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  1. FHIR Specification Feedback
  2. FHIR-44759

Update guidance about Referencing US Core Profiles

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Core (FHIR)
    • 7.0.0-ballot
    • Cross-Group Projects
    • General Guidance
    • 3.2.1
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      Background 

      See comment

      Decision

       

      update the section to:

      FHIR resource elements of the datatype Reference reference other FHIR resources. For all references, US Core Responders SHOULD return resources that conform to a US Core profile if a US Core profile exists for the resource type. In some cases, US Core profiles explicitly constrain these references to point to the relevant US Core profile because the element is typically a MUST Support or Additional USCDI element. For example, the  US Core CareTeam Profile references US Core Patient. In other cases, the elements will reference the base FHIR resource because the element is not a MUST Support or Additional USCDI element and, therefore, unconstrained by a US Core profile. (This is an editorial decision to simplify the Profile's StructureDefinition and improve the readability of the Profile rendering in this guide.) For example, although US Core does not constrain Condition.asserter, the reference to Patient or Practitioner SHOULD be a valid US Core Patient or US Core Practitioner.

       

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      Background  See comment Decision   update the section to: FHIR resource elements of the datatype Reference reference other FHIR resources. For all references, US Core Responders SHOULD return resources that conform to a US Core profile if a US Core profile exists for the resource type. In some cases, US Core profiles explicitly constrain these references to point to the relevant US Core profile because the element is typically a MUST Support or Additional USCDI element. For example, the  US Core CareTeam Profile references US Core Patient. In other cases, the elements will reference the base FHIR resource because the element is not a MUST Support or Additional USCDI element and, therefore, unconstrained by a US Core profile. (This is an editorial decision to simplify the Profile's StructureDefinition and improve the readability of the Profile rendering in this guide.) For example, although US Core does not constrain Condition.asserter , the reference to Patient or Practitioner SHOULD  be a valid US Core Patient or US Core Practitioner.  
    • Brett Marquard/Eric Haas: 17-0-0
    • Clarification
    • Non-substantive

    Description

      Current language: "...Many of the profiles in this guide reference other FHIR resources that are also US Core Profiles. These references are defined in the formal profile definitions. For example, US Core CareTeam Profile references US Core Patient. For any other references to base FHIR resources1 or not formally defined in a US Core Profiles, the referenced resource SHOULD be a US Core Profile if a US Core Profile exists for the resource type. For example, although Condition.asserter is not constrained by this guide, the reference to Patient or Practitioner SHOULD be a valid US Core Patient or US Core Practitioner."

       

      Current language does not clearly articulate why some profiles reference US Core profiles while others do not. Consider revising for clarity to something like: "Many of the profiles in this guide reference other FHIR resources that are also profiled by US Core. In some cases, US Core profiles constrain these references to point to the relevant US Core profile rather than the base FHIR resource. For example, US Core CareTeam Profile references US Core Patient. However, to improve readability of US Core profiles, we did not change every possible reference where a relevant US Core profile exists; doing so would add clutter to the differential view of the profile. For any references to base FHIR resources1 in a US Core profile, US Core Responders SHOULD return references to resources that conform to a US Core profile if a US Core profile exists for the resource type. For example, although Condition.asserter is not constrained by this guide, the reference to Patient or Practitioner SHOULD be a valid US Core Patient or US Core Practitioner."

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