Submitted by dvreeman on
Encounter diagnosis and time
Overall, the addition of Encounter information in the Draft USCDI V2 is a welcome addition. Could you clarify if Encounter Diagnosis is intended to be a "repeatable" (ie. cardinality 0..* or 1..*)? With a repeated structure, additional attributes may be needed to represent Encounter.diagnosis.use and/or Encounter.diagnosis.rank. Note: there is ongoing discussion in the FHIR community about the relationship between encounter diagnoses and other related FHIR resources.
The current Encounter Time data element definition suggests a mix of possible data types (Date? Start + End Timestamp? Period/duration?). It may may helpful to more precisely represent the allowed/expected/required data types. Note 1: Encounter time periods have a lot of complexity in the context of post acute care settings (with different perspectives from payment and clinical views) that may not be fully captured here. Note 2: Comment level data element submissions exist for Encounter Location Associated Time Period and Encounter Participant Time Period and perhaps should be reconciled with this data element.
Submitted by Kara Rose on
Additional information needed
We request that additional information about what constitutes an “encounter” is included in the final USCDI version. It is imperative that this data class be more definitively described. Moreover, the data elements under encounter information must be more inclusive of qualified health care professionals, including physical therapists.