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  1. Other Specification Feedback
  2. OTHER-2582

SFCU definition and usage should be more forward looking.

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Highest Highest
    • Cross Paradigm Gender Harmony - Sex and Gender Representation (OTHER)
    • 1.0.0-ballot
    • Terminology Infrastructure
    • Model
    • 3.2.3
    • Hide

      We will update all text for SPCU with new definition.

      So change current text:

      Definition: A categorization of sex derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc.

      To:

      Definition: A Sex Parameter for Clinical Use is a parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc.. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population.

      Also change:

      From

      3.2.3.1.1 SFCU Category

      Definition: Sex value based on clinical observations.

      To:

      3.2.3.1.1 SFCU Category

      Definition: A parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc..

      In addition, all the attributes of SPCU should have text that is drawn from the FHIR R5 page listed here: https://build.fhir.org/ig/HL7/fhir-extensions/StructureDefinition-patient-sexParameterForClinicalUse.html

      Show
      We will update all text for SPCU with new definition. So change current text: Definition: A categorization of sex derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc. To: Definition: A Sex Parameter for Clinical Use is a parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc.. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population. Also change: From 3.2.3.1.1 SFCU Category Definition: Sex value based on clinical observations. To: 3.2.3.1.1 SFCU Category Definition: A parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc.. In addition, all the attributes of SPCU should have text that is drawn from the FHIR R5 page listed here: https://build.fhir.org/ig/HL7/fhir-extensions/StructureDefinition-patient-sexParameterForClinicalUse.html
    • Carol Macumber / MaryKay McDaniel : 5-0-0
    • Enhancement
    • Compatible, substantive

      This definition focuses on where the determination of sex comes from. Similarly, the usage note focuses on using SFCU to help interpret observations. Both definition and useage note text should be corrected to better encompass the forward-looking or contemperaneous use of the element for choosing or providing appropriate care in particular contexts.

      Also applied to 3.2.3.1.1 definition

      Existing Wording:

      Definition: A categorization of sex derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc.

      (Comment 24 - imported by: Lloyd McKenzie)

            Unassigned Unassigned
            Rongparker Ron G. Parker
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              Created:
              Updated:
              Resolved: