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  1. FHIR Specification Feedback
  2. FHIR-26945

clarifying 'context' vs 'risk-of' for associated phenotype and/or associated cancer component

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    Details

    • Type: Change Request
    • Status: Triaged (View Workflow)
    • Priority: Medium
    • Resolution: Persuasive with Modification
    • Specification:
      Genomics Reporting (FHIR)
    • Raised in Version:
      1.0
    • Work Group:
      Clinical Genomics
    • Related Page(s):
      genomics
    • Resolution Description:
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      remove 'associated-cancer' component from diagnostic implication to eliminate confusion.

      rename 'associated-cancer' component on therapeutic implication to 'contextual-indication'

      AND either

      option 1. remove 'associated-phenotype' component from therapeutic implication

      OR

      option 2. consolidate the following 3 components into 'associated-phenotype'

      component:effect-medication-metabolism component:effect-medication-high-risk component:effect-medication-transport

      OR

      option 3. leave 'associated-phenotype' alone for now. 

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      remove 'associated-cancer' component from diagnostic implication to eliminate confusion. rename 'associated-cancer' component on therapeutic implication to 'contextual-indication' AND either option 1. remove 'associated-phenotype' component from therapeutic implication OR option 2. consolidate the following 3 components into 'associated-phenotype' component:effect-medication-metabolism component:effect-medication-high-risk component:effect-medication-transport OR option 3. leave 'associated-phenotype' alone for now. 

      Description

      In the Genomics FHIR IG the fields of associated cancer and associated phenotype components do not have clear guidance on how to distinguish 'risk of' versus 'context.' Perhaps, the use of the component in therapeutic implication profile indicates 'context,' whereas the use of the component in diagnostic implication profile indicates 'risk of?'

      If necessary, maybe a flag would be appropriate? or some other modifier element could be added? 

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            Assignee:
            Unassigned Unassigned
            Reporter:
            bheale Bret Heale
            Request in-person:
            Bret Heale
            Watchers:
            3 Start watching this issue

              Dates

              Created:
              Updated:
              Resolved: