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  1. FHIR Specification Feedback
  2. FHIR-44501

Align US Core representation of USCDI data element 'Specimen Condition Acceptability' with C-CDA

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    • Icon: Change Request Change Request
    • Resolution: Not Persuasive
    • Icon: Highest Highest
    • US Core (FHIR)
    • 7.0.0-ballot
    • Cross-Group Projects
    • STU
    • US Core Specimen Profile
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      Background:

      Note that there is a CCDA ticket to correct this mapping to USCDI

      from Specimen Reject Reason to Specimen Condition Observation.

      USCDI4 data element:

      Specimen Condition Acceptability
      Information regarding a specimen, including the container, that does not meet a laboratory’s criteria for acceptability.

      Examples include but are not limited to hemolyzed, clotted, container leaking, and missing patient name.

      Usage note: This may include information about the contents of the container, the container, and the label.

      Parameter US Core CCDA
      Content Model Structure US Core Specimen ProfileSpecimen.condition 0…* Additional USCDI Requirement Binding: hl7VS-specimenCondition (extensible)
      element defintion: A mode or state of being that describes the nature of the specimen.
      element comments:Information regarding a specimen, including the container, that does not meet a laboratory’s criteria for acceptability. Examples include but are not limited to hemolyzed, clotted, container leaking, and missing patient name. This may include information about the contents of the container, the container, and the label.
      Specimen Condition Observation
      with code:93048-7 (Reason for specimen rejection)
      This template conveys the condition (mode or state of being) that describes the nature of the specimen. A specimen may have multiple condition codes associated with it, in which case multiple instances of this template should be used. Values should be drawn from the HL7 V2 table 0493.
      Terminology SNOMED CT (extensible) SNOMED CT (extensible)

       

      Decision:

      Both US Core and Specimen Condition Observation ** defines the USCDI4 data element Specimen Condition Acceptability accurately and are compatible with each other.

       

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      Background: Note that there is a CCDA ticket to correct this mapping to USCDI from Specimen Reject Reason to Specimen Condition Observation. USCDI4 data element: Specimen Condition Acceptability Information regarding a specimen, including the container, that does not meet a laboratory’s criteria for acceptability. Examples include but are not limited to hemolyzed, clotted, container leaking, and missing patient name. Usage note: This may include information about the contents of the container, the container, and the label. Parameter US Core CCDA Content Model Structure US Core Specimen ProfileSpecimen.condition 0… * Additional USCDI Requirement Binding: hl7VS-specimenCondition (extensible) element defintion: A mode or state of being that describes the nature of the specimen. element comments:Information regarding a specimen, including the container,  that does not meet a laboratory’s criteria for acceptability . Examples include but are not limited to hemolyzed, clotted, container leaking, and missing patient name. This may include information about the contents of the container, the container, and the label. Specimen Condition Observation with code:93048-7 (Reason for specimen rejection) This template conveys the condition (mode or state of being) that describes the nature of the specimen. A specimen may have multiple condition codes associated with it, in which case multiple instances of this template should be used. Values should be drawn from the HL7 V2 table 0493. Terminology SNOMED CT (extensible) SNOMED CT (extensible)   Decision: Both US Core and Specimen Condition Observation ** defines the USCDI4 data element Specimen Condition Acceptability accurately and are compatible with each other.  
    • Brett Marquard/Jason Vogt: 19-0-2

    Description

      Not clear that specimen condition acceptability is modeled consistently between C-CDA and FHIR.

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            akontur Alex Kontur
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              Updated:
              Resolved: