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Concepts that are codified can use different value sets from different code systems.
The code systems may have hierarchical structure, and/or relationships that may need to be leveraged for decision making purposes

Example: WHO grading of anemia severity

  • This table specifies sex as: male, nonpregnant female, pregnant female.

  • This is easily done in DMN as a list, but this would be difficult to implement with FHIR unless revised.

Race/Ethnicity Codes

LOINC 32624-9

LOINC 46463-6

HL7/FHIR

Race

Race and Ethnicity

OMB Race Categories

American Indian or Alaska Native

American Indian or Alaska Native

American Indian or Alaska Native

Asian

Asian

Asian

Black or African American

Black or African American

Black or African American

Native Hawaiian or Pacific Islander

Native Hawaiian or Pacific Islander

Native Hawaiian or Pacific Islander

White

White

White

Unknown

Unknown

Unknown (UNK)

 

Hispanic or Latino

 

Marital Status

LOINC 1138-1

LOINC 45404-1

HL7/FHIR

 

separated

separated

unmarried

 

unmarried

 

 

common law

divorced

divorced

divorced

legally separated

 

legally separated

 

 

living together

interlocutory

 

interlocutory

married

married

married

annulled

 

annulled

 

 

other

domestic partner

 

domestic partner

 

 

registered domestic partner

never married

never married

single

 

 

unreported

 

 

unknown

widowed

widowed

widowed

polygamous