Stream: implementers
Topic: Guidance related to docref type v category
Chason Hicks (Feb 12 2021 at 19:16):
I have had questions come up recently regarding DocumentReference classification in relation to "type" and "category".
The document in question is an immunization history document. We were attempting to locate a suitable code from http://hl7.org/fhir/valueset-c80-doc-typecodes.html to associate, but I was not able to find anything that really matched. There is LOINC 82593-5 "Immunization Summary Report", but that is not available within the FHIR preferred type value set.
Is this something where we should be using as a "category" classification instead? 11369-6 "History of Immunization Narrative" is another one for example. If so, in this scenario, and ones similar, is it acceptable to have a document type of 11503-0 "Medical records"?
Another document that we've had other "type" and "category" association discussions around are advanced directives.
I'm not as concerned specifically with each individual document that comes up, I am more-so looking for any guidance to help when there does not appear to be a relatable type code in the preferred set. Hope my examples help!
Thanks
Lloyd McKenzie (Feb 12 2021 at 19:22):
@John Moehrke
John Moehrke (Feb 12 2021 at 19:26):
@Lisa Nelson and I want to come up with better valueset. What you find is 10 years old and very USA driven at the time.
John Moehrke (Feb 12 2021 at 19:29):
Here is an IHE wiki page with links to various regions valueset for category (classCode) etc. https://wiki.ihe.net/index.php/Metadata_Handbook
John Moehrke (Feb 12 2021 at 19:31):
@Jose Costa Teixeira @Keith Boone @David Pyke and others might also help
Last updated: Apr 12 2022 at 19:14 UTC
