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  1. MADiE Issue Tracker
  2. MADIE-862

FHIR Patient export race and ethnicity FHIR validation errors

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    • Icon: Bug/Issue Bug/Issue
    • Resolution: Resolved
    • Icon: Major Major
    • Test Case Export
    • None
    • BONNIE
    • Bonnie QDM
    • FHIR/CQL

      An example sippet from an exported patient has 

      "extension": [
 {
 "extension": [
 {
 "url": "ombCategory",
 "valueCoding": {
 "code": "2131-1",
 "display": "Other Race",
 "system": "http://cts.nlm.nih.gov/fhir/cs/cdcrec",
 "userSelected": true
 }
 }
 ],
 "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
 },
 {
 "extension": [
 {
 "url": "ombCategory",
 "valueCoding": {
 "code": "2186-5",
 "display": "Not Hispanic or Latino",
 "system": "http://cts.nlm.nih.gov/fhir/cs/cdcrec",
 "userSelected": true
 }
 }
 ],
 "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
 }
 ]

      QI-Core (US Core) Patient uses
      "system" : "urn:oid:2.16.840.1.113883.6.238"
      and it refers to http://hl7.org/fhir/us/core/STU3.1.1/ValueSet-omb-race-category.html
      which does not include 2131-1 (Other Race)

      US Core also requires http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-race-definitions.html#Extension.extension:text which is not generated in the export.

      These cause errors with the FHIR validator

      This patient was from CMS165 test patients in QDM Bonnie.

      I could not find a FHIR code system in VSAC that corresponds to http://cts.nlm.nih.gov/fhir/cs/cdcrec 

            nalbritton Noel Albritton
            p9g Paul Denning
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              Created:
              Updated:
              Resolved: