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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: Applied (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:
      Hide
      • Remove 'associated-cancer' component from diagnostic implication to eliminate confusion. Need to review Somatic and PGx pages to clarify using of remaining 'associated-phenotype' component.****

      Follow-ups

      • Consider renaming 'associated-condition' to be clear it is 'variant associated' or update the LOINC code description for Associated Phenotype.
      • Consider renaming 'associated-cancer' component on therapeutic implication to 'contextual-indication' - or if we leave them both, we need to more clearly define boundaries between them.

       

      Show
      Remove 'associated-cancer' component from diagnostic implication to eliminate confusion. Need to review Somatic and PGx pages to clarify using of remaining 'associated-phenotype' component.**** Follow-ups Consider renaming 'associated-condition' to be clear it is 'variant associated' or update the LOINC code description for Associated Phenotype. Consider renaming 'associated-cancer' component on therapeutic implication to 'contextual-indication' - or if we leave them both, we need to more clearly define boundaries between them.  
    • Resolution Vote:
      Bret Heale / Kevin Roberg-Perez : 13 - 0 - 0
    • Change Category:
      Correction
    • Change Impact:
      Non-compatible

      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

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                Updated:
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