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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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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • Genomics Reporting (FHIR)
    • 1.0 [deprecated]
    • Clinical Genomics
    • genomics [deprecated]
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      • 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.

       

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      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.  
    • Bret Heale / Kevin Roberg-Perez : 13 - 0 - 0
    • Correction
    • 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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            bheale Bret Heale
            Bret Heale
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              Updated:
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