Primary Diagnosis

[Nick]

The implementation guide warrants that we use the code 52534-5 for Principal Diagnosis

However, the validation tool displays the following message as a warning

I have attached the sample file from HL7. We get a warning while validating this as well. How should we deal with this? Please let me know if I'm missing something.

[Andrew McCaffrey]

Hi,

What you are seeing is the expected behavior. The warning is an
artifact of templates that inherit from other templates.

In this case, the parent template is Problem Diagnosis
(2.16.840.1.113883.10.20.22.4.4). In that template the conformance
statement 6 (CONF:1098-9045) says that the value set to be used SHOULD
be from 2.16.840.1.113883.3.88.12.3221.7.2 (this is not a SHALL
requirement).

The child template is Primary Diagnosis
(2.16.840.1.113883.10.20.34.3.6). This template inherits all the rules
from its parent template, but also adds additional conformance
statements of its own. One of those is to put a SHALL requirement on
the code and set it to a single value (52534-5).

The conformance rule of the child does not violate the conformance rule
of the parent because the parent is a SHOULD while the child is a SHALL.
So you can safely ignore that warning.

Let me know if you have any questions.

Thanks,
-Andrew

On 08/24/2016 03:10 AM, Nick wrote:
> The implementation guide warrants that we use the code 52534-5 for
> Principal Diagnosis
>

> <https://lh3.googleusercontent.com/-GjvDMzwPKBw/V71GkVr-XmI/AAAAAAAAHMM/EAtgsIFgaAAmZlsW4UJ2RqIqlP5C2HD4gCLcB/s1600/1.png>

>
> However, the validation tool displays the following message as a warning
>

> <https://lh3.googleusercontent.com/-pZuabCeSM_Q/V71GzSTj5SI/AAAAAAAAHMQ/nP6W1zmAxEwh0ESwXh2Yr6UC2ORR1As0gCLcB/s1600/2.png>

>
>
> I have attached the sample file from HL7. We get a warning while
> validating this as well. How should we deal with this? Please let me
> know if I'm missing something.
>

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