Details
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Change Request
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Resolution: Persuasive with Modification
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Highest
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US QI Core (FHIR)
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6.0.0-ballot
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Clinical Quality Information
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STU
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QICore Nutrition Intake [deprecated]
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Bryn Rhodes/ Floyd Eisenberg: 23-0-0
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Correction
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Compatible, substantive
Description
The QICore Nutrition Intake profile is based on the R5 NutritionIntake resource. As such, it profiles Basic and adds extensions for necessary fields. I believe there are a few issues with this representation:
- This profile uses code to represent the food item that was consumed, but the Basic.code element is really intended to represent "the 'type' of resource - equivalent to the resource name for other resources." As such, it should be fixed to a code representing NutritionIntake itself. It seems that http://hl7.org/fhir/fhir-types#NutritionIntake would be a good choice, but you'll need to check with the appropriate people to see if using this R5 code is possible and/or correct.
- This profile specifies an event-subject extension, but it is likely more appropriate to constrain the existing Basic.subject element, as this is what that element was intended for.
- This profile represents encounter, occurrence, and status using event extensions, but since it is representing an existing R5 resource, it is more appropriate to use the corresponding cross-version extensions, as these bring in more context and leverage the preferred way of referencing R5 elements from R4. So:
- replace event-encounter with {{http://hl7.org/fhir/5.0/StructureDefinition/extension-NutritionIntake.encounter }}
- replace event-occurrence with http://hl7.org/fhir/5.0/StructureDefinition/extension-NutritionIntake.occurrence
- replace event-status with http://hl7.org/fhir/5.0/StructureDefinition/extension-NutritionIntake.status
Attachments
Issue Links
- is voted on by
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BALLOT-51815 Negative - Chris Moesel : 2023-Sep-FHIR QICORE R1 STU
- Withdrawn
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BALLOT-52018 Negative - Paul Denning : 2023-Sep-FHIR QICORE R1 STU
- Withdrawn
- relates to
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FHIR-42770 NutritionIntake modeling cardinality for consumedItem.type and consumedItem.nutritionProduct seems excessive
- Applied
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FHIR-42154 Inclusion of NutritionProduct
- Resolved - No Change
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FHIR-42009 NutritionIntake profile should more closely address the FHIR R5 NutritionIntake modeling
- Published
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FHIR-42987 QDM to QI-Core Mapping section 9.22.1 - Modify based on FHIR-42158 resolution
- Published