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Should Procedure.reasonCode.text be removed as part of deidentify profile #50

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joshua-hiltunen opened this issue Mar 26, 2024 · 1 comment

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@joshua-hiltunen
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https://fhir.org/guides/hrsa/uds-plus/StructureDefinition-uds-plus-procedure.html

As a codableConcept, there's some risk of getting narrative in the reasonCode for a Procedure via "text". Should this be another field where the "text" is stripped as part of the deidentification? In cases where you have an actual code, you have code, system, and description to rely on.

@nbashyam
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nbashyam commented Apr 4, 2024

We have allowed text in CodeableConcept because many times the data may not be coded properly. There is a small risk where PHI/PII could be embedded in a CodeableConcept although the purpose of the CodeableConcept.text is not to convey any PHI/PII but to convey the meaning of the concept.

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