VRDR Testing

Notes/items for VRDR testing

Fourquet Test Data / Spreadsheet

• Alias
  • Spreadsheet uses the value Alias in column B
  • FHIR IG: Table 30 has an entry for "nickname". When you state Alias, do you mean to use "nickname"?
• Race of Cancer Patient
  • Spreadsheet calls for Asian Indian, but there is no corresponding code defined
  • https://www.hl7.org/fhir/us/core/ValueSet-omb-race-category.html
• Decedent/Mother's Maiden Name:
  • VRDR FHIR IG: 14.3 VRDR Decedent Mother describes mother, but does not specify this is a maiden name
  • Is there any place else in the document that describes mother's maiden name?
• Education of Cancer patient (and others)
  • You have english values that make sense, but are not part of the value set.
  • Are you expecting documents to use the proper encoding? I assume so.
• Industry of Cancer patient
  • Spreadsheet says: Health Insurance
  • I am using the list of industries here: https://phinvads.cdc.gov/vads/ViewValueSet.action?oid=2.16.840.1.114222.4.11.7187
  • There is not a direct mapping to Health Insurance. You could be more specific or let people decide which code to use.
• Language
  • Spreadsheet has a row for Language, but I do not see that in the FHIR IG
• Place of death
  • For Cancer patient, spreadsheet says "nursing home"
  • How does this map to Table 10. Is this ?
    • description
    • type
    • physicalType

VRDR FHIR IG: VRDR Death Certificate Document

• Table 10 describes the Death Location
  • description: The only constraint is that this is a string. Is there anything else to say about this? Might be enough
  • type: Constraint says this is a codeable concept, but there is no information on the code/coding system. Just use constraints from a FHIR Location?
  • physicalType: Constraint says this is a codeable concept, but there is no information on the code/coding system. Just use constraints from a FHIR Location?
• Table 30 says there shall be a Name entry with use value nickname (cardinality 1..1)
  • Do you really mean the cardinality is 1..1?
  • That means that someone without a nickname is going to have an entry for nickname that is empty
• Table 31 likely has a typo
  • http://hl7.org/fhir/us/vrdr/StructureDefinition/-VRDR-Certifier
  • Note the - before VRDR-Certifier

VRDR Canary Synthetic Data

• Ethnicity
  • Generated document contained no data for Ethnicity
• Occupation
  • FHIR IG requires a component with code=21847-9
  • Sample document uses code 21843-8
• Occupation / System
  • Sample document uses this value for system: urn:oid:2.16.840.1.114222.4.11.7186
  • This is the OID of the value set and not the coding system itself
  • See this page: https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.114222.4.5.314
  • I think this is the proper value for system: urn:oid:2.16.840.1.114222.4.5.314
• Occupation / Industry
  • Sample document uses this value for system: urn:oid:2.16.840.1.114222.4.11.7187
  • This is the OID of the value set and not the coding system itself
  • See this page: https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.114222.4.5.315
  • I think this is the proper value for system: urn:oid:2.16.840.1.114222.4.5.315
• Death Location
• Specification requires description (string) and codes for type and physicalType
  • Synthetic data is missing all of these.