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  1. FHIR Specification Feedback
  2. FHIR-20978

Ability to include interpretation text/findings and recommendations to Observation

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    • Type: Change Request
    • Status: Applied (View Workflow)
    • Priority: Medium
    • Resolution: Persuasive with Modification
    • Specification:
      Genomics Reporting (FHIR)
    • Work Group:
      Clinical Genomics
    • Related Page(s):
      (profiles)
    • Resolution Description:
      Hide

      Create a component mirroring this attribute from DiagnosticReport on the genomics-base profile:

      conclusion   0..1 string Clinical conclusion (interpretation) of the observation

      Create TBD Code for component.code

       

       

      Show
      Create a component mirroring this attribute from DiagnosticReport on the genomics-base profile: conclusion   0..1 string Clinical conclusion (interpretation) of the observation Create TBD Code for component.code    
    • Resolution Vote:
      Bob M / Kevin P : 16 - 0 - 1
    • Change Category:
      Enhancement
    • Change Impact:
      Compatible, substantive

      Description

      As highlighted in the attached test reports, we include textual findings/interpretations and recommendations in a genetic report. For the eMERGE reports, while mapping to draft CG IG spec, these textual interpretations span multiple FHIR Observation profiles in our implemention e.g. Referencing file "highlighted..." test report, text highlighted in grey and yellow would be a fit for general profiles like obs-overall and obs-inh-dis-path; text highlighted in green would be a fit for PGx profiles and the recommendations text highlighted in blue is a recommendation for the provider but not exactly a recommended action; it would be up to the provider to decide on the recommended action.

      Considering the need for including this kind of interpretative/summary text (this is not the same as the "text" narrative element) spans multiple Observation resources, it would be very helpful if Interpretation Text and Recommendations were added as Narrative or String elements to the obs-base resource itself.

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              Assignee:
              james.jones James Jones
              Reporter:
              mullai murugan Mullai Murugan
              Watchers:
              3 Start watching this issue

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                Updated:
                Resolved:
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