Stream: implementers
Topic: procedure.status "other"
Rob Brull (Jun 09 2021 at 13:52):
For the value set event-status used for procedure.status, there is a code unknown. In the definition of unknown, it says: “Note: This concept is not to be used for "other" - one of the listed statuses is presumed to apply, but the authoring/source system does not know which.”
Does this imply that there is a way to handle “other”? I have a client who is interpreting this to mean that there is a way to handle other.
Here is one example of what they are trying to solve:
If the user system defined “contraindicated” , and we do not know which one to put this as procedure.status, how do you define other in standard value set required?
Thanks for your help!
Rob
Josh Mandel (Jun 09 2021 at 14:00):
Thanks for the specific example; this helps a lot in the analysis, and probably gives you a better sense of how to handle the general case too.
"Contraindicated" isn't really a valid kind of status for a procedure -- but it's a very useful statusReason (http://hl7.org/fhir/procedure-definitions.html#Procedure.statusReason). This might be accompanied by a status like not-done to indicate that the procedure wasn't performed because of a contraindication. Or if the procedure was possibly performed despite the but you aren't actually sure.. then in that case you could use status unknown -- but you would especially want to populate the reason in this case.
Lloyd McKenzie (Jun 09 2021 at 14:12):
You could also have a ServiceRequest with do-not-perform set to 'true' if you're wanting to say "please don't do this" as opposed to "I opted to not do this".
Rob Brull (Jun 09 2021 at 15:18):
Thanks Josh and Lloyd! That gives me some options.
Last updated: Apr 12 2022 at 19:14 UTC
