FHIR Chat · Decedent Disposition and Ethnicity Issue · Death on FHIR

Stream: Death on FHIR

Topic: Decedent Disposition and Ethnicity Issue

Saul Kravitz (Jul 15 2021 at 17:17):

Hi @Velan
Could you please attach either the full death record, or the offending JSON record that triggered these errors.?

Thanks, Saul

Velan (Jul 15 2021 at 19:03):

Thanks for looking after immediately, here I have attached the files validated IJE vs FHIR record. also am attaching the report. IJE_19018606_MortalityExtract.txt canary-report-59-1626375307162.html YC_FHIR_DEATH_2107151441YC_DEATH_2107151441_19018606_Record.json

Saul Kravitz (Jul 15 2021 at 20:09):

Regarding the Disposition:
Your JSON includes:

 "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "455401000124109",
                    "display": "City Burial (Potter's Field)"
                  }

The display value is incorrect. Perhaps that is the complaint from Canary.
That code corresponds to a preferred concept name of "Patient status determination, deceased with hospital disposition of fetal remains".
https://phinvads.cdc.gov/vads/ViewValueSetConcept.action?id=33DADBB7-0DCB-E711-ACE2-0017A477041A
Here are the allowed values/display values:
image.png

Saul Kravitz (Jul 15 2021 at 20:45):

hi @Velan
Re Ethnicity:
Your Decedent (patient) has extensions :

        "extension": [
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode": "male"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace",
            "valueAddress": {
              "city": "New York",
              "state": "YC",
              "country": "United States"
            }
          },
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2106-3",
                  "display": "White"
                }
              },
              {
                "url": "text",
                "valueString": "White"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          }
        ],

The race extension appears well formed, and the ethnicity extension is optional.
The race content appears valid. not sure why it flags this as a difference in the round trip test. Will investigate.

Other things I noticed:

- The birthplace.state should be 'NY', not 'YC'.
- DeathLocation Jurisdiction extension is missing (this will be required in STU1.1)

Ref: NVSS-195

Velan (Jul 15 2021 at 21:38):

Pete mentioned in the meeting that "YC" is for Birth place and death place city. could you please verify that?

Velan

Saul Kravitz (Jul 16 2021 at 03:08):

@Velan Currently the only place that the Jurisdiction value set that includes the YC code for NYC is used is in http://build.fhir.org/ig/HL7/vrdr/branches/master/StructureDefinition-Location-Jurisdiction-Id.html, which is an extension in DeathLocation.

Patient birthplace is just a regular Address referencing a state. http://hl7.org/fhir/R4/extension-patient-birthplace.html

Velan (Jul 27 2021 at 14:37):

Saul Kravitz said:

Velan Currently the only place that the Jurisdiction value set that includes the YC code for NYC is used is in http://build.fhir.org/ig/HL7/vrdr/branches/master/StructureDefinition-Location-Jurisdiction-Id.html, which is an extension in DeathLocation.

Patient birthplace is just a regular Address referencing a state. http://hl7.org/fhir/R4/extension-patient-birthplace.html

Any update?

Velan (Jul 27 2021 at 16:04):

Hi Team

Any update for the issues reported above......
Usual Occupation has issue still with....please find attached IJE vs FHIR record to review.

[ERROR] UsualOccupation (Decedent's Usual Occupation.)
Expected: "IT"

How Canary interpreted your input: null

attached IJE : IJE_19018606_MortalityExtract.txt
FHIR record: YC_FHIR_DEATH_2107151441YC_DEATH_2107151441_19018606_Record.json

Thanks & Regards
Velan from NYC Dept

Last updated: Apr 12 2022 at 19:14 UTC