Stream: inferno
Topic: Encounter reason for visit
Jenni Syed (Jul 23 2020 at 14:30):
In the US Core profile, Encounter's reason for visit is must support. Our system supports this, but much like CCDA, it's "text" or narrative. This means the codeableConcept only has text filled in. I believe this meets the MS on the profile, but the inferno tests seem to be requiring there to be a coded value.
Jenni Syed (Jul 23 2020 at 14:30):
Related: https://chat.fhir.org/#narrow/stream/179175-argonaut/topic/Encounter.20Reason.20For.20Visit
Robert Scanlon (Jul 23 2020 at 15:03):
Thanks Jenni -- taking a look now. Have you tried validating the resource against the profile with the HL7 FHIR Validator?
Robert Scanlon (Jul 23 2020 at 16:47):
I'm having trouble replicating the issue -- at least on Inferno Program we do not provide failures or warnings if you have a text-only CodeableConcept in Encounter.reasonCode. Could you provide a few more details about what you are seeing on your end?
Drew Torres (Jul 23 2020 at 17:01):
Will check with the team to ensure they went through the entire flow, but the test data that is called out by the test procedure: https://github.com/inferno-community/uscore-data-sets/blob/master/uscore-testing-data-03-05-2020.zip contains SNOMED codes.
Drew Torres (Jul 23 2020 at 17:01):
Testing bodies may take that as an explicit declaration to test as part of certification.
Drew Torres (Jul 23 2020 at 17:01):
I have a question out to ONC to clarify the intent currently.
Robert Scanlon (Jul 23 2020 at 17:21):
On the Inferno team, our intent was to provide a complete and realistic synthetic data set that conforms to the requirements of (g)(10), but it isn't the only data set you can use to demonstrate conformance to the criteria using Inferno. I don't think that prevents Testing bodies from adding that requirement themselves (use some specific data set), and if that is the case then you may be able to make a case that forcing a code there is too strict by the definition of MUST SUPPORT for CodeableConcepts with extensible bindings. Good to get confirmation through the official channel.
Last updated: Apr 12 2022 at 19:14 UTC
