Stream: implementers
Topic: Speciality Codes
Praneeta77 (Jun 09 2020 at 15:58):
Praneeta7710:56 AM
Hi All, we are in a roadblock on how we can map the specialty codes, is it mandatory to follow NUCC codes or can we use our codes in the source systems, please suggest
Lloyd McKenzie (Jun 09 2020 at 16:02):
Which specialty codes? In which country? What profiles are you trying to comply with?
Praneeta77 (Jun 09 2020 at 16:13):
We are in USA , implementing for Aetna complying with Davinci PDex
Praneeta77 (Jun 09 2020 at 16:14):
We are working Practitioner role resource , speciality is the data element
Lloyd McKenzie (Jun 09 2020 at 16:23):
Ok, so you're asking about the US Core PractitionerRole profile - http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-practitionerrole.html
Lloyd McKenzie (Jun 09 2020 at 16:25):
That profile has an 'extensible' binding. That means you must use one of the NUCC codes if there is a code that covers your concept. I.e. you must translate from whatever code you use internally to an NUCC code if one exists. Only if there's no corresponding NUCC code for the type of practitioner role of interest are you allowed to send a local code or just text. If an NUCC code fits - even if it's not as specific as your own code - you must send the NUCC code. You are however free to send whatever additional codes you like.
Praneeta77 (Jun 09 2020 at 16:25):
https://build.fhir.org/ig/HL7/davinci-pdex-plan-net/branches/master/StructureDefinition-plannet-PractitionerRole-definitions.html#PractitionerRole.specialty we are looking at Davinci Pdex
Lloyd McKenzie (Jun 09 2020 at 16:29):
That spec is even tighter. It's a required binding. You can't include a specialty unless it has one of the specified codes. (Though you can have other translation codings present as well.)
Praneeta77 (Jun 09 2020 at 16:32):
we we use the codes directly from the source or do we cross map NUCC codes to our source codes and description
Praneeta77 (Jun 09 2020 at 16:34):
The problem is we have here is more than 3000 local codes interanlly maintained, but the codes in the NUCC list is just 800.
we do not maintain NUCC codes
Praneeta77 (Jun 09 2020 at 16:34):
Can we search by description as opposed to codes
Lloyd McKenzie (Jun 09 2020 at 16:39):
You need to search by code and you'll have to map your 3000 codes to the 800 - obviously getting more generic when you do so. You're free to send your code as well as the NUCC code, but you can't send your code by itself. If you don't think this requirement is reasonable, you can submit feedback against the IG.
Praneeta77 (Jun 09 2020 at 16:46):
how can we submit the feedback , is there a forum or email ID , plz share
Lloyd McKenzie (Jun 09 2020 at 16:49):
Look for the "propose a change" link at the bottom of any page in the spec. You'll need to register for a Jira account. That's free, we just check that you're a real human.
Praneeta77 (Jun 09 2020 at 16:58):
okay sure thank you!
Saul Kravitz (Jun 12 2020 at 19:56):
@Gail Kocher @Robert McClure @Robert Dieterle
Last updated: Apr 12 2022 at 19:14 UTC
