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  1. Other Specification Feedback
  2. OTHER-2475

Gender Identity & Indiviual Pronouns code binding strength

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • Cross Paradigm Gender Harmony - Sex and Gender Representation (OTHER)
    • Structured Documents
    • 2.1 Gender Identity GH Template [deprecated]
      2.2 Individual Pronouns Template [deprecated]
    • Hide

      Current text (2.2.8 Individual Pronouns, Constraint 8)

      SHOULD contain exactly one [1..1] value with @xsi:type="CD", where the code MAY be
      selected from ValueSet Pronouns urn:oid:2.16.840.1.113883.11.19755 DYNAMIC 2022-
      07-20 (CONF:4536-61).

      should be updated to:

      SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be
      selected from ValueSet Pronouns urn:oid:2.16.840.1.113883.11.19755 DYNAMIC 2022-
      07-20 (CONF:4536-61).

      Show
      Current text (2.2.8 Individual Pronouns, Constraint 8) SHOULD contain exactly one  [1..1]  value with @xsi:type="CD", where the code MAY be selected from ValueSet Pronouns urn:oid:2.16.840.1.113883.11.19755 DYNAMIC 2022- 07-20 (CONF:4536-61). should be updated to: SHALL  contain exactly one  [1..1]  value with @xsi:type="CD", where the code  SHOULD  be selected from ValueSet Pronouns urn:oid:2.16.840.1.113883.11.19755 DYNAMIC 2022- 07-20 (CONF:4536-61).
    • Rob M / Gay D : 18-0-0
    • Correction
    • Compatible, substantive
    • current

      In the Gender Identity template, we have:

      SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be
      selected from ValueSet Gender Identity Core Concepts
      urn:oid:2.16.840.1.113762.1.4.1021.106 DYNAMIC 2022-07-20 (CONF:4536-48).

      But in the Individual Pronouns template, we have:

      SHOULD contain exactly one [1..1] value with @xsi:type="CD", where the code MAY be
      selected from ValueSet Pronouns urn:oid:2.16.840.1.113883.11.19755 DYNAMIC 2022-
      07-20 (CONF:4536-61).

      Why are these inconsistent? In particular:

      1) The Individual Pronouns template should either change "SHOULD contain [1..1] value" to "SHALL contain [1..1] value" or else change it to "SHOULD contain [0..1] value"... but SHALL seems like the better choice here since it would be odd if the observation didn't contain a value at all. (What would be the point then?

      2) Why is the value set binding SHOULD for Gender Identity Core Concepts but MAY for Pronouns? In particular, I could even see an argument for changing these both to SHALL since the IG gives explicit guidance on how to use nullFlavor="OTH" if you need to send a value outside the value set. Unless the bindings change to SHALL, that guidance is strictly just a recommendation and sending any code without using nullFlavor="OTH" is still allowed. Was that the intent here?

            seanmuir Sean Muir
            mszczepa Matt Szczepankiewicz
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              Created:
              Updated:
              Resolved: