Difference between revisions of "VRDR Testing"

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** Spreadsheet calls for Asian Indian, but there is no corresponding code defined
 
** Spreadsheet calls for Asian Indian, but there is no corresponding code defined
 
** https://www.hl7.org/fhir/us/core/ValueSet-omb-race-category.html
 
** https://www.hl7.org/fhir/us/core/ValueSet-omb-race-category.html
 +
** I did find it in PHIN VADS using the same OID for the system. See https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#
 +
** Note to self, the HL7 FHIR pages might not have all coded values. Why do they not just point to a definitive reference?
 
* Decedent/Mother's Maiden Name:
 
* Decedent/Mother's Maiden Name:
 
** VRDR FHIR IG: 14.3 VRDR Decedent Mother describes mother, but does not specify this is a maiden name
 
** VRDR FHIR IG: 14.3 VRDR Decedent Mother describes mother, but does not specify this is a maiden name

Revision as of 17:49, 27 December 2019

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
  • 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
  • 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
  • Date signed, date pronounced dead, time pronounced dead
    • I am not sure where to pull these values from the death report.
    • I did find what I believe to be the date and time of death, but these values are not the same thing.
    • Table 2 in the FHIR IG has separate fields for date and time, but there is no description that does with these to make it clear to me what these are. The Canary Tool uses the term "Certified Time" and I assume uses the data from Table 2. Since I am not in this business, the different naming without cross reference leads me to guessing (not what I want to do).
  • Cause of Death
    • Is this to be sent as a string or as a coded value?

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 14: Manner of Death
    • See CONF:4393-345 which states: 7. VALUECODEABLECONCEPT, which SHALL be selected from ValueSet DispositionTypeVS http://hl7.org/fhir/ValueSet/DispositionTypeVS DYNAMIC (CONF:4393-345)
    • Selecting from a Disposition Value Set does not make sense to me
  • Table 18 has a row for effectiveDateTime but no text/requirement to go with it. There is a line below the table, but it does the same. It just says effectiveDateTime.

Table 20: Disposition Method

    • See CONF 4393-166 which states ......SHALL be selected from ValueSet abc http://www.google.co/abc
    • I don't think that is the right value set (see Table 14; is that the right value set?)
  • 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
  • Sections 3.1 and 3.2 are confusing
    • Both have the title: VRDR Cause Of Death Condition
    • Section 3.1 says code is a codeable concept, but does not break it down further. The example from canary has code/text
    • Section 3.1 has this condition: http://hl7.org/fhir/us/vrdr/StructureDefinition/-VRDR-Cause-Of-Death-Condition
      • Is the - before VRDR-Cause-Of-Death-Condition a typo or on purpose?
    • Section 3.2 states: SHALL contain exactly one [1..1] onset[x], where onset[x]
      • and then it stops. Section 3.1 actually fills this in, but that is in 3.1
    • Requirements are slightly different
  • Section 3.3 has typo in the title of the section.
  • Sections 11.1 and 11.2, are these duplicates?
    • Both sections discuss VRDR Certifier
    • They have slightly different requirements
  • I am missing the bigger picture here
    • There are many sections in the Word document with detailed requirements for a Patient, Location, Observation, etc.
    • I am missing the bigger picture that ties these together. Which observations are required? Which locations are required/optional?

VRDR Supplement

  • Table 6.3.1.D1.4.1-1, Pregnancy
    • Supplement says: Where value data type is CD and uses values from value set: (CodeSystem: 2.16.840.1.114222.4.11.6003 Pregnancy Status (NCHS))
    • 2.16.840.1.114222.4.11.6003 is the identifier for a value set and not for a code system
    • See https://phinvads.cdc.gov/vads/ViewValueSet.action?id=98603205-77AC-448A-ABBD-A43D5B34E627
    • PHIN VADS says coding system is "PHIN VS (CDC Local Coding System)" but does not give a value that one would use for "system", at least on that page. Google tells me the right value for system would be: urn:oid:2.16.840.1.114222.4.5.274. But, that is based on a random page I found. Would like to find a definite reference.
  • Table 6.3.1.D1.4.1-1, Tobacco Use
    • Supplement says: Contributory Tobacco Use (NCHS) [Observation: templateId 2.16.840.1.114222.4.11.6004]
      • Not sure that the OID listed qualifies as a template ID. It is the OID of a value set (see next item).
    • Supplement says: Where value data type is CD and uses values from value set: (CodeSystem: 2.16.840.1.114222.4.11.6004 Contributory Tobacco Use (NCHS)),

VRDR Canary Synthetic Data

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