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  1. FHIR Specification Feedback
  2. FHIR-41932

Possible Additional Entities and Attributes to QDM for Patient

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • US QI Core (FHIR)
    • 5.0.0
    • Clinical Quality Information
    • Quality Data Model (QDM)v5.6 to QI-Core R6 Mapping
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      Update section 9.15.2 (QDM to QI-Core Mapping table for Patient Characteristics to include the following:
      covered by QDM but a significant USCDI and US Core addition - and extension links added to be consistent for Ethnicity:

       

      QDM Attribute QI-Core 6 Comments
      Race   See US CoreRaceExtension for details. 
      code Patient.extension:race URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race
      id    
        tribalAffiliation USCDI version 3 added a new concept, tribalAffiliation using US Core Tribal Affiliation Extension
      URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation
      Ethnicity    
      code Patient.extention:ethnicity URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity
      id    
      Sex    
      code Patient.extension:birthsex When created, QDM's focus was to address the concept of sex as identified at birth. Hence, this birthsex is the most direct mapping to the intent of QDM.  However, USCDI version 3 changes the focus for data capture to Sex as noted in US Core 6.1.0. USCDI also adds the concept of genderIdentity.
         Sex  USCDI version 3 Sex extension http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex with binding: Created specifically to support United States USCDI v3 data element "Sex" (required), a data element used for general documentation of sex representation: concepts limited to Male, Female, Patient Sex Unknown, asked-declined.
        genderIdentity USCDI version 3 Individual's gender identity http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity with binding: Gender Identity (extensible)
      id    

       

       

       
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      Update section 9.15.2 (QDM to QI-Core Mapping table for Patient Characteristics to include the following: covered by QDM but a significant USCDI and US Core addition - and extension links added to be consistent for Ethnicity:   QDM Attribute QI-Core 6 Comments Race   See US CoreRaceExtension for details.  code Patient.extension:race URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-race id       tribalAffiliation USCDI version 3 added a new concept, tribalAffiliation using US Core Tribal Affiliation Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation Ethnicity     code Patient.extention:ethnicity URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity id     Sex     code Patient.extension:birthsex When created, QDM's focus was to address the concept of sex as identified at birth. Hence, this birthsex is the most direct mapping to the intent of QDM.  However, USCDI version 3 changes the focus for data capture to Sex as noted in US Core 6.1.0. USCDI also adds the concept of genderIdentity .     Sex   USCDI version 3 Sex extension http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex with binding: Created specifically to support United States USCDI v3 data element "Sex" ( required ), a data element used for general documentation of sex representation: concepts limited to Male, Female, Patient Sex Unknown, asked-declined.   genderIdentity USCDI version 3 Individual's gender identity http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity with binding: Gender Identity ( extensible ) id           Reply
    • Abdullah Rafiqi/Michelle Curie: 13-1-0
    • Clarification
    • Non-substantive

    Description

      Under Patient Characteristics should QDM attributes birthsex, sex, and genderIdentity be added along with the extension under Comments column?
      On http://hl7.org/fhir/us/qicore/2023Sep/qdm-to-qicore.html page, add Patient.

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            jen_seeman Jennifer Seeman
            sthornton Shanai Thornton
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