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Concept set #342 "Decision authority documented" - clarification needed #21

@BorisDelange

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@BorisDelange

@glichtner, this concept set was added for your use case (project 5). It currently points to a non-standard LOINC Part (LP74704-5), which isn't usable as-is, so I need your input before finalizing it.

The item comes from the LOINC CARE instrument: 52687-1, "Decision authority documented [CARE]" (non-standard). Its standard answer concept is:

  • 45877806 / LA11786-3: "The patient has designated a decision-maker (if the patient is unable to make decisions) which is documented in the medical record." (LOINC, standard, but a Meas Value / Answer, i.e. a response value, not an observation).

What should this variable capture?

  1. Whether decision authority is documented (yes/no flag), i.e. the variable. The exact LOINC concept for this (52687-1) is non-standard
  2. The recorded answer/value, e.g. "a decision-maker has been designated and documented". Here 45877806 / LA11786-3 fits exactly and is standard.

Could you confirm which of the two you mean, and whether 45877806 / LA11786-3 works for you?

I'll leave the set in draft until I hear back.

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