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 Core (FHIR)
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current
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Cross-Group Projects
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US Core Smoking Status Observation Profile
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Brett Marquard/Cooper Thompson: 40-0-0
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Enhancement
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Compatible, substantive
Description
In US Core 3.1.1, the SmokingStatus profile was silent on what data type to use for Observation.effective. We chose to use Observation.effectivePeriod, where we communicate the start and end date for a patient's smoking history (in the case they have stopped smoking).
However, in US Core 4.0.1 SmokingStatus now has effectiveDateTime as 1..1 MS. When we were looking to make updates to conform to US Core 4, we realized that converting from effectivePeriod to effectiveDateTime means we'd start exchanging less data, as we'd no longer be sending the end date.
I don't expect US Core's goal was to prevent us from exchanging the end date when we have it. I propose we allow effectivePeriod as an option, probably alongside effectiveDateTime.
And patch back to 4.01.
Attachments
Issue Links
- relates to
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FHIR-43589 Smoking Status Max Binding addition
- Applied
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FHIR-28090 Timing association for smoking status
- Published
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CDA-21054 Align Smoking Status with what is coming out of US Core 7.0 Smoking Status Ballot Changes
- Resolved - change required
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FHIR-43589 Smoking Status Max Binding addition
- Applied
- mentioned in
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