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  1. FHIR Specification Feedback
  2. FHIR-22147

Devices producing Observation / DiagnosticReport

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • FHIR Core (FHIR)
    • STU3
    • Orders & Observations
    • DiagnosticReport
      Observation
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      For a DiagnosticReport, a Device cannot generate a DiagnosticReport in isolation.

      To capture the "help" that a device might provide in the refining/augmentation of a result, we will add a reference to Group for Observation.device, with an invariant that specifies that the group can only refer to a combination of Devices and/or DeviceMetrics. An example is the autoverification of lab results by either instrument middleware or the LIS. We will update the guidance around the usage of Observation.device for this use case.  

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      For a DiagnosticReport, a Device cannot generate a DiagnosticReport in isolation. To capture the "help" that a device might provide in the refining/augmentation of a result, we will add a reference to Group for Observation.device, with an invariant that specifies that the group can only refer to a combination of Devices and/or DeviceMetrics. An example is the autoverification of lab results by either instrument middleware or the LIS. We will update the guidance around the usage of Observation.device for this use case.  
    • Enhancement
    • Compatible, substantive
    • R6

    Description

      Neither Observation or DiagnosticReport allows for a device to be the performer. Presumably for Observation this is because device is a separate element - but is it the case that the device is assumed to be asserting that the result is true? or that a device is known to not be able to do that? Either seems an odd conclusion to me, and I think that OO should at least document their intent here.

      As for diagnostic report- is it not possble for a device to issue a diagnostic report? surely not?

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            Unassigned Unassigned
            GrahameGrieve Grahame Grieve
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              Updated:
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