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  1. FHIR Specification Feedback
  2. FHIR-43414

Clarify definitions for mother and infant transfer

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • US Birth and Fetal Death Reporting (FHIR)
    • 2.0.0-ballot
    • Public Health
    • Encounter - Birth
      Encounter - Maternity
    • Artifacts Summary
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      Clarified the mapping of these IJE fields to Encounter.hospitalization fields.

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      Clarified the mapping of these IJE fields to Encounter.hospitalization fields.
    • Saul Kravitz/Erin Holt: 25-0-2
    • Clarification
    • Non-substantive

      TRAN is bound to EncounterMaternity(Encounter).hospitalization.admitSource 0..1
      *^short="If mother transferred for delivery set code = \"hosp-trans\" (Transferred from other hospital)". hosp-trans is from a code in this valueset that is bound as preferred: https://hl7.org/fhir/R4/valueset-encounter-admit-source.html (codesystem http://terminology.hl7.org/CodeSystem/admit-source).

      Document that if source of transfer is unknown, the following should be UNKNOWN

      HOSPFROM hospitalization.origin.name

      ITRAN is bound to EncounterBirth(Encounter).hospitalization.dischargeDisposition MS
      *^short="If infant transferred within 24 hours of delivery, set code = \"other-hcf\" (Other healthcare facility)"
      The binding (preferred strength) of this field is to an opaque UBC valueset that looks something like this:

      There is an existing HL7 codesystem https://terminology.hl7.org/5.4.0/CodeSystem-discharge-disposition.html that mimics the UBC definitions.

      I think we should amend the definition so that:

      Document that if destination of transfer is unknown, the following should be UNKNOWN

      HOSPTO hospitalization.destination.name

            Unassigned Unassigned
            saul_kravitz Saul Kravitz
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              Created:
              Updated:
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