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  1. FHIR Specification Feedback
  2. FHIR-28854

General Comment about the tone of the guide.

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    • Type: Change Request
    • Status: Triaged (View Workflow)
    • Priority: Highest
    • Resolution: Not Persuasive with Modification
    • Specification:
      US Da Vinci HRex (FHIR)
    • Raised in Version:
      current
    • Work Group:
      Clinical Interoperability Council
    • Related Page(s):
      Home
    • Related Section(s):
      1.0 Home
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    • Resolution Description:
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      The objective of this portion of the IG was to provide clear guidance about approach to drive consistency of approach based on best practice. However, we will highlight that other considersations such as those listed by the commenter will also color implementation choices and may result in selecting approaches that diverge from best practice to meet other needs.

      Will add language to the introduction that says:

      "Implementation guides SHOULD provide an explanation of the considerations (whether drawn from this document or otherwise) that drove the selection of the interoperability approach chosen for the guide and the use cases it is trying to solve."

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      The objective of this portion of the IG was to provide clear guidance about approach to drive consistency of approach based on best practice. However, we will highlight that other considersations such as those listed by the commenter will also color implementation choices and may result in selecting approaches that diverge from best practice to meet other needs. Will add language to the introduction that says: "Implementation guides SHOULD provide an explanation of the considerations (whether drawn from this document or otherwise) that drove the selection of the interoperability approach chosen for the guide and the use cases it is trying to solve."
    • Change Category:
      Clarification
    • Change Impact:
      Non-substantive

      Description

      General Comment about the tone of the guide. The AMA recommends that the implemantation guide be agnostic when it comes to which implementation approaches are better, and therefore remove all the value judgments about cost, adoption, etc. because the IG should not prime and color the minds of those testing it, especially because the implementation needs may vary depending on administrative burden, workflow integration, privacy, size of practice, etc. More targeted comments have been included throughout the guide.

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              Reporter:
              celine_lefebvre Celine Lefebvre
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              Celine Lefebvre
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