PID.22 Ethnic Group

[Muhammad Shoaib]

PID.22 Ethnic Group refer to HL70189 table.
In this table there is two coding systems for same values.

When any value use from HL70189 coding system.
"IZ_1_Admin_Child" Test Cases generate errors.

They only accept CDCREC values.
Implementation Guide for Immunization Message refer to this table.

Then why validation tool does not accept HL70189 values.

So which one coding system is valid.

2135-2	Hispanic or Latino	CDCREC
2186-5	Not Hispanic or Latino	CDCREC
H	Hispanic or Latino	HL70189
N	Not Hispanic or Latino	HL70189
U	Unknown	HL70189
UNK	unknown	NULLFL

[Rob Savage]

please note that this is addressed in the addendum to the IG. (http://www.cdc.gov/vaccines/programs/iis/technical-guidance/downloads/hl7-clarification-R4.pdf)

It states: 

Ethnicity Group value 

set is based upon 

CDC Race & 

Ethnicity. Next version 

of IG would remove 

reference to HL7 

Table 0189. This does 

have HL7 Null flavor 

concept which has a 

different code system OID.

Rob Savage

Senior Information Technologist
Northrop Grumman
Contracted to support CDC/NCIRD/IISSB
608 233 6129

cell 608 215 8039
rbsa...@cdc.gov
robs...@att.net
Skype: rob.savage50

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[and...@macpractice.net]

The addendum that is linked also says the following: (http://www.cdc.gov/vaccines/programs/iis/technical-guidance/downloads/hl7-clarification-R4.pdf)

HL7 table 0189 displayed in the
Implementation Guide refers to two
values sets. The US ethnicity codes are
actually from the CDCREC table. They
should be identified as CDCREC. The
HL7 2.4 codes are the actual values in
HL70189 and should be labeled
accordingly. In addition it is not clear
which one is meant by “reserved for
governmentally assigned codes” in the
implementation guide. Therefore, either
is acceptable. That is, the first triplet of
PID.22 may contain a code from either
value set given in table 0189 or
CDCREC. In addition, the second triplet
may also be valued with a code from
either value set given in table 0189 or
CDCREC. The order in which the codes
appear is not significant. Examples for
Hispanic or Latino include “H^Hispanic
or Latino^HL70189”, “2135-2^Hispanic
or Latino^CDCREC”, “H^Hispanic or
Latino^HL70189^2135-2^Hispanic or
Latino^CDCREC”, and so on.

So PID.22 of the "IZ_1_Admin_Child" Test Case should be able to accept either CDCREC, HL70189, or NULLFL.

[Martinez, Sandra]

You are right, the tool should be updated to accept CDCREC, HL70189, or NULLFL.

Thank you for your comment.

Sandra

[Amir Ahmed]

How should ethnic group be sent in the HL7 message for patients who have declined to give their ethnic group, or whose ethnic group is unknown?

Are these acceptable values for PID-22 and NK1-28 (ethnic group)?

• ^Declined^CDCREC
• U^Unknown^HL70189

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[sheryl...@nist.gov]

Hi,

Per the immunization subject matter experts (SMEs) who work with NIST, PID-22 (Ethnic Group) should be left empty when a patient declines to give their ethnic group or when the ethnic group is unknown - usage for PID-22 is RE (required, but may be empty). Usage for NK1-28 (Ethnic Group) is Optional, so the SMEs have no official position as to how this field is to be populated; but NK1-28 could be left empty when the next-of-kin declines to give their ethnic group or when the ethnic group is unknown.

Thank you for your question,

Sheryl

NIST

[Amir Ahmed]

Thank you for the clear and prompt response! J

 

Regards,

Amir

 

From: hl7v2-immuniz...@googlegroups.com [mailto:hl7v2-immuniz...@googlegroups.com] On Behalf Of sheryl...@nist.gov
Sent: Tuesday, October 10, 2017 11:51 AM
To: HL7v2 Immunization Testing <hl7v2-immuniz...@googlegroups.com>
Subject: Re: PID.22 Ethnic Group

 

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